HESI Fundamentals Practice Questions: 25 Questions With Answers
If you are preparing for a HESI Fundamentals exam, practicing questions is one of the best ways to identify topics that still need review. Reading notes can help you learn information, but practice questions require you to apply that information. The questions below cover common fundamentals concepts such as safety, infection prevention, assessment, communication, positioning, documentation, and prioritization. Important: These are original Naxles practice questions. They are not official HESI or Elsevier questions.
A. Begin documenting immediately B. Verify the patient's identity C. Ask the patient about discharge plans D. Prepare medications Answer: B Rationale: Patient identification should occur before providing care, medications, treatments, or procedures.
Practice Questions
1. Which action is most appropriate when a nurse enters a patient's room for the first time?
- A. Begin documenting immediately
- B. Verify the patient's identity
- C. Ask the patient about discharge plans
- D. Prepare medications
Answer: B Rationale: Patient identification should occur before providing care, medications, treatments, or procedures.
2. Which finding should the nurse report immediately?
- A. Mild fatigue
- B. New difficulty breathing
- C. Occasional thirst
- D. Slightly decreased appetite
Answer: B Rationale: A new change in respiratory status can indicate a potentially serious problem and requires prompt assessment.
3. Which action is most effective for preventing the spread of infection?
- A. Wearing gloves at all times
- B. Hand hygiene
- C. Keeping the room door closed
- D. Using antibiotics routinely
Answer: B Rationale: Proper hand hygiene is one of the most important ways to reduce transmission of microorganisms.
4. A patient reports severe pain. What should the nurse do first?
- A. Ignore the report until vital signs are obtained
- B. Assess the pain
- C. Tell the patient to relax
- D. Document the complaint without assessment
Answer: B Rationale: Pain is subjective, so the nurse should assess its location, intensity, quality, timing, and associated factors.



