HESI RN Fundamentals Test Bank 2026 Practice Questions & Verified
Answers Nursing Fundamentals Prep...
SECTION 1: INFECTION CONTROL & SAFETY (Questions 1-20)
1. A nurse is preparing to perform hand hygiene before caring for a client. Which
action demonstrates proper technique?
A. Rubbing hands together for 5 seconds after applying soap
B. Using an alcohol-based hand rub when hands are visibly soiled
C. Washing hands with soap and water for at least 15 seconds after visibly soiled
D. Drying hands with a reusable cloth towel
Answer: C
Rationale: Alcohol-based hand rub is not effective against C. difficile or visibly
soiled hands. Soap and water for at least 15-20 seconds is required. Single-use
paper towels are recommended for drying .
2. A client has a wound infected with methicillin-resistant Staphylococcus aureus
(MRSA). Which type of isolation precautions should the nurse initiate?
A. Airborne precautions
,B. Droplet precautions
C. Contact precautions
D. Protective environment
Answer: C
Rationale: MRSA is spread by direct contact. Contact precautions include a private
room, gloves, and gown. Airborne is for TB and measles; droplet for influenza and
pertussis .
3. A nurse is applying restraints to a confused client who is pulling at an IV line.
Which action is most important?
A. Secure the restraints to the bed side rail
B. Tie the restraints with a quick-release knot
C. Remove restraints every 4 hours for range of motion
D. Apply restraints tightly to prevent movement
Answer: B
,Rationale: Restraints must be tied to the bed frame (not side rail) with a quick-
release knot for safety. Remove every 2 hours for ROM and toileting. Never
tighten excessively .
4. The nurse identifies a potential for infection in a client with partial-thickness
and full-thickness burns. What intervention has the highest priority in decreasing
the client's risk of infection?
A. Administration of plasma expanders
B. Use of careful handwashing technique
C. Application of a topical antibacterial cream
D. Limiting visitors to the client with burns
Answer: B
Rationale: Careful handwashing technique is the single most effective
intervention for the prevention of contamination to all clients. This is a proven
technique to prevent infection .
5. How often should a nurse assess a client in restraints?
A. Every 15 minutes
, B. Every 30 minutes
C. Every 60 minutes
D. Every 2 hours
Answer: A
Rationale: Restraints require frequent monitoring: every 15 minutes initially,
including pulse, color, sensation, and movement of restrained extremities.
Remove at least every 2 hours for ROM .
6. Which client is at highest risk for falling?
A. A 45-year-old postoperative client with stable vital signs
B. A 70-year-old client with a history of falls and taking antihypertensives
C. A 30-year-old client with a broken leg using crutches correctly
D. A 50-year-old client with mild arthritis
Answer: B
Rationale: History of falls, age >65, and medications causing hypotension
(antihypertensives) are major fall risk factors. Use Morse Fall Scale to assess risk .
Answers Nursing Fundamentals Prep...
SECTION 1: INFECTION CONTROL & SAFETY (Questions 1-20)
1. A nurse is preparing to perform hand hygiene before caring for a client. Which
action demonstrates proper technique?
A. Rubbing hands together for 5 seconds after applying soap
B. Using an alcohol-based hand rub when hands are visibly soiled
C. Washing hands with soap and water for at least 15 seconds after visibly soiled
D. Drying hands with a reusable cloth towel
Answer: C
Rationale: Alcohol-based hand rub is not effective against C. difficile or visibly
soiled hands. Soap and water for at least 15-20 seconds is required. Single-use
paper towels are recommended for drying .
2. A client has a wound infected with methicillin-resistant Staphylococcus aureus
(MRSA). Which type of isolation precautions should the nurse initiate?
A. Airborne precautions
,B. Droplet precautions
C. Contact precautions
D. Protective environment
Answer: C
Rationale: MRSA is spread by direct contact. Contact precautions include a private
room, gloves, and gown. Airborne is for TB and measles; droplet for influenza and
pertussis .
3. A nurse is applying restraints to a confused client who is pulling at an IV line.
Which action is most important?
A. Secure the restraints to the bed side rail
B. Tie the restraints with a quick-release knot
C. Remove restraints every 4 hours for range of motion
D. Apply restraints tightly to prevent movement
Answer: B
,Rationale: Restraints must be tied to the bed frame (not side rail) with a quick-
release knot for safety. Remove every 2 hours for ROM and toileting. Never
tighten excessively .
4. The nurse identifies a potential for infection in a client with partial-thickness
and full-thickness burns. What intervention has the highest priority in decreasing
the client's risk of infection?
A. Administration of plasma expanders
B. Use of careful handwashing technique
C. Application of a topical antibacterial cream
D. Limiting visitors to the client with burns
Answer: B
Rationale: Careful handwashing technique is the single most effective
intervention for the prevention of contamination to all clients. This is a proven
technique to prevent infection .
5. How often should a nurse assess a client in restraints?
A. Every 15 minutes
, B. Every 30 minutes
C. Every 60 minutes
D. Every 2 hours
Answer: A
Rationale: Restraints require frequent monitoring: every 15 minutes initially,
including pulse, color, sensation, and movement of restrained extremities.
Remove at least every 2 hours for ROM .
6. Which client is at highest risk for falling?
A. A 45-year-old postoperative client with stable vital signs
B. A 70-year-old client with a history of falls and taking antihypertensives
C. A 30-year-old client with a broken leg using crutches correctly
D. A 50-year-old client with mild arthritis
Answer: B
Rationale: History of falls, age >65, and medications causing hypotension
(antihypertensives) are major fall risk factors. Use Morse Fall Scale to assess risk .
