HESI- FUNDAMENTALS PRACTICE QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES 2026 LATEST UPDATE
GUARANTEED SUCCESS!!!
When-turning-an-immobile-bedridden-client-without-assistance,-
which-action-by-the-nurse-best-ensures-client-safety?-A.-Securely-
grasp-the-client's-arm-and-leg.--
B. Put-bed-rails-up-on-the-side-of-bed-opposite-from-the-nurse.--
C. Correctly-position-and-use-a-turn-sheet.--
D. Lower-the-head-of-the-client's-bed-slowly.---ANSWER--B--
Rationale:-Because-the-nurse-can-only-stand-on-one-side-of-the-
bed,-bed-rails-should-be-up-on-the-opposite-side-to-ensure-that-the-
client-does-not-fall-out-of-bed.-Option-A-can-cause-client-injury-to-
the-skin-or-joint.-Options-C-and-D-are-useful-techniques-while-
turning-a-client-but-have-less-priority-in-terms-of-safety-than-use-
of-the-bed--
rails.--
--
The-nurse-identifies-a-potential-for-infection-in-a-client-with-
partialthickness-(second-degree)-and-full-thickness-(third-degree)-
burns.-What-intervention-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---ANSWER--B--
Rationale:-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-aware-that-malnutrition-is-a-common-problem-among-
clients-served-by-a-community-health-clinic-for-the-homeless.-
Which-laboratory-value-is-the-most-reliable-indicator-of-chronic-
protein-malnutrition?--A.-Low-serum-albumin-level--
B. Low-serum-transferrin-level--
C. High-hemoglobin-level--
D. High-cholesterol-level---ANSWER--A--
Rationale:-Long-term-protein-deficiency-is-required-to-cause-
significantly-lowered-serum-albumin-levels.-Albumin-is-made-by-
the-liver-only-when-adequate-amounts-of-amino-acids-(from-
,protein-breakdown)-are-available.-Albumin-has-a-long-half-life,-
so-acute-protein-loss-does-not-significantly-alter-serum-levels.-
Option-B-is-a-serum-protein-with-a-half-life-of-only-8-to-10-days,-so-
it-will-drop-with-an-acute-protein-deficiency.-Options-C-and-D-are-
not-clinical-measures-of-protein-malnutrition.--
--
In-completing-a-client's-preoperative-routine,-the-nurse-finds-that-
the-operative-permit-is-not-signed.-The-client-begins-to-ask-more-
questions-about-the-surgical-procedure.-Which-action-should-the-
nurse-take-next?-A.-Witness-the-client's-signature-to-the-permit.--B.-
Answer-the-client's-questions-about-the-surgery.--
C. Inform-the-surgeon-that-the-operative-permit-is-not-signed-and-
the-client-has-questions-about-the-surgery.--
D. Reassure-the-client-that-the-surgeon-will-answer-any-questions-
before-the-anesthesia-is-administered.---ANSWER--C--
Rationale:-The-surgeon-should-be-informed-immediately-that-the-
permit-is-not-signed.-It-is-the-surgeon's-responsibility-to-explain-
the-procedure-to-the-client-and-obtain-the-client's-signature-on-the-
permit.-Although-the-nurse-can-witness-an-operative-permit,-the-
procedure-must-first-be-explained-by-the-health-care-provider-or-
surgeon,-including-answering-the-client's-questions.-The-client's-
questions-should-be-addressed-before-the-permit-is-signed.--
--
, The-nurse-is-assessing-several-clients-prior-to-surgery.-Which-factor-
in-a-client's-history-poses-the-greatest-threat-for-complications-to-
occur-during-surgery?--
A. Taking-birth-control-pills-for-the-past-2-years--
B. Taking-anticoagulants-for-the-past-year--
C. Recently-completing-antibiotic-therapy--
D. Having-taken-laxatives-PRN-for-the-last-6-months---ANSWER--
B--
Rationale:--
Anticoagulants-increase-the-risk-for-bleeding-during-surgery,-
which-can-pose-a-threat-for-the-development-of-surgical-
complications.-The-health-care-provider-should-be-informed-that-
the-client-is-taking-these-drugs.-Although-clients-who-take-birth-
control-pills-may-be-more-susceptible-to-the-development-of-
thrombi,-such-problems-usually-occur-postoperatively.-A-client-
with-option-C-or-D-is-at-less-of-a-surgical-risk-than-with-option-B.--
--
When-assisting-a-client-from-the-bed-to-a-chair,-which-procedure-is-
best-for-the-nurse-to-follow?--
A. Place-the-chair-parallel-to-the-bed,-with-its-back-toward-the-
head-of-the-bed-and-assist-the-client-in-moving-to-the-chair.--
B. With-the-nurse's-feet-spread-apart-and-knees-aligned-with-the-
client's-knees,-stand-and-pivot-the-client-into-the-chair.--
ANSWERS WITH RATIONALES 2026 LATEST UPDATE
GUARANTEED SUCCESS!!!
When-turning-an-immobile-bedridden-client-without-assistance,-
which-action-by-the-nurse-best-ensures-client-safety?-A.-Securely-
grasp-the-client's-arm-and-leg.--
B. Put-bed-rails-up-on-the-side-of-bed-opposite-from-the-nurse.--
C. Correctly-position-and-use-a-turn-sheet.--
D. Lower-the-head-of-the-client's-bed-slowly.---ANSWER--B--
Rationale:-Because-the-nurse-can-only-stand-on-one-side-of-the-
bed,-bed-rails-should-be-up-on-the-opposite-side-to-ensure-that-the-
client-does-not-fall-out-of-bed.-Option-A-can-cause-client-injury-to-
the-skin-or-joint.-Options-C-and-D-are-useful-techniques-while-
turning-a-client-but-have-less-priority-in-terms-of-safety-than-use-
of-the-bed--
rails.--
--
The-nurse-identifies-a-potential-for-infection-in-a-client-with-
partialthickness-(second-degree)-and-full-thickness-(third-degree)-
burns.-What-intervention-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---ANSWER--B--
Rationale:-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-aware-that-malnutrition-is-a-common-problem-among-
clients-served-by-a-community-health-clinic-for-the-homeless.-
Which-laboratory-value-is-the-most-reliable-indicator-of-chronic-
protein-malnutrition?--A.-Low-serum-albumin-level--
B. Low-serum-transferrin-level--
C. High-hemoglobin-level--
D. High-cholesterol-level---ANSWER--A--
Rationale:-Long-term-protein-deficiency-is-required-to-cause-
significantly-lowered-serum-albumin-levels.-Albumin-is-made-by-
the-liver-only-when-adequate-amounts-of-amino-acids-(from-
,protein-breakdown)-are-available.-Albumin-has-a-long-half-life,-
so-acute-protein-loss-does-not-significantly-alter-serum-levels.-
Option-B-is-a-serum-protein-with-a-half-life-of-only-8-to-10-days,-so-
it-will-drop-with-an-acute-protein-deficiency.-Options-C-and-D-are-
not-clinical-measures-of-protein-malnutrition.--
--
In-completing-a-client's-preoperative-routine,-the-nurse-finds-that-
the-operative-permit-is-not-signed.-The-client-begins-to-ask-more-
questions-about-the-surgical-procedure.-Which-action-should-the-
nurse-take-next?-A.-Witness-the-client's-signature-to-the-permit.--B.-
Answer-the-client's-questions-about-the-surgery.--
C. Inform-the-surgeon-that-the-operative-permit-is-not-signed-and-
the-client-has-questions-about-the-surgery.--
D. Reassure-the-client-that-the-surgeon-will-answer-any-questions-
before-the-anesthesia-is-administered.---ANSWER--C--
Rationale:-The-surgeon-should-be-informed-immediately-that-the-
permit-is-not-signed.-It-is-the-surgeon's-responsibility-to-explain-
the-procedure-to-the-client-and-obtain-the-client's-signature-on-the-
permit.-Although-the-nurse-can-witness-an-operative-permit,-the-
procedure-must-first-be-explained-by-the-health-care-provider-or-
surgeon,-including-answering-the-client's-questions.-The-client's-
questions-should-be-addressed-before-the-permit-is-signed.--
--
, The-nurse-is-assessing-several-clients-prior-to-surgery.-Which-factor-
in-a-client's-history-poses-the-greatest-threat-for-complications-to-
occur-during-surgery?--
A. Taking-birth-control-pills-for-the-past-2-years--
B. Taking-anticoagulants-for-the-past-year--
C. Recently-completing-antibiotic-therapy--
D. Having-taken-laxatives-PRN-for-the-last-6-months---ANSWER--
B--
Rationale:--
Anticoagulants-increase-the-risk-for-bleeding-during-surgery,-
which-can-pose-a-threat-for-the-development-of-surgical-
complications.-The-health-care-provider-should-be-informed-that-
the-client-is-taking-these-drugs.-Although-clients-who-take-birth-
control-pills-may-be-more-susceptible-to-the-development-of-
thrombi,-such-problems-usually-occur-postoperatively.-A-client-
with-option-C-or-D-is-at-less-of-a-surgical-risk-than-with-option-B.--
--
When-assisting-a-client-from-the-bed-to-a-chair,-which-procedure-is-
best-for-the-nurse-to-follow?--
A. Place-the-chair-parallel-to-the-bed,-with-its-back-toward-the-
head-of-the-bed-and-assist-the-client-in-moving-to-the-chair.--
B. With-the-nurse's-feet-spread-apart-and-knees-aligned-with-the-
client's-knees,-stand-and-pivot-the-client-into-the-chair.--
