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HESI Fundamentals of Nursing Practice Test 2026 | 500+ HESI RN Questions on Pharmacology, IV Therapy, Patient Safety & NCLEX Fundamentals

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This HESI Fundamentals of Nursing Practice Test study guide contains more than 500 comprehensive nursing exam questions and detailed rationales covering core concepts tested in HESI Fundamentals and NCLEX-RN examinations. The document includes extensive practice material on foundations of nursing practice, medication administration, intravenous therapy, dosage calculations, patient safety, infection control, nutrition, wound care, documentation, legal and ethical nursing responsibilities, delegation, communication, cultural competency, enteral nutrition, fluid and electrolyte balance, and basic pharmacology. The resource is organized in a detailed question-and-answer format designed to strengthen clinical judgment, improve nursing prioritization skills, and prepare students for HESI Fundamentals exams, ATI assessments, and NCLEX-style testing. Major nursing concepts addressed throughout the material include nasogastric tube placement, sterile technique, nursing process implementation, pressure ulcer staging, medication reconciliation, insulin administration, dysrhythmia interpretation, cardiac emergency management, IV calculations, nutrition therapy, enteral feeding management, electrolyte monitoring, patient positioning, therapeutic communication, and cultural considerations in nursing care. This document is especially beneficial for nursing students seeking comprehensive review material for Fundamentals of Nursing coursework and standardized nursing examinations. The content reflects evidence-based nursing principles commonly taught in ADN and BSN nursing programs and supports mastery of foundational nursing competencies essential for clinical practice and licensure preparation. This document is particularly relevant for: HESI Fundamentals Exam Candidates NCLEX-RN Candidates BSN Nursing Students ADN Nursing Students Practical Nursing Students Fundamentals of Nursing Students Nursing Clinical Rotation Students ATI Nursing Review Students New Graduate Nurses Nursing Remediation Students The study material aligns with concepts and standards discussed in leading nursing education and clinical practice references, including: Potter & Perry’s Fundamentals of Nursing Taylor’s Clinical Nursing Skills HESI Comprehensive Review for the NCLEX-RN Examination ATI Fundamentals Nursing Review Module Lewis’s Medical-Surgical Nursing Brunner & Suddarth’s Textbook of Medical-Surgical Nursing Lippincott NCLEX-RN Review Guides These references are widely used in accredited nursing programs and evidence-based nursing education to support safe patient care, clinical reasoning, nursing assessment, medication administration, and professional nursing practice. Keywords HESI Fundamentals 2026, HESI Fundamentals Practice Test, Fundamentals of Nursing, HESI RN Questions, NCLEX Fundamentals, Nursing Practice Questions, Nursing Dosage Calculations, IV Therapy, Patient Safety, Medication Administration, Sterile Technique, Nursing Process, Pressure Ulcer Staging, Fluid and Electrolyte Balance, Enteral Feeding, Nasogastric Tube Placement, Cardiac Dysrhythmias, Nursing Pharmacology, Wound Care, Nursing Assessment, Nursing Prioritization, Infection Control, Therapeutic Communication, Delegation in Nursing, Nursing Documentation, Cultural Competency Nursing, HESI Study Guide, Nursing School Exams, NCLEX Practice Questions, Clinical Nursing Skills

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Fundamental HESI, Hesi
Fundamentals, Hesi
Fundamentals Practice Test,
UNIT 1: Foundations of Nursing
Practice

Which assessment data would provide the most accurate determination

of proper placement of a nasogastric tube?




A) Aspirating gastric contents to assure a pH value of 4 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. - ANSWER ✔✔C) Examining a chest x-ray

obtained after the tubing was inserted




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 not an indicator of proper placement

When assisting an 82-year-old client to ambulate, it is important for the

nurse to realize that the center of gravity for an elderly person is the




A) Arms.

B) Upper torso.

C) Head.


D) Feet - ANSWER ✔✔B) Upper torso




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 normal bone degeneration, and the knees, hips, and

elbows flex. This stooped posture results in the upper torso (B)

,becoming the center of gravity for older persons. Although (A) is a part,

or an extension of the upper torso, this is not the best and most

complete answer.

Which action is most important for the nurse to implement when donning

sterile gloves?




A) Maintain thumb at a ninety degree angle.

B) Hold hands with fingers down while gloving.

C) Keep gloved hands above the elbows.


D) Put the glove on the dominant hand first. - ANSWER ✔✔C) Keep

gloved hands above the elbows




Gloved hands held below waist level are considered unsterile (C). (A and

B) are not essential to maintaining asepsis. While it may be helpful to put

the glove on the dominant hand first, it is not necessary to ensure

asepsis (D).

An adult male client with a history of hypertension tells the nurse that he

is tired of taking antihypertensive medications and is going to try spiritual

meditation instead. What should be the nurse's first response?

3
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, A) It is important that you continue your medication while learning to

meditate.

B) Spiritual meditation requires a time commitment of 15 to 20 minutes

daily.

C) Obtain your healthcare provider's permission before starting

meditation.

D) Complementary therapy and western medicine can be effective for

you. - ANSWER ✔✔A) It is important that you continue your

medication while learning to meditate




The prolonged practice of meditation may lead to a reduced need for

antihypertensive medications. However, the medications must be

continued (A) while the physiologic response to meditation is monitored.

(B) is not as important as continuing the medication. The healthcare

provider should be informed, but permission is not required to meditate

(C). Although it is true that this complimentary therapy might be effective

(D), it is essential that the client continue with antihypertensive

medications until the effect of meditation can be measured

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