BSN 225 HESI RN Exam Questions and Correct Answers: Complete Study Guide & Practice Test

BSN 225 HESI RN QUESTIONS AND CORRECT
ANSWERS (VRIFIED ANSWERS) Q&A 2026/2027
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1. A nurse is caring for a client who is at risk for falls. Which
intervention is most appropriate to ensure client safety?
A. Keep the room lights dim to promote rest
B. Place the call light within the client's reach
C. Raise all four side rails on the bed
D. Encourage the client to ambulate independently
Correct Answer: B. Place the call light within the client's reach
Rationale: The call light allows the client to request assistance
before attempting unsafe activities. Raising all four side rails
can be considered a restraint and may increase injury risk.


2. The nurse is preparing to administer medication. Which
action demonstrates correct medication safety practice?
A. Ask another nurse to identify the medication
B. Check the medication label three times
C. Administer medication based on room number
D. Skip checking allergies if medication is routine
Correct Answer: B. Check the medication label three times

,Rationale: Following the three medication checks helps prevent
medication errors and ensures the correct medication is given.


3. A nurse is performing hand hygiene. When should alcohol-
based hand sanitizer NOT be used?
A. Before touching a client
B. After removing gloves
C. When hands are visibly soiled
D. Before preparing medications
Correct Answer: C. When hands are visibly soiled
Rationale: Soap and water should be used when hands are
visibly dirty or contaminated.


4. Which nursing action is part of maintaining client
confidentiality?
A. Discussing client information in the hallway
B. Sharing information only with healthcare team members
involved in care
C. Posting client information on social media without names
D. Allowing visitors to read the medical record
Correct Answer: B. Sharing information only with healthcare
team members involved in care
Rationale: Client information should only be shared with
authorized individuals involved in care.

,5. The nurse is assessing a client's pain. Which assessment
finding is subjective?
A. Heart rate of 110 beats/min
B. Blood pressure of 150/90 mmHg
C. Client reports pain level of 8/10
D. Facial grimacing observed
Correct Answer: C. Client reports pain level of 8/10
Rationale: Subjective data are information reported by the
client, such as pain level.


6. A nurse is caring for a client after surgery. Which
intervention helps prevent postoperative complications?
A. Keeping the client on strict bed rest
B. Encouraging early ambulation as tolerated
C. Limiting fluid intake
D. Avoiding deep breathing exercises
Correct Answer: B. Encouraging early ambulation as tolerated
Rationale: Early mobility decreases risks of complications such
as pneumonia, constipation, and blood clots.


7. Which position is best for a client experiencing difficulty
breathing?

, A. Supine position
B. Trendelenburg position
C. High Fowler’s position
D. Prone position
Correct Answer: C. High Fowler’s position
Rationale: High Fowler’s promotes lung expansion and
improves oxygenation.


8. A nurse is preparing to insert a urinary catheter. Which
action prevents infection?
A. Using clean gloves only
B. Maintaining sterile technique
C. Touching the catheter tip before insertion
D. Reusing catheter supplies
Correct Answer: B. Maintaining sterile technique
Rationale: Sterile technique prevents introduction of
microorganisms into the urinary tract.


9. Which client should the nurse assess first?
A. Client requesting assistance with bathing
B. Client reporting sudden chest pain
C. Client asking about discharge instructions
D. Client requesting a snack