HESI Fundamentals V.2 Exam | Nightingale
College | 2025/2026 Edition | Actual-Style
Questions with 100% Verified Correct Answers
HESI Nursing Fundamentals V.2 for Nightingale College | Real-Exam Precision |
Expert-Verified Q&A | Precision-Crafted to Reflect Official Format
Introduction
This comprehensive Q&A bank mirrors the actual HESI Fundamentals V.2 exam as
administered at Nightingale College during the 2025/2026 academic year. The exam typically
consists of 55 questions total, with approximately 50 scored items and 5 pilot (unscored) items,
delivered within a 2-hour testing window. The content reflects topics such as mobility, hygiene,
basic pharmacology, vital signs, safety, elimination, nutrition, and legal/ethical scope of
practice. A portion of items includes case-based NGN-style formatting aligned with current
testing standards.
Answer Format
Every correct answer is clearly marked in bold and green. Rationales accompany key items to
reinforce clinical reasoning and exam-style thinking—tailored to Nightingale College’s HESI
expectations.
Question 1
A nurse is caring for a client who is immobile. What is the priority nursing intervention to
prevent pressure ulcers?
A) Turn the client every 8 hours
B) Reposition the client every 2 hours
C) Apply a topical antibiotic
D) Limit fluid intake
B) Reposition the client every 2 hours
Rationale: Repositioning every 2 hours reduces pressure on vulnerable areas, preventing skin
breakdown.
Question 2
A client reports difficulty brushing their teeth due to arthritis. What is the best assistive device?
A) Electric toothbrush
B) Manual toothbrush with large handle
, C) Dental floss
D) Mouthwash only
A) Electric toothbrush
Rationale: An electric toothbrush requires less manual dexterity, aiding clients with arthritis.
Question 3
A nurse administers 500 mg of acetaminophen to a client. What is the nurse’s next action?
A) Document the administration
B) Recheck the client’s temperature in 30 minutes
C) Administer another dose immediately
D) Discard the medication
A) Document the administration
Rationale: Proper documentation ensures accurate medication records and client safety.
Question 4
A client’s blood pressure is 88/50 mmHg. What is the nurse’s priority action?
A) Elevate the head of the bed
B) Notify the healthcare provider
C) Administer IV fluids
D) Recheck in 1 hour
B) Notify the healthcare provider
Rationale: Hypotension requires immediate provider notification for potential intervention.
Question 5
A nurse observes a client attempting to get out of bed without assistance. What is the first
action?
A) Assist the client back to bed
B) Call for help
C) Apply restraints
D) Document the behavior
A) Assist the client back to bed
Rationale: Ensuring safety by assisting prevents falls.
Question 6
A client reports constipation. What is the initial nursing intervention?
A) Administer a laxative
College | 2025/2026 Edition | Actual-Style
Questions with 100% Verified Correct Answers
HESI Nursing Fundamentals V.2 for Nightingale College | Real-Exam Precision |
Expert-Verified Q&A | Precision-Crafted to Reflect Official Format
Introduction
This comprehensive Q&A bank mirrors the actual HESI Fundamentals V.2 exam as
administered at Nightingale College during the 2025/2026 academic year. The exam typically
consists of 55 questions total, with approximately 50 scored items and 5 pilot (unscored) items,
delivered within a 2-hour testing window. The content reflects topics such as mobility, hygiene,
basic pharmacology, vital signs, safety, elimination, nutrition, and legal/ethical scope of
practice. A portion of items includes case-based NGN-style formatting aligned with current
testing standards.
Answer Format
Every correct answer is clearly marked in bold and green. Rationales accompany key items to
reinforce clinical reasoning and exam-style thinking—tailored to Nightingale College’s HESI
expectations.
Question 1
A nurse is caring for a client who is immobile. What is the priority nursing intervention to
prevent pressure ulcers?
A) Turn the client every 8 hours
B) Reposition the client every 2 hours
C) Apply a topical antibiotic
D) Limit fluid intake
B) Reposition the client every 2 hours
Rationale: Repositioning every 2 hours reduces pressure on vulnerable areas, preventing skin
breakdown.
Question 2
A client reports difficulty brushing their teeth due to arthritis. What is the best assistive device?
A) Electric toothbrush
B) Manual toothbrush with large handle
, C) Dental floss
D) Mouthwash only
A) Electric toothbrush
Rationale: An electric toothbrush requires less manual dexterity, aiding clients with arthritis.
Question 3
A nurse administers 500 mg of acetaminophen to a client. What is the nurse’s next action?
A) Document the administration
B) Recheck the client’s temperature in 30 minutes
C) Administer another dose immediately
D) Discard the medication
A) Document the administration
Rationale: Proper documentation ensures accurate medication records and client safety.
Question 4
A client’s blood pressure is 88/50 mmHg. What is the nurse’s priority action?
A) Elevate the head of the bed
B) Notify the healthcare provider
C) Administer IV fluids
D) Recheck in 1 hour
B) Notify the healthcare provider
Rationale: Hypotension requires immediate provider notification for potential intervention.
Question 5
A nurse observes a client attempting to get out of bed without assistance. What is the first
action?
A) Assist the client back to bed
B) Call for help
C) Apply restraints
D) Document the behavior
A) Assist the client back to bed
Rationale: Ensuring safety by assisting prevents falls.
Question 6
A client reports constipation. What is the initial nursing intervention?
A) Administer a laxative
