(NGN) HESI Fundamentals 2025 – 75
Latest Questions with Detailed Rationales
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Basic Nursing Care (15 Questions)
1. A nurse is assisting a client with ambulation. Which action is most appropriate?
A) Allow independent walking
B) Use a gait belt
C) Push in a wheelchair
D) Hold the client’s arm tightly
Rationale: A gait belt ensures safety and support during ambulation per HESI 2025 safety
guidelines.
2. A client reports difficulty sleeping. What should the nurse recommend?
A) Increase caffeine intake
B) Establish a bedtime routine
C) Use bright lights at night
D) Nap frequently during the day
Rationale: A bedtime routine promotes sleep hygiene per HESI 2025 client care
guidelines.
3. A nurse is providing oral care for a client with dentures. What is the first step?
A) Rinse dentures with hot water
B) Remove dentures carefully
C) Brush dentures with toothpaste
D) Soak dentures in alcohol
Rationale: Removing dentures first ensures safe and effective cleaning per HESI 2025
standards.
4. What position should a nurse place a client in for a bed bath?
A) Prone
B) Supine
C) Lateral
D) Trendelenburg
Rationale: Supine position facilitates access and client comfort during a bed bath per
HESI 2025 guidelines.
5. A nurse is assisting a client with feeding. Which action is priority?
A) Feed quickly to save time
B) Check for swallowing ability
C) Offer large bites of food
D) Provide only liquids
, 2
Rationale: Assessing swallowing prevents aspiration per HESI 2025 client care
standards.
6. NGN Ordered Response: Arrange the steps for performing a bed bath.
A) Wash the client’s face
B) Cover the client with a blanket
C) Fill a basin with warm water
D) Perform hand hygiene
Correct Order: D, C, B, A
Rationale: Hand hygiene, preparing supplies, ensuring privacy, and washing the face
follow HESI 2025 hygiene protocols.
7. A nurse is measuring a client’s vital signs. What is the most accurate method to
measure temperature?
A) Axillary
B) Tympanic
C) Oral with a glass thermometer
D) Rectal with a mercury thermometer
Rationale: Tympanic measurement is accurate and non-invasive per HESI 2025
guidelines.
8. A client with limited mobility needs repositioning. How often should this occur?
A) Every 4 hours
B) Every 2 hours
C) Every 6 hours
D) Once daily
Rationale: Repositioning every 2 hours prevents pressure injuries per HESI 2025
standards.
9. A nurse is assisting a client with toileting. Which action ensures safety?
A) Leave the client unattended
B) Raise the side rails
C) Lower the bed to its highest position
D) Remove the call light
Rationale: Raised side rails prevent falls during toileting per HESI 2025 safety
guidelines.
10. What should a nurse do when changing a client’s gown?
A) Remove the gown from the unaffected side first
B) Remove the gown from the affected side first
C) Cut the gown off
D) Leave the gown untied
Rationale: Removing from the affected side first minimizes discomfort per HESI 2025
client care guidelines.
11. A nurse is providing perineal care for a female client. What is the correct
technique?
A) Clean from back to front
B) Clean from front to back
C) Use alcohol-based wipes
D) Avoid using warm water
Rationale: Front-to-back cleaning prevents infection per HESI 2025 hygiene standards.