HESI Fundamentals of Nursing Exam: Comprehensive
Practice Questions
Instructions
The following are 80 original multiple-choice questions designed for the Fundamentals of
Nursing portion of the HESI Exam. These questions focus on the nursing process, safety,
infection control, vital signs, hygiene, mobility, and communication, with NCLEX-level
rigor and real-world nursing context. Each question has four answer choices (A–D), with
the correct answer marked.
1. A nurse is assessing a patient with shortness of breath during the initial nursing
process phase. Which action is most appropriate?
A. Administer oxygen immediately
B. Collect a detailed health history
C. Perform a complete physical exam
D. Develop a care plan
Correct Answer: B
2. To ensure patient safety, a nurse is preparing to transfer a patient with limited
mobility to a wheelchair. Which action is the priority?
A. Lock the wheels of the wheelchair
B. Lower the bed to its highest position
C. Encourage the patient to stand alone
D. Use a single-person transfer technique
Correct Answer: A
3. A nurse is caring for a patient with a suspected MRSA infection. Which infection
control measure is most appropriate?
A. Use standard precautions only
B. Implement contact precautions
C. Apply airborne precautions
D. Use droplet precautions
1
, Correct Answer: B
4. While taking a patient’s vital signs, the nurse notes a pulse rate of 110 beats per
minute. Which action should the nurse take first?
A. Document the finding as normal
B. Recheck the pulse manually
C. Administer a beta-blocker
D. Notify the physician immediately
Correct Answer: B
5. A nurse is assisting a bedridden patient with hygiene. Which action promotes
patient dignity during a bed bath?
A. Expose the entire body at once
B. Cover unwashed areas with a towel
C. Rush through the procedure
D. Avoid explaining the process
Correct Answer: B
6. A nurse is helping a patient with a recent hip replacement ambulate. Which mo-
bility aid is most appropriate?
A. Cane
B. Walker
C. Crutches
D. Wheelchair
Correct Answer: B
7. During a patient handoff, a nurse uses therapeutic communication. Which state-
ment best demonstrates this skill?
A. “You need to take your medication now.”
B. “Can you tell me how you’re feeling today?”
C. “I’ll be back when I have time.”
D. “You’re fine, don’t worry about it.”
Correct Answer: B
8. In the planning phase of the nursing process, a nurse sets a goal for a patient with
impaired skin integrity. Which goal is most appropriate?
A. Patient will ambulate independently
B. Skin will remain intact within 48 hours
C. Patient will gain 5 pounds
2
Practice Questions
Instructions
The following are 80 original multiple-choice questions designed for the Fundamentals of
Nursing portion of the HESI Exam. These questions focus on the nursing process, safety,
infection control, vital signs, hygiene, mobility, and communication, with NCLEX-level
rigor and real-world nursing context. Each question has four answer choices (A–D), with
the correct answer marked.
1. A nurse is assessing a patient with shortness of breath during the initial nursing
process phase. Which action is most appropriate?
A. Administer oxygen immediately
B. Collect a detailed health history
C. Perform a complete physical exam
D. Develop a care plan
Correct Answer: B
2. To ensure patient safety, a nurse is preparing to transfer a patient with limited
mobility to a wheelchair. Which action is the priority?
A. Lock the wheels of the wheelchair
B. Lower the bed to its highest position
C. Encourage the patient to stand alone
D. Use a single-person transfer technique
Correct Answer: A
3. A nurse is caring for a patient with a suspected MRSA infection. Which infection
control measure is most appropriate?
A. Use standard precautions only
B. Implement contact precautions
C. Apply airborne precautions
D. Use droplet precautions
1
, Correct Answer: B
4. While taking a patient’s vital signs, the nurse notes a pulse rate of 110 beats per
minute. Which action should the nurse take first?
A. Document the finding as normal
B. Recheck the pulse manually
C. Administer a beta-blocker
D. Notify the physician immediately
Correct Answer: B
5. A nurse is assisting a bedridden patient with hygiene. Which action promotes
patient dignity during a bed bath?
A. Expose the entire body at once
B. Cover unwashed areas with a towel
C. Rush through the procedure
D. Avoid explaining the process
Correct Answer: B
6. A nurse is helping a patient with a recent hip replacement ambulate. Which mo-
bility aid is most appropriate?
A. Cane
B. Walker
C. Crutches
D. Wheelchair
Correct Answer: B
7. During a patient handoff, a nurse uses therapeutic communication. Which state-
ment best demonstrates this skill?
A. “You need to take your medication now.”
B. “Can you tell me how you’re feeling today?”
C. “I’ll be back when I have time.”
D. “You’re fine, don’t worry about it.”
Correct Answer: B
8. In the planning phase of the nursing process, a nurse sets a goal for a patient with
impaired skin integrity. Which goal is most appropriate?
A. Patient will ambulate independently
B. Skin will remain intact within 48 hours
C. Patient will gain 5 pounds
2
