HESI RN Fundamentals Exam 2026/2027 |
100 Nursing Practice Questions &
Answers with Rationales | Comprehensive
Review
I RN Fundamentals Exam 2026/2027 (PDF) | Nursing | HESI,
Exams of Nursing Comprehensive Assessment
2026-2027 | 100 Questions | 100% VERIFIED
,Question 1: A nurse receives report on four assigned clients on a
medical-surgical unit. Which client requires the nurse's
immediate assessment?
A) A client with type 2 diabetes mellitus scheduled for
discharge who has a fasting blood glucose level of 142 mg/dL
B) A client with chronic kidney disease whose morning serum
creatinine level is 2.1 mg/dL
C) A client who underwent an open cholecystectomy 12 hours
ago reporting incisional pain rated 7 on a 0-to-10 numeric
scale
D) A client with pneumonia who has an oxygen saturation of
88% and is exhibiting acute restlessness and confusion
Correct Answer: D) A client with pneumonia who has an
oxygen saturation of 88% and is exhibiting acute
restlessness and confusion
Rationale: Using the Airway-Breathing-Circulation (ABC)
and Maslow's hierarchy prioritization frameworks, the client
with acute hypoxemia (SpO2 88%) and neurological
symptoms (restlessness and
, confusion, which indicate cerebral hypoxia) represents an
acute, life-threatening deterioration requiring immediate
intervention. Incisional pain of 7/10 is expected
postoperatively and managed promptly after airway stability is
secured. A fasting glucose of 142 mg/dL and baseline
elevated creatinine in chronic kidney disease are stable
chronic abnormalities.
Question 2: Which phase of the nursing process is being
executed when a nurse measures a client's apical pulse and
blood pressure 30 minutes following the administration of an
oral antihypertensive medication?
A) Planning
B) Evaluation
C) Assessment
D) Implementation
Correct Answer: B) Evaluation
Rationale: The Evaluation phase determines the client's
physiological response to nursing and pharmacological
interventions and evaluates whether therapeutic outcomes
have been achieved. Assessing vital signs specifically to
gauge the therapeutic efficacy and safety of a recently
administered medication represents evaluation. Initial baseline
vital sign collection prior to drug administration represents
assessment, administering the medication represents
implementation, and establishing blood pressure goals
represents planning.
Question 3: A nurse is formulating a nursing care plan for a
bed-bound client. Which outcome statement is correctly
, formatted according to SMART (Specific, Measurable,
Achievable, Realistic, Timed) criteria?
A) The nurse will reposition the client every two hours around
the clock
B) The client will ambulate well with assistance as soon as
possible
C) The client will maintain intact, non-erythematous
sacral skin throughout the 72-hour hospital admission
D) The client will understand how to prevent pressure injuries
before discharge
Correct Answer: C) The client will maintain intact, non-
erythematous sacral skin throughout the 72-hour hospital
admission
Rationale: A SMART outcome must be client-centered,
specific, measurable, achievable, realistic, and time-bound.
'The client will maintain intact, non-erythematous sacral
skin throughout the 72-hour hospital admission' fulfills all
components. 'Understanding how to prevent injuries' is
vague and non-measurable. 'Ambulating well as soon as
possible' lacks specific measurement metrics and time
frames. Repositioning every two hours describes a nursing
intervention, not a client-centered outcome.
Question 4: During a physical examination, which assessment
finding should the nurse document as objective data?
A) Client stating, 'My incision feels like it is throbbing and
burning constantly'
B) Client reporting a severe headache that began two hours
prior to admission
C) A 2.5 cm irregular erythematous macule with clear serous
drainage on the left medial malleolus
100 Nursing Practice Questions &
Answers with Rationales | Comprehensive
Review
I RN Fundamentals Exam 2026/2027 (PDF) | Nursing | HESI,
Exams of Nursing Comprehensive Assessment
2026-2027 | 100 Questions | 100% VERIFIED
,Question 1: A nurse receives report on four assigned clients on a
medical-surgical unit. Which client requires the nurse's
immediate assessment?
A) A client with type 2 diabetes mellitus scheduled for
discharge who has a fasting blood glucose level of 142 mg/dL
B) A client with chronic kidney disease whose morning serum
creatinine level is 2.1 mg/dL
C) A client who underwent an open cholecystectomy 12 hours
ago reporting incisional pain rated 7 on a 0-to-10 numeric
scale
D) A client with pneumonia who has an oxygen saturation of
88% and is exhibiting acute restlessness and confusion
Correct Answer: D) A client with pneumonia who has an
oxygen saturation of 88% and is exhibiting acute
restlessness and confusion
Rationale: Using the Airway-Breathing-Circulation (ABC)
and Maslow's hierarchy prioritization frameworks, the client
with acute hypoxemia (SpO2 88%) and neurological
symptoms (restlessness and
, confusion, which indicate cerebral hypoxia) represents an
acute, life-threatening deterioration requiring immediate
intervention. Incisional pain of 7/10 is expected
postoperatively and managed promptly after airway stability is
secured. A fasting glucose of 142 mg/dL and baseline
elevated creatinine in chronic kidney disease are stable
chronic abnormalities.
Question 2: Which phase of the nursing process is being
executed when a nurse measures a client's apical pulse and
blood pressure 30 minutes following the administration of an
oral antihypertensive medication?
A) Planning
B) Evaluation
C) Assessment
D) Implementation
Correct Answer: B) Evaluation
Rationale: The Evaluation phase determines the client's
physiological response to nursing and pharmacological
interventions and evaluates whether therapeutic outcomes
have been achieved. Assessing vital signs specifically to
gauge the therapeutic efficacy and safety of a recently
administered medication represents evaluation. Initial baseline
vital sign collection prior to drug administration represents
assessment, administering the medication represents
implementation, and establishing blood pressure goals
represents planning.
Question 3: A nurse is formulating a nursing care plan for a
bed-bound client. Which outcome statement is correctly
, formatted according to SMART (Specific, Measurable,
Achievable, Realistic, Timed) criteria?
A) The nurse will reposition the client every two hours around
the clock
B) The client will ambulate well with assistance as soon as
possible
C) The client will maintain intact, non-erythematous
sacral skin throughout the 72-hour hospital admission
D) The client will understand how to prevent pressure injuries
before discharge
Correct Answer: C) The client will maintain intact, non-
erythematous sacral skin throughout the 72-hour hospital
admission
Rationale: A SMART outcome must be client-centered,
specific, measurable, achievable, realistic, and time-bound.
'The client will maintain intact, non-erythematous sacral
skin throughout the 72-hour hospital admission' fulfills all
components. 'Understanding how to prevent injuries' is
vague and non-measurable. 'Ambulating well as soon as
possible' lacks specific measurement metrics and time
frames. Repositioning every two hours describes a nursing
intervention, not a client-centered outcome.
Question 4: During a physical examination, which assessment
finding should the nurse document as objective data?
A) Client stating, 'My incision feels like it is throbbing and
burning constantly'
B) Client reporting a severe headache that began two hours
prior to admission
C) A 2.5 cm irregular erythematous macule with clear serous
drainage on the left medial malleolus
