HESI RN Fundamentals Study Guide: 100
Questions with Answers and Rationales 98%
FEATURED IN THE ACTUAL EXAM| 2024 UPDATE|
GRADED A+
1. Nursing Process
1. Question: What is the primary goal of the assessment phase in the nursing process?
Answer: To gather comprehensive data about the patient’s health status.
Rationale: The assessment phase involves collecting subjective and objective data to
establish a baseline for care.
2. Question: A nurse establishes a goal that a patient will ambulate 50 feet twice daily
by the third postoperative day. Which step of the nursing process does this represent?
Answer: Planning.
Rationale: Setting measurable and time-bound goals occurs in the planning phase.
3. Question: What is the nurse’s role during the implementation phase?
Answer: To carry out interventions that help achieve the patient's goals.
Rationale: Implementation involves action based on the care plan.
4. Question: Which of the following is an example of an evaluative measure?
Answer: Checking the patient’s blood pressure after administering antihypertensive
medication.
Rationale: Evaluative measures assess the effectiveness of interventions.
5. Question: What is the most critical factor in prioritizing nursing diagnoses?
Answer: The urgency and potential harm to the patient.
Rationale: Life-threatening issues and those affecting safety take precedence.
2. Patient Safety and Infection Control
6. Question: What is the most effective way to prevent healthcare-associated infections
(HAIs)?
Answer: Hand hygiene.
Rationale: Proper handwashing is the single most effective method to prevent HAIs.
7. Question: A nurse notices a frayed electrical cord in a patient’s room. What should
the nurse do first?
Answer: Remove the faulty equipment from the room.
Rationale: Ensuring patient safety involves removing hazards promptly.
8. Question: Which patient is at the highest risk for falls?
Answer: A 76-year-old with a history of orthostatic hypotension.
Rationale: Older adults with balance issues or dizziness are at increased risk.
9. Question: A nurse is preparing a sterile field. What action compromises sterility?
Answer: Reaching over the sterile field.
Rationale: Reaching over the field increases contamination risk.
10. Question: How long should a nurse rub hands together when performing hand
hygiene?
Questions with Answers and Rationales 98%
FEATURED IN THE ACTUAL EXAM| 2024 UPDATE|
GRADED A+
1. Nursing Process
1. Question: What is the primary goal of the assessment phase in the nursing process?
Answer: To gather comprehensive data about the patient’s health status.
Rationale: The assessment phase involves collecting subjective and objective data to
establish a baseline for care.
2. Question: A nurse establishes a goal that a patient will ambulate 50 feet twice daily
by the third postoperative day. Which step of the nursing process does this represent?
Answer: Planning.
Rationale: Setting measurable and time-bound goals occurs in the planning phase.
3. Question: What is the nurse’s role during the implementation phase?
Answer: To carry out interventions that help achieve the patient's goals.
Rationale: Implementation involves action based on the care plan.
4. Question: Which of the following is an example of an evaluative measure?
Answer: Checking the patient’s blood pressure after administering antihypertensive
medication.
Rationale: Evaluative measures assess the effectiveness of interventions.
5. Question: What is the most critical factor in prioritizing nursing diagnoses?
Answer: The urgency and potential harm to the patient.
Rationale: Life-threatening issues and those affecting safety take precedence.
2. Patient Safety and Infection Control
6. Question: What is the most effective way to prevent healthcare-associated infections
(HAIs)?
Answer: Hand hygiene.
Rationale: Proper handwashing is the single most effective method to prevent HAIs.
7. Question: A nurse notices a frayed electrical cord in a patient’s room. What should
the nurse do first?
Answer: Remove the faulty equipment from the room.
Rationale: Ensuring patient safety involves removing hazards promptly.
8. Question: Which patient is at the highest risk for falls?
Answer: A 76-year-old with a history of orthostatic hypotension.
Rationale: Older adults with balance issues or dizziness are at increased risk.
9. Question: A nurse is preparing a sterile field. What action compromises sterility?
Answer: Reaching over the sterile field.
Rationale: Reaching over the field increases contamination risk.
10. Question: How long should a nurse rub hands together when performing hand
hygiene?
