,
, HESI FUNDAMENTALS EXAM TEST BANK 2025–2026
| ALL UPDATED QUESTIONS, RATIONALES &
VERIFIED ANSWERS
**Q1. A nurse is caring for a client who is 2 days postoperative
following abdominal surgery. Which finding requires immediate
intervention?**
A. Pain rated 4 on a 0–10 scale
B. Temperature 99.8°F (37.7°C)
C. Oxygen saturation 88% on room air
D. Serosanguineous drainage on dressing
**Correct Answer: C. Oxygen saturation 88% on room air**
*Rationale:* Using the ABC (Airway, Breathing, Circulation)
framework, oxygen saturation <90% indicates hypoxemia, a life-
threatening breathing problem that requires immediate intervention.
Pain, low-grade fever, and serosanguineous drainage are expected
postoperatively.
**Q2. A nurse is preparing to insert an indwelling urinary catheter.
Which action best maintains sterile technique?**
A. Opening the catheter kit facing away from the nurse
B. Placing the sterile drape with the waterproof side down
C. Using sterile gloves to handle the catheter and securing it with tape
after insertion
, HESI FUNDAMENTALS EXAM TEST BANK 2025–2026
| ALL UPDATED QUESTIONS, RATIONALES &
VERIFIED ANSWERS
**Q1. A nurse is caring for a client who is 2 days postoperative
following abdominal surgery. Which finding requires immediate
intervention?**
A. Pain rated 4 on a 0–10 scale
B. Temperature 99.8°F (37.7°C)
C. Oxygen saturation 88% on room air
D. Serosanguineous drainage on dressing
**Correct Answer: C. Oxygen saturation 88% on room air**
*Rationale:* Using the ABC (Airway, Breathing, Circulation)
framework, oxygen saturation <90% indicates hypoxemia, a life-
threatening breathing problem that requires immediate intervention.
Pain, low-grade fever, and serosanguineous drainage are expected
postoperatively.
**Q2. A nurse is preparing to insert an indwelling urinary catheter.
Which action best maintains sterile technique?**
A. Opening the catheter kit facing away from the nurse
B. Placing the sterile drape with the waterproof side down
C. Using sterile gloves to handle the catheter and securing it with tape
after insertion
