Foundations of Nursing HESI Exam 1 Practice Exam
(LATEST 2026/2027 EDITION) | Complete Questions &
Verified Answers | 100% Correct | Grade A – Herzing
University LPN
300 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Nursing Process
2 Safety & Infection Control
3 Communication
4 Ethics & Legal
5 Basic Care & Comfort
6 Medication Administration
7 Vital Signs & Assessment
8 Documentation & Informatics
9 Prioritization & Delegation
10 Psychosocial & Cultural
,Q1
A nurse is assessing a client who reports chest pain. Which action should the nurse take first?
A) Administer nitroglycerin
B) Assess the client’s airway, breathing, and circulation CORRECT
C) Notify the provider
D) Obtain an ECG
Rationale
ABCs are the priority in any emergency; assess before intervening.
Q2
Which of the following is a correct technique for hand hygiene?
A) Use alcohol-based hand rub when hands are visibly soiled
B) Rub hands together with soap for at least 20 seconds CORRECT
C) Rinse hands briefly under running water
D) Wear gloves instead of washing hands
Rationale
Soap and water are required when hands are visibly soiled; friction and duration are essential.
Q3
A client refuses a prescribed medication. What is the nurse’s best action?
A) Hide the medication in food
B) Document the refusal and notify the provider CORRECT
C) Force the client to take it
D) Ask the family to convince the client
2
,Rationale
Respect client autonomy; document and inform the provider for further orders.
Q4
A nurse is preparing to insert a urinary catheter. Which action is most important to prevent
infection?
A) Use clean gloves for insertion
B) Use sterile technique throughout CORRECT
C) Lubricate with petroleum jelly
D) Deflate the balloon before insertion
Rationale
Sterile technique prevents introduction of bacteria into the bladder.
Q5
Which finding indicates a client is experiencing hypoxia?
A) Blood pressure 120/80 mmHg
B) Oxygen saturation 88% on room air CORRECT
C) Heart rate 80 bpm
D) Respiratory rate 16 breaths/min
Rationale
SpO₂ below 90% indicates hypoxemia and requires immediate intervention.
Q6
A nurse is documenting a client’s fall. Which statement is correct?
A) Include opinions about who was at fault
3
, B) Record factual, objective details about the incident CORRECT
C) Omit the incident if no injury occurred
D) Wait until the end of the shift to document
Rationale
Incident reports must be objective, timely, and free of blame.
Q7
A client with a new colostomy asks how to prevent odor. Which food should the nurse
recommend?
A) Eggs
B) Yogurt CORRECT
C) Onions
D) Fish
Rationale
Probiotics in yogurt reduce colostomy odor; eggs, onions, and fish increase odor.
Q8
The nurse is delegating to a UAP. Which task is appropriate?
A) Assess a client’s pain level
B) Measure a client’s intake and output CORRECT
C) Administer a tube feeding
D) Change a sterile dressing
Rationale
UAPs can measure I&O; assessment and sterile procedures require licensed staff.
4
(LATEST 2026/2027 EDITION) | Complete Questions &
Verified Answers | 100% Correct | Grade A – Herzing
University LPN
300 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Nursing Process
2 Safety & Infection Control
3 Communication
4 Ethics & Legal
5 Basic Care & Comfort
6 Medication Administration
7 Vital Signs & Assessment
8 Documentation & Informatics
9 Prioritization & Delegation
10 Psychosocial & Cultural
,Q1
A nurse is assessing a client who reports chest pain. Which action should the nurse take first?
A) Administer nitroglycerin
B) Assess the client’s airway, breathing, and circulation CORRECT
C) Notify the provider
D) Obtain an ECG
Rationale
ABCs are the priority in any emergency; assess before intervening.
Q2
Which of the following is a correct technique for hand hygiene?
A) Use alcohol-based hand rub when hands are visibly soiled
B) Rub hands together with soap for at least 20 seconds CORRECT
C) Rinse hands briefly under running water
D) Wear gloves instead of washing hands
Rationale
Soap and water are required when hands are visibly soiled; friction and duration are essential.
Q3
A client refuses a prescribed medication. What is the nurse’s best action?
A) Hide the medication in food
B) Document the refusal and notify the provider CORRECT
C) Force the client to take it
D) Ask the family to convince the client
2
,Rationale
Respect client autonomy; document and inform the provider for further orders.
Q4
A nurse is preparing to insert a urinary catheter. Which action is most important to prevent
infection?
A) Use clean gloves for insertion
B) Use sterile technique throughout CORRECT
C) Lubricate with petroleum jelly
D) Deflate the balloon before insertion
Rationale
Sterile technique prevents introduction of bacteria into the bladder.
Q5
Which finding indicates a client is experiencing hypoxia?
A) Blood pressure 120/80 mmHg
B) Oxygen saturation 88% on room air CORRECT
C) Heart rate 80 bpm
D) Respiratory rate 16 breaths/min
Rationale
SpO₂ below 90% indicates hypoxemia and requires immediate intervention.
Q6
A nurse is documenting a client’s fall. Which statement is correct?
A) Include opinions about who was at fault
3
, B) Record factual, objective details about the incident CORRECT
C) Omit the incident if no injury occurred
D) Wait until the end of the shift to document
Rationale
Incident reports must be objective, timely, and free of blame.
Q7
A client with a new colostomy asks how to prevent odor. Which food should the nurse
recommend?
A) Eggs
B) Yogurt CORRECT
C) Onions
D) Fish
Rationale
Probiotics in yogurt reduce colostomy odor; eggs, onions, and fish increase odor.
Q8
The nurse is delegating to a UAP. Which task is appropriate?
A) Assess a client’s pain level
B) Measure a client’s intake and output CORRECT
C) Administer a tube feeding
D) Change a sterile dressing
Rationale
UAPs can measure I&O; assessment and sterile procedures require licensed staff.
4
