Foundations of Nursing HESI Exam 1 Practice Exam
(LATEST EDITION)
300 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Foundations of Nursing HESI Exam 1 Practice Exam (LATEST EDITION)
,Q1
Which action is part of the assessment phase of the nursing process?
A) Setting a goal that the client will ambulate 50 feet
B) Collecting the client's vital signs and health history CORRECT
C) Administering a prescribed analgesic
D) Determining whether pain improved after the analgesic
Rationale
Assessment involves collecting subjective and objective data before problems are identified and
interventions are selected. A is planning, C is implementation, and D is evaluation .
Q2
Which client statement is subjective data?
A) Blood pressure is 146/88 mm Hg.
B) The client has a 2-cm sacral wound.
C) The client reports, "My pain is 7 out of 10." CORRECT
D) The client's temperature is 38.1°C (100.6°F).
Rationale
Subjective data are information reported by the client, such as pain. Blood pressure, wound size, and
temperature are objective findings that can be observed or measured .
Q3
Which action represents the planning phase of nursing care for a client at risk for falls?
A) Assessing the client's gait
B) Identifying fall risk as a nursing problem
C) Placing the call light within reach and scheduling assisted toileting CORRECT
D) Determining whether the client remained free of falls
2
,Rationale
Planning establishes measurable interventions to address the identified problem. Assessment collects
data, problem identification interprets the data, and evaluation determines whether the plan worked .
Q4
Which outcome is written in measurable terms?
A) Client will understand wound care.
B) Client will feel better soon.
C) Client will ambulate 50 feet with a walker by 1400. CORRECT
D) Client will have improved mobility.
Rationale
A measurable outcome includes an observable behavior and a time frame. The other options are vague
or difficult to measure objectively .
Q5
A client with pneumonia has a respiratory rate of 30/min, oxygen saturation of 88% on room air,
and new confusion. Which finding is the priority cue?
A) Pneumonia diagnosis
B) Respiratory rate of 30/min
C) Oxygen saturation of 88% with new confusion CORRECT
D) Need for additional health teaching
Rationale
Hypoxemia accompanied by acute mental-status change is an immediate safety concern. The nurse
should recognize impaired oxygenation and act promptly. Teaching is not the priority while the client is
unstable .
3
, Q6
A nurse is caring for a patient admitted with dehydration. The nurse completes the initial
assessment, identifies deficient fluid volume as the nursing diagnosis, and develops a care plan.
Which step of the nursing process should the nurse perform NEXT?
A) Reassess the patient's vital signs and hydration status
B) Implement the planned nursing interventions CORRECT
C) Evaluate the effectiveness of the interventions
D) Document the patient's response to the care plan
Rationale
After completing assessment, diagnosis, and planning, the next step in the nursing process is
implementation—executing the planned interventions. The nursing process follows a sequential order:
Assessment, Diagnosis, Planning, Implementation, and Evaluation (ADPIE) .
Q7
A nurse on a medical-surgical unit receives report on four patients. Which patient should the
nurse assess FIRST based on prioritization principles?
A) A patient scheduled for a computed tomography scan at 1000
B) A patient with a blood pressure of 88/54 mmHg reporting dizziness CORRECT
C) A patient requesting pain medication for chronic knee pain rated 4/10
D) A patient who needs assistance with ambulation post-surgery day 2
Rationale
Using the ABC (Airway, Breathing, Circulation) framework and Maslow's hierarchy, the patient with a
blood pressure of 88/54 mmHg and dizziness has an unstable circulatory status requiring immediate
assessment and intervention .
Q8
A nurse is caring for a post-operative patient who has not had a bowel movement in 3 days. The
nurse identifies the nursing diagnosis of Constipation. Which statement represents the
PLANNING phase of the nursing process?
A) The patient reports abdominal discomfort and bloating
4
(LATEST EDITION)
300 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Foundations of Nursing HESI Exam 1 Practice Exam (LATEST EDITION)
,Q1
Which action is part of the assessment phase of the nursing process?
A) Setting a goal that the client will ambulate 50 feet
B) Collecting the client's vital signs and health history CORRECT
C) Administering a prescribed analgesic
D) Determining whether pain improved after the analgesic
Rationale
Assessment involves collecting subjective and objective data before problems are identified and
interventions are selected. A is planning, C is implementation, and D is evaluation .
Q2
Which client statement is subjective data?
A) Blood pressure is 146/88 mm Hg.
B) The client has a 2-cm sacral wound.
C) The client reports, "My pain is 7 out of 10." CORRECT
D) The client's temperature is 38.1°C (100.6°F).
Rationale
Subjective data are information reported by the client, such as pain. Blood pressure, wound size, and
temperature are objective findings that can be observed or measured .
Q3
Which action represents the planning phase of nursing care for a client at risk for falls?
A) Assessing the client's gait
B) Identifying fall risk as a nursing problem
C) Placing the call light within reach and scheduling assisted toileting CORRECT
D) Determining whether the client remained free of falls
2
,Rationale
Planning establishes measurable interventions to address the identified problem. Assessment collects
data, problem identification interprets the data, and evaluation determines whether the plan worked .
Q4
Which outcome is written in measurable terms?
A) Client will understand wound care.
B) Client will feel better soon.
C) Client will ambulate 50 feet with a walker by 1400. CORRECT
D) Client will have improved mobility.
Rationale
A measurable outcome includes an observable behavior and a time frame. The other options are vague
or difficult to measure objectively .
Q5
A client with pneumonia has a respiratory rate of 30/min, oxygen saturation of 88% on room air,
and new confusion. Which finding is the priority cue?
A) Pneumonia diagnosis
B) Respiratory rate of 30/min
C) Oxygen saturation of 88% with new confusion CORRECT
D) Need for additional health teaching
Rationale
Hypoxemia accompanied by acute mental-status change is an immediate safety concern. The nurse
should recognize impaired oxygenation and act promptly. Teaching is not the priority while the client is
unstable .
3
, Q6
A nurse is caring for a patient admitted with dehydration. The nurse completes the initial
assessment, identifies deficient fluid volume as the nursing diagnosis, and develops a care plan.
Which step of the nursing process should the nurse perform NEXT?
A) Reassess the patient's vital signs and hydration status
B) Implement the planned nursing interventions CORRECT
C) Evaluate the effectiveness of the interventions
D) Document the patient's response to the care plan
Rationale
After completing assessment, diagnosis, and planning, the next step in the nursing process is
implementation—executing the planned interventions. The nursing process follows a sequential order:
Assessment, Diagnosis, Planning, Implementation, and Evaluation (ADPIE) .
Q7
A nurse on a medical-surgical unit receives report on four patients. Which patient should the
nurse assess FIRST based on prioritization principles?
A) A patient scheduled for a computed tomography scan at 1000
B) A patient with a blood pressure of 88/54 mmHg reporting dizziness CORRECT
C) A patient requesting pain medication for chronic knee pain rated 4/10
D) A patient who needs assistance with ambulation post-surgery day 2
Rationale
Using the ABC (Airway, Breathing, Circulation) framework and Maslow's hierarchy, the patient with a
blood pressure of 88/54 mmHg and dizziness has an unstable circulatory status requiring immediate
assessment and intervention .
Q8
A nurse is caring for a post-operative patient who has not had a bowel movement in 3 days. The
nurse identifies the nursing diagnosis of Constipation. Which statement represents the
PLANNING phase of the nursing process?
A) The patient reports abdominal discomfort and bloating
4
