BSN 225 HESI RN Specialty Fundamentals of Nursing Final Exam (Latest Update 2026/2027) Questions & Answers | 100% Correct | Grade A - Nightingale
2026/2027 - 2026/2027 Official Exam
OBJECTIVE ASSESSMENT - EXAM
BSN 225 HESI RN Specialty
Fundamentals of Nursing Final Exam
(Latest Update 2026/2027) Questions &
Answers | 100% Correct | Grade A -
Nightingale 2026/2027 - 2026/2027
Official Exam
75 100% 2026/2027
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Safety, Infection Control & Mobility Physiological Integrity: Basic
Basic Care & Comfort Health Promotion & Maintenance
Psychosocial Integrity Nursing Process Fundamentals
COVER PAGE - 1
,SECTION 1 | Safety, Infection Control, & Mobility | Q1-Q15 | BSN 225 HESI RN Specialty Fundamentals of Nursing Final Exam (Latest Update
Q1 Question 1 of 75
Q1. A 78-year-old patient who received a sedative 30 minutes ago is attempting to get out of bed unassisted to use
the bathroom. The nurse enters the room and observes the patient swaying while holding onto the bedside rail.
A. Assist the patient back to bed and provide a bedside commode
B. Administer a reversal agent for the sedative immediately
C. Place a restraint on the patient to prevent a fall
D. Document the incident and notify the charge nurse
Correct Answer: A
Rationale:
The nurse must first ensure patient safety by assisting the patient back to bed, then provide alternative toileting options such as
a bedside commode. Restraints should only be used as a last resort after less restrictive interventions fail, and a reversal agent
is not indicated for routine sedation effects.
Q2 Question 2 of 75
Q2. A nurse is preparing to insert a urinary catheter for a 45-year-old female patient using sterile technique. The
nurse accidentally touches the catheter tip to the patient inner thigh during the procedure.
A. Clean the catheter tip with an alcohol swab and continue insertion
B. Discard the contaminated catheter and obtain a new sterile one
C. Continue the procedure since the inner thigh is relatively clean
D. Rinse the catheter tip with sterile saline before proceeding
Correct Answer: B
Rationale:
Any break in sterile technique requires discarding the contaminated item and obtaining a new sterile one. Cleaning with alcohol
or saline does not restore sterility, and continuing the procedure would introduce pathogens into the urinary tract, increasing
infection risk.
Q3 Question 3 of 75
Q3. A fire erupts in the medication room on the nursing unit. The nurse follows the RACE protocol and has already
rescued patients in the immediate area.
A. Extinguish the fire using the nearest fire extinguisher
B. Evacuate all patients to the parking lot immediately
C. Activate the fire alarm and close all doors on the unit
D. Call the facility administrator for authorization to act
Correct Answer: C
Rationale:
After Rescue in the RACE protocol, the next step is Alarm (activate the fire alarm), followed by Contain (close doors to prevent
spread). Extinguish is only attempted if the fire is small and safe to do so, and evacuation comes later in the protocol sequence.
BSN 225 HESI RN Specialty Fundamentals of Nursing Final Exam (Latest Update 2026/2027) Questions & Answers | 100% Correct | Grade A - Nightingale 2026/2027 - 2026/2027 O
, Q4 Question 4 of 75
Q4. A nurse is about to administer a blood transfusion to a 62-year-old patient. The nurse needs to follow the
two-identifier protocol for patient verification before starting the transfusion.
A. Ask the patient to state their date of birth and compare it to the armband
B. Check the patient room number against the blood product label
C. Verify the patient name on the chart matches the name on the blood bag
D. Confirm the blood type on the patient door matches the blood product
Correct Answer: A
Rationale:
The two-identifier protocol requires using at least two unique patient identifiers such as name and date of birth, and having the
patient state them. Room numbers and door labels are never reliable identifiers for verification.
Q5 Question 5 of 75
Q5. A nurse is caring for a patient diagnosed with Clostridioides difficile infection. The patient is in a private room
and the nurse needs to assist with a bedside wound dressing change.
A. N95 respirator, face shield, gown, and double gloves
B. Surgical mask, eye goggles, and sterile gloves
C. Gown and gloves only, with hand hygiene with soap and water before and after
D. Gloves and face shield, with alcohol-based hand sanitizer after removal
Correct Answer: C
Rationale:
C. difficile requires contact precautions including gown and gloves. Hand hygiene must use soap and water because C. difficile
spores are resistant to alcohol-based sanitizers. N95 respirators and eye protection are not required for contact precautions.
Q6 Question 6 of 75
Q6. A nursing student sustains a needlestick injury while recapping a used insulin syringe. The source patient is
known to be HIV positive.
A. Within 72 hours of the incident
B. Within 24 hours of the incident
C. Within 1 hour of the incident
D. Within 2 hours of the incident
Correct Answer: C
Rationale:
Post-exposure prophylaxis for HIV is most effective when initiated within 1 hour of exposure. Immediate first aid including
washing the wound, reporting to the supervisor, and baseline bloodwork should occur as rapidly as possible to maximize
antiretroviral therapy effectiveness.
BSN 225 HESI RN Specialty Fundamentals of Nursing Final Exam (Latest Update 2026/2027) Questions & Answers | 100% Correct | Grade A - Nightingale 2026/2027 - 2026/2027 O
2026/2027 - 2026/2027 Official Exam
OBJECTIVE ASSESSMENT - EXAM
BSN 225 HESI RN Specialty
Fundamentals of Nursing Final Exam
(Latest Update 2026/2027) Questions &
Answers | 100% Correct | Grade A -
Nightingale 2026/2027 - 2026/2027
Official Exam
75 100% 2026/2027
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Safety, Infection Control & Mobility Physiological Integrity: Basic
Basic Care & Comfort Health Promotion & Maintenance
Psychosocial Integrity Nursing Process Fundamentals
COVER PAGE - 1
,SECTION 1 | Safety, Infection Control, & Mobility | Q1-Q15 | BSN 225 HESI RN Specialty Fundamentals of Nursing Final Exam (Latest Update
Q1 Question 1 of 75
Q1. A 78-year-old patient who received a sedative 30 minutes ago is attempting to get out of bed unassisted to use
the bathroom. The nurse enters the room and observes the patient swaying while holding onto the bedside rail.
A. Assist the patient back to bed and provide a bedside commode
B. Administer a reversal agent for the sedative immediately
C. Place a restraint on the patient to prevent a fall
D. Document the incident and notify the charge nurse
Correct Answer: A
Rationale:
The nurse must first ensure patient safety by assisting the patient back to bed, then provide alternative toileting options such as
a bedside commode. Restraints should only be used as a last resort after less restrictive interventions fail, and a reversal agent
is not indicated for routine sedation effects.
Q2 Question 2 of 75
Q2. A nurse is preparing to insert a urinary catheter for a 45-year-old female patient using sterile technique. The
nurse accidentally touches the catheter tip to the patient inner thigh during the procedure.
A. Clean the catheter tip with an alcohol swab and continue insertion
B. Discard the contaminated catheter and obtain a new sterile one
C. Continue the procedure since the inner thigh is relatively clean
D. Rinse the catheter tip with sterile saline before proceeding
Correct Answer: B
Rationale:
Any break in sterile technique requires discarding the contaminated item and obtaining a new sterile one. Cleaning with alcohol
or saline does not restore sterility, and continuing the procedure would introduce pathogens into the urinary tract, increasing
infection risk.
Q3 Question 3 of 75
Q3. A fire erupts in the medication room on the nursing unit. The nurse follows the RACE protocol and has already
rescued patients in the immediate area.
A. Extinguish the fire using the nearest fire extinguisher
B. Evacuate all patients to the parking lot immediately
C. Activate the fire alarm and close all doors on the unit
D. Call the facility administrator for authorization to act
Correct Answer: C
Rationale:
After Rescue in the RACE protocol, the next step is Alarm (activate the fire alarm), followed by Contain (close doors to prevent
spread). Extinguish is only attempted if the fire is small and safe to do so, and evacuation comes later in the protocol sequence.
BSN 225 HESI RN Specialty Fundamentals of Nursing Final Exam (Latest Update 2026/2027) Questions & Answers | 100% Correct | Grade A - Nightingale 2026/2027 - 2026/2027 O
, Q4 Question 4 of 75
Q4. A nurse is about to administer a blood transfusion to a 62-year-old patient. The nurse needs to follow the
two-identifier protocol for patient verification before starting the transfusion.
A. Ask the patient to state their date of birth and compare it to the armband
B. Check the patient room number against the blood product label
C. Verify the patient name on the chart matches the name on the blood bag
D. Confirm the blood type on the patient door matches the blood product
Correct Answer: A
Rationale:
The two-identifier protocol requires using at least two unique patient identifiers such as name and date of birth, and having the
patient state them. Room numbers and door labels are never reliable identifiers for verification.
Q5 Question 5 of 75
Q5. A nurse is caring for a patient diagnosed with Clostridioides difficile infection. The patient is in a private room
and the nurse needs to assist with a bedside wound dressing change.
A. N95 respirator, face shield, gown, and double gloves
B. Surgical mask, eye goggles, and sterile gloves
C. Gown and gloves only, with hand hygiene with soap and water before and after
D. Gloves and face shield, with alcohol-based hand sanitizer after removal
Correct Answer: C
Rationale:
C. difficile requires contact precautions including gown and gloves. Hand hygiene must use soap and water because C. difficile
spores are resistant to alcohol-based sanitizers. N95 respirators and eye protection are not required for contact precautions.
Q6 Question 6 of 75
Q6. A nursing student sustains a needlestick injury while recapping a used insulin syringe. The source patient is
known to be HIV positive.
A. Within 72 hours of the incident
B. Within 24 hours of the incident
C. Within 1 hour of the incident
D. Within 2 hours of the incident
Correct Answer: C
Rationale:
Post-exposure prophylaxis for HIV is most effective when initiated within 1 hour of exposure. Immediate first aid including
washing the wound, reporting to the supervisor, and baseline bloodwork should occur as rapidly as possible to maximize
antiretroviral therapy effectiveness.
BSN 225 HESI RN Specialty Fundamentals of Nursing Final Exam (Latest Update 2026/2027) Questions & Answers | 100% Correct | Grade A - Nightingale 2026/2027 - 2026/2027 O
