HESI PN Fundamentals Exam 2025/2026
– Actual Exam 65 Questions with Verified
Correct Answers and Explanations
Below are 65 exam-style multiple-choice questions designed for the
HESI PN Fundamentals Exam for 2025/2026. Each question includes
four answer choices, with the correct answer highlighted in blue and the
rationale provided in red.
Question 1
Question: What is the first action a practical nurse should take when a
client reports chest pain?
A. Administer oxygen immediately
B. Assess the client’s vital signs
C. Give sublingual nitroglycerin
D. Call the physician
Correct Answer: B. Assess the client’s vital signs
Rationale: Assessing vital signs is the first step to gather objective data
about the client’s condition, which helps determine the severity and
urgency of chest pain before taking further action.
Question 2
Question: Which position is most appropriate for a client with dyspnea?
A. Supine
B. Fowler’s position
C. Prone
D. Trendelenburg
,Correct Answer: B. Fowler’s position
Rationale: Fowler’s position, with the head of the bed elevated,
facilitates easier breathing by allowing lung expansion and reducing
pressure on the diaphragm.
Question 3
Question: When measuring a client’s blood pressure, what should the
nurse do to ensure accuracy?
A. Take the reading immediately after the client exercises
B. Use a cuff that fits the client’s arm properly
C. Place the cuff over clothing
D. Measure in a noisy environment
Correct Answer: B. Use a cuff that fits the client’s arm properly
Rationale: A properly sized cuff ensures accurate blood pressure
readings, as a cuff that is too small or large can give false results.
Question 4
Question: What is the primary purpose of hand hygiene in a healthcare
setting?
A. To improve skin appearance
B. To prevent the spread of infection
C. To reduce patient anxiety
D. To enhance circulation
Correct Answer: B. To prevent the spread of infection
Rationale: Hand hygiene is critical in healthcare to reduce the
transmission of pathogens and prevent healthcare-associated infections.
, Question 5
Question: A client with a new colostomy asks about diet. What should
the nurse recommend?
A. Avoid all fiber-rich foods
B. Eat a balanced diet and stay hydrated
C. Consume only liquids
D. Eliminate protein from the diet
Correct Answer: B. Eat a balanced diet and stay hydrated
Rationale: A balanced diet with adequate hydration supports healthy
digestion and prevents complications like constipation or dehydration in
clients with a colostomy.
Question 6
Question: What is the correct technique for administering a
subcutaneous injection?
A. Inject at a 90-degree angle
B. Inject at a 45-degree angle
C. Aspirate for blood return
D. Use a 2-inch needle
Correct Answer: B. Inject at a 45-degree angle
Rationale: Subcutaneous injections are administered at a 45-degree
angle to ensure the medication is delivered into the subcutaneous tissue,
not muscle.
Question 7
Question: How should a nurse position a client to prevent pressure
ulcers?
A. Keep the client in one position
– Actual Exam 65 Questions with Verified
Correct Answers and Explanations
Below are 65 exam-style multiple-choice questions designed for the
HESI PN Fundamentals Exam for 2025/2026. Each question includes
four answer choices, with the correct answer highlighted in blue and the
rationale provided in red.
Question 1
Question: What is the first action a practical nurse should take when a
client reports chest pain?
A. Administer oxygen immediately
B. Assess the client’s vital signs
C. Give sublingual nitroglycerin
D. Call the physician
Correct Answer: B. Assess the client’s vital signs
Rationale: Assessing vital signs is the first step to gather objective data
about the client’s condition, which helps determine the severity and
urgency of chest pain before taking further action.
Question 2
Question: Which position is most appropriate for a client with dyspnea?
A. Supine
B. Fowler’s position
C. Prone
D. Trendelenburg
,Correct Answer: B. Fowler’s position
Rationale: Fowler’s position, with the head of the bed elevated,
facilitates easier breathing by allowing lung expansion and reducing
pressure on the diaphragm.
Question 3
Question: When measuring a client’s blood pressure, what should the
nurse do to ensure accuracy?
A. Take the reading immediately after the client exercises
B. Use a cuff that fits the client’s arm properly
C. Place the cuff over clothing
D. Measure in a noisy environment
Correct Answer: B. Use a cuff that fits the client’s arm properly
Rationale: A properly sized cuff ensures accurate blood pressure
readings, as a cuff that is too small or large can give false results.
Question 4
Question: What is the primary purpose of hand hygiene in a healthcare
setting?
A. To improve skin appearance
B. To prevent the spread of infection
C. To reduce patient anxiety
D. To enhance circulation
Correct Answer: B. To prevent the spread of infection
Rationale: Hand hygiene is critical in healthcare to reduce the
transmission of pathogens and prevent healthcare-associated infections.
, Question 5
Question: A client with a new colostomy asks about diet. What should
the nurse recommend?
A. Avoid all fiber-rich foods
B. Eat a balanced diet and stay hydrated
C. Consume only liquids
D. Eliminate protein from the diet
Correct Answer: B. Eat a balanced diet and stay hydrated
Rationale: A balanced diet with adequate hydration supports healthy
digestion and prevents complications like constipation or dehydration in
clients with a colostomy.
Question 6
Question: What is the correct technique for administering a
subcutaneous injection?
A. Inject at a 90-degree angle
B. Inject at a 45-degree angle
C. Aspirate for blood return
D. Use a 2-inch needle
Correct Answer: B. Inject at a 45-degree angle
Rationale: Subcutaneous injections are administered at a 45-degree
angle to ensure the medication is delivered into the subcutaneous tissue,
not muscle.
Question 7
Question: How should a nurse position a client to prevent pressure
ulcers?
A. Keep the client in one position
