HESI Fundamentals Practice Test B
Questions and Explanations 2026
1.What is the rationale for using the nursing process in
planning care for clients?
A. As a scientific process to identify nursing diagnoses of a
clients' healthcare problems.
B. To establish nursing theory that incorporates the
biopsychosocial nature of humans.
C. As a tool to organize thinking and clinical decision making
about clients' healthcare needs.
D. To promote the management of client care in collaboration
with other healthcare professionals. - Correct Answers ✅C
(The nursing process is a problem-solving approach that
provides an organized, systematic, decision making process
to effectively address the client's needs and problems. The
nursing process includes an organized framework using
knowledge, judgments, and actions by the nurse as the
client's plan of care is determined, and encompasses
assessment, analysis, planning, implementation, and
evaluation of client care (C). (A, B, and D) do not support the
basis for using the nursing process.
Correct Answer: C)
2.What activity should the nurse use in the evaluation phase
of the nursing process?
A. Ask a client to evaluate the nursing care provided.
B. Document the nursing care plan in the progress notes.
C. Determine whether a client's health problems have been
alleviated.
,HESI Fundamentals Practice Test B
Questions and Explanations 2026
D. Examine the effectiveness of nursing interventions toward
meeting client outcomes. - Correct Answers ✅In the
nursing process, the evaluation component examines the
effectiveness of nursing interventions in achieving client
outcomes (D). (A) is an evaluation of client satisfaction, not
outcomes. (B) is a written record of the plan of care. Although
(C) may occur when client outcomes are achieved, evaluation
is best determined by attainment of measurable client
outcomes.
Correct Answer: D
3.Which statement is an example of a correctly written
nursing diagnosis statement?
A. Altered tissue perfusion related to congestive heart failure.
B. Altered urinary elimination related to urinary tract
infection.
C. Risk for impaired tissue integrity related to client's refusal
to turn.
D. Ineffective coping related to response to positive biopsy
test results. - Correct Answers ✅The first part of the
nursing diagnosis statement is the diagnostic label and is
followed by related to the cause, which should direct the
nurse to the appropriate interventions. (D) best fits this
criteria. (A and B) contain a medical diagnosis. (C) includes
an observable cause, but (D) focuses on the client's response,
which the nurse can provide support, reflection, and dialogue.
Correct Answer: D
,HESI Fundamentals Practice Test B
Questions and Explanations 2026
4.What action by the nurse demonstrates culturally sensitive
care?
A. Asks permission before touching a client.
B. Avoids questions about male-female relationships.
C. Explains the differences between Western medical care
and cultural folk remedies.
D. Applies knowledge of a cultural group unless a client
embraces Western customs. - Correct Answers ✅Physical
contact, such as touching the head, in some cultures is a sign
of respect, whereas in others, it is strictly forbidden. So
asking permission before touching a client (A) demonstrates
culturally sensitive care. (B, C, and D) do not demonstrate
cultural awareness.
Correct Answer: A
5.A nurse is becoming increasingly frustrated by the family
members' efforts to participate in the care of a hospitalized
client. What action should the nurse implement to cope with
these feelings of frustration?
A. Suggest that other cultural practices be substituted by the
family members.
B. Examine one's own culturally based values, beliefs,
attitudes, and practices.
C. Explain to the family that multiple visitors are exhausting
to the client.
D. Allow the situation to continue until a family member's
action may harm the client. - Correct Answers
, HESI Fundamentals Practice Test B
Questions and Explanations 2026
✅Acknowledging a client's beliefs and customs related to
sickness and health care are valuable components in the plan
of care that prevents conflict between the goals of nursing
and the client's cultural practices. Cultural sensitivity begins
with examining one's own cultural values (B) to compare,
recognize, and acknowledge cultural bias. (A and C) do not
consider the family's needs to care for the client and are not
the best ways to cope with the nurse's frustration. Although
(D) may be an option, examining one's cultural differences
allows the nurse to cope, empathize, and implement
culturally specific interventions pertaining to the needs of the
client and the family.
Correct Answer: B
6.Which technique is most important for the nurse to
implement when performing a physical assessment?
A. A head-to-toe approach.
B. The medical systems model.
C. A consistent, systematic approach.
D. An approach related to a nursing model. - Correct
Answers ✅The most important factor in performing a
physical assessment is following a consistent and systematic
technique (C) each time an assessment is performed to
minimize variation in sequence which may increase the
likelihood of omitting a step or exam of an isolated area. The
method of completing a physical assessment (A, B, and D)
may be at the discretion of the examiner, but a consistent
sequence by the examiner provides a reliable method to
Questions and Explanations 2026
1.What is the rationale for using the nursing process in
planning care for clients?
A. As a scientific process to identify nursing diagnoses of a
clients' healthcare problems.
B. To establish nursing theory that incorporates the
biopsychosocial nature of humans.
C. As a tool to organize thinking and clinical decision making
about clients' healthcare needs.
D. To promote the management of client care in collaboration
with other healthcare professionals. - Correct Answers ✅C
(The nursing process is a problem-solving approach that
provides an organized, systematic, decision making process
to effectively address the client's needs and problems. The
nursing process includes an organized framework using
knowledge, judgments, and actions by the nurse as the
client's plan of care is determined, and encompasses
assessment, analysis, planning, implementation, and
evaluation of client care (C). (A, B, and D) do not support the
basis for using the nursing process.
Correct Answer: C)
2.What activity should the nurse use in the evaluation phase
of the nursing process?
A. Ask a client to evaluate the nursing care provided.
B. Document the nursing care plan in the progress notes.
C. Determine whether a client's health problems have been
alleviated.
,HESI Fundamentals Practice Test B
Questions and Explanations 2026
D. Examine the effectiveness of nursing interventions toward
meeting client outcomes. - Correct Answers ✅In the
nursing process, the evaluation component examines the
effectiveness of nursing interventions in achieving client
outcomes (D). (A) is an evaluation of client satisfaction, not
outcomes. (B) is a written record of the plan of care. Although
(C) may occur when client outcomes are achieved, evaluation
is best determined by attainment of measurable client
outcomes.
Correct Answer: D
3.Which statement is an example of a correctly written
nursing diagnosis statement?
A. Altered tissue perfusion related to congestive heart failure.
B. Altered urinary elimination related to urinary tract
infection.
C. Risk for impaired tissue integrity related to client's refusal
to turn.
D. Ineffective coping related to response to positive biopsy
test results. - Correct Answers ✅The first part of the
nursing diagnosis statement is the diagnostic label and is
followed by related to the cause, which should direct the
nurse to the appropriate interventions. (D) best fits this
criteria. (A and B) contain a medical diagnosis. (C) includes
an observable cause, but (D) focuses on the client's response,
which the nurse can provide support, reflection, and dialogue.
Correct Answer: D
,HESI Fundamentals Practice Test B
Questions and Explanations 2026
4.What action by the nurse demonstrates culturally sensitive
care?
A. Asks permission before touching a client.
B. Avoids questions about male-female relationships.
C. Explains the differences between Western medical care
and cultural folk remedies.
D. Applies knowledge of a cultural group unless a client
embraces Western customs. - Correct Answers ✅Physical
contact, such as touching the head, in some cultures is a sign
of respect, whereas in others, it is strictly forbidden. So
asking permission before touching a client (A) demonstrates
culturally sensitive care. (B, C, and D) do not demonstrate
cultural awareness.
Correct Answer: A
5.A nurse is becoming increasingly frustrated by the family
members' efforts to participate in the care of a hospitalized
client. What action should the nurse implement to cope with
these feelings of frustration?
A. Suggest that other cultural practices be substituted by the
family members.
B. Examine one's own culturally based values, beliefs,
attitudes, and practices.
C. Explain to the family that multiple visitors are exhausting
to the client.
D. Allow the situation to continue until a family member's
action may harm the client. - Correct Answers
, HESI Fundamentals Practice Test B
Questions and Explanations 2026
✅Acknowledging a client's beliefs and customs related to
sickness and health care are valuable components in the plan
of care that prevents conflict between the goals of nursing
and the client's cultural practices. Cultural sensitivity begins
with examining one's own cultural values (B) to compare,
recognize, and acknowledge cultural bias. (A and C) do not
consider the family's needs to care for the client and are not
the best ways to cope with the nurse's frustration. Although
(D) may be an option, examining one's cultural differences
allows the nurse to cope, empathize, and implement
culturally specific interventions pertaining to the needs of the
client and the family.
Correct Answer: B
6.Which technique is most important for the nurse to
implement when performing a physical assessment?
A. A head-to-toe approach.
B. The medical systems model.
C. A consistent, systematic approach.
D. An approach related to a nursing model. - Correct
Answers ✅The most important factor in performing a
physical assessment is following a consistent and systematic
technique (C) each time an assessment is performed to
minimize variation in sequence which may increase the
likelihood of omitting a step or exam of an isolated area. The
method of completing a physical assessment (A, B, and D)
may be at the discretion of the examiner, but a consistent
sequence by the examiner provides a reliable method to
