1
ALL HESI FUNDAMENTALS EXAM TEST BANK UPDATED 2025-2026
COMPREHENSIVE QUESTIONS AND ANSWERS WITH
RATIONALES...HEALTH STUDYPRO
1) Safety — Patient Identification
Which action ensures correct patient identification before administering
medication?
A. Ask the patient’s roommate.
B. Check room number and bed location.
C. Verify patient’s name and DOB with wristband.
D. Ask patient if this is their medication.
E. Rely on facial recognition.
Correct Answer: C
Rationale: The safest method is using two identifiers — name and DOB compared
with the wristband.
2) Hygiene — Oral Care
Which action is most important during oral care for a patient on oxygen therapy
via nasal cannula?
A. Use alcohol-based mouthwash.
B. Provide frequent oral care with water-based rinses.
,2
C. Remove oxygen for long periods during care.
D. Apply petroleum jelly inside nares.
E. Avoid oral care to prevent drying.
Correct Answer: B
Rationale: Oxygen dries mucous membranes; frequent water-based rinses prevent
cracking and infection.
3) Vital Signs — Adult Temperature
Which oral temperature reading is considered febrile in an adult?
A. 97.0°F (36.1°C)
B. 98.6°F (37.0°C)
C. 99.0°F (37.2°C)
D. 100.8°F (38.2°C)
E. 96.8°F (36.0°C)
Correct Answer: D
Rationale: Adult fever is ≥100.4°F (38°C).
4) Mobility — Positioning
Which position best promotes lung expansion in a postoperative patient with
pneumonia?
A. Supine
B. Prone
C. Fowler’s (45–60°)
D. Trendelenburg
E. Lithotomy
,3
Correct Answer: C
Rationale: Fowler’s increases chest expansion and ventilation.
5) Elimination — Urinary Catheter Care
Which intervention prevents catheter-associated urinary tract infection (CAUTI)?
A. Keep drainage bag above bladder level.
B. Maintain closed sterile drainage system.
C. Irrigate catheter daily with tap water.
D. Disconnect tubing when repositioning.
E. Clamp catheter to promote bladder filling.
Correct Answer: B
Rationale: A closed system prevents bacterial entry and lowers infection risk.
6) Infection Control — Standard Precautions
Which action requires wearing gloves?
A. Feeding a patient.
B. Taking oral temperature.
C. Providing oral suctioning.
D. Ambulating a patient.
E. Changing bed linens.
Correct Answer: C
Rationale: Gloves are required for potential contact with body fluids.
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7) Nutrition — Clear Liquid Diet
Which item is appropriate for a client on a clear liquid diet?
A. Black coffee
B. Cream soup
C. Yogurt
D. Mashed potatoes
E. Ice cream
Correct Answer: A
Rationale: Clear liquids are transparent at room temperature (e.g., broth, black
coffee, tea, gelatin).
8) Legal/Ethical — Informed Consent
Which statement demonstrates a patient has given informed consent?
A. “I signed the form but don’t know what surgery I’m having.”
B. “The nurse told me the surgery risks.”
C. “The surgeon explained the procedure, risks, and alternatives.”
D. “My spouse told me to sign the paper.”
E. “I was told not to ask questions.”
Correct Answer: C
Rationale: Only the surgeon explains risks, benefits, and alternatives to obtain
valid consent.
9) Communication — Therapeutic
Which nurse response is therapeutic for an anxious patient awaiting surgery?
A. “Don’t worry, everything will be fine.”
ALL HESI FUNDAMENTALS EXAM TEST BANK UPDATED 2025-2026
COMPREHENSIVE QUESTIONS AND ANSWERS WITH
RATIONALES...HEALTH STUDYPRO
1) Safety — Patient Identification
Which action ensures correct patient identification before administering
medication?
A. Ask the patient’s roommate.
B. Check room number and bed location.
C. Verify patient’s name and DOB with wristband.
D. Ask patient if this is their medication.
E. Rely on facial recognition.
Correct Answer: C
Rationale: The safest method is using two identifiers — name and DOB compared
with the wristband.
2) Hygiene — Oral Care
Which action is most important during oral care for a patient on oxygen therapy
via nasal cannula?
A. Use alcohol-based mouthwash.
B. Provide frequent oral care with water-based rinses.
,2
C. Remove oxygen for long periods during care.
D. Apply petroleum jelly inside nares.
E. Avoid oral care to prevent drying.
Correct Answer: B
Rationale: Oxygen dries mucous membranes; frequent water-based rinses prevent
cracking and infection.
3) Vital Signs — Adult Temperature
Which oral temperature reading is considered febrile in an adult?
A. 97.0°F (36.1°C)
B. 98.6°F (37.0°C)
C. 99.0°F (37.2°C)
D. 100.8°F (38.2°C)
E. 96.8°F (36.0°C)
Correct Answer: D
Rationale: Adult fever is ≥100.4°F (38°C).
4) Mobility — Positioning
Which position best promotes lung expansion in a postoperative patient with
pneumonia?
A. Supine
B. Prone
C. Fowler’s (45–60°)
D. Trendelenburg
E. Lithotomy
,3
Correct Answer: C
Rationale: Fowler’s increases chest expansion and ventilation.
5) Elimination — Urinary Catheter Care
Which intervention prevents catheter-associated urinary tract infection (CAUTI)?
A. Keep drainage bag above bladder level.
B. Maintain closed sterile drainage system.
C. Irrigate catheter daily with tap water.
D. Disconnect tubing when repositioning.
E. Clamp catheter to promote bladder filling.
Correct Answer: B
Rationale: A closed system prevents bacterial entry and lowers infection risk.
6) Infection Control — Standard Precautions
Which action requires wearing gloves?
A. Feeding a patient.
B. Taking oral temperature.
C. Providing oral suctioning.
D. Ambulating a patient.
E. Changing bed linens.
Correct Answer: C
Rationale: Gloves are required for potential contact with body fluids.
, 4
7) Nutrition — Clear Liquid Diet
Which item is appropriate for a client on a clear liquid diet?
A. Black coffee
B. Cream soup
C. Yogurt
D. Mashed potatoes
E. Ice cream
Correct Answer: A
Rationale: Clear liquids are transparent at room temperature (e.g., broth, black
coffee, tea, gelatin).
8) Legal/Ethical — Informed Consent
Which statement demonstrates a patient has given informed consent?
A. “I signed the form but don’t know what surgery I’m having.”
B. “The nurse told me the surgery risks.”
C. “The surgeon explained the procedure, risks, and alternatives.”
D. “My spouse told me to sign the paper.”
E. “I was told not to ask questions.”
Correct Answer: C
Rationale: Only the surgeon explains risks, benefits, and alternatives to obtain
valid consent.
9) Communication — Therapeutic
Which nurse response is therapeutic for an anxious patient awaiting surgery?
A. “Don’t worry, everything will be fine.”
