Herzing University Transition (NSG 125)
Fundamentals HESI Practice Exam (60
Questions) | Practice Questions & Verified
Answers | 2026 Edition
Fundamentals HESI Practice Exam (60
Questions)
Name: Date: Time Limit: 75 minutes
Instructions
● Choose the one best answer unless the question says Select all that apply.
● Use ABCs (Airway, Breathing, Circulation) and prioritization (Safety → Airway →
Breathing → Circulation → Pain).
● Bubble answers on the Answer Sheet at the end. Do not turn to the key until you finish.
1.
The nurse prepares a client for surgery. Which action must occur before administering any
sedative or opioid?
A. Start IV fluids
B. Obtain informed consent signature
C. Clip the operative site
D. Mark the surgical site with the surgeon
2.
During pre-op assessment, which finding requires immediate clarification before proceeding to
OR?
A. NPO for 8 hours
B. Allergy to shellfish
C. Removed dentures
D. ID band present
, 3.
A post-op client is restless and anxious with HR 118/min and BP 88/52. What is the priority
action?
A. Reassess pain level
B. Place client supine with legs elevated
C. Offer oral fluids
D. Ambulate to prevent DVT
4.
The nurse is witnessing informed consent. Which statement is accurate?
A. The nurse explains risks and alternatives
B. The surgeon verifies understanding; nurse witnesses signature
C. The nurse determines capacity and signs for the client
D. The anesthetist obtains the consent
5. (Select all that apply)
Pre-op medication review: which orders should the nurse clarify/hold?
A. Warfarin
B. Metformin
C. Sliding-scale insulin
D. Vitamin C
E. Clopidogrel
F. Levothyroxine
6.
Best rationale for NPO 6–8 hours prior to general anesthesia:
A. Prevent hypotension
B. Prevent aspiration
C. Reduce anxiety
D. Reduce post-op pain
7.
Client arrives from PACU after abdominal surgery. Which assessment is priority?
A. Pain score
B. Airway patency
C. Incision appearance
D. Urine output
8.
Fundamentals HESI Practice Exam (60
Questions) | Practice Questions & Verified
Answers | 2026 Edition
Fundamentals HESI Practice Exam (60
Questions)
Name: Date: Time Limit: 75 minutes
Instructions
● Choose the one best answer unless the question says Select all that apply.
● Use ABCs (Airway, Breathing, Circulation) and prioritization (Safety → Airway →
Breathing → Circulation → Pain).
● Bubble answers on the Answer Sheet at the end. Do not turn to the key until you finish.
1.
The nurse prepares a client for surgery. Which action must occur before administering any
sedative or opioid?
A. Start IV fluids
B. Obtain informed consent signature
C. Clip the operative site
D. Mark the surgical site with the surgeon
2.
During pre-op assessment, which finding requires immediate clarification before proceeding to
OR?
A. NPO for 8 hours
B. Allergy to shellfish
C. Removed dentures
D. ID band present
, 3.
A post-op client is restless and anxious with HR 118/min and BP 88/52. What is the priority
action?
A. Reassess pain level
B. Place client supine with legs elevated
C. Offer oral fluids
D. Ambulate to prevent DVT
4.
The nurse is witnessing informed consent. Which statement is accurate?
A. The nurse explains risks and alternatives
B. The surgeon verifies understanding; nurse witnesses signature
C. The nurse determines capacity and signs for the client
D. The anesthetist obtains the consent
5. (Select all that apply)
Pre-op medication review: which orders should the nurse clarify/hold?
A. Warfarin
B. Metformin
C. Sliding-scale insulin
D. Vitamin C
E. Clopidogrel
F. Levothyroxine
6.
Best rationale for NPO 6–8 hours prior to general anesthesia:
A. Prevent hypotension
B. Prevent aspiration
C. Reduce anxiety
D. Reduce post-op pain
7.
Client arrives from PACU after abdominal surgery. Which assessment is priority?
A. Pain score
B. Airway patency
C. Incision appearance
D. Urine output
8.
