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HESI FUNDAMENTALS EXAM TEST BANK 2020–2026 |
70+ REAL QUESTIONS WITH 100% CORRECT
ANSWERS & DETAILED RATIONALES (LATEST 2025–
2026 UPDATE)
1.
A nurse is preparing to insert an indwelling urinary catheter. Which nursing action
helps maintain sterile technique?
A. Positioning the patient in high Fowler’s position
B. Donning clean gloves before catheter insertion
C. Opening the catheter kit using sterile technique
D. Cleansing the perineal area with soap and water only
Correct Answer: C. Opening the catheter kit using sterile technique
Rationale: Catheter insertion requires strict aseptic technique to prevent urinary
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tract infections. Soap and water cleansing is performed before the sterile
procedure, but the sterility of the catheter kit is critical.
2.
A client with pneumonia is placed on droplet precautions. Which nursing
intervention is most appropriate?
A. Place client in a negative-pressure room
B. Ensure staff wear a surgical mask within 3 feet of the client
C. Use only sterile gloves when providing direct care
D. Post an airborne precaution sign outside the room
Correct Answer: B. Ensure staff wear a surgical mask within 3 feet of the
client
Rationale: Droplet precautions require surgical masks and sometimes eye
protection. A negative-pressure room is needed for airborne pathogens (e.g., TB).
3.
Which nursing activity is an example of health promotion?
A. Administering prescribed antibiotics
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B. Teaching a diabetic client about insulin self-administration
C. Educating a community group about benefits of exercise
D. Performing wound care for a surgical client
Correct Answer: C. Educating a community group about benefits of exercise
Rationale: Health promotion focuses on preventing illness and improving
wellness, not only treating disease.
4.
The nurse recognizes which finding as an example of objective data?
A. Patient states, “I feel dizzy.”
B. Blood pressure 160/90 mm Hg
C. Patient reports nausea
D. Patient describes chest tightness
Correct Answer: B. Blood pressure 160/90 mm Hg
Rationale: Objective data are measurable, observable signs; subjective data
come from the patient’s report.
5.
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A nurse discovers a fire in a patient’s room. What is the correct first action?
A. Activate the fire alarm
B. Extinguish the fire
C. Rescue the patient from immediate danger
D. Close all unit doors
Correct Answer: C. Rescue the patient from immediate danger
Rationale: Following RACE (Rescue, Alarm, Contain, Extinguish), rescuing
the patient is the priority.
6.
Which action demonstrates proper hand hygiene?
A. Using alcohol-based hand rub before eating
B. Washing hands for at least 10 seconds
C. Performing handwashing for 20 seconds with soap and water
D. Wearing gloves instead of handwashing
Correct Answer: C. Performing handwashing for 20 seconds with soap and
water
Rationale: Evidence-based guidelines require 20 seconds of scrubbing with soap
and water when hands are visibly soiled.
HESI FUNDAMENTALS EXAM TEST BANK 2020–2026 |
70+ REAL QUESTIONS WITH 100% CORRECT
ANSWERS & DETAILED RATIONALES (LATEST 2025–
2026 UPDATE)
1.
A nurse is preparing to insert an indwelling urinary catheter. Which nursing action
helps maintain sterile technique?
A. Positioning the patient in high Fowler’s position
B. Donning clean gloves before catheter insertion
C. Opening the catheter kit using sterile technique
D. Cleansing the perineal area with soap and water only
Correct Answer: C. Opening the catheter kit using sterile technique
Rationale: Catheter insertion requires strict aseptic technique to prevent urinary
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tract infections. Soap and water cleansing is performed before the sterile
procedure, but the sterility of the catheter kit is critical.
2.
A client with pneumonia is placed on droplet precautions. Which nursing
intervention is most appropriate?
A. Place client in a negative-pressure room
B. Ensure staff wear a surgical mask within 3 feet of the client
C. Use only sterile gloves when providing direct care
D. Post an airborne precaution sign outside the room
Correct Answer: B. Ensure staff wear a surgical mask within 3 feet of the
client
Rationale: Droplet precautions require surgical masks and sometimes eye
protection. A negative-pressure room is needed for airborne pathogens (e.g., TB).
3.
Which nursing activity is an example of health promotion?
A. Administering prescribed antibiotics
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B. Teaching a diabetic client about insulin self-administration
C. Educating a community group about benefits of exercise
D. Performing wound care for a surgical client
Correct Answer: C. Educating a community group about benefits of exercise
Rationale: Health promotion focuses on preventing illness and improving
wellness, not only treating disease.
4.
The nurse recognizes which finding as an example of objective data?
A. Patient states, “I feel dizzy.”
B. Blood pressure 160/90 mm Hg
C. Patient reports nausea
D. Patient describes chest tightness
Correct Answer: B. Blood pressure 160/90 mm Hg
Rationale: Objective data are measurable, observable signs; subjective data
come from the patient’s report.
5.
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A nurse discovers a fire in a patient’s room. What is the correct first action?
A. Activate the fire alarm
B. Extinguish the fire
C. Rescue the patient from immediate danger
D. Close all unit doors
Correct Answer: C. Rescue the patient from immediate danger
Rationale: Following RACE (Rescue, Alarm, Contain, Extinguish), rescuing
the patient is the priority.
6.
Which action demonstrates proper hand hygiene?
A. Using alcohol-based hand rub before eating
B. Washing hands for at least 10 seconds
C. Performing handwashing for 20 seconds with soap and water
D. Wearing gloves instead of handwashing
Correct Answer: C. Performing handwashing for 20 seconds with soap and
water
Rationale: Evidence-based guidelines require 20 seconds of scrubbing with soap
and water when hands are visibly soiled.
