a.
Fundamentals Hesi Exam Questions with Correct
Answers | Latest Update 2026/2027 | Graded A+
(VERIFIED)
1. The nurse is preparing to insert an IV, and cap off the IV with an intermittent infusion
devise for an 80-year-old who is prescribed IV antibiotics every 8 hours. The client is
taking po fluids well. What supplies will the nurse take into the room for this
procedure?
(select all that apply)
a. A 16-gauge IV catheter
b. Normal saline in a 10 mL syringe
c. Clear plastic sterile bag
d. Skin preparation antiseptic swab
e. 1000 mL bag of normal saline
i. B, C, D, items not needed to insert an IV for intermittent antibiotic
therapy for an 80-year-old are a 16-gauge intracath; the intracath is too
large. Large bore interactions are for rapid infusions. A small bag of
NS, 250 mL, will be needed to flush the line. The remaining items are
needed to start an IV
2. The nurse is instructing a client in the proper use of a metered-dose inhaler. Which
instruction should the nurse provide the client to ensure the optimal benefits from the
drug?
a. Fill your lungs with air through your mouth and then compress the inhaler
b. Compress the inhaler while slowly breathing in through your mouth
c. Compress the inhaler while inhaling quickly through your nose
d. Exhale completely after compressing the inhaler and then inhale
i. B, the medication should be inhaled through the mouth simultaneously
with compression of the inhaler. This will facilitate the desired
destination of the aerosol medication deep in the lungs for an optimal
bronchodilation effect.
3. The mental health nurse plans to discuss a client’s depression with the health care
provider in the emergency department. There are two clients sitting across from the
emergency department desk. Which nursing action is best?
a. Only refer to the client by gender
b. Identify the client only by age
c. Avoid using the client’s name
d. Discuss the client another time
, b.
i. D, the best nursing action is to discuss the client another time.
Confidentiality must be observed at all times, so the nurse should not
discuss the client when the conversation can be overheard by others.
Details of the client can be identified when referring to the client by
gender or age, even when not using the client’s name
4. The nurse identifies a potential for infection in a client with partial-thickness (second
degree) and full-thickness (third degree) burns. What action has the highest priority in
decreasing the client’s risk of infection?
a. Administer of plasma expanders
b. Use of careful handwashing technique
c. Application of a topical antibacterial cream
d. Limiting visitors to the client with burns
i. B, careful handwashing technique is the single most effective
intervention for the prevention of contamination to all clients. Option
A reverses the hypovolemia that initially accompanies burn trauma but
is not related to decreasing the proliferation of infective organisms.
Options C and D are recommended by various burn centers as possible
ways to reduce the chance of infection. Option B is a proven technique
to prevent infection 5. A nurse stops at a motor vehicle collision site to
render aid until the emergency personnel arrive and applies pressure to
a groin wound that is bleeding profusely. Later the client has to have
the leg amputated and sues the nurse for malpractice. Which statement
reflects the likely outcome from the nurse?
a. The Patient’s Bill of Rights protects the clients from malicious intents, so the
nurse could lose the case
b. The lawsuit may be settled out of court, but the nurse’s license is likely to be
revoked
c. There will be no judgment against the nurse, whose actions are protected under
the Good Samaritan Act
d. The client will win because the four elements of negligence (duty, breach,
causation, and damages) can be proved
i. C, the good Samaritan act protects health care professionals who
practice in good faith and provide reasonable care from malpractice claims, regardless of the
client outcome. Although the patient’s bill of rights protects clients, this nurse is protected
by the good Samaritan act. 6. The nurse is talking with the spouse of a client admitted to the
long-term care center. The client has end-stage renal cancer and is admitted for palliative
care while awaiting on hospice placement. The client often moans and groans, but is
otherwise noncommunicative and somnolent. What will the nurse include in the spouses
teaching regarding the care of the client? Select all that apply
a. Repositioning ever 2 hours
b. Round-the-clock pain medication administration
c. Assessment for skin breakdown
d. Back rubs three times a day
, c.
e. Bathing twice a day
i. A, B, C, D, the nurse must cleanse soiled areas to remove any irritants; a
bath twice a day can dry out the skin. The goal of palliative care is to
make the client comfortable, and not treat the cause of the condition. The
client will not be on bed rest because of the client’s debilitated condition.
Skin breakdown is a nursing concern. Measures to prevent skin
breakdown should be included in this client’s plan of care
7. The nurse is using the Glasgow Coma Scale to perform a neurologic assessment. A
comatose client winces and pulls away from a painful stimulus. Which action should the
nurse take next?
a. Document that the client responds to painful stimuli
b. Observe the client’s response to verbal stimulation
c. Place the client on seizure precautions for 24 hours
d. Report decorticate posturing to the health care provider
i. A, the client has demonstrated a purposeful response to pain, which should
be documented as such. Response to painful stimuli is assessed after
response to verbal stimulus, not before. There is no indication for placing
the client on seizure precautions. Reporting decorticate posturing to the
HCP is a nonpurposeful movement
8. An older adult who recently began self-administration of insulin calls the nurse daily to
review the steps that should be taken when giving an injection. The nurse has assessed
the client’s skills during two previous office visits and knows that the client safely
administered the injections. What is the nurse’s best response?
a. I know you are capable of giving yourself the insulin
b. Giving yourself the injection seems to make you nervous
c. When I watched you give yourself the injection, you did it correctly
d. Tell me what you want me to do to help you give yourself the injection at home
i. C, the nurse needs to focus on the client’s positive behaviors, so focusing
on the client’s demonstrated ability to self-administer the injection is
likely to reinforce his level of competence without sounding punitive 10.
The nurse is reviewing a client’s lab results form 2 hours ago. The sodium
level is 128 mEq/L. the nurse should be alert for which findings? Select all
that apply
a. Weakness in the hands and feet
b. +1 reflexes to the patella
c. Headache
d. Muscle twitching
e. Nausea
f. Facial redness
i. A, B, C, E, the client is hyponatremic. All are signs of hyponatremia
except muscle twitching and facial redness
Fundamentals Hesi Exam Questions with Correct
Answers | Latest Update 2026/2027 | Graded A+
(VERIFIED)
1. The nurse is preparing to insert an IV, and cap off the IV with an intermittent infusion
devise for an 80-year-old who is prescribed IV antibiotics every 8 hours. The client is
taking po fluids well. What supplies will the nurse take into the room for this
procedure?
(select all that apply)
a. A 16-gauge IV catheter
b. Normal saline in a 10 mL syringe
c. Clear plastic sterile bag
d. Skin preparation antiseptic swab
e. 1000 mL bag of normal saline
i. B, C, D, items not needed to insert an IV for intermittent antibiotic
therapy for an 80-year-old are a 16-gauge intracath; the intracath is too
large. Large bore interactions are for rapid infusions. A small bag of
NS, 250 mL, will be needed to flush the line. The remaining items are
needed to start an IV
2. The nurse is instructing a client in the proper use of a metered-dose inhaler. Which
instruction should the nurse provide the client to ensure the optimal benefits from the
drug?
a. Fill your lungs with air through your mouth and then compress the inhaler
b. Compress the inhaler while slowly breathing in through your mouth
c. Compress the inhaler while inhaling quickly through your nose
d. Exhale completely after compressing the inhaler and then inhale
i. B, the medication should be inhaled through the mouth simultaneously
with compression of the inhaler. This will facilitate the desired
destination of the aerosol medication deep in the lungs for an optimal
bronchodilation effect.
3. The mental health nurse plans to discuss a client’s depression with the health care
provider in the emergency department. There are two clients sitting across from the
emergency department desk. Which nursing action is best?
a. Only refer to the client by gender
b. Identify the client only by age
c. Avoid using the client’s name
d. Discuss the client another time
, b.
i. D, the best nursing action is to discuss the client another time.
Confidentiality must be observed at all times, so the nurse should not
discuss the client when the conversation can be overheard by others.
Details of the client can be identified when referring to the client by
gender or age, even when not using the client’s name
4. The nurse identifies a potential for infection in a client with partial-thickness (second
degree) and full-thickness (third degree) burns. What action has the highest priority in
decreasing the client’s risk of infection?
a. Administer of plasma expanders
b. Use of careful handwashing technique
c. Application of a topical antibacterial cream
d. Limiting visitors to the client with burns
i. B, careful handwashing technique is the single most effective
intervention for the prevention of contamination to all clients. Option
A reverses the hypovolemia that initially accompanies burn trauma but
is not related to decreasing the proliferation of infective organisms.
Options C and D are recommended by various burn centers as possible
ways to reduce the chance of infection. Option B is a proven technique
to prevent infection 5. A nurse stops at a motor vehicle collision site to
render aid until the emergency personnel arrive and applies pressure to
a groin wound that is bleeding profusely. Later the client has to have
the leg amputated and sues the nurse for malpractice. Which statement
reflects the likely outcome from the nurse?
a. The Patient’s Bill of Rights protects the clients from malicious intents, so the
nurse could lose the case
b. The lawsuit may be settled out of court, but the nurse’s license is likely to be
revoked
c. There will be no judgment against the nurse, whose actions are protected under
the Good Samaritan Act
d. The client will win because the four elements of negligence (duty, breach,
causation, and damages) can be proved
i. C, the good Samaritan act protects health care professionals who
practice in good faith and provide reasonable care from malpractice claims, regardless of the
client outcome. Although the patient’s bill of rights protects clients, this nurse is protected
by the good Samaritan act. 6. The nurse is talking with the spouse of a client admitted to the
long-term care center. The client has end-stage renal cancer and is admitted for palliative
care while awaiting on hospice placement. The client often moans and groans, but is
otherwise noncommunicative and somnolent. What will the nurse include in the spouses
teaching regarding the care of the client? Select all that apply
a. Repositioning ever 2 hours
b. Round-the-clock pain medication administration
c. Assessment for skin breakdown
d. Back rubs three times a day
, c.
e. Bathing twice a day
i. A, B, C, D, the nurse must cleanse soiled areas to remove any irritants; a
bath twice a day can dry out the skin. The goal of palliative care is to
make the client comfortable, and not treat the cause of the condition. The
client will not be on bed rest because of the client’s debilitated condition.
Skin breakdown is a nursing concern. Measures to prevent skin
breakdown should be included in this client’s plan of care
7. The nurse is using the Glasgow Coma Scale to perform a neurologic assessment. A
comatose client winces and pulls away from a painful stimulus. Which action should the
nurse take next?
a. Document that the client responds to painful stimuli
b. Observe the client’s response to verbal stimulation
c. Place the client on seizure precautions for 24 hours
d. Report decorticate posturing to the health care provider
i. A, the client has demonstrated a purposeful response to pain, which should
be documented as such. Response to painful stimuli is assessed after
response to verbal stimulus, not before. There is no indication for placing
the client on seizure precautions. Reporting decorticate posturing to the
HCP is a nonpurposeful movement
8. An older adult who recently began self-administration of insulin calls the nurse daily to
review the steps that should be taken when giving an injection. The nurse has assessed
the client’s skills during two previous office visits and knows that the client safely
administered the injections. What is the nurse’s best response?
a. I know you are capable of giving yourself the insulin
b. Giving yourself the injection seems to make you nervous
c. When I watched you give yourself the injection, you did it correctly
d. Tell me what you want me to do to help you give yourself the injection at home
i. C, the nurse needs to focus on the client’s positive behaviors, so focusing
on the client’s demonstrated ability to self-administer the injection is
likely to reinforce his level of competence without sounding punitive 10.
The nurse is reviewing a client’s lab results form 2 hours ago. The sodium
level is 128 mEq/L. the nurse should be alert for which findings? Select all
that apply
a. Weakness in the hands and feet
b. +1 reflexes to the patella
c. Headache
d. Muscle twitching
e. Nausea
f. Facial redness
i. A, B, C, E, the client is hyponatremic. All are signs of hyponatremia
except muscle twitching and facial redness
