Page 1 of 67
HESI FUNDAMENTALS V.2 PRACTICE EXAM QUESTIONS
NEWEST 2026 EXAM QUESTIONS LATEST VERSION
SOLVED QUESTIONS & ANSWERS VERIFIED 100 %
What action should the nurse implement to prevent the formation of a sacral
ulcer for a client who is immobile?
A) Maintain in a lateral position using protective wrist and vest devices.
B) Position prone with a small pillow below the diaphragm.
C) Raise the head and knee gatch when lying in a supine position.
D) Transfer into a wheelchair close to the nurse's station for observation.
B) Position prone with a small pillow below the diaphragm.
At 0100 on a male client's second postoperative night, the client states he is
unstable to sleep and plans to read until feeling sleepy. What action should the
nurse implement?
A) Leave the room and close the door to the client's room.
B) Assess the appearance of the client's surgical dressing.
C) Bring the client a prescribed PRN sedative-hypnotic.
D) Discuss symptoms of sleep deprivation with the client.
C) Bring the client a prescribed PRN sedative-hypnotic.
The nursing staff in the cardiovascular intensive care unit are creating a
continuous quality improvement project on social media that addresses
coronary artery disease (CAD). Which action should the nurse implement to
protect client privacy?
A) Remove identifying information of the clients who participated.
B) Recall that authored content may be legally discoverable.
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C) Share material from credible, peer reviewed sources only.
D) Respect all copyright laws when adding website content.
A) Remove identifying information of the clients who participated.
A male client with unstable angina needs a cardiac catheterization, so the
healthcare provider explains the risks and benefits of the procedure, and then
leaves to set up for the procedure. When the nurse presents the consent form
for signature, the client hesitates and asks how the wires will keep his heart
going. Which action should the nurse take?
A) Answer the client's specific questions with a short understandable
explanation.
B) Postpone the procedure until the client understands the risks and benefits.
C) Call the client's next of kin and ask them to provide verbal consent.
D) Page the healthcare provider to return and provide additional explanation.
B) Postpone the procedure until the client understands the risks and benefits.
The nurse is teaching a client how to do active range of motion (ROM)
exercises. To exercise the hinge joints, which action should the nurse instruct
the client to perform?
A) Tilt the pelvis forwards and backwards.
B) Bend the arm by flexing the ulnar to the humerus.
C) Turn the head to the right and left.
D) Extend the arm at the side and rotate in circles.
B) Bend the arm by flexing the ulnar to the humerus.
A postoperative client has three different PRN analgesics prescribed for
different levels of pain. The nurse inadvertently administers a dose that is not
within the prescribed parameters. What actions should the nurse take first?
A) Assess for side effects of the medication.
B) Document the client's responses.
C) Complete a medication error report.
D) Determine if the pain was relieved.
A) Assess for side effects of the medication.
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When assessing a male client, the nurse finds that he is fatigue, and is
experiencing muscle weakness, leg cramps, and cardiac dysrhythmias. Based
on these findings, the nurse plans to check the client's laboratory values to
validate the existence of which?
A) Hyperphosphatemia.
B) Hypocalcemia.
C) Hypermagnesemia.
D) Hypokalemia.
D) Hypokalemia.
A female client's significant other has been at her bedside providing
reassurances and support for the past 3 days, as desired by the client. The
client's estranged husband arrives and demands that the significant other not
be allowed to visit or be given condition updates. Which intervention should
the nurse implement?
A) Obtain a prescription from the healthcare provider regarding visitation
privileges.
B) Request a consultation with the ethics committee for resolution of the
situation.
C) Encourage the client to speak with her husband regarding his disruptive
behavior.
D) Communicate the client's wishes to all members of the multidisciplinary
team.
B) Request a consultation with the ethics committee for resolution of the situation.
When measuring vital signs, the nurse observes that a client is using
accessory neck muscles during respiration. What follow-up action should the
nurses take first?
A) Determine pulse pressure.
B) Auscultate heart sounds.
C) Measure oxygen saturation.
D) Check for neck vein distention.
D) Check for neck vein distention.
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To avoid nerve injury, what location should the nurse select to administer a 3
mL IM injection?
A) Ventrogluteal.
B) Outer upper quadrant of the buttock.
C) Two inches below the acromion process.
D) Vastus lateralis.
A) Ventrogluteal.
Which instruction should the nurse include in the discharge teaching plan for
an adult client with hypernatremia?
A) Monitor daily urine output volume.
B) Drink plenty of water whenever thirsty.
C) Use salt tablets for sodium content.
D) Review food labels for sodium content.
D) Review food labels for sodium content.
A client is in contact isolation due to stage IV coccyx wound infected with
methicillinresistant staphylococcus aureus (MRSA). The nurse plans
interventions to prevent multiple reentries to the client's room. In which order
should the nurse perform the interventions?
A) Change coccyx dressing, perform tracheostomy care, restart the IV.
B) Perform tracheostomy care, change coccyx dressing, restart the IV.
C) Restart the IV, perform tracheotomy care, change coccyx dressing.
D) Change coccyx dressing, restart the IV, perform tracheostomy care.
C) Restart the IV, perform tracheotomy care, change coccyx dressing.
What self-care outcome is best for the nurse to use in evaluating a client's
recovery form a stroke that resulted in left-sided hemiparesis?
A) Promote independence by allowing client to perform all self-care activities.
B) Participates in self-care to optimal level of capacity.
C) Client verbalizes importance of hygienic practices in the recovery process.
D) Self-care needs to be completed by the unlicensed assistive personnel.
C) Client erbalizes importance of hygienic practices in the recovery process.
HESI FUNDAMENTALS V.2 PRACTICE EXAM QUESTIONS
NEWEST 2026 EXAM QUESTIONS LATEST VERSION
SOLVED QUESTIONS & ANSWERS VERIFIED 100 %
What action should the nurse implement to prevent the formation of a sacral
ulcer for a client who is immobile?
A) Maintain in a lateral position using protective wrist and vest devices.
B) Position prone with a small pillow below the diaphragm.
C) Raise the head and knee gatch when lying in a supine position.
D) Transfer into a wheelchair close to the nurse's station for observation.
B) Position prone with a small pillow below the diaphragm.
At 0100 on a male client's second postoperative night, the client states he is
unstable to sleep and plans to read until feeling sleepy. What action should the
nurse implement?
A) Leave the room and close the door to the client's room.
B) Assess the appearance of the client's surgical dressing.
C) Bring the client a prescribed PRN sedative-hypnotic.
D) Discuss symptoms of sleep deprivation with the client.
C) Bring the client a prescribed PRN sedative-hypnotic.
The nursing staff in the cardiovascular intensive care unit are creating a
continuous quality improvement project on social media that addresses
coronary artery disease (CAD). Which action should the nurse implement to
protect client privacy?
A) Remove identifying information of the clients who participated.
B) Recall that authored content may be legally discoverable.
, Page 2 of 67
C) Share material from credible, peer reviewed sources only.
D) Respect all copyright laws when adding website content.
A) Remove identifying information of the clients who participated.
A male client with unstable angina needs a cardiac catheterization, so the
healthcare provider explains the risks and benefits of the procedure, and then
leaves to set up for the procedure. When the nurse presents the consent form
for signature, the client hesitates and asks how the wires will keep his heart
going. Which action should the nurse take?
A) Answer the client's specific questions with a short understandable
explanation.
B) Postpone the procedure until the client understands the risks and benefits.
C) Call the client's next of kin and ask them to provide verbal consent.
D) Page the healthcare provider to return and provide additional explanation.
B) Postpone the procedure until the client understands the risks and benefits.
The nurse is teaching a client how to do active range of motion (ROM)
exercises. To exercise the hinge joints, which action should the nurse instruct
the client to perform?
A) Tilt the pelvis forwards and backwards.
B) Bend the arm by flexing the ulnar to the humerus.
C) Turn the head to the right and left.
D) Extend the arm at the side and rotate in circles.
B) Bend the arm by flexing the ulnar to the humerus.
A postoperative client has three different PRN analgesics prescribed for
different levels of pain. The nurse inadvertently administers a dose that is not
within the prescribed parameters. What actions should the nurse take first?
A) Assess for side effects of the medication.
B) Document the client's responses.
C) Complete a medication error report.
D) Determine if the pain was relieved.
A) Assess for side effects of the medication.
, Page 3 of 67
When assessing a male client, the nurse finds that he is fatigue, and is
experiencing muscle weakness, leg cramps, and cardiac dysrhythmias. Based
on these findings, the nurse plans to check the client's laboratory values to
validate the existence of which?
A) Hyperphosphatemia.
B) Hypocalcemia.
C) Hypermagnesemia.
D) Hypokalemia.
D) Hypokalemia.
A female client's significant other has been at her bedside providing
reassurances and support for the past 3 days, as desired by the client. The
client's estranged husband arrives and demands that the significant other not
be allowed to visit or be given condition updates. Which intervention should
the nurse implement?
A) Obtain a prescription from the healthcare provider regarding visitation
privileges.
B) Request a consultation with the ethics committee for resolution of the
situation.
C) Encourage the client to speak with her husband regarding his disruptive
behavior.
D) Communicate the client's wishes to all members of the multidisciplinary
team.
B) Request a consultation with the ethics committee for resolution of the situation.
When measuring vital signs, the nurse observes that a client is using
accessory neck muscles during respiration. What follow-up action should the
nurses take first?
A) Determine pulse pressure.
B) Auscultate heart sounds.
C) Measure oxygen saturation.
D) Check for neck vein distention.
D) Check for neck vein distention.
, Page 4 of 67
To avoid nerve injury, what location should the nurse select to administer a 3
mL IM injection?
A) Ventrogluteal.
B) Outer upper quadrant of the buttock.
C) Two inches below the acromion process.
D) Vastus lateralis.
A) Ventrogluteal.
Which instruction should the nurse include in the discharge teaching plan for
an adult client with hypernatremia?
A) Monitor daily urine output volume.
B) Drink plenty of water whenever thirsty.
C) Use salt tablets for sodium content.
D) Review food labels for sodium content.
D) Review food labels for sodium content.
A client is in contact isolation due to stage IV coccyx wound infected with
methicillinresistant staphylococcus aureus (MRSA). The nurse plans
interventions to prevent multiple reentries to the client's room. In which order
should the nurse perform the interventions?
A) Change coccyx dressing, perform tracheostomy care, restart the IV.
B) Perform tracheostomy care, change coccyx dressing, restart the IV.
C) Restart the IV, perform tracheotomy care, change coccyx dressing.
D) Change coccyx dressing, restart the IV, perform tracheostomy care.
C) Restart the IV, perform tracheotomy care, change coccyx dressing.
What self-care outcome is best for the nurse to use in evaluating a client's
recovery form a stroke that resulted in left-sided hemiparesis?
A) Promote independence by allowing client to perform all self-care activities.
B) Participates in self-care to optimal level of capacity.
C) Client verbalizes importance of hygienic practices in the recovery process.
D) Self-care needs to be completed by the unlicensed assistive personnel.
C) Client erbalizes importance of hygienic practices in the recovery process.
