HESI FUNDAMENTALS TEST 2 COMPLETE STUDY GUIDE 2026/2027
| NURSING PRACTICE QUESTIONS & ANSWERS | HIGH-YIELD HESI
EXAM REVIEW | VERIFIED CORRECT ANSWERS | DETAILED|
COMPLETE EXAM PREP
1. A patient enters the emergency department with a draining wound. Once the
patient is admitted and assessed, the priority nursing intervention is to
teach the patient about the ordered antibiotics.
enforce droplet isolation precautions.
culture the wound.
administer the ordered antibiotics.
2. A patient has been vomiting and has a catheter in place. What outputs should
the nurse document in the medical record to ensure comprehensive patient
care?
Only Urine
Emesis, Urine, Gastric fluid suctioned
Emesis and Urine only
Urine and gastric fluid only
3. If a patient has received an expired medication and begins to show adverse
reactions, what should the nurse do next?
Wait for the reactions to subside before taking any action.
Ignore the reactions as they are likely not related to the medication.
Provide immediate care and notify the healthcare provider.
Administer a different medication to counteract the effects.
4. What is the purpose of an incentive spirometer?
, Treat anxiety
Decrease respirations
increase respirations
encourage deep breathing
5. What is one key factor a practical nurse must assess before transferring a
patient from bed to a chair?
Patient's medication schedule
Patient's emotional state
Patient's mobility level
Patient's dietary needs
6. If a practical nurse observes sordes in a stroke patient during morning care,
what immediate action should they take?
The nurse should perform oral care to clean the mouth and prevent
infection.
The nurse should ignore the sordes as they are not a concern.
The nurse should document the observation and wait for the next shift.
The nurse should notify the physician immediately without taking any
action.
7. In a patient with chronic pain, what nursing intervention would be most
appropriate to enhance their quality of life?
Only administering pain medication when the patient requests it.
Implementing a comprehensive pain management plan that
includes medication, physical therapy, and patient education.
, Focusing solely on the psychological aspects of pain without
addressing physical symptoms.
Encouraging the patient to ignore the pain and continue with daily
activities.
8. In a scenario where a patient has a wrist injury but needs to maintain some
mobility, which wrapping technique would you recommend and why?
Figure-eight wrap, because it stabilizes the dressing while allowing
wrist movement.
Recurrent wrap, because it is best for securing dressings on the leg.
Circular wrap, because it provides full immobilization of the wrist.
Spiral wrap, because it is easier to apply than other methods.
9. In a scenario where a non-verbal patient appears distressed and is unable to
communicate, which approach should a nurse take to assess their pain level?
Ignore the distress and wait for the patient to communicate.
Utilize an observational pain scale to interpret the patient's non-
verbal cues.
Immediately administer pain relief without assessment.
Consult with the patient's family for a pain assessment.
10. What is the first action a practical nurse should take when facing resistance
while withdrawing a urinary catheter?
Stop the procedure and assess the situation.
Ask the patient to relax and try again.
Pull the catheter out forcefully.
Notify the physician immediately.
, 11. What are sordes, and how can they be identified in a patient who has had a
stroke?
Sordes are a type of skin rash that appears after a stroke.
Sordes refer to swelling in the throat following a stroke.
Sordes are crusts or debris that can accumulate on the lips and
mouth.
Sordes are a form of muscle spasm experienced by stroke patients.
12. If a nurse realizes they have repeated the wrong order to a physician, what is
the best course of action to take?
Acknowledge the mistake and clarify the correct order with the
physician.
Blame the physician for the confusion.
Ignore the mistake and proceed with the original order.
Wait until the physician calls back to address the issue.
13. Describe the importance of proper sealing in colostomy care.
Proper sealing only matters for aesthetic reasons.
Proper sealing prevents leakage and protects the skin around the
stoma.
Proper sealing can lead to skin irritation.
Proper sealing is unnecessary if the bag is changed frequently.
14. If an elderly client continues to report difficulty sleeping despite
environmental adjustments, what should the nurse consider next?
Tell the patient to simply accept their insomnia.
| NURSING PRACTICE QUESTIONS & ANSWERS | HIGH-YIELD HESI
EXAM REVIEW | VERIFIED CORRECT ANSWERS | DETAILED|
COMPLETE EXAM PREP
1. A patient enters the emergency department with a draining wound. Once the
patient is admitted and assessed, the priority nursing intervention is to
teach the patient about the ordered antibiotics.
enforce droplet isolation precautions.
culture the wound.
administer the ordered antibiotics.
2. A patient has been vomiting and has a catheter in place. What outputs should
the nurse document in the medical record to ensure comprehensive patient
care?
Only Urine
Emesis, Urine, Gastric fluid suctioned
Emesis and Urine only
Urine and gastric fluid only
3. If a patient has received an expired medication and begins to show adverse
reactions, what should the nurse do next?
Wait for the reactions to subside before taking any action.
Ignore the reactions as they are likely not related to the medication.
Provide immediate care and notify the healthcare provider.
Administer a different medication to counteract the effects.
4. What is the purpose of an incentive spirometer?
, Treat anxiety
Decrease respirations
increase respirations
encourage deep breathing
5. What is one key factor a practical nurse must assess before transferring a
patient from bed to a chair?
Patient's medication schedule
Patient's emotional state
Patient's mobility level
Patient's dietary needs
6. If a practical nurse observes sordes in a stroke patient during morning care,
what immediate action should they take?
The nurse should perform oral care to clean the mouth and prevent
infection.
The nurse should ignore the sordes as they are not a concern.
The nurse should document the observation and wait for the next shift.
The nurse should notify the physician immediately without taking any
action.
7. In a patient with chronic pain, what nursing intervention would be most
appropriate to enhance their quality of life?
Only administering pain medication when the patient requests it.
Implementing a comprehensive pain management plan that
includes medication, physical therapy, and patient education.
, Focusing solely on the psychological aspects of pain without
addressing physical symptoms.
Encouraging the patient to ignore the pain and continue with daily
activities.
8. In a scenario where a patient has a wrist injury but needs to maintain some
mobility, which wrapping technique would you recommend and why?
Figure-eight wrap, because it stabilizes the dressing while allowing
wrist movement.
Recurrent wrap, because it is best for securing dressings on the leg.
Circular wrap, because it provides full immobilization of the wrist.
Spiral wrap, because it is easier to apply than other methods.
9. In a scenario where a non-verbal patient appears distressed and is unable to
communicate, which approach should a nurse take to assess their pain level?
Ignore the distress and wait for the patient to communicate.
Utilize an observational pain scale to interpret the patient's non-
verbal cues.
Immediately administer pain relief without assessment.
Consult with the patient's family for a pain assessment.
10. What is the first action a practical nurse should take when facing resistance
while withdrawing a urinary catheter?
Stop the procedure and assess the situation.
Ask the patient to relax and try again.
Pull the catheter out forcefully.
Notify the physician immediately.
, 11. What are sordes, and how can they be identified in a patient who has had a
stroke?
Sordes are a type of skin rash that appears after a stroke.
Sordes refer to swelling in the throat following a stroke.
Sordes are crusts or debris that can accumulate on the lips and
mouth.
Sordes are a form of muscle spasm experienced by stroke patients.
12. If a nurse realizes they have repeated the wrong order to a physician, what is
the best course of action to take?
Acknowledge the mistake and clarify the correct order with the
physician.
Blame the physician for the confusion.
Ignore the mistake and proceed with the original order.
Wait until the physician calls back to address the issue.
13. Describe the importance of proper sealing in colostomy care.
Proper sealing only matters for aesthetic reasons.
Proper sealing prevents leakage and protects the skin around the
stoma.
Proper sealing can lead to skin irritation.
Proper sealing is unnecessary if the bag is changed frequently.
14. If an elderly client continues to report difficulty sleeping despite
environmental adjustments, what should the nurse consider next?
Tell the patient to simply accept their insomnia.
