HESI RN FUNDAMENTALS EXAM
2027/ 2028 | 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 nurse is preparing to administer a blood transfusion. Which finding should the nurse report
before starting?
A. Heart rate 88 beats per minute
B. Respiratory rate 18 breaths per minute
C. Temperature 100.8°F [CORRECT]
D. Blood pressure 118/76 mm Hg
Correct Answer: C
Rationale: Correct because fever may indicate infection or a transfusion reaction. This matches
pre-transfusion assessment.
Q2. A client with hypokalemia is admitted. Which intervention should the nurse anticipate?
A. Administer potassium chloride as prescribed [CORRECT]
B. Administer calcium gluconate
C. Restrict fluid intake
D. Encourage a low-potassium diet
Correct Answer: A
Rationale: Correct because hypokalemia is treated with potassium replacement. Calcium
gluconate is used for hyperkalemia.
Q3. A nurse is assessing a client with a stage 4 pressure injury. Which finding should the nurse
expect?
A. Non-blanchable redness
B. Partial-thickness skin loss with blister
C. Full-thickness loss with visible subcutaneous fat
D. Full-thickness loss with exposed bone [CORRECT]
Correct Answer: D
Rationale: Correct because stage 4 presents with full-thickness loss and exposed bone, tendon, or
muscle. This matches pressure injury staging.
, Q4. A client with respiratory alkalosis is admitted. Which ABG result should the nurse expect?
A. pH 7.28, PaCO₂ 52 mm Hg
B. pH 7.50, PaCO₂ 30 mm Hg [CORRECT]
C. pH 7.30, HCO₃ 18 mEq/L
D. pH 7.48, HCO₃ 30 mEq/L
Correct Answer: B
Rationale: Correct because high pH with low PaCO₂ indicates respiratory alkalosis. This matches
ABG interpretation.
Q5. A nurse is preparing to insert a peripheral IV. Which action should the nurse take first?
A. Perform hand hygiene [CORRECT]
B. Apply a tourniquet
C. Cleanse the site
D. Insert the catheter
Correct Answer: A
Rationale: Correct because hand hygiene is the first step in infection prevention. This matches
standard precautions.
Q6. A client with a Jackson-Pratt drain has a sudden cessation of drainage. Which action should
the nurse take?
A. Irrigate the drain with saline
B. Milk the tubing vigorously
C. Document as a normal finding
D. Notify the provider [CORRECT]
Correct Answer: D
Rationale: Correct because sudden cessation of drainage may indicate obstruction or
displacement. This matches drain assessment.
2027/ 2028 | 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 nurse is preparing to administer a blood transfusion. Which finding should the nurse report
before starting?
A. Heart rate 88 beats per minute
B. Respiratory rate 18 breaths per minute
C. Temperature 100.8°F [CORRECT]
D. Blood pressure 118/76 mm Hg
Correct Answer: C
Rationale: Correct because fever may indicate infection or a transfusion reaction. This matches
pre-transfusion assessment.
Q2. A client with hypokalemia is admitted. Which intervention should the nurse anticipate?
A. Administer potassium chloride as prescribed [CORRECT]
B. Administer calcium gluconate
C. Restrict fluid intake
D. Encourage a low-potassium diet
Correct Answer: A
Rationale: Correct because hypokalemia is treated with potassium replacement. Calcium
gluconate is used for hyperkalemia.
Q3. A nurse is assessing a client with a stage 4 pressure injury. Which finding should the nurse
expect?
A. Non-blanchable redness
B. Partial-thickness skin loss with blister
C. Full-thickness loss with visible subcutaneous fat
D. Full-thickness loss with exposed bone [CORRECT]
Correct Answer: D
Rationale: Correct because stage 4 presents with full-thickness loss and exposed bone, tendon, or
muscle. This matches pressure injury staging.
, Q4. A client with respiratory alkalosis is admitted. Which ABG result should the nurse expect?
A. pH 7.28, PaCO₂ 52 mm Hg
B. pH 7.50, PaCO₂ 30 mm Hg [CORRECT]
C. pH 7.30, HCO₃ 18 mEq/L
D. pH 7.48, HCO₃ 30 mEq/L
Correct Answer: B
Rationale: Correct because high pH with low PaCO₂ indicates respiratory alkalosis. This matches
ABG interpretation.
Q5. A nurse is preparing to insert a peripheral IV. Which action should the nurse take first?
A. Perform hand hygiene [CORRECT]
B. Apply a tourniquet
C. Cleanse the site
D. Insert the catheter
Correct Answer: A
Rationale: Correct because hand hygiene is the first step in infection prevention. This matches
standard precautions.
Q6. A client with a Jackson-Pratt drain has a sudden cessation of drainage. Which action should
the nurse take?
A. Irrigate the drain with saline
B. Milk the tubing vigorously
C. Document as a normal finding
D. Notify the provider [CORRECT]
Correct Answer: D
Rationale: Correct because sudden cessation of drainage may indicate obstruction or
displacement. This matches drain assessment.
