Fundamental Hesi Fundamentals, Hesi
Fundamentals Practice Test, UNIT 1:
Foundations of Nursing Practice
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A nurse is preparing to insert an indwelling urinary catheter. Which action will best prevent
infection?
✔✔Maintain strict sterile technique during the procedure
A client is admitted with dehydration. Which assessment finding would the nurse expect?
✔✔Poor skin turgor and dry mucous membranes
A nurse is teaching a patient about incentive spirometer use. Which instruction is correct?
✔✔Inhale slowly and deeply through the mouthpiece, then hold the breath for a few seconds
A patient’s oxygen saturation drops to 84%. What is the nurse’s priority action?
✔✔Apply supplemental oxygen as prescribed
1
,A nurse finds a patient attempting to climb out of bed without assistance. What is the best initial
response?
✔✔Stay with the patient and assist them safely back into bed
Before administering a blood transfusion, what is the nurse’s most important action?
✔✔Verify patient identity and blood product compatibility with another nurse
A nurse is assessing a client with shortness of breath. Which position will help ease breathing?
✔✔High Fowler’s position
A nurse must obtain a client’s weight daily. What is the most accurate method?
✔✔Weigh the client at the same time each day using the same scale
A client reports new chest pain. What is the nurse’s first action?
✔✔Stop activity and assess vital signs immediately
A nurse is teaching a patient about fall prevention at home. Which statement shows correct
understanding?
2
,✔✔“I will keep my walkways clear of clutter and loose rugs.”
A nurse is performing wound care. Which step should be taken first to prevent infection?
✔✔Wash hands thoroughly before starting
A nurse notes a patient’s IV site is red and swollen. What is the first action?
✔✔Stop the IV infusion
A nurse is caring for a patient with dysphagia. Which intervention is most important during
meals?
✔✔Have the patient sit upright while eating
A nurse is preparing to administer a medication. What is the first check before giving it?
✔✔Verify the medication against the MAR using the six rights of medication administration
A patient states they do not understand the purpose of a prescribed medication. What is the
nurse’s best action?
✔✔Provide clear, simple education about the medication’s purpose and effects
3
, A nurse is assigned to a client with a seizure disorder. Which equipment is essential to keep at the
bedside?
✔✔Suction setup and oxygen
A nurse is preparing to bathe a bedbound client. What is the primary purpose of providing
perineal care?
✔✔Prevent infection and maintain skin integrity
A nurse must transport a patient with a chest tube to x-ray. What is the priority action?
✔✔Keep the drainage system below chest level during transport
A nurse is caring for a patient on strict bed rest. Which intervention helps prevent blood clots?
✔✔Encourage leg exercises and range-of-motion activities
A nurse is teaching a patient about proper crutch walking technique. Which instruction is
correct?
✔✔Keep weight on the hands, not the armpits, to prevent nerve damage
4
Fundamentals Practice Test, UNIT 1:
Foundations of Nursing Practice
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A nurse is preparing to insert an indwelling urinary catheter. Which action will best prevent
infection?
✔✔Maintain strict sterile technique during the procedure
A client is admitted with dehydration. Which assessment finding would the nurse expect?
✔✔Poor skin turgor and dry mucous membranes
A nurse is teaching a patient about incentive spirometer use. Which instruction is correct?
✔✔Inhale slowly and deeply through the mouthpiece, then hold the breath for a few seconds
A patient’s oxygen saturation drops to 84%. What is the nurse’s priority action?
✔✔Apply supplemental oxygen as prescribed
1
,A nurse finds a patient attempting to climb out of bed without assistance. What is the best initial
response?
✔✔Stay with the patient and assist them safely back into bed
Before administering a blood transfusion, what is the nurse’s most important action?
✔✔Verify patient identity and blood product compatibility with another nurse
A nurse is assessing a client with shortness of breath. Which position will help ease breathing?
✔✔High Fowler’s position
A nurse must obtain a client’s weight daily. What is the most accurate method?
✔✔Weigh the client at the same time each day using the same scale
A client reports new chest pain. What is the nurse’s first action?
✔✔Stop activity and assess vital signs immediately
A nurse is teaching a patient about fall prevention at home. Which statement shows correct
understanding?
2
,✔✔“I will keep my walkways clear of clutter and loose rugs.”
A nurse is performing wound care. Which step should be taken first to prevent infection?
✔✔Wash hands thoroughly before starting
A nurse notes a patient’s IV site is red and swollen. What is the first action?
✔✔Stop the IV infusion
A nurse is caring for a patient with dysphagia. Which intervention is most important during
meals?
✔✔Have the patient sit upright while eating
A nurse is preparing to administer a medication. What is the first check before giving it?
✔✔Verify the medication against the MAR using the six rights of medication administration
A patient states they do not understand the purpose of a prescribed medication. What is the
nurse’s best action?
✔✔Provide clear, simple education about the medication’s purpose and effects
3
, A nurse is assigned to a client with a seizure disorder. Which equipment is essential to keep at the
bedside?
✔✔Suction setup and oxygen
A nurse is preparing to bathe a bedbound client. What is the primary purpose of providing
perineal care?
✔✔Prevent infection and maintain skin integrity
A nurse must transport a patient with a chest tube to x-ray. What is the priority action?
✔✔Keep the drainage system below chest level during transport
A nurse is caring for a patient on strict bed rest. Which intervention helps prevent blood clots?
✔✔Encourage leg exercises and range-of-motion activities
A nurse is teaching a patient about proper crutch walking technique. Which instruction is
correct?
✔✔Keep weight on the hands, not the armpits, to prevent nerve damage
4
