HESI RN FUNDAMENTALS EXAM
2027 | Brand New
75 TESTED ITEMS (15 UNSCORED)
Questions & Answers with Expert Rationales
Guaranteed Pass | Graded A+
, HESI RN Specialty Fundamentals Exam – Original Exam
Q1. A registered nurse is preparing to delegate tasks. Which tasks can be delegated to unlicensed
assistive personnel (UAP)? Select all that apply.
A. Obtaining vital signs on a stable client [CORRECT]
B. Ambulating a stable client [CORRECT]
C. Performing the initial admission assessment
D. Assisting a client with hygiene [CORRECT]
E. Developing the client's plan of care
Correct Answer: A, B, D
Rationale: Correct because vital signs, ambulation, and hygiene are within UAP scope for stable
clients. Assessment and care planning remain RN responsibilities (ATEJ).
Q2. A client is receiving intravenous potassium chloride. Which finding should the nurse report
immediately?
A. Serum potassium 3.2 mEq/L
B. Urine output 20 mL/hour [CORRECT]
C. Blood pressure 118/76 mm Hg
D. Heart rate 88 beats per minute
Correct Answer: B
Rationale: Correct because urine output below 30 mL/hour indicates renal insufficiency,
increasing risk of hyperkalemia from IV potassium. Priority is reporting inadequate output before
continuing infusion.
Q3. A client with active pulmonary tuberculosis is admitted. Which precautions should the nurse
implement?
A. Droplet
B. Contact
C. Standard only
D. Airborne [CORRECT]
Correct Answer: D
Rationale: Correct because tuberculosis requires airborne precautions with a negative-pressure
room and N95 respirator. This matches CDC transmission-based precautions.
, Q4. A nurse is interpreting an arterial blood gas: pH 7.50, PaCO₂ 30 mm Hg, HCO₃ 24 mEq/L.
Which acid-base imbalance is present?
A. Respiratory alkalosis [CORRECT]
B. Respiratory acidosis
C. Metabolic acidosis
D. Metabolic alkalosis
Correct Answer: A
Rationale: Correct because elevated pH with low PaCO₂ and normal HCO₃ indicates respiratory
alkalosis. This matches ABG interpretation.
Q5. A client's IV site is warm, red, and has a palpable cord. Which complication should the nurse
suspect?
A. Infiltration
B. Phlebitis [CORRECT]
C. Air embolism
D. Fluid overload
Correct Answer: B
Rationale: Correct because warmth, redness, and a palpable cord indicate phlebitis. This matches
IV assessment.
Q6. A nurse is preparing to witness informed consent. The client is alert, oriented, and states
understanding. Which action should the nurse take?
A. Witness the signature and verify understanding [CORRECT]
B. Explain the procedure to the client
C. Have the family sign the consent
D. Delay the procedure until a family member arrives
Correct Answer: A
Rationale: Correct because the RN witnesses the signature and verifies the client understands.
The provider is responsible for explaining the procedure.
2027 | Brand New
75 TESTED ITEMS (15 UNSCORED)
Questions & Answers with Expert Rationales
Guaranteed Pass | Graded A+
, HESI RN Specialty Fundamentals Exam – Original Exam
Q1. A registered nurse is preparing to delegate tasks. Which tasks can be delegated to unlicensed
assistive personnel (UAP)? Select all that apply.
A. Obtaining vital signs on a stable client [CORRECT]
B. Ambulating a stable client [CORRECT]
C. Performing the initial admission assessment
D. Assisting a client with hygiene [CORRECT]
E. Developing the client's plan of care
Correct Answer: A, B, D
Rationale: Correct because vital signs, ambulation, and hygiene are within UAP scope for stable
clients. Assessment and care planning remain RN responsibilities (ATEJ).
Q2. A client is receiving intravenous potassium chloride. Which finding should the nurse report
immediately?
A. Serum potassium 3.2 mEq/L
B. Urine output 20 mL/hour [CORRECT]
C. Blood pressure 118/76 mm Hg
D. Heart rate 88 beats per minute
Correct Answer: B
Rationale: Correct because urine output below 30 mL/hour indicates renal insufficiency,
increasing risk of hyperkalemia from IV potassium. Priority is reporting inadequate output before
continuing infusion.
Q3. A client with active pulmonary tuberculosis is admitted. Which precautions should the nurse
implement?
A. Droplet
B. Contact
C. Standard only
D. Airborne [CORRECT]
Correct Answer: D
Rationale: Correct because tuberculosis requires airborne precautions with a negative-pressure
room and N95 respirator. This matches CDC transmission-based precautions.
, Q4. A nurse is interpreting an arterial blood gas: pH 7.50, PaCO₂ 30 mm Hg, HCO₃ 24 mEq/L.
Which acid-base imbalance is present?
A. Respiratory alkalosis [CORRECT]
B. Respiratory acidosis
C. Metabolic acidosis
D. Metabolic alkalosis
Correct Answer: A
Rationale: Correct because elevated pH with low PaCO₂ and normal HCO₃ indicates respiratory
alkalosis. This matches ABG interpretation.
Q5. A client's IV site is warm, red, and has a palpable cord. Which complication should the nurse
suspect?
A. Infiltration
B. Phlebitis [CORRECT]
C. Air embolism
D. Fluid overload
Correct Answer: B
Rationale: Correct because warmth, redness, and a palpable cord indicate phlebitis. This matches
IV assessment.
Q6. A nurse is preparing to witness informed consent. The client is alert, oriented, and states
understanding. Which action should the nurse take?
A. Witness the signature and verify understanding [CORRECT]
B. Explain the procedure to the client
C. Have the family sign the consent
D. Delay the procedure until a family member arrives
Correct Answer: A
Rationale: Correct because the RN witnesses the signature and verifies the client understands.
The provider is responsible for explaining the procedure.
