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HESI Fundamentals Practice Test (Unit 1: Foundations of Nursing Practice) | Study Guide with Questions, Answers, and Rationales

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Prepare confidently for your HESI Exam Fundamentals assessment with this comprehensive Unit 1: Foundations of Nursing Practice study guide designed for nursing students, including those at Western Governors University. This resource includes carefully selected practice questions, correct answers, and detailed rationales covering key topics such as nursing roles, professional standards, patient safety, communication, ethics, and the nursing process. Ideal for structured study and last-minute revision, it strengthens foundational knowledge, improves test performance, and builds confidence for success in your HESI Fundamentals exam.

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HESI Fundamentals
Practice Test (Unit 1:
Foundations of Nursing
Practice) | Study Guide with
Questions, Answers, and
Rationales | Graded A+ |
Guaranteed Success



Updated 2026 Questions and Answers

100% Verified Exam Prep and Comprehensive Rationales
Included

,Which assessment data would provide the most accurate C) Examining a chest x-ray obtained after the tubing was inserted
determination of proper placement of a nasogastric
tube? Both (A and B) are methods used to determine proper placement of the NG
tubing. However, the best indicator that the tubing is properly placed is (C). (D) is
A) Aspirating gastric contents to assure a pH value of 4 not an indicator of proper placement
or less.
B) Hearing air pass in the stomach after injecting air into
the tubing.
C) Examining a chest x-ray obtained after the tubing was
inserted.
D) Checking the remaining length of tubing to ensure that
the correct length was inserted.


When assisting an 82-year-old client to ambulate, it is B) Upper torso
important for the nurse to realize that the center of
gravity for an elderly person is the The center of gravity for adults is the hips. However, as the person grows older, a
stooped posture is common because of the changes from osteoporosis and
A) Arms. normal bone degeneration, and the knees, hips, and elbows flex. This stooped
B) Upper torso. posture results in the upper torso (B) becoming the center of gravity for older
C) Head. persons. Although (A) is a part, or an extension of the upper torso, this is not the
D) Feet best and most complete answer.

, Which action is most important for the nurse to C) Keep gloved hands above the elbows
implement when donning sterile gloves?
Gloved hands held below waist level are considered unsterile (C). (A and B) are
A) Maintain thumb at a ninety degree angle. not essential to maintaining asepsis. While it may be helpful to put the glove on
B) Hold hands with fingers down while gloving. the dominant hand first, it is not necessary to ensure asepsis (D).
C) Keep gloved hands above the elbows.
D) Put the glove on the dominant hand first.




An adult male client with a history of hypertension tells A) It is important that you continue your medication while learning to meditate
the nurse that he is tired of taking antihypertensive
medications and is going to try spiritual meditation The prolonged practice of meditation may lead to a reduced need for
instead. What should be the nurse's first response? antihypertensive medications. However, the medications must be continued (A)
while the physiologic response to meditation is monitored. (B) is not as important
A) It is important that you continue your medication while as continuing the medication. The healthcare provider should be informed, but
learning to meditate. permission is not required to meditate (C). Although it is true that this
B) Spiritual meditation requires a time commitment of 15 complimentary therapy might be effective (D), it is essential that the client
to 20 minutes daily. continue with antihypertensive medications until the effect of meditation can be
C) Obtain your healthcare provider's permission before measured
starting meditation.
D) Complementary therapy and western medicine can be
effective for you.


The nurse plans to obtain health assessment information A) Client
from a primary source. Which option is a primary source
for the completion of the health assessment? A primary source of information for a health assessment is the client (A). (B, C, and
D) are considered secondary sources about the client's health history, but other
A) Client. details, such as subjective data, can only be provided directly from the client.
B) Healthcare provider.
C) A family member.
D) Previous medical records


The nurse is instructing a client with high cholesterol C) I will limit my intake of beef to 4 ounces per week
about diet and life style modification. What comment
from the client indicates that the teaching has been Limiting saturated fat from animal food sources to no more than 4 ounces per
effective? week (C) is an important diet modification for lowering cholesterol. To be
effective in reducing cholesterol, the client should exercise 30 minutes per day, or
A) If I exercise at least two times weekly for one hour, I at least 4 to 6 times per week (A). Red meat and all proteins do not need to be
will lower my cholesterol. eliminated (B) to lower cholesterol, but should be restricted to lean cuts of red
B) I need to avoid eating proteins, including red meat. meat and smaller portions (2-ounce servings). The low density lipoproteins (D)
C) I will limit my intake of beef to 4 ounces per week. need to decrease rather than increase
D) My blood level of low density lipoproteins needs to
increase.

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