HESI RN Fundamentals Practice Exam 2025 Edition

HESI RN Fundamentals Practice Exam – 2025 Edition Comprehensive 180-Question Review with Answers and Rationales Prepare for Success on the HESI Exit and NCLEX-RN Fundamentals Section

• A nurse is reinforcing teaching with a client about preventing pressure ulcers.

Which of the following statements indicates understanding?

• "I should shift my weight every 4 hours."
• "I can use pillows to keep my heels off the bed."
• "A reddened area will go away if I massage it."
• "I should limit my fluid intake to reduce swelling."

Answer: B

Rationale: Using pillows to elevate heels reduces pressure; massaging reddened

areas can cause more damage.

2. When performing abdominal assessment, the correct sequence is:

• Inspection, percussion, palpation, auscultation
• Inspection, auscultation, percussion, palpation 1 / 4

• Palpation, inspection, percussion, auscultation
• Auscultation, percussion, palpation, inspection

Answer: B

Rationale: Auscultation is done before palpation and percussion to avoid altering bowel sounds.

• A client with a hearing impairment is admitted. Which technique is most

effective for communication?

• Speaking directly into the client's ear
• Shouting slowly and clearly
• Using written communication and gestures
• Turning the lights off to minimize distractions

Answer: C

Rationale: Written communication and gestures are effective when hearing is

impaired.

• The nurse identifies which client as being at greatest risk for skin breakdown?
• A 40-year-old who ambulates with a walker
• A 75-year-old who is incontinent and immobile
• A 25-year-old who has a leg cast
• A 60-year-old with controlled diabetes

Answer: B

Rationale: Age, immobility, and incontinence are high risk factors for pressure

ulcers.

• / 4

• Which action ensures safety when using a gait belt to assist a client with

ambulation?

• Placing the belt loosely over the client’s abdomen
• Grasping the back of the belt while standing behind the client
• Positioning the belt over the client’s chest
• Holding the belt on the side and walking in front of the client

Answer: B

Rationale: Gait belts should be snug around the waist, with the nurse walking

slightly behind and to the side.

• A nurse is inserting an indwelling urinary catheter. Which action maintains a

sterile field?

• Placing sterile gloves on top of the bed table
• Keeping hands above the waist after donning gloves
• Touching the client’s thigh before inserting the catheter
• Opening the catheter kit with bare hands

Answer: B

Rationale: Sterile hands must remain above waist level to maintain sterility.

• What is the priority nursing action after a client has a seizure?
• Restrain the client
• Place the client in a high Fowler’s position
• Check airway and breathing
• Insert a tongue depressor

Answer: C 3 / 4

Rationale: Maintaining airway patency is the priority after a seizure.

• When should the nurse perform hand hygiene during client care?
• Only after contact with blood
• Before and after every client contact
• Only after removing gloves
• Only after leaving the room

Answer: B

Rationale: Hand hygiene is essential before and after each client contact.

• What should a nurse do to promote venous return in a client at risk for DVT?
• Apply warm compresses
• Elevate legs and use compression stockings
• Place client in Trendelenburg position
• Encourage foot massages

Answer: B

Rationale: Elevation and compression devices promote venous return.

• Which of the following is the best indicator of proper nasogastric tube

placement?

• Client says they can feel it
• Air insufflation test
• Gastric aspirate pH check
• Absence of nausea

Answer: C

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