Foundations of Nursing HESI Exam 1 Practice
Exam (LATEST EDITION) | Complete Questions
& Verified Answers 2026/2027 | 100% Correct |
Grade A – Herzing University LPN
300 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Nursing Process
2 Safety & Infection Control
3 Vital Signs
4 Medication Administration
5 Communication & Documentation
6 Ethics & Legal
7 Patient Education
8 Mobility & Safety
9 Nutrition & Elimination
10 Oxygenation & Perioperative Care
11 Wound Care & Asepsis
12 Fluid & Electrolytes
,Q1
A nurse is assessing a client who reports chest pain. Which action should the nurse take first?
A) Administer nitroglycerin
B) Assess the character, location, and duration of the pain CORRECT
C) Notify the provider
D) Obtain a 12-lead ECG
Rationale
Assessment is the first step of the nursing process; gather data before intervening.
Q2
Which finding indicates a client is experiencing an allergic reaction to a medication?
A) Bradycardia
B) Urticaria and wheezing CORRECT
C) Constipation
D) Dry mouth
Rationale
Hives and wheezing are classic signs of an allergic reaction; stop medication and notify provider.
Q3
A nurse is preparing to administer an IM injection. Which site is preferred for an adult?
A) Deltoid
B) Ventrogluteal CORRECT
C) Dorsogluteal
D) Vastus lateralis
Rationale
Ventrogluteal is safe, with no major nerves or blood vessels.
2
,Q4
A client with a new colostomy asks how to prevent skin irritation. Which instruction is correct?
A) Use alcohol to clean the skin
B) Cut the wafer to fit exactly around the stoma CORRECT
C) Apply baby powder around the stoma
D) Change the pouch daily
Rationale
Proper fit prevents effluent from contacting the skin.
Q5
A nurse is caring for a client with a nasogastric tube. Which finding indicates proper placement?
A) Client reports nausea
B) Aspiration of gastric contents with pH ≤5 CORRECT
C) Bubbling when end is placed in water
D) Tube marking at naris has changed
Rationale
pH testing is reliable for ongoing verification; X-ray is gold standard for initial placement.
Q6
A nurse is teaching a client about a low-sodium diet. Which food should the client avoid?
A) Fresh apple
B) Canned tomato soup CORRECT
C) Grilled chicken
D) Brown rice
Rationale
Canned soups are high in sodium; fresh foods are lower.
3
, Q7
A nurse is preparing to insert a urinary catheter. Which technique is required?
A) Clean technique
B) Sterile technique CORRECT
C) Medical asepsis
D) No gloves needed
Rationale
Sterile technique prevents catheter-associated urinary tract infections.
Q8
A client falls while ambulating. What should the nurse do first?
A) Help the client back to bed
B) Assess the client for injury CORRECT
C) Notify the provider
D) Complete an incident report
Rationale
Assess for injury before moving the client; then notify provider and document.
Q9
A nurse is documenting a client’s refusal of medication. Which entry is correct?
A) “Client uncooperative”
B) “Client refused furosemide 40 mg at 08:00, stating ‘I don’t need it.’ Provider CORRECT
notified.”
C) “Client refused – non-compliant”
D) “Client refused, no further action”
Rationale
Objective documentation includes the client’s exact words and provider notification.
4
Exam (LATEST EDITION) | Complete Questions
& Verified Answers 2026/2027 | 100% Correct |
Grade A – Herzing University LPN
300 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Nursing Process
2 Safety & Infection Control
3 Vital Signs
4 Medication Administration
5 Communication & Documentation
6 Ethics & Legal
7 Patient Education
8 Mobility & Safety
9 Nutrition & Elimination
10 Oxygenation & Perioperative Care
11 Wound Care & Asepsis
12 Fluid & Electrolytes
,Q1
A nurse is assessing a client who reports chest pain. Which action should the nurse take first?
A) Administer nitroglycerin
B) Assess the character, location, and duration of the pain CORRECT
C) Notify the provider
D) Obtain a 12-lead ECG
Rationale
Assessment is the first step of the nursing process; gather data before intervening.
Q2
Which finding indicates a client is experiencing an allergic reaction to a medication?
A) Bradycardia
B) Urticaria and wheezing CORRECT
C) Constipation
D) Dry mouth
Rationale
Hives and wheezing are classic signs of an allergic reaction; stop medication and notify provider.
Q3
A nurse is preparing to administer an IM injection. Which site is preferred for an adult?
A) Deltoid
B) Ventrogluteal CORRECT
C) Dorsogluteal
D) Vastus lateralis
Rationale
Ventrogluteal is safe, with no major nerves or blood vessels.
2
,Q4
A client with a new colostomy asks how to prevent skin irritation. Which instruction is correct?
A) Use alcohol to clean the skin
B) Cut the wafer to fit exactly around the stoma CORRECT
C) Apply baby powder around the stoma
D) Change the pouch daily
Rationale
Proper fit prevents effluent from contacting the skin.
Q5
A nurse is caring for a client with a nasogastric tube. Which finding indicates proper placement?
A) Client reports nausea
B) Aspiration of gastric contents with pH ≤5 CORRECT
C) Bubbling when end is placed in water
D) Tube marking at naris has changed
Rationale
pH testing is reliable for ongoing verification; X-ray is gold standard for initial placement.
Q6
A nurse is teaching a client about a low-sodium diet. Which food should the client avoid?
A) Fresh apple
B) Canned tomato soup CORRECT
C) Grilled chicken
D) Brown rice
Rationale
Canned soups are high in sodium; fresh foods are lower.
3
, Q7
A nurse is preparing to insert a urinary catheter. Which technique is required?
A) Clean technique
B) Sterile technique CORRECT
C) Medical asepsis
D) No gloves needed
Rationale
Sterile technique prevents catheter-associated urinary tract infections.
Q8
A client falls while ambulating. What should the nurse do first?
A) Help the client back to bed
B) Assess the client for injury CORRECT
C) Notify the provider
D) Complete an incident report
Rationale
Assess for injury before moving the client; then notify provider and document.
Q9
A nurse is documenting a client’s refusal of medication. Which entry is correct?
A) “Client uncooperative”
B) “Client refused furosemide 40 mg at 08:00, stating ‘I don’t need it.’ Provider CORRECT
notified.”
C) “Client refused – non-compliant”
D) “Client refused, no further action”
Rationale
Objective documentation includes the client’s exact words and provider notification.
4
