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Hesi-RN Fundamentals Practice Exam

RN Nursing Exam(s) 54 Questions 🔒 Premium Content

This exam assesses foundational nursing knowledge and clinical judgment essential for safe and effective patient care. It covers core concepts such as hygiene, mobility, safety, infection control, vital signs, therapeutic communication, documentation, basic pharmacology, and the nursing process. Questions are designed to reflect real-world scenarios and test critical thinking, prioritization, and professional standards expected at the entry-level RN.

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Sample Questions with Detailed Explanations

Below are sample questions from this exam.

Q1: A nurse is becoming increasingly frustrated by the family members' efforts to participate in the care of a hospitalized client. What action should the nurse Implement to cope with these feelings of frustration?

A. Suggest that other cultural practices be substituted by the family members.
B. Examine one's own culturally based values, beliefs, attitudes, and practices.
C. Explain to the family that multiple visitors are exhausting to the client.
D. Allow the situation to continue until a family member's action may harm the client
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Q2: The nurse is preparing to insert a rectal suppository and observes a small amount of rectal bleeding. Which action should the nurse implement?

A. Insert the suppository very gently being careful not to further injure the rectal mucosa.
B. Withhold the administration of the suppository until contacting the healthcare provider.
C. Ask the pharmacist to send an alternate form of the prescribed medication to the unit.
D. Administer the medication as scheduled after assessing the client's vital signs.
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Q3: The nurse observes an unlicensed assistive personnel (UAP) setting up the breakfast tray for a client who is on aspiration precautions following a stroke and notices a carton of milk and glass of juice on the tray. After setting up the tray, the UAP walks out of the client's room. Which action should the nurse implement first?

A. Verify the consistency of fluids on the prescribed diet.
B. Report the UAP's actions to the nurse manager.
C. Document the client's oral intake in the electronic health record.
D. Reprimand the UAP for leaving the client alone for breakfast.
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Q4: While preparing to insert a rectal suppository in a client, the nurse observes that the client is holding a breath while bearing down. Which action should the nurse implement?

A. Perform a digital exam to determine if a fecal impaction is present.
B. Advise the client to continue to bear down without holding his breath.
C. Gently insert the lubricated suppository four inches into the rectum.
D. Instruct the client to take slow deep breaths and stop bearing down.
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Exam Details
Total Questions: 54 practice questions
Category: RN Nursing Exam(s)
Subcategory: HESI Exam(s)
Domain: Hesi Fundamentals of Nursing
Last Updated: Nov 29, 2025
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