1|Page
HESI PN Fundamentals Version 4 2026 | Actual Exam
with Complete Questions and Answers | Practical
Nurse Fundamentals ||VERIFIED EXAM!!!| HESI Exit
Exam Preparation||NEWEST EXAM!!!
In planning care for a 6 month-old infant, what must the
nurse provide to assist in the development of trust?
A) Food
B) Warmth
C) Security
D) Comfort - Answer-C) Security
A nurse has just received a medication order which is not
legible. Which statement best reflects assertive
communication?
A) "I cannot give this medication as it is written. I have no
idea of what you mean."
B) "Would you please clarify what you have written so I am
sure I am reading it
correctly?"
C) "I am having difficulty reading your handwriting. It would
save me time if you would be more careful."
,2|Page
D) "Please print in the future so I do not have to spend
extra time attempting to read your writing." - Answer-B)
"Would you please clarify what you have written so I am
sure I am reading it
correctly?"
What is the most important consideration when teaching
parents how to reduce risks in the home?
A) Age and knowledge level of the parents
B) Proximity to emergency services
C) Number of children in the home
D) Age of children in the home - Answer-D) Age of children
in the home
A 35 year-old client with sickle cell crisis is talking on the
telephone but stops as the nurse enters the room to
request something for pain. The nurse should
A) Administer a placebo
B) Encourage increased fluid intake
C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control -
Answer-C) Administer the prescribed analgesia
,3|Page
While caring for a toddler with croup, which initial sign of
croup requires the nurse's immediate attention?
A) Respiratory rate of 42
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions - Answer-A)
Respiratory rate of 42
A client is admitted with low T3 and T4 levels and an
elevated TSH level. On initial assessment, the nurse
would anticipate which of the following assessment
findings?
A) Lethargy
B) Heat intolerance
C) Diarrhea
D) Skin eruptions - Answer-A) Lethargy
The emergency room nurse admits a child who
experienced a seizure at school. The father comments that
this is the first occurrence, and denies any family history of
epilepsy. What is the best response by the nurse?
, 4|Page
A) "Do not worry. Epilepsy can be treated with
medications."
B) "The seizure may or may not mean your child has
epilepsy."
C) "Since this was the first convulsion, it may not happen
again."
D) "Long term treatment will prevent future seizures." -
Answer-B) "The seizure may or may not mean your child
has epilepsy."
Alcohol and drug abuse impairs judgment and increases
risk taking behavior. What nursing diagnosis best applies?
A) Risk for injury
B) Risk for knowledge deficit
C) Altered thought process
D) Disturbance in self-esteem - Answer-A) Risk for injury
Which these findings would the nurse more closely
associate with anemia in a 10 month-old infant?
A) Hemoglobin level of 12 g/dI
B) Pale mucosa of the eyelids and lips
C) Hypoactivity
HESI PN Fundamentals Version 4 2026 | Actual Exam
with Complete Questions and Answers | Practical
Nurse Fundamentals ||VERIFIED EXAM!!!| HESI Exit
Exam Preparation||NEWEST EXAM!!!
In planning care for a 6 month-old infant, what must the
nurse provide to assist in the development of trust?
A) Food
B) Warmth
C) Security
D) Comfort - Answer-C) Security
A nurse has just received a medication order which is not
legible. Which statement best reflects assertive
communication?
A) "I cannot give this medication as it is written. I have no
idea of what you mean."
B) "Would you please clarify what you have written so I am
sure I am reading it
correctly?"
C) "I am having difficulty reading your handwriting. It would
save me time if you would be more careful."
,2|Page
D) "Please print in the future so I do not have to spend
extra time attempting to read your writing." - Answer-B)
"Would you please clarify what you have written so I am
sure I am reading it
correctly?"
What is the most important consideration when teaching
parents how to reduce risks in the home?
A) Age and knowledge level of the parents
B) Proximity to emergency services
C) Number of children in the home
D) Age of children in the home - Answer-D) Age of children
in the home
A 35 year-old client with sickle cell crisis is talking on the
telephone but stops as the nurse enters the room to
request something for pain. The nurse should
A) Administer a placebo
B) Encourage increased fluid intake
C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control -
Answer-C) Administer the prescribed analgesia
,3|Page
While caring for a toddler with croup, which initial sign of
croup requires the nurse's immediate attention?
A) Respiratory rate of 42
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions - Answer-A)
Respiratory rate of 42
A client is admitted with low T3 and T4 levels and an
elevated TSH level. On initial assessment, the nurse
would anticipate which of the following assessment
findings?
A) Lethargy
B) Heat intolerance
C) Diarrhea
D) Skin eruptions - Answer-A) Lethargy
The emergency room nurse admits a child who
experienced a seizure at school. The father comments that
this is the first occurrence, and denies any family history of
epilepsy. What is the best response by the nurse?
, 4|Page
A) "Do not worry. Epilepsy can be treated with
medications."
B) "The seizure may or may not mean your child has
epilepsy."
C) "Since this was the first convulsion, it may not happen
again."
D) "Long term treatment will prevent future seizures." -
Answer-B) "The seizure may or may not mean your child
has epilepsy."
Alcohol and drug abuse impairs judgment and increases
risk taking behavior. What nursing diagnosis best applies?
A) Risk for injury
B) Risk for knowledge deficit
C) Altered thought process
D) Disturbance in self-esteem - Answer-A) Risk for injury
Which these findings would the nurse more closely
associate with anemia in a 10 month-old infant?
A) Hemoglobin level of 12 g/dI
B) Pale mucosa of the eyelids and lips
C) Hypoactivity
