HESI PN Fundamentals Retake Proctored Exam Prep: 200 Practice Questions with Correct Answers & Rationales Guaranteed Pass

HESI PN Fundamentals Retake 2026-2027
Proctored Exam Prep: 200 Practice Questions
with Correct Answers & Rationales Guaranteed
Pass

Introduction
Are you preparing to retake the HESI PN Fundamentals Proctored Exam in
2026? You’re not alone. Thousands of practical nursing students face this high-
stakes test each year, and a focused, strategic review can make the difference
between passing and needing another attempt.

This guide is specifically designed for students who are retaking the exam. It cuts
through the noise and delivers exactly what you need


SECTION 1: SAFETY AND INFECTION CONTROL

Question 1
An elderly client with a fractured left hip is on strict bedrest. Which nursing measure is
essential to the client's nursing care?

 A. Massage any reddened areas for at least five minutes
 B. Encourage active range of motion exercises on extremities
 C. Position the client laterally, prone, and dorsally in sequence
 D. Gently lift the client when moving into a desired position

Rationale: To avoid shearing forces when repositioning, the client should be lifted
gently across a surface (D). Reddened areas should NOT be massaged (A) since this
may increase damage to already traumatized skin. To control pain and muscle
spasms, active range of motion (B) may be limited on the affected leg. The position
described in (C) is contraindicated for a client with a fractured left hip.

, Question 2
The nurse observes an unlicensed assistive personnel (UAP) taking a client's blood
pressure with a cuff that is too small, but the reading obtained is within the client's usual
range. What action is most important for the nurse to implement?

 A. Tell the UAP to use a larger cuff at the next scheduled assessment
 B. Reassess the client's blood pressure using a larger cuff
 C. Have the unit educator review this procedure with the UAPs
 D. Teach the UAP the correct technique for assessing blood pressure

Rationale: The most important action is to ensure that an accurate BP reading is
obtained. The nurse should reassess the BP with the correct size cuff (B).
Reassessment should not be postponed (A). Though (C and D) are likely indicated,
these actions do not have the priority of (B).




Question 3
Which extrinsic factors are responsible for falls in older adults? Select all that apply.

 A. Environmental hazards
 B. Inappropriate footwear
 C. Improper use of assistive devices
 D. Impaired vision
 E. Cognitive impairment

Rationale: Environmental hazards, inappropriate footwear, and improper use of
assistive devices are extrinsic factors responsible for falls in older adults. Impaired
vision and cognitive impairment are intrinsic factors that are responsible for falls
in older adults.




Question 4
The practical nurse (PN) observes a client who begins to choke during a meal. After
determining that the client cannot speak, what action should the PN implement?

, A. Initiate cardiopulmonary resuscitation (CPR)
 B. Administer four upward abdominal thrusts
 C. Sweep the airway with a hooked index finger
 D. Place a fist halfway between the xiphoid process and umbilicus

Rationale: After confirming a victim with foreign body airway obstruction (FBAO)
cannot speak, the fist should be placed between the xiphoid process and umbilicus,
and a rapid sequence of abdominal thrusts should be administered until the FBAO
is relieved, not (B and C). If the victim becomes unresponsive, CPR (A) should be
initiated after activating EMS.




Question 5
Which assessment data provides the most accurate determination of proper placement
of a nasogastric tube?

 A. Aspirating gastric contents and checking pH
 B. Auscultating over the epigastrium while injecting air
 C. Observing for coughing or respiratory distress
 D. Examining a chest x-ray obtained after the tubing was inserted

Rationale: A chest x-ray is the gold standard for confirming NG tube placement
(D). While auscultation (B) and pH testing (A) are bedside methods, they are less
reliable than radiographic confirmation. Coughing (C) may indicate tracheal
placement but does not confirm proper gastric placement.




Question 6
A client is placed on contact precautions. Which action by the practical nurse
demonstrates correct understanding of these precautions?

 A. Wearing a surgical mask when entering the room
 B. Donning a gown and gloves before entering the room
 C. Placing the client in a negative pressure room
 D. Keeping the client's door closed at all times

, Rationale: Contact precautions require gown and gloves for all interactions (B).
Surgical masks (A) are for droplet precautions. Negative pressure rooms (C) are for
airborne precautions. Door closure (D) is not required for contact precautions
alone.




Question 7
An older male client who has the tendency to stay on his left side in a lying position.
Which bony prominence should the PN identify as the site most likely to develop
alterations in skin integrity?

 A. Ilium
 B. Heels
 C. Sacrum
 D. Scapula

Rationale: The sacrum is the most common site for pressure injury development in
clients who remain in a supine or semi-recumbent position (C). The ilium (A), heels
(B), and scapula (D) are also at risk but less commonly affected than the sacrum in
this positioning.




Question 8
A client with an indwelling urinary catheter. Which interventions should the practical
nurse implement to reduce the incidence of urinary tract infections? (Select all that
apply.)

 A. Maintain closed drainage system
 B. Keep the collection bag below the level of the bladder
 C. Perform perineal care daily with soap and water
 D. Change the catheter every 24 hours
 E. Irrigate the catheter with sterile saline twice daily

Rationale: Maintaining a closed system (A), keeping the bag below bladder level
(B), and daily perineal care (C) reduce infection risk. Catheters should not be