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HESI (Fundamentals 1st Semester) Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A patient reports pain at a surgical site. What is the priority nursing intervention?✔✔Assess pain location, intensity, and characteristics.
A nurse observes a patient about to get out of bed unassisted while dizzy. What should the nurse do first?✔✔Assist the patient to prevent a fall.
A patient has a new prescription for oral antibiotics. What should the nurse assess first?✔✔Check for allergies and previous reactions to medications.
A patient complains of shortness of breath while resting. What is the first nursing action?✔✔Assess oxygen saturation and respiratory status.
A patient with a nasogastric tube reports nausea. What should the nurse do first?✔✔Check tube placement and patency. 1 / 4
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A patient is scheduled for surgery and asks why they need to be NPO. What is the nurse’s best response?✔✔Explain that fasting reduces the risk of aspiration during anesthesia.
A patient is confused and trying to remove their IV line. What is the most appropriate action?✔✔Ensure patient safety and secure the IV line while monitoring.
A patient reports new swelling in their legs. What is the priority nursing assessment?✔✔Check for signs of edema, measure circumference, and assess skin integrity.
A patient has a blood pressure of 82/50 mmHg and is lightheaded. What is the first action?✔✔Assist the patient to a lying position and monitor vital signs.
A patient is experiencing pain after surgery. What is the best way to evaluate pain relief?✔✔Reassess pain after administering prescribed analgesics.
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A patient is prescribed a new antihypertensive medication. What should the nurse monitor closely?✔✔Blood pressure and heart rate before and after administration.
A patient is refusing medication due to fear of side effects. How should the nurse respond?✔✔Explain the purpose, benefits, and potential side effects of the medication.
A patient is on oxygen therapy and reports feeling short of breath. What is the first nursing intervention?✔✔Assess oxygen saturation and ensure oxygen delivery is functioning properly.
A patient develops a rash after starting a new medication. What should the nurse do first?✔✔Assess the severity of the rash and notify the provider.
A patient with diabetes reports a blood glucose of 45 mg/dL. What is the priority nursing action?✔✔Provide a fast-acting carbohydrate and recheck blood glucose.
A patient complains of dizziness while ambulating. What should the nurse do immediately? 3 / 4
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✔✔Assist the patient to sit or lie down and assess vital signs.
A patient has a new Foley catheter and reports bladder spasms. What should the nurse assess?✔✔Check for kinks in the catheter and ensure patency.
A patient reports sudden severe headache and blurred vision. What is the priority nursing action?✔✔Assess neurological status and notify the provider immediately.
A postoperative patient reports difficulty urinating. What should the nurse do first?✔✔Assess bladder distention and encourage relaxation techniques.
A patient is scheduled for a blood transfusion and has a previous reaction. What is the nurse’s first step?✔✔Verify patient history and ensure pre-medications and emergency equipment are ready.
A patient is experiencing nausea and vomiting. What is the priority nursing action?✔✔Assess hydration status and administer antiemetics as prescribed.
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