HESI FUNDAMENTALS PRACTICE EXAM 1 SUCCESS GUIDE
2026/2027 | COMPLETE PRACTICE TEST BANK | HIGH-
YIELD NURSING QUESTIONS | CORRECT & VERIFIED
ANSWERS| COMPREHENSIVE HESI STUDY GUIDE
1. A nurse is caring for a patient with chronic venous insufficiency who has
developed a leg ulcer. After applying an Unna's paste boot, what should the
nurse monitor for to ensure the effectiveness of the intervention?
Reduction in edema and improvement in the appearance of the
ulcer.
Increased pain and discomfort in the affected leg.
Complete healing of the ulcer within 24 hours.
Signs of infection at the site of the boot application.
2. A nurse is preparing to perform a rectal examination on a patient. What
should the nurse ensure when positioning the patient in the Sim's position?
Ensure the patient is restrained to prevent movement.
Ensure the patient's head is elevated to 45 degrees.
Ensure the patient is comfortable and draped appropriately for
privacy.
Ensure the patient is positioned flat on their back.
3. What is a common nursing intervention for promoting bowel elimination in
postoperative patients?
Providing a high-fiber diet
Administering laxatives
Increasing fluid intake
Encouraging ambulation
,4. If a client is unable to recall details about their past hospitalizations, what
should the nurse do to ensure accurate information is obtained?
Limit the assessment to only the most recent hospitalization.
Focus solely on the current reason for seeking care.
Utilize alternative sources such as medical records or family input.
Assume the client has no significant past medical history.
5. A client presents in the clinic and tells the nurse, 'I was taking my blood
pressure medications and watching my diet, but that didn't help my blood
pressure. So now I have stopped the medication and will just eat whatever I
want.' What is the most appropriate nursing diagnosis for this client?
Ineffective health maintenance
Risk for Hopelessness
Depression
Anxiety
6. In a clinical scenario where a patient has received positive biopsy results and
exhibits signs of ineffective coping, what nursing intervention would be most
appropriate?
Focus solely on physical treatment options.
Administer medication to reduce anxiety.
Provide emotional support and counseling.
Encourage the patient to avoid discussing their feelings.
7. What is an important nursing consideration for a patient with Raynaud's
Disease?
, Encouraging the patient to keep their extremities warm
Recommending a diet high in caffeine and nicotine
Suggesting the use of tight gloves and socks for compression
Advising the patient to engage in regular high-intensity exercise
8. Why is it important for nurses to accommodate the cultural needs of patients
during care?
To follow hospital policies strictly.
To ensure effective communication and build trust with the patient.
To avoid legal issues.
To minimize the time spent with each patient.
9. What is the primary assessment finding to monitor in an elderly female client
recovering from a brain attack who is using a quad cane?
Mobility and balance
Skin integrity
Nutritional status
Blood pressure
10. If a nurse identifies a patient experiencing spiritual distress, which of the
following actions would be most appropriate to take in a clinical setting?
Facilitate a conversation about the patient's beliefs and values.
Refer the patient to a psychiatrist immediately.
Administer medication to alleviate anxiety.
Avoid discussing spiritual matters with the patient.
, 11. The nurse is conducting an admission interview for an older adult client with
altered mental status. . The nurse notes the client is poor historian. . Which
action is the most appropriate for the nurse take to obtain the client's past
medical history?
Wait until the client can provide the information.
Review information from previous admission in the medical record.
Check to see if there is contact information for family on the chart.
Document that the client is unable to provide information.
12. If the child expresses fear about the surgery, what nursing intervention
would be most appropriate to help ease the child's anxiety?
Provide age-appropriate information and reassurance about the
procedure.
Encourage the child to express their feelings through drawing.
Suggest the child speak to another patient who had the surgery.
Tell the child that they will not feel anything during the surgery.
13. If a nursing assistant continues to lift heavy objects improperly despite
training, what action should the charge nurse take to address this issue?
Reassign the nursing assistant to a different task.
Provide additional training and monitor lifting techniques.
Ignore the behavior if no injuries occur.
Report the nursing assistant to human resources.
14. What is the primary technique a nurse should use during a physical
assessment?
2026/2027 | COMPLETE PRACTICE TEST BANK | HIGH-
YIELD NURSING QUESTIONS | CORRECT & VERIFIED
ANSWERS| COMPREHENSIVE HESI STUDY GUIDE
1. A nurse is caring for a patient with chronic venous insufficiency who has
developed a leg ulcer. After applying an Unna's paste boot, what should the
nurse monitor for to ensure the effectiveness of the intervention?
Reduction in edema and improvement in the appearance of the
ulcer.
Increased pain and discomfort in the affected leg.
Complete healing of the ulcer within 24 hours.
Signs of infection at the site of the boot application.
2. A nurse is preparing to perform a rectal examination on a patient. What
should the nurse ensure when positioning the patient in the Sim's position?
Ensure the patient is restrained to prevent movement.
Ensure the patient's head is elevated to 45 degrees.
Ensure the patient is comfortable and draped appropriately for
privacy.
Ensure the patient is positioned flat on their back.
3. What is a common nursing intervention for promoting bowel elimination in
postoperative patients?
Providing a high-fiber diet
Administering laxatives
Increasing fluid intake
Encouraging ambulation
,4. If a client is unable to recall details about their past hospitalizations, what
should the nurse do to ensure accurate information is obtained?
Limit the assessment to only the most recent hospitalization.
Focus solely on the current reason for seeking care.
Utilize alternative sources such as medical records or family input.
Assume the client has no significant past medical history.
5. A client presents in the clinic and tells the nurse, 'I was taking my blood
pressure medications and watching my diet, but that didn't help my blood
pressure. So now I have stopped the medication and will just eat whatever I
want.' What is the most appropriate nursing diagnosis for this client?
Ineffective health maintenance
Risk for Hopelessness
Depression
Anxiety
6. In a clinical scenario where a patient has received positive biopsy results and
exhibits signs of ineffective coping, what nursing intervention would be most
appropriate?
Focus solely on physical treatment options.
Administer medication to reduce anxiety.
Provide emotional support and counseling.
Encourage the patient to avoid discussing their feelings.
7. What is an important nursing consideration for a patient with Raynaud's
Disease?
, Encouraging the patient to keep their extremities warm
Recommending a diet high in caffeine and nicotine
Suggesting the use of tight gloves and socks for compression
Advising the patient to engage in regular high-intensity exercise
8. Why is it important for nurses to accommodate the cultural needs of patients
during care?
To follow hospital policies strictly.
To ensure effective communication and build trust with the patient.
To avoid legal issues.
To minimize the time spent with each patient.
9. What is the primary assessment finding to monitor in an elderly female client
recovering from a brain attack who is using a quad cane?
Mobility and balance
Skin integrity
Nutritional status
Blood pressure
10. If a nurse identifies a patient experiencing spiritual distress, which of the
following actions would be most appropriate to take in a clinical setting?
Facilitate a conversation about the patient's beliefs and values.
Refer the patient to a psychiatrist immediately.
Administer medication to alleviate anxiety.
Avoid discussing spiritual matters with the patient.
, 11. The nurse is conducting an admission interview for an older adult client with
altered mental status. . The nurse notes the client is poor historian. . Which
action is the most appropriate for the nurse take to obtain the client's past
medical history?
Wait until the client can provide the information.
Review information from previous admission in the medical record.
Check to see if there is contact information for family on the chart.
Document that the client is unable to provide information.
12. If the child expresses fear about the surgery, what nursing intervention
would be most appropriate to help ease the child's anxiety?
Provide age-appropriate information and reassurance about the
procedure.
Encourage the child to express their feelings through drawing.
Suggest the child speak to another patient who had the surgery.
Tell the child that they will not feel anything during the surgery.
13. If a nursing assistant continues to lift heavy objects improperly despite
training, what action should the charge nurse take to address this issue?
Reassign the nursing assistant to a different task.
Provide additional training and monitor lifting techniques.
Ignore the behavior if no injuries occur.
Report the nursing assistant to human resources.
14. What is the primary technique a nurse should use during a physical
assessment?
