HESI Fundamentals Practice Exam Comprehensive Practice Questions for
Nursing Students 2025
Total Questions: 180
1. A nurse is providing care for a client with a urinary catheter. Which action ensures aseptic technique?
A. Irrigating the catheter daily
B. Keeping the drainage bag below bladder level
C. Repositioning the catheter tubing frequently
D. Disconnecting the catheter to collect urine samples
Correct answer: B
2. Which nursing action demonstrates the evaluation phase of the nursing process?
A. Administering medication
B. Assessing vital signs
C. Determining if pain relief was achieved
D. Planning patient care
Correct answer: C
3. A client with left-sided weakness needs to use a cane. Which instruction is correct?
A. Hold the cane in the left hand
B. Move the cane and the weak leg together
C. Move the strong leg with the cane
D. Move the cane after both legs
Correct answer: B
,4. Which of the following is a physiological sign of pain?
A. Yawning
B. Bradycardia
C. Increased heart rate
D. Decreased respiratory rate
Correct answer: C
5. Which infection control practice is most effective in preventing the spread of infection?
A. Wearing gloves with all patients
B. Sterilizing all instruments
C. Hand hygiene
D. Using isolation precautions for all patients
Correct answer: C
6. When assisting a patient with dysphagia, the nurse should:
A. Encourage fluid intake with meals
B. Provide thin liquids
C. Position the patient upright
D. Place the patient in supine position
Correct answer: C
7. A nurse gives the wrong medication. What is the nurse’s first action?
A. Call the physician
B. Document the incident
C. Assess the patient
D. Report to the charge nurse
Correct answer: C
,8. Which patient is at highest risk for pressure injury?
A. Ambulatory patient with diabetes
B. Incontinent elderly patient who is immobile
C. Young adult with a leg fracture
D. Post-op patient walking with assistance
Correct answer: B
9. Which action by the nurse best reduces the risk of falls?
A. Raising all side rails
B. Keeping the bed in the high position
C. Applying wrist restraints
D. Ensuring the call light is within reach
Correct answer: D
10. Which action reflects proper body mechanics?
A. Bending at the waist to lift
B. Twisting the body when moving a patient
C. Keeping the back straight and lifting with the legs
D. Holding objects far from the body
Correct answer: C
11. A client asks about advance directives. The nurse should:
A. Refer the client to a lawyer
B. Provide a form and explain its purpose
C. Tell the client to discuss it later with family
D. Say it’s only needed for terminal patients
Correct answer: B
12. Which of the following vital signs is most concerning?
, A. BP 100/60
B. Pulse 110
C. Temp 100.8°F (38.2°C)
D. Respiration rate of 8/min
Correct answer: D
13. When teaching a client about insulin injections, which principle of teaching is most important?
A. Start with complex concepts
B. Use only verbal instruction
C. Demonstrate and ask for return demonstration
D. Teach family instead of the client
Correct answer: C
14. Which item must be included in informed consent?
A. Cost of the procedure
B. Diagnosis of other patients
C. Alternatives to the procedure
D. Physician’s personal opinion
Correct answer: C
15. A nurse uses the SBAR method during a handoff report. What does the "A" stand for?
A. Authorization
B. Assessment
C. Alert
D. Action
Correct answer: B
16. A postoperative patient is reluctant to ambulate. What is the best nursing action?
A. Allow the patient to rest longer
Nursing Students 2025
Total Questions: 180
1. A nurse is providing care for a client with a urinary catheter. Which action ensures aseptic technique?
A. Irrigating the catheter daily
B. Keeping the drainage bag below bladder level
C. Repositioning the catheter tubing frequently
D. Disconnecting the catheter to collect urine samples
Correct answer: B
2. Which nursing action demonstrates the evaluation phase of the nursing process?
A. Administering medication
B. Assessing vital signs
C. Determining if pain relief was achieved
D. Planning patient care
Correct answer: C
3. A client with left-sided weakness needs to use a cane. Which instruction is correct?
A. Hold the cane in the left hand
B. Move the cane and the weak leg together
C. Move the strong leg with the cane
D. Move the cane after both legs
Correct answer: B
,4. Which of the following is a physiological sign of pain?
A. Yawning
B. Bradycardia
C. Increased heart rate
D. Decreased respiratory rate
Correct answer: C
5. Which infection control practice is most effective in preventing the spread of infection?
A. Wearing gloves with all patients
B. Sterilizing all instruments
C. Hand hygiene
D. Using isolation precautions for all patients
Correct answer: C
6. When assisting a patient with dysphagia, the nurse should:
A. Encourage fluid intake with meals
B. Provide thin liquids
C. Position the patient upright
D. Place the patient in supine position
Correct answer: C
7. A nurse gives the wrong medication. What is the nurse’s first action?
A. Call the physician
B. Document the incident
C. Assess the patient
D. Report to the charge nurse
Correct answer: C
,8. Which patient is at highest risk for pressure injury?
A. Ambulatory patient with diabetes
B. Incontinent elderly patient who is immobile
C. Young adult with a leg fracture
D. Post-op patient walking with assistance
Correct answer: B
9. Which action by the nurse best reduces the risk of falls?
A. Raising all side rails
B. Keeping the bed in the high position
C. Applying wrist restraints
D. Ensuring the call light is within reach
Correct answer: D
10. Which action reflects proper body mechanics?
A. Bending at the waist to lift
B. Twisting the body when moving a patient
C. Keeping the back straight and lifting with the legs
D. Holding objects far from the body
Correct answer: C
11. A client asks about advance directives. The nurse should:
A. Refer the client to a lawyer
B. Provide a form and explain its purpose
C. Tell the client to discuss it later with family
D. Say it’s only needed for terminal patients
Correct answer: B
12. Which of the following vital signs is most concerning?
, A. BP 100/60
B. Pulse 110
C. Temp 100.8°F (38.2°C)
D. Respiration rate of 8/min
Correct answer: D
13. When teaching a client about insulin injections, which principle of teaching is most important?
A. Start with complex concepts
B. Use only verbal instruction
C. Demonstrate and ask for return demonstration
D. Teach family instead of the client
Correct answer: C
14. Which item must be included in informed consent?
A. Cost of the procedure
B. Diagnosis of other patients
C. Alternatives to the procedure
D. Physician’s personal opinion
Correct answer: C
15. A nurse uses the SBAR method during a handoff report. What does the "A" stand for?
A. Authorization
B. Assessment
C. Alert
D. Action
Correct answer: B
16. A postoperative patient is reluctant to ambulate. What is the best nursing action?
A. Allow the patient to rest longer
