HESI Fundamentals of Nursing
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A nurse is assisting a client to ambulate after surgery. Which action should the nurse take first?
A. Encourage the client to walk quickly to improve circulation
✔✔B. Ensure the client is wearing nonskid footwear
C. Support the client only if they begin to fall
D. Ask the client to walk without assistance to build confidence
When providing oral care to an unconscious client, the nurse should:
A. Place the client in a flat supine position
B. Use large amounts of water to rinse the mouth
C. Insert dentures to prevent gum damage
✔✔D. Position the client on their side with the head turned
A client with a fever is encouraged to drink fluids. The primary reason is to:
A. Keep the client occupied
✔✔B. Prevent dehydration
1
,C. Reduce pain
D. Increase appetite
Which nursing action helps prevent pressure injuries in an immobile client?
✔✔A. Reposition the client every 2 hours
B. Massage reddened areas on the skin
C. Use only cotton sheets for comfort
D. Limit the use of pillows under the heels
When measuring blood pressure, the nurse should:
A. Deflate the cuff very rapidly
✔✔B. Use a cuff that fits the client’s arm size
C. Place the cuff loosely around the arm
D. Position the arm below the level of the heart
A nurse should wash hands:
A. Only if visibly soiled
✔✔B. Before and after each client contact
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,C. After handling sterile equipment only
D. Once per shift
A nurse is preparing to insert a urinary catheter. The most important action is to:
✔✔A. Maintain sterile technique during the procedure
B. Ask the client to close their eyes
C. Wear clean gloves only
D. Insert the catheter quickly to reduce discomfort
To maintain safety for a client with seizures, the nurse should:
A. Restrain the client during a seizure
B. Insert a tongue depressor into the client’s mouth
✔✔C. Pad the side rails of the bed
D. Keep the client in a sitting position
Before administering medication through a nasogastric tube, the nurse should first:
✔✔A. Verify tube placement
B. Flush with 5 mL of water
3
, C. Crush all medications together
D. Check the client’s temperature
Which is the most appropriate nursing intervention to prevent falls in an older adult?
A. Keep the room lights dim to avoid glare
✔✔B. Remove loose rugs and clutter from pathways
C. Encourage wearing socks on smooth floors
D. Lower the bed to its lowest setting at all times without checking surroundings
A client states, “I am afraid of this surgery.” The nurse’s best response is:
A. “There’s nothing to be afraid of.”
✔✔B. “Tell me more about your concerns.”
C. “You should trust your surgeon.”
D. “You will be fine after it’s over.”
When using a mechanical lift to transfer a client, the nurse should:
✔✔A. Ensure the lift’s brakes are locked
B. Keep the client’s arms outside the sling
4
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A nurse is assisting a client to ambulate after surgery. Which action should the nurse take first?
A. Encourage the client to walk quickly to improve circulation
✔✔B. Ensure the client is wearing nonskid footwear
C. Support the client only if they begin to fall
D. Ask the client to walk without assistance to build confidence
When providing oral care to an unconscious client, the nurse should:
A. Place the client in a flat supine position
B. Use large amounts of water to rinse the mouth
C. Insert dentures to prevent gum damage
✔✔D. Position the client on their side with the head turned
A client with a fever is encouraged to drink fluids. The primary reason is to:
A. Keep the client occupied
✔✔B. Prevent dehydration
1
,C. Reduce pain
D. Increase appetite
Which nursing action helps prevent pressure injuries in an immobile client?
✔✔A. Reposition the client every 2 hours
B. Massage reddened areas on the skin
C. Use only cotton sheets for comfort
D. Limit the use of pillows under the heels
When measuring blood pressure, the nurse should:
A. Deflate the cuff very rapidly
✔✔B. Use a cuff that fits the client’s arm size
C. Place the cuff loosely around the arm
D. Position the arm below the level of the heart
A nurse should wash hands:
A. Only if visibly soiled
✔✔B. Before and after each client contact
2
,C. After handling sterile equipment only
D. Once per shift
A nurse is preparing to insert a urinary catheter. The most important action is to:
✔✔A. Maintain sterile technique during the procedure
B. Ask the client to close their eyes
C. Wear clean gloves only
D. Insert the catheter quickly to reduce discomfort
To maintain safety for a client with seizures, the nurse should:
A. Restrain the client during a seizure
B. Insert a tongue depressor into the client’s mouth
✔✔C. Pad the side rails of the bed
D. Keep the client in a sitting position
Before administering medication through a nasogastric tube, the nurse should first:
✔✔A. Verify tube placement
B. Flush with 5 mL of water
3
, C. Crush all medications together
D. Check the client’s temperature
Which is the most appropriate nursing intervention to prevent falls in an older adult?
A. Keep the room lights dim to avoid glare
✔✔B. Remove loose rugs and clutter from pathways
C. Encourage wearing socks on smooth floors
D. Lower the bed to its lowest setting at all times without checking surroundings
A client states, “I am afraid of this surgery.” The nurse’s best response is:
A. “There’s nothing to be afraid of.”
✔✔B. “Tell me more about your concerns.”
C. “You should trust your surgeon.”
D. “You will be fine after it’s over.”
When using a mechanical lift to transfer a client, the nurse should:
✔✔A. Ensure the lift’s brakes are locked
B. Keep the client’s arms outside the sling
4
