HESI RN FUNDAMENTALS ACCURATE PRACTICE
EXAM WITH ALL POSSIBLE APPROVED WELL
ELABORATED PRACTICE QUESTIONS AND 100%
CORRECT VERIFIED ANSWERS WITH DETAILED
RATIONALES PLUS EXPERT ANSWER KEY (100%
CORRECT VERIFIED SOLUTIONS) 2026-2027
CURRENTLY UPDATED VERSION Q&A
GUARANTEED PASS A+ INSTANT DOWNLOAD PDF
Question 1
A client who is postoperative day 1 from an
abdominal hysterectomy reports pain at the surgical
site rated as a 6 on a 0-to-10 pain scale. The client
received oxycodone/acetaminophen 2 hours ago.
Which action should the nurse take first?
a) Reposition the client to promote comfort.
b) Notify the healthcare provider of the client's pain
level.
c) Administer the prescribed PRN analgesic.
,d) Assess the surgical site for redness, swelling, or
drainage.
Correct Answer: d
Rationale: The nurse should first assess the client's
surgical site for signs of infection or complications,
such as redness, swelling, or drainage, which could
indicate a problem requiring immediate
intervention. Pain assessment and intervention
should be guided by a thorough evaluation, and
repositioning or medicating without assessment
may mask underlying issues.
Question 2
A client with diabetes mellitus is scheduled for a
fasting blood glucose test in the morning. The client
asks the nurse why they cannot have breakfast.
Which response is most accurate?
a) "Eating breakfast will make your blood sugar
drop too low."
b) "Fasting is required to get a baseline
measurement of your blood sugar without the
,influence of food."
c) "You can have a small snack, but avoid sugary
foods."
d) "Your doctor wants to see how your body
responds to fasting."
Correct Answer: b
Rationale: Fasting before a blood glucose test
ensures that the results reflect the client's baseline
glucose level, uninfluenced by recent food intake.
This provides an accurate measure of the body's
ability to regulate glucose without external factors.
Question 3
The nurse is preparing to administer an
intramuscular (IM) injection in the ventrogluteal
site. Which landmark is most appropriate for
identifying this site?
a) The greater trochanter and the iliac crest.
b) The acromion process and the axilla.
c) The anterior superior iliac spine and the iliac crest.
d) The posterior superior iliac spine and the greater
, trochanter.
Correct Answer: a
Rationale: The ventrogluteal site is identified by
palpating the greater trochanter and the iliac crest.
This site is preferred for IM injections because it is
free of major nerves and blood vessels, reducing the
risk of injury.
Question 4
A client with heart failure is prescribed furosemide.
Which laboratory value should the nurse monitor
most closely?
a) Serum sodium.
b) Serum potassium.
c) Serum calcium.
d) Serum magnesium.
Correct Answer: b
Rationale: Furosemide is a loop diuretic that can
cause significant potassium loss, leading to
hypokalemia. Monitoring serum potassium is
essential to prevent cardiac arrhythmias and other
EXAM WITH ALL POSSIBLE APPROVED WELL
ELABORATED PRACTICE QUESTIONS AND 100%
CORRECT VERIFIED ANSWERS WITH DETAILED
RATIONALES PLUS EXPERT ANSWER KEY (100%
CORRECT VERIFIED SOLUTIONS) 2026-2027
CURRENTLY UPDATED VERSION Q&A
GUARANTEED PASS A+ INSTANT DOWNLOAD PDF
Question 1
A client who is postoperative day 1 from an
abdominal hysterectomy reports pain at the surgical
site rated as a 6 on a 0-to-10 pain scale. The client
received oxycodone/acetaminophen 2 hours ago.
Which action should the nurse take first?
a) Reposition the client to promote comfort.
b) Notify the healthcare provider of the client's pain
level.
c) Administer the prescribed PRN analgesic.
,d) Assess the surgical site for redness, swelling, or
drainage.
Correct Answer: d
Rationale: The nurse should first assess the client's
surgical site for signs of infection or complications,
such as redness, swelling, or drainage, which could
indicate a problem requiring immediate
intervention. Pain assessment and intervention
should be guided by a thorough evaluation, and
repositioning or medicating without assessment
may mask underlying issues.
Question 2
A client with diabetes mellitus is scheduled for a
fasting blood glucose test in the morning. The client
asks the nurse why they cannot have breakfast.
Which response is most accurate?
a) "Eating breakfast will make your blood sugar
drop too low."
b) "Fasting is required to get a baseline
measurement of your blood sugar without the
,influence of food."
c) "You can have a small snack, but avoid sugary
foods."
d) "Your doctor wants to see how your body
responds to fasting."
Correct Answer: b
Rationale: Fasting before a blood glucose test
ensures that the results reflect the client's baseline
glucose level, uninfluenced by recent food intake.
This provides an accurate measure of the body's
ability to regulate glucose without external factors.
Question 3
The nurse is preparing to administer an
intramuscular (IM) injection in the ventrogluteal
site. Which landmark is most appropriate for
identifying this site?
a) The greater trochanter and the iliac crest.
b) The acromion process and the axilla.
c) The anterior superior iliac spine and the iliac crest.
d) The posterior superior iliac spine and the greater
, trochanter.
Correct Answer: a
Rationale: The ventrogluteal site is identified by
palpating the greater trochanter and the iliac crest.
This site is preferred for IM injections because it is
free of major nerves and blood vessels, reducing the
risk of injury.
Question 4
A client with heart failure is prescribed furosemide.
Which laboratory value should the nurse monitor
most closely?
a) Serum sodium.
b) Serum potassium.
c) Serum calcium.
d) Serum magnesium.
Correct Answer: b
Rationale: Furosemide is a loop diuretic that can
cause significant potassium loss, leading to
hypokalemia. Monitoring serum potassium is
essential to prevent cardiac arrhythmias and other
