HESI PN Fundamentals Exam V1 | Actual Exam-
Style Questions with Complete Answers |
Practical Nurse Fundamentals | HESI Testing
Standards
HESI PN FUNDAMENTALS EXAM
(2026/2027)
Actual Exam with Complete Questions and Answers | Practical Nurse Fundamentals |
HESI Testing Standards
Overview
This 2026/2027 validated resource contains the complete HESI PN Fundamentals Exam with actual
exam-style questions and verified correct answers, aligned with the current HESI Practical Nursing
testing blueprint. Designed to support PN candidates preparing for comprehensive assessment in
fundamental nursing concepts, priority-setting, patient care skills, and safety principles.
Key Features
✓ Full-Length Fundamental Nursing Exam aligned with HESI PN format
✓ Patient Safety & Infection Control with clinical applications
✓ Basic Care, Vital Signs, Mobility, and Comfort Interventions
✓ Updated 2026/2027 Practical Nursing competencies
✓ Pharmacological Basics and Nursing Responsibilities
✓ Prioritization, Delegation, and Critical Thinking Scenarios
Content Domains
• Basic Nursing Skills & Patient Care
• Safety, Infection Control & Hygiene
• Vital Signs, Mobility, and Comfort Measures
• Health Promotion & Maintenance
• Pharmacological Basics for PN Students
• Communication, Documentation & Ethics
, Answer Format
Verified correct answers in green, including:
• Clinical reasoning explanations
• Fundamental nursing concept breakdowns
• Priority-setting and safe-practice rationales
• Scenario-based interpretations
Critical Updates 2026/2027
◆ NEW – Revised HESI critical thinking frameworks
◆ UPDATED – Safety, hygiene, and infection-control protocols
◆ REVISED – Medication basics, dosage concepts, and scope-of-practice notes
◆ MODIFIED – PN role expectations and care-delivery guidelines
An elderly client with a fractured left hip is on strict bedrest. Which nursing measure is essential
to the client's nursing care?
A. Massage any reddened areas for at least five minutes.
B. Encourage active range of motion exercises on extremities.
C. Position the client laterally, prone, and dorsally in sequence.
D. Gently lift the client when moving into a desired position.
- To avoid shearing forces when repositioning, the client should be lifted gently across a
surface (D). Reddened areas should not be massaged (A) since this may increase the damage to
already traumatized skin. To control pain and muscle spasms, active range of motion (B) may be
limited on the affected leg. The position described in (C) is contraindicated for a client with a
fractured left hip.
Correct Answer: D
The nurse is administering medications through a nasogastric tube (NGT) which is connected to
suction. After ensuring correct tube placement, what action should the nurse take next?
A. Clamp the tube for 20 minutes.
B. Flush the tube with water.
C. Administer the medications as prescribed.
D. Crush the tablets and dissolve in sterile water.
- The NGT should be flushed before, after and in between each medication administered (B).
Once all medications are administered, the NGT should be clamped for 20 minutes (A). (C and
D) may be implemented only after the tubing has been flushed.
Correct Answer: B
A client who is in hospice care complains of increasing amounts of pain. The healthcare provider
prescribes an analgesic every four hours as needed. Which action should the nurse implement?
A. Give an around-the-clock schedule for administration of analgesics.
B. Administer analgesic medication as needed when the pain is severe.
C. Provide medication to keep the client sedated and unaware of stimuli.
D. Offer a medication-free period so that the client can do daily activities.