BSN 225 HESI RN Specialty Fundamentals of Nursing Exam V1 (Latest Update 2026/2027) Questions & Answers 100%
OBJECTIVE ASSESSMENT - EXAM
BSN 225 HESI RN Specialty
Fundamentals of Nursing Exam V1
(Latest Update 2026/2027) Questions &
Answers 100% Correct Grade A -
Nightingale 2026/2027
QUESTIONS VERIFIED ANSWERS PASSING SCORE EDITION
75 100% 80% 2026/2027
TOPICS COVERED
• Sec 1: Basic Nursing & Safety • Sec 2: Health Assessment & Vital Signs
• Sec 3: Medication Administration & Pharmacology • Sec 4: Patient Care, Hygiene & Comfort
• Sec 5: Nursing Process, Communication & Documentation
COVER PAGE - 1
, Section 1: Basic Nursing Skills & Patient Safety
Q1
A nurse enters the room of a patient diagnosed with Clostridioides difficile. Before performing any
physical contact, the nurse reviews the isolation precautions posted on the door. The patient requires
assistance to the bedside commode.
Apply a standard surgical mask and perform hand hygiene with alcohol-based sanitizer
Don a gown and gloves, then wash hands with soap and water after removal
Wear an N95 respirator, gown, gloves, and eye protection throughout the interaction
Place the patient in a negative-pressure room and use only disposable equipment
Correct Answer: B
Rationale: C. difficile is a spore-forming organism not eliminated by alcohol-based sanitizers. Soap and water handwashing is
required. A gown and gloves protect against contact with contaminated surfaces. Option A fails because alcohol
does not kill C. diff spores. Option C over-applies airborne precautions. Option D incorrectly assumes airborne
transmission.
Q2
During morning rounds, a nurse discovers that a 78-year-old patient with Parkinson disease has
attempted to get out of bed unassisted. The bed alarm was turned off overnight by a family member.
The patient is now sitting on the floor, alert and oriented, complaining of right hip pain.
Help the patient back into bed immediately and apply a vest restraint
Activate the rapid response team and begin cardiac monitoring
Call for assistance, do not move the patient, and notify the provider for further orders
Document the incident after the shift ends and reinforce call-light use with the patient
Correct Answer: C
Rationale: A fall with suspected hip injury requires immobilization until radiographic evaluation. Moving the patient risks
worsening a fracture. Calling for help and notifying the provider follows protocol. Option A is unsafe due to possible
fracture and restraint misuse. Option B is excessive without cardiorespiratory compromise. Option D delays
necessary assessment.
, Section 1: Basic Nursing Skills & Patient Safety (continued)
Q3
A nurse is preparing to administer an intramuscular injection of ceftriaxone to a 6-month-old infant.
The infant's mother asks why the thigh is chosen over the arm or buttock.
The thigh allows faster drug absorption than any other pediatric site
The vastus lateralis is the largest muscle mass and safest site for infants under 12 months
Buttock injections are reserved exclusively for children over 5 years of age
Arm muscles in infants contain too many nerve endings causing severe pain
Correct Answer: B
Rationale: The vastus lateralis muscle has sufficient mass and is distant from major nerves and vessels in infants, making it
the preferred IM site. Option A is incorrect because absorption rate depends on blood flow, not site selection alone.
Option C is an arbitrary age restriction. Option D misstates anatomy.
Q4
A fire alarm sounds on the orthopedic unit. A nurse smells smoke coming from a storage closet near
the nurses' station. The nurse recalls the RACE acronym for fire response.
Run to evacuate patients first, then activate the alarm and contain the fire
Rescue patients in immediate danger, activate the alarm, contain the fire, and extinguish if safe
Alert the fire department first, then remove all patients from the unit immediately
Extinguish the fire with any available liquid before alerting others or removing patients
Correct Answer: B
Rationale: RACE stands for Rescue, Alarm, Contain, Extinguish. Rescue those in immediate danger first, then pull the alarm,
close doors to contain, and use a fire extinguisher only if trained and safe. Option A reverses rescue and alarm
priorities. Option C delays rescue. Option D endangers the nurse and violates protocol.
Q5
A nurse is repositioning a 210-lb patient who is unable to bear weight after spinal surgery. The patient
needs to be moved up in bed using a friction-reducing sheet.
Lift the patient using only upper body strength while a coworker holds the head
Use the friction-reducing sheet with two caregivers and maintain a wide base of support
Place the head of the bed flat and pull the patient upward by the shoulders
Have the patient push with their feet while the nurse pulls the sheet from the side
Correct Answer: B
Rationale: Friction-reducing devices with adequate staffing minimize caregiver injury and patient discomfort. Maintaining a
wide base protects the nurse's back. Option A risks musculoskeletal injury. Option C may dislodge hardware and
injure the patient. Option D is contraindicated after spinal surgery.
BSN 225 HESI RN Specialty Fundamentals of Nursing Exam V1 (Latest Update 2026/2027) Questions & Answers 100% Correct Grade A Page
- Nightingale
3 2026/20
, Section 1: Basic Nursing Skills & Patient Safety (continued)
Q6
A confused older adult repeatedly removes their peripheral IV catheter. The provider has not ordered
restraints. The nurse implements alternative interventions before considering any physical limitation.
Apply bilateral wrist restraints and check circulation every 2 hours
Place a mitts-style hand protector, offer frequent reorientation, and request a sitter
Sedate the patient with PRN antipsychotic medication every 4 hours
Discontinue the IV and switch all medications to oral route immediately
Correct Answer: B
Rationale: Least-restrictive alternatives must precede restraints per regulatory standards. Mitts protect the IV while preserving
some mobility. Reorientation and sitters address confusion. Option A bypasses required alternatives. Option C uses
chemical restraint without indication. Option D may not be clinically appropriate for all medications.
Q7
After performing a sterile dressing change on a postoperative wound, the nurse needs to dispose of
the used scalpel and suture scissors.
Place sharp items in a puncture-resistant biohazard container at the point of use
Wrap the scalpel in gauze and place it in the regular trash to prevent alarm
Rinse the instruments and return them to the central supply for resterilization
Hand the scalpel directly to the housekeeping staff for immediate disposal
Correct Answer: A
Rationale: OSHA mandates immediate disposal of sharps in puncture-resistant containers at the point of use to prevent
needlestick injuries. Option B creates a puncture hazard for waste handlers. Option C is appropriate only for
reusable surgical instruments, not disposable sharps. Option D violates chain-of-custody safety.
Q8
A home health nurse visits a patient receiving oxygen via nasal cannula at 2 L/min. The patient
smokes on the porch but stores portable oxygen tanks in the living room near the fireplace.
Advise the patient to limit smoking to one cigarette per day while on oxygen
Instruct the patient to store oxygen cylinders upright, away from heat, and post no-smoking signs
Recommend switching to a nonrebreather mask to reduce fire risk from the nasal cannula
Suggest lowering the flow rate to 1 L/min when the fireplace is in use
Correct Answer: B
Rationale: Oxygen is not flammable but supports combustion dramatically. Proper storage upright, away from heat, and strict
no-smoking policies are essential safety measures. Option A tolerates an unsafe practice. Option C does not
reduce fire risk. Option D compromises therapeutic oxygen delivery.
BSN 225 HESI RN Specialty Fundamentals of Nursing Exam V1 (Latest Update 2026/2027) Questions & Answers 100% Correct Grade A Page
- Nightingale
4 2026/20
OBJECTIVE ASSESSMENT - EXAM
BSN 225 HESI RN Specialty
Fundamentals of Nursing Exam V1
(Latest Update 2026/2027) Questions &
Answers 100% Correct Grade A -
Nightingale 2026/2027
QUESTIONS VERIFIED ANSWERS PASSING SCORE EDITION
75 100% 80% 2026/2027
TOPICS COVERED
• Sec 1: Basic Nursing & Safety • Sec 2: Health Assessment & Vital Signs
• Sec 3: Medication Administration & Pharmacology • Sec 4: Patient Care, Hygiene & Comfort
• Sec 5: Nursing Process, Communication & Documentation
COVER PAGE - 1
, Section 1: Basic Nursing Skills & Patient Safety
Q1
A nurse enters the room of a patient diagnosed with Clostridioides difficile. Before performing any
physical contact, the nurse reviews the isolation precautions posted on the door. The patient requires
assistance to the bedside commode.
Apply a standard surgical mask and perform hand hygiene with alcohol-based sanitizer
Don a gown and gloves, then wash hands with soap and water after removal
Wear an N95 respirator, gown, gloves, and eye protection throughout the interaction
Place the patient in a negative-pressure room and use only disposable equipment
Correct Answer: B
Rationale: C. difficile is a spore-forming organism not eliminated by alcohol-based sanitizers. Soap and water handwashing is
required. A gown and gloves protect against contact with contaminated surfaces. Option A fails because alcohol
does not kill C. diff spores. Option C over-applies airborne precautions. Option D incorrectly assumes airborne
transmission.
Q2
During morning rounds, a nurse discovers that a 78-year-old patient with Parkinson disease has
attempted to get out of bed unassisted. The bed alarm was turned off overnight by a family member.
The patient is now sitting on the floor, alert and oriented, complaining of right hip pain.
Help the patient back into bed immediately and apply a vest restraint
Activate the rapid response team and begin cardiac monitoring
Call for assistance, do not move the patient, and notify the provider for further orders
Document the incident after the shift ends and reinforce call-light use with the patient
Correct Answer: C
Rationale: A fall with suspected hip injury requires immobilization until radiographic evaluation. Moving the patient risks
worsening a fracture. Calling for help and notifying the provider follows protocol. Option A is unsafe due to possible
fracture and restraint misuse. Option B is excessive without cardiorespiratory compromise. Option D delays
necessary assessment.
, Section 1: Basic Nursing Skills & Patient Safety (continued)
Q3
A nurse is preparing to administer an intramuscular injection of ceftriaxone to a 6-month-old infant.
The infant's mother asks why the thigh is chosen over the arm or buttock.
The thigh allows faster drug absorption than any other pediatric site
The vastus lateralis is the largest muscle mass and safest site for infants under 12 months
Buttock injections are reserved exclusively for children over 5 years of age
Arm muscles in infants contain too many nerve endings causing severe pain
Correct Answer: B
Rationale: The vastus lateralis muscle has sufficient mass and is distant from major nerves and vessels in infants, making it
the preferred IM site. Option A is incorrect because absorption rate depends on blood flow, not site selection alone.
Option C is an arbitrary age restriction. Option D misstates anatomy.
Q4
A fire alarm sounds on the orthopedic unit. A nurse smells smoke coming from a storage closet near
the nurses' station. The nurse recalls the RACE acronym for fire response.
Run to evacuate patients first, then activate the alarm and contain the fire
Rescue patients in immediate danger, activate the alarm, contain the fire, and extinguish if safe
Alert the fire department first, then remove all patients from the unit immediately
Extinguish the fire with any available liquid before alerting others or removing patients
Correct Answer: B
Rationale: RACE stands for Rescue, Alarm, Contain, Extinguish. Rescue those in immediate danger first, then pull the alarm,
close doors to contain, and use a fire extinguisher only if trained and safe. Option A reverses rescue and alarm
priorities. Option C delays rescue. Option D endangers the nurse and violates protocol.
Q5
A nurse is repositioning a 210-lb patient who is unable to bear weight after spinal surgery. The patient
needs to be moved up in bed using a friction-reducing sheet.
Lift the patient using only upper body strength while a coworker holds the head
Use the friction-reducing sheet with two caregivers and maintain a wide base of support
Place the head of the bed flat and pull the patient upward by the shoulders
Have the patient push with their feet while the nurse pulls the sheet from the side
Correct Answer: B
Rationale: Friction-reducing devices with adequate staffing minimize caregiver injury and patient discomfort. Maintaining a
wide base protects the nurse's back. Option A risks musculoskeletal injury. Option C may dislodge hardware and
injure the patient. Option D is contraindicated after spinal surgery.
BSN 225 HESI RN Specialty Fundamentals of Nursing Exam V1 (Latest Update 2026/2027) Questions & Answers 100% Correct Grade A Page
- Nightingale
3 2026/20
, Section 1: Basic Nursing Skills & Patient Safety (continued)
Q6
A confused older adult repeatedly removes their peripheral IV catheter. The provider has not ordered
restraints. The nurse implements alternative interventions before considering any physical limitation.
Apply bilateral wrist restraints and check circulation every 2 hours
Place a mitts-style hand protector, offer frequent reorientation, and request a sitter
Sedate the patient with PRN antipsychotic medication every 4 hours
Discontinue the IV and switch all medications to oral route immediately
Correct Answer: B
Rationale: Least-restrictive alternatives must precede restraints per regulatory standards. Mitts protect the IV while preserving
some mobility. Reorientation and sitters address confusion. Option A bypasses required alternatives. Option C uses
chemical restraint without indication. Option D may not be clinically appropriate for all medications.
Q7
After performing a sterile dressing change on a postoperative wound, the nurse needs to dispose of
the used scalpel and suture scissors.
Place sharp items in a puncture-resistant biohazard container at the point of use
Wrap the scalpel in gauze and place it in the regular trash to prevent alarm
Rinse the instruments and return them to the central supply for resterilization
Hand the scalpel directly to the housekeeping staff for immediate disposal
Correct Answer: A
Rationale: OSHA mandates immediate disposal of sharps in puncture-resistant containers at the point of use to prevent
needlestick injuries. Option B creates a puncture hazard for waste handlers. Option C is appropriate only for
reusable surgical instruments, not disposable sharps. Option D violates chain-of-custody safety.
Q8
A home health nurse visits a patient receiving oxygen via nasal cannula at 2 L/min. The patient
smokes on the porch but stores portable oxygen tanks in the living room near the fireplace.
Advise the patient to limit smoking to one cigarette per day while on oxygen
Instruct the patient to store oxygen cylinders upright, away from heat, and post no-smoking signs
Recommend switching to a nonrebreather mask to reduce fire risk from the nasal cannula
Suggest lowering the flow rate to 1 L/min when the fireplace is in use
Correct Answer: B
Rationale: Oxygen is not flammable but supports combustion dramatically. Proper storage upright, away from heat, and strict
no-smoking policies are essential safety measures. Option A tolerates an unsafe practice. Option C does not
reduce fire risk. Option D compromises therapeutic oxygen delivery.
BSN 225 HESI RN Specialty Fundamentals of Nursing Exam V1 (Latest Update 2026/2027) Questions & Answers 100% Correct Grade A Page
- Nightingale
4 2026/20
