1|Page
RN FUNDAMENTALS HESI EXAM NEWEST 2025
ACTUAL EXAM TEST BANK| 3 VERSIONS (VERSION
A, B & C) WITH COMPLETE 450 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) GRADED A+ (MOST RECENT!!)
HESI RN FUNDAMENTALS EXAM VERSION A
The nurse identifies a potential for infection in a client with partial-
thickness (second-degree) and full-thickness (third-degree) burns. What
action has the highest priority in decreasing the client's risk of infection?
A. Administration of plasma expanders
B. Use of careful handwashing technique
C. Application of a topical antibacterial cream
D. Limiting visitors to the client with burns - Correct Answer -B
Careful handwashing technique is the single most effective intervention
for the prevention of contamination to all clients. Option A reverses the
hypovolemia that initially accompanies burn trauma but is not related to
decreasing the proliferation of infective organisms. Options C and D are
recommended by various burn centers as possible ways to reduce the
chance of infection. Option B is a proven technique to prevent infection.
The nurse is planning care for a client with an indwelling urinary
catheter. Which nursing action has the highest priority?
A. Assist the client with daily cleansing.
B. Tell the client that incontinence happens with aging.
pg. 1
,2|Page
C. Offer 200 mL of fluid every 2 hours while awake.
D. Take the client's temperature every 4 hours. - Correct Answer -D
Indwelling urinary catheters are a major source of infection. Option A is
a problem that may develop from having an indwelling catheter. Option
B may or may not be true for the client. Option C is not affected by an
indwelling catheter.
The nurse selects the best site for insertion of an IV catheter in the
client's right arm. Which documentation should the nurse use to identify
placement of the IV access?
A. Left brachial vein
B. Right cephalic vein
C. Dorsal side of the right wrist
D. Right upper extremity - Correct Answer -B
The cephalic vein is large and superficial and identifies the anatomic
name of the vein that is accessed, which should be included in the
documentation. The basilic vein of the arm is used for IV access, not the
brachial vein, which is too deep to be accessed for IV infusion. Although
veins on the dorsal side of the right wrist are visible, they are fragile and
using them would be painful, so they are not recommended for IV
access. Option D is not specific enough for documenting the location of
the IV access.
The nurse notes in the client's plan of care altered sleep patterns related
to nocturia. Which nursing actions are important for the nurse to
provide? (Select all that apply.)
pg. 2
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A. Decrease intake of fluids after the evening meal.
B. Drink a glass of cranberry juice every day.
C. Drink a glass of warm decaffeinated beverage at bedtime.
D. Consult the health care provider about a sleeping pill.
E. Assess the client's usual sleep pattern. - Correct Answer -A, E
Nocturia is urination during the night. Option A is helpful to decrease the
production of urine, thus decreasing the need to void at night. Option E
gives the nurse the client's baseline sleep pattern. Option B helps prevent
bladder infections. Option C may promote sleep, but the fluid will
contribute to nocturia. Option D may result in urinary incontinence if the
client is sedated and does not awaken to void.
The nurse is counting a client's respiratory rate. During a 30-second
interval, the nurse counts six respirations and the client coughs three
times. In repeating the count for a second 30-second interval, the nurse
counts eight respirations. Which respiratory rate will the nurse
document?
A. 15
B. 16
C. 17
D. 28 - Correct Answer -B
The most accurate respiratory rate is the second count obtained by the
nurse, which was not interrupted by coughing. Because it was counted
for 30 seconds, the rate should be doubled. Options A, C, and D are
inaccurate recordings.
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A community hospital is opening a mental health services department.
Which document should the nurse use to develop the unit's nursing
guidelines?
A. Americans with Disabilities Act of 1990
B. ANA Code of Ethics with Interpretative Statements
C. ANA's Scope and Standards of Nursing Practice
D. Patient's Bill of Rights of 1990 - Correct Answer -C
The ANA Scope of Standards of Practice for Psychiatric-Mental Health
Nursing serves to direct the philosophy and standards of psychiatric
nursing practice. Options A and D define the client's rights. Option B
provides ethical guidelines for nursing.
The nurse is preparing to insert an IV, and cap off the IV with an
intermittent infusion devise for an 80-year-old who is prescribed IV
antibiotics every 8 hours. The client is taking po fluids well. What
supplies will the nurse take into the room for this procedure? (Select all
that apply.)
A. A 16 gauge IV catheter
B. Normal saline in a 10 mL syringe
C. Clear plastic sterile bandage
D. Skin preparation antiseptic swab
E. 1000 mL bag of normal saline - Correct Answer -B, C, D
Items not needed to insert an IV for intermittent antibiotic therapy for an
80-year-old are a 16 gauge intracath; the intracath is too large. Large
bore intracaths are for rapid infusions. A small bag of NS, e.g. 250 mL,
pg. 4
RN FUNDAMENTALS HESI EXAM NEWEST 2025
ACTUAL EXAM TEST BANK| 3 VERSIONS (VERSION
A, B & C) WITH COMPLETE 450 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) GRADED A+ (MOST RECENT!!)
HESI RN FUNDAMENTALS EXAM VERSION A
The nurse identifies a potential for infection in a client with partial-
thickness (second-degree) and full-thickness (third-degree) burns. What
action has the highest priority in decreasing the client's risk of infection?
A. Administration of plasma expanders
B. Use of careful handwashing technique
C. Application of a topical antibacterial cream
D. Limiting visitors to the client with burns - Correct Answer -B
Careful handwashing technique is the single most effective intervention
for the prevention of contamination to all clients. Option A reverses the
hypovolemia that initially accompanies burn trauma but is not related to
decreasing the proliferation of infective organisms. Options C and D are
recommended by various burn centers as possible ways to reduce the
chance of infection. Option B is a proven technique to prevent infection.
The nurse is planning care for a client with an indwelling urinary
catheter. Which nursing action has the highest priority?
A. Assist the client with daily cleansing.
B. Tell the client that incontinence happens with aging.
pg. 1
,2|Page
C. Offer 200 mL of fluid every 2 hours while awake.
D. Take the client's temperature every 4 hours. - Correct Answer -D
Indwelling urinary catheters are a major source of infection. Option A is
a problem that may develop from having an indwelling catheter. Option
B may or may not be true for the client. Option C is not affected by an
indwelling catheter.
The nurse selects the best site for insertion of an IV catheter in the
client's right arm. Which documentation should the nurse use to identify
placement of the IV access?
A. Left brachial vein
B. Right cephalic vein
C. Dorsal side of the right wrist
D. Right upper extremity - Correct Answer -B
The cephalic vein is large and superficial and identifies the anatomic
name of the vein that is accessed, which should be included in the
documentation. The basilic vein of the arm is used for IV access, not the
brachial vein, which is too deep to be accessed for IV infusion. Although
veins on the dorsal side of the right wrist are visible, they are fragile and
using them would be painful, so they are not recommended for IV
access. Option D is not specific enough for documenting the location of
the IV access.
The nurse notes in the client's plan of care altered sleep patterns related
to nocturia. Which nursing actions are important for the nurse to
provide? (Select all that apply.)
pg. 2
,3|Page
A. Decrease intake of fluids after the evening meal.
B. Drink a glass of cranberry juice every day.
C. Drink a glass of warm decaffeinated beverage at bedtime.
D. Consult the health care provider about a sleeping pill.
E. Assess the client's usual sleep pattern. - Correct Answer -A, E
Nocturia is urination during the night. Option A is helpful to decrease the
production of urine, thus decreasing the need to void at night. Option E
gives the nurse the client's baseline sleep pattern. Option B helps prevent
bladder infections. Option C may promote sleep, but the fluid will
contribute to nocturia. Option D may result in urinary incontinence if the
client is sedated and does not awaken to void.
The nurse is counting a client's respiratory rate. During a 30-second
interval, the nurse counts six respirations and the client coughs three
times. In repeating the count for a second 30-second interval, the nurse
counts eight respirations. Which respiratory rate will the nurse
document?
A. 15
B. 16
C. 17
D. 28 - Correct Answer -B
The most accurate respiratory rate is the second count obtained by the
nurse, which was not interrupted by coughing. Because it was counted
for 30 seconds, the rate should be doubled. Options A, C, and D are
inaccurate recordings.
pg. 3
, 4|Page
A community hospital is opening a mental health services department.
Which document should the nurse use to develop the unit's nursing
guidelines?
A. Americans with Disabilities Act of 1990
B. ANA Code of Ethics with Interpretative Statements
C. ANA's Scope and Standards of Nursing Practice
D. Patient's Bill of Rights of 1990 - Correct Answer -C
The ANA Scope of Standards of Practice for Psychiatric-Mental Health
Nursing serves to direct the philosophy and standards of psychiatric
nursing practice. Options A and D define the client's rights. Option B
provides ethical guidelines for nursing.
The nurse is preparing to insert an IV, and cap off the IV with an
intermittent infusion devise for an 80-year-old who is prescribed IV
antibiotics every 8 hours. The client is taking po fluids well. What
supplies will the nurse take into the room for this procedure? (Select all
that apply.)
A. A 16 gauge IV catheter
B. Normal saline in a 10 mL syringe
C. Clear plastic sterile bandage
D. Skin preparation antiseptic swab
E. 1000 mL bag of normal saline - Correct Answer -B, C, D
Items not needed to insert an IV for intermittent antibiotic therapy for an
80-year-old are a 16 gauge intracath; the intracath is too large. Large
bore intracaths are for rapid infusions. A small bag of NS, e.g. 250 mL,
pg. 4
