HESI Fundamentals Exam Preparation 2026 – Updated Practice Questions, Study Guide, and Comprehensive Review for Nursing Students

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HESI - Fundamentals practice (NEW UPDATED VERSION) LATEST ACTUAL EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS) | GUARANTEED PASS A+ UPDATED 2026


HESI Fundamentals Practice Questions


1. The first step of the nursing process is:
A) Planning
B) Assessment
C) Evaluation
D) Implementation
Answer: B – Assessment is the initial step to collect data about the patient.
2. A patient refuses medication. The nurse should:
A) Force the patient to take it
B) Document refusal and notify the provider
C) Ignore refusal
D) Leave the patient without follow-up
Answer: B
3. Which is an example of objective data?
A) Patient reports pain of 8/10
B) Heart rate 110 bpm
C) Patient states “I feel nauseated”
D) Patient feels anxious
Answer: B – Objective data is measurable and observable.
4. A patient has a blood pressure of 85/50 mmHg. This is:
A) Hypertension
B) Hypotension
C) Normal
D) Prehypertension
Answer: B
5. Which action demonstrates patient advocacy?
A) Ignoring patient concerns
B) Speaking up to ensure patient safety
C) Delegating tasks without supervision
D) Administering medication without assessment
Answer: B
6. When planning patient care, the nurse should prioritize:
A) Patient’s immediate needs and safety
B) Doctor’s schedule
C) Nurse’s convenience
D) Administrative tasks
Answer: A
7. A patient’s pulse is 130 bpm. This is termed:
A) Bradycardia
B) Tachycardia


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C) Normal
D) Arrhythmia
Answer: B
8. The best way to prevent medication errors:
A) Follow the six rights of medication administration
B) Administer medications quickly
C) Skip double-checking doses
D) Guess patient weight for calculations
Answer: A
9. Which nursing intervention is most appropriate for a patient at risk for falls?
A) Keep the bed in high position
B) Place call light out of reach
C) Ensure bed is locked and call light is accessible
D) Ignore safety instructions
Answer: C
10. A nursing diagnosis differs from a medical diagnosis because:
A) Nursing diagnosis identifies patient responses to health problems
B) Medical diagnosis focuses on disease
C) Both A and B
D) Neither
Answer: C
11. A patient reports shortness of breath. The nurse should first:
A) Call the provider immediately
B) Assess the patient’s respiratory status
C) Administer oxygen without assessment
D) Document only
Answer: B
12. Evaluation in the nursing process:
A) Occurs before assessment
B) Determines effectiveness of interventions
C) Involves only documentation
D) Is optional
Answer: B
13. A patient’s pain rating is subjective data because:
A) It is measured by heart rate
B) It is reported by the patient
C) It is observed visually
D) It is lab data
Answer: B
14. Which statement reflects proper delegation?
A) Assign tasks beyond the UAP scope
B) Delegate tasks within the team member’s competence
C) Never delegate anything
D) Allow anyone to perform nursing interventions
Answer: B




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15. The nurse observes cyanosis in a patient’s lips. This is:
A) Subjective data
B) Objective data
C) Nursing diagnosis
D) Intervention
Answer: B



Safety & Infection Control (Q16–30)

16. Standard precautions include all EXCEPT:
A) Hand hygiene
B) PPE when exposure is possible
C) Needle recapping after use
D) Safe handling of contaminated equipment
Answer: C
17. Airborne precautions require:
A) Surgical mask
B) N95 respirator
C) Gloves only
D) Gown only
Answer: B
18. The first action when a patient faints is:
A) Leave the patient alone
B) Position patient supine and elevate legs
C) Sit patient upright immediately
D) Restrain the patient
Answer: B
19. A patient with C. difficile should be placed on:
A) Contact precautions
B) Droplet precautions
C) Airborne precautions
D) Standard precautions only
Answer: A
20. The best way to prevent hospital-acquired infections:
A) Proper hand hygiene
B) Using sterile technique when indicated
C) Following isolation precautions
D) All of the above
Answer: D
21. A needlestick injury should be reported:
A) At the end of the shift
B) Immediately
C) Only if symptoms occur
D) Within a week
Answer: B


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22. Proper disposal of sharps includes:
A) Puncture-proof container
B) Trash can
C) Paper bag
D) Leaving in tray
Answer: A
23. Which patient requires droplet precautions?
A) Measles
B) Influenza
C) Tuberculosis
D) Hepatitis B
Answer: B
24. Which action demonstrates safe patient handling?
A) Using proper body mechanics when lifting
B) Twisting while lifting
C) Lifting alone if patient is heavy
D) Ignoring gait belts
Answer: A
25. The nurse sees a frayed electrical cord. Next step:
A) Use it carefully
B) Report and remove from service
C) Cover with tape
D) Ignore
Answer: B
26. Which patient is most at risk for falls?
A) Young adult recovering from appendectomy
B) Elderly patient on antihypertensives
C) Middle-aged patient with no history
D) Pediatric patient walking independently
Answer: B
27. When suctioning an adult patient, depth should:
A) Exceed 5–6 inches
B) Be determined by patient tolerance
C) Not exceed recommended length (usually 10–15 cm for oral)
D) Always be maximum length
Answer: C
28. Most effective way to prevent catheter-associated UTIs:
A) Hand hygiene
B) Proper catheter care and early removal
C) Sterile insertion
D) All of the above
Answer: D
29. Patient in isolation should have:
A) Dedicated equipment
B) Shared equipment
C) Standard precautions only



2026 2027 GRADED A+