HESI RN FUNDAMENTALS VERSION 4 (2025/2026)
Actual Exam with Complete Questions and Answers | Nursing Fundamentals | HESI
Exit Exam Preparation
Overview
This 2025/2026 validated resource contains the complete HESI RN Fundamentals Version 4
exam with actual questions and verified answers, directly aligned with current Elsevier HESI
testing standards. Essential for nursing students preparing for fundamentals assessment and
demonstrating comprehensive competency in basic nursing principles, skills, and patient
care.
Key Features
✓ 55-Question Comprehensive Exam matching HESI V4 testing format
✓ Nursing Process Applications with clinical judgment
✓ Basic Nursing Skills with safety protocols
✓ Updated 2025/2026 HESI fundamentals standards
✓ Patient-Centered Care Focus across lifespan
Content Domains
• Nursing Process & Critical Thinking (12 Questions)
• Patient Safety & Infection Control (11 Questions)
• Basic Nursing Skills & Procedures (10 Questions)
• Medication Administration & Safety (9 Questions)
• Professional Communication (7 Questions)
• Legal & Ethical Principles (6 Questions)
Answer Format
Verified correct answers in bold green with:
• Nursing process step applications
• Safety protocol justifications
• Skill performance rationales
• Communication technique evaluations
Critical Updates 2025/2026
NEW - Enhanced infection prevention standards
UPDATED - Patient identification protocols
REVISED - Medication safety guidelines
MODIFIED - Documentation requirements
NURSING PROCESS & CRITICAL THINKING (Questions 1–12)
1. Which cognitive skill is essential for analysis in the nursing process?
a) Memorization
b) Speed typing
c) Ignoring outliers
, d) Clustering related data and identifying patterns
d) Clustering related data and identifying patterns
Rationale: Recognizing cues helps identify actual/potential health problems.
2. A nurse prioritizes a post-op patient with sudden shortness of breath over a stable
diabetic. This demonstrates:
a) Task orientation
b) Time management
c) Clinical judgment and triage based on urgency
d) Discrimination
c) Clinical judgment and triage based on urgency
Rationale: ABC framework—airway/breathing issues are life-threatening.
3. Which statement by a nurse reflects critical thinking?
a) “I never question the provider.”
b) “I always follow the routine.”
c) “Let me analyze why the patient’s BP dropped after the diuretic.”
d) “That’s not my job.”
c) “Let me analyze why the patient’s BP dropped after the diuretic.”
Rationale: Uses evidence and reasoning to understand relationships and guide
action.
4. During the assessment phase, the nurse primarily:
a) Sets goals
b) Implements orders
c) Gathers comprehensive data from all sources
d) Documents outcomes
c) Gathers comprehensive data from all sources
Rationale: Subjective, objective, and historical information form baseline.
5. A nurse revises a care plan when goals are unmet. This is part of:
a) Implementation
b) Planning
c) Evaluation
d) Analysis
c) Evaluation
Rationale: Continuous cyclic process—modify plan if outcomes are not achieved.
6. Which example demonstrates nursing diagnosis formulation?
a) “Chest X-ray shows infiltrate.”
b) “Give antibiotics.”
c) “Patient has pneumonia.”
d) “Ineffective airway clearance related to excessive secretions as evidenced by
bilateral crackles.”
d) “Ineffective airway clearance related to excessive secretions as
evidenced by bilateral crackles.”
Rationale: NANDA-I format—problem + etiology + defining characteristics.
7. SBAR is used to:
a) Write novels
b) Diagnose
c) Structure concise communication between caregivers
d) Replace assessment
Actual Exam with Complete Questions and Answers | Nursing Fundamentals | HESI
Exit Exam Preparation
Overview
This 2025/2026 validated resource contains the complete HESI RN Fundamentals Version 4
exam with actual questions and verified answers, directly aligned with current Elsevier HESI
testing standards. Essential for nursing students preparing for fundamentals assessment and
demonstrating comprehensive competency in basic nursing principles, skills, and patient
care.
Key Features
✓ 55-Question Comprehensive Exam matching HESI V4 testing format
✓ Nursing Process Applications with clinical judgment
✓ Basic Nursing Skills with safety protocols
✓ Updated 2025/2026 HESI fundamentals standards
✓ Patient-Centered Care Focus across lifespan
Content Domains
• Nursing Process & Critical Thinking (12 Questions)
• Patient Safety & Infection Control (11 Questions)
• Basic Nursing Skills & Procedures (10 Questions)
• Medication Administration & Safety (9 Questions)
• Professional Communication (7 Questions)
• Legal & Ethical Principles (6 Questions)
Answer Format
Verified correct answers in bold green with:
• Nursing process step applications
• Safety protocol justifications
• Skill performance rationales
• Communication technique evaluations
Critical Updates 2025/2026
NEW - Enhanced infection prevention standards
UPDATED - Patient identification protocols
REVISED - Medication safety guidelines
MODIFIED - Documentation requirements
NURSING PROCESS & CRITICAL THINKING (Questions 1–12)
1. Which cognitive skill is essential for analysis in the nursing process?
a) Memorization
b) Speed typing
c) Ignoring outliers
, d) Clustering related data and identifying patterns
d) Clustering related data and identifying patterns
Rationale: Recognizing cues helps identify actual/potential health problems.
2. A nurse prioritizes a post-op patient with sudden shortness of breath over a stable
diabetic. This demonstrates:
a) Task orientation
b) Time management
c) Clinical judgment and triage based on urgency
d) Discrimination
c) Clinical judgment and triage based on urgency
Rationale: ABC framework—airway/breathing issues are life-threatening.
3. Which statement by a nurse reflects critical thinking?
a) “I never question the provider.”
b) “I always follow the routine.”
c) “Let me analyze why the patient’s BP dropped after the diuretic.”
d) “That’s not my job.”
c) “Let me analyze why the patient’s BP dropped after the diuretic.”
Rationale: Uses evidence and reasoning to understand relationships and guide
action.
4. During the assessment phase, the nurse primarily:
a) Sets goals
b) Implements orders
c) Gathers comprehensive data from all sources
d) Documents outcomes
c) Gathers comprehensive data from all sources
Rationale: Subjective, objective, and historical information form baseline.
5. A nurse revises a care plan when goals are unmet. This is part of:
a) Implementation
b) Planning
c) Evaluation
d) Analysis
c) Evaluation
Rationale: Continuous cyclic process—modify plan if outcomes are not achieved.
6. Which example demonstrates nursing diagnosis formulation?
a) “Chest X-ray shows infiltrate.”
b) “Give antibiotics.”
c) “Patient has pneumonia.”
d) “Ineffective airway clearance related to excessive secretions as evidenced by
bilateral crackles.”
d) “Ineffective airway clearance related to excessive secretions as
evidenced by bilateral crackles.”
Rationale: NANDA-I format—problem + etiology + defining characteristics.
7. SBAR is used to:
a) Write novels
b) Diagnose
c) Structure concise communication between caregivers
d) Replace assessment
