HESI Fundamentals Question Bank

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Sample questions from HESI Fundamentals Question Bank

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.A nurse enters a client's room and finds the client on the floor beside the bed. What should the nurse do first?

   • A.Assess the client for injury and level of responsiveness
   • B.Help the client back into bed
   • C.Complete an incident report
   • D.Notify the client's health care provider

   Rationale: The nurse first assesses the client for injury and responsiveness before moving the client. Helping the client up before assessment could worsen an injury, and notifying the provider or completing an incident report comes after immediate assessment and care. The exam takeaway is to assess the client before addressing documentation or reporting.

2. 2.A nurse is preparing to administer medication to a client with a documented allergy to penicillin. Which action is most important?

   • A.Ask the client whether the allergy caused a rash
   • B.Hold the medication and clarify the prescription
   • C.Give the medication with food
   • D.Document the allergy after administration

   Rationale: The nurse should withhold a potentially related medication and clarify the prescription before administration. Asking about the reaction is useful but does not replace resolving the safety concern, and food does not prevent an allergic reaction. Documentation after administration would be too late to prevent harm.

3. 3.A nurse is caring for a client on contact precautions for Clostridioides difficile. Which actions are appropriate? Select all that apply.

   • A.Place the client in a negative-pressure room
   • B.Use alcohol-based hand rub as the only hand hygiene method
   • C.Dedicate equipment such as a blood pressure cuff to the client
   • D.Use soap and water for hand hygiene after care
   • E.Wear a gown and gloves when entering the room

   Rationale: A gown and gloves reduce contact with contaminated surfaces, and dedicated equipment limits transmission to other clients. Soap and water is preferred after caring for a client with C. difficile because alcohol-based products do not reliably remove spores. Alcohol hand rub alone is inadequate for this situation, and a negative-pressure room is used for airborne precautions, not contact precautions.

4. 4.A nurse is transferring a client with right-sided weakness from the bed to a chair. Which action promotes safety?

   • A.Place the chair on the client's right side
   • B.Keep the bed in its highest position during the transfer
   • C.Have the client pivot toward the stronger left side
   • D.Pull the client upward by the affected arm

   Answer and rationale are in the full material.

5. 5.A nurse is caring for a client who begins having a generalized tonic-clonic seizure in bed. What is the nurse's priority action?

   • A.Insert an oral airway
   • B.Offer water when the jerking stops
   • C.Restrain the client's arms and legs
   • D.Turn the client to the side and protect the head

   Answer and rationale are in the full material.