HESI Fundamentals of Nursing Specialty Exam – 80 Practice Questions with Answers & Detailed Rationales

HESI Fundamentals of Nursing Specialty
Exam Practice Questions


This document contains 80 NCLEX-style multiple-choice questions covering the nursing
process, safety, infection control, hygiene, vital signs, and documentation. Each question
includes four answer options (A–D), with the correct answer indicated.


1 Nursing Process
Question 1: A nurse is assessing a client with chest pain. What is the first step in the
nursing process?
A. Planning
B. Assessment
C. Implementation
D. Evaluation
Correct Answer: B

Question 2: A client reports difficulty breathing. What is the nurse’s priority action
during assessment?
A. Document the complaint
B. Auscultate lung sounds
C. Administer oxygen
D. Notify the provider
Correct Answer: B

Question 3: During the planning phase, a nurse sets a goal for a client with hypertension.
Which goal is most appropriate?
A. Client will feel better in 24 hours
B. Client’s blood pressure will be below 140/90 mmHg within 48 hours
C. Client will avoid all medications
D. Client will exercise vigorously daily

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, Correct Answer: B

Question 4: A nurse implements a care plan for a client with diabetes. What is the next
step in the nursing process?
A. Reassess the client’s glucose levels
B. Evaluate the effectiveness of interventions
C. Revise the care plan
D. Document the interventions
Correct Answer: B

Question 5: A nurse evaluates a client’s response to pain medication. What indicates
the intervention was effective?
A. Client reports a pain level of 8/10
B. Client reports a pain level of 2/10
C. Client refuses further medication
D. Client remains agitated
Correct Answer: B

Question 6: A nurse identifies a client’s risk for falls. What is the best nursing diagnosis?
A. Impaired mobility
B. Risk for injury
C. Chronic pain
D. Deficient knowledge
Correct Answer: B

Question 7: A client with pneumonia has a nursing diagnosis of ineffective airway
clearance. What is the priority intervention?
A. Encourage fluid intake
B. Administer antibiotics
C. Teach deep breathing exercises
D. Monitor temperature
Correct Answer: C

Question 8: During the assessment phase, a nurse collects subjective data. Which is an
example of subjective data?


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