2026 HESI RN
FUNDAMENTALS
500+ PRACTICE QUESTIONS
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Pass the Exam with Confidence
This Document Contains:
➢ 500+ Questions with Correct Answers
➢ Passing Score Guarantee
➢ multiple-choice format (A, B, C, D) with correct answers
➢ Next Generation NCLEX (NGN)-style.
➢ Some questions feature “case scenarios”
,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."
Correct Answer: B
Rationale: 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.
Options A, C, and D do not allow for deep lung penetration.
A 20-year-old female client with a noticeable body odor has refused to
shower for the last 3 days. She states, "I have been told that it is
harmful to bathe during my period." Which action should the nurse
take first?
A. Accept and document the client's wish to refrain from bathing.
B. Offer to give the client a bed bath, avoiding the perineal area.
C. Obtain written brochures about menstruation to give to the client.
D. Teach the importance of personal hygiene during menstruation
with the client.
Correct Answer: D
Rationale: Because a shower is most beneficial for the client in terms of hygiene,
the client should receive teaching first, respecting any personal beliefs such as
cultural or spiritual values. After client teaching, the client may still choose option
A or B. Brochures reinforce the teaching.
,While reviewing the side effects of a newly prescribed medication, a
72-year-old client notes that one of the side effects is a reduction in
sexual drive. Which is the best response by the nurse?
A. "How will this affect your present sexual activity?"
B. "How active is your current sex life?"
C. "How has your sex life changed as you have become older?"
D. "Tell me about your sexual needs as an older adult."
Correct Answer: A
Rationale: Option A offers an open-ended question most relevant to the client's
statement. Option B does not offer the client the opportunity to express concerns.
Options C and D are even less relevant to the client's statement.
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 stimulus.
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
Correct Answer: .A
Rationale: The client has demonstrated a purposeful response to pain, which
should be documented as such. Response to painful stimulus 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 health care
provider is nonpurposeful movement.
, The nurse plans to administer diazepam, 4 mg IV push, to a client with
severe anxiety. How many milliliters should the nurse administer?
(Round to the nearest tenth.)
A. 0.2 mL
B. 0.8 mL
C. 1.25 mL
D. 2.0 mL
Correct Answer: B
Rationale: (1 mL × 4 mg)/5 mg = 0.8 mL
FUNDAMENTALS
500+ PRACTICE QUESTIONS
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Pass the Exam with Confidence
This Document Contains:
➢ 500+ Questions with Correct Answers
➢ Passing Score Guarantee
➢ multiple-choice format (A, B, C, D) with correct answers
➢ Next Generation NCLEX (NGN)-style.
➢ Some questions feature “case scenarios”
,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."
Correct Answer: B
Rationale: 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.
Options A, C, and D do not allow for deep lung penetration.
A 20-year-old female client with a noticeable body odor has refused to
shower for the last 3 days. She states, "I have been told that it is
harmful to bathe during my period." Which action should the nurse
take first?
A. Accept and document the client's wish to refrain from bathing.
B. Offer to give the client a bed bath, avoiding the perineal area.
C. Obtain written brochures about menstruation to give to the client.
D. Teach the importance of personal hygiene during menstruation
with the client.
Correct Answer: D
Rationale: Because a shower is most beneficial for the client in terms of hygiene,
the client should receive teaching first, respecting any personal beliefs such as
cultural or spiritual values. After client teaching, the client may still choose option
A or B. Brochures reinforce the teaching.
,While reviewing the side effects of a newly prescribed medication, a
72-year-old client notes that one of the side effects is a reduction in
sexual drive. Which is the best response by the nurse?
A. "How will this affect your present sexual activity?"
B. "How active is your current sex life?"
C. "How has your sex life changed as you have become older?"
D. "Tell me about your sexual needs as an older adult."
Correct Answer: A
Rationale: Option A offers an open-ended question most relevant to the client's
statement. Option B does not offer the client the opportunity to express concerns.
Options C and D are even less relevant to the client's statement.
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 stimulus.
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
Correct Answer: .A
Rationale: The client has demonstrated a purposeful response to pain, which
should be documented as such. Response to painful stimulus 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 health care
provider is nonpurposeful movement.
, The nurse plans to administer diazepam, 4 mg IV push, to a client with
severe anxiety. How many milliliters should the nurse administer?
(Round to the nearest tenth.)
A. 0.2 mL
B. 0.8 mL
C. 1.25 mL
D. 2.0 mL
Correct Answer: B
Rationale: (1 mL × 4 mg)/5 mg = 0.8 mL
