HESI Level 1 Practice Exam Actual Exam 2026/2027 – Comprehensive Practice
Test with Detailed Rationales | 100% Verified | Pass Guaranteed – A+ Graded
Section A: Fundamentals of Nursing - Safety, Infection Control, & Basic
Care (12 Questions)
Q1: A nurse is admitting a client with suspected pulmonary tuberculosis to a private
room. The nurse should implement which transmission-based precaution?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions [CORRECT]
D. Protective isolation
Correct Answer: C
Rationale: Tuberculosis is transmitted via airborne droplet nuclei smaller than 5
microns, requiring an airborne infection isolation room (negative pressure) and N95
respirator. Contact precautions are for direct-contact pathogens like MRSA, droplet
precautions are for larger respiratory particles like pertussis, and protective isolation is
for immunocompromised clients.
Q2: A nurse has finished providing care to a client with Clostridioides difficile infection.
When removing personal protective equipment (PPE), which sequence follows CDC
guidelines?
,A. Remove gloves, perform hand hygiene, remove gown, remove mask
B. Remove gown, remove gloves, remove mask, perform hand hygiene
C. Remove gloves, remove gown, perform hand hygiene, remove mask/eye protection,
perform hand hygiene [CORRECT]
D. Remove mask, remove gloves, remove gown, perform hand hygiene
Correct Answer: C
Rationale: The correct doffing sequence removes the most contaminated items first
(gloves), then gown, then performs hand hygiene before removing face protection,
followed by final hand hygiene. Option A removes the mask too early without hand
hygiene between gown and mask, B removes gown before gloves, and D begins with the
mask which should be removed last.
Q3: A nurse is preparing a sterile dressing change at a client's bedside. The sterile field
is considered contaminated and must be replaced if the nurse:
A. Places sterile forceps on the field
B. Adds sterile saline to a sterile bowl on the field
C. Turns their back to the sterile field [CORRECT]
D. Opens a sterile package using sterile technique
Correct Answer: C
Rationale: Turning one's back to the sterile field contaminates it because the nurse
cannot visualize or protect the field from breaches. Sterile forceps, sterile saline, and
properly opened sterile packages are all appropriate additions to a sterile field.
, Q4: An 82-year-old client is being discharged home after total hip arthroplasty. Which
nursing recommendation best reduces the risk of falls in the home environment?
A. Install grab bars in the bathroom only
B. Keep scatter rugs for warmth and comfort
C. Remove scatter rugs to prevent falls [CORRECT]
D. Encourage the client to walk barefoot indoors
Correct Answer: C
Rationale: Scatter rugs are a leading cause of falls in elderly clients because they slip
and bunch. While grab bars help, removing scatter rugs is the most direct fall-prevention
strategy. Walking barefoot reduces traction and increases fall risk.
Q5: A nurse is assessing a bedbound 78-year-old client using the Braden Scale for
Predicting Pressure Sore Risk. The client scores 13. The nurse interprets this score as
indicating:
A. No risk for pressure injury
B. Mild risk for pressure injury
C. Moderate risk for pressure injury [CORRECT]
D. Severe risk for pressure injury
Correct Answer: C
Test with Detailed Rationales | 100% Verified | Pass Guaranteed – A+ Graded
Section A: Fundamentals of Nursing - Safety, Infection Control, & Basic
Care (12 Questions)
Q1: A nurse is admitting a client with suspected pulmonary tuberculosis to a private
room. The nurse should implement which transmission-based precaution?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions [CORRECT]
D. Protective isolation
Correct Answer: C
Rationale: Tuberculosis is transmitted via airborne droplet nuclei smaller than 5
microns, requiring an airborne infection isolation room (negative pressure) and N95
respirator. Contact precautions are for direct-contact pathogens like MRSA, droplet
precautions are for larger respiratory particles like pertussis, and protective isolation is
for immunocompromised clients.
Q2: A nurse has finished providing care to a client with Clostridioides difficile infection.
When removing personal protective equipment (PPE), which sequence follows CDC
guidelines?
,A. Remove gloves, perform hand hygiene, remove gown, remove mask
B. Remove gown, remove gloves, remove mask, perform hand hygiene
C. Remove gloves, remove gown, perform hand hygiene, remove mask/eye protection,
perform hand hygiene [CORRECT]
D. Remove mask, remove gloves, remove gown, perform hand hygiene
Correct Answer: C
Rationale: The correct doffing sequence removes the most contaminated items first
(gloves), then gown, then performs hand hygiene before removing face protection,
followed by final hand hygiene. Option A removes the mask too early without hand
hygiene between gown and mask, B removes gown before gloves, and D begins with the
mask which should be removed last.
Q3: A nurse is preparing a sterile dressing change at a client's bedside. The sterile field
is considered contaminated and must be replaced if the nurse:
A. Places sterile forceps on the field
B. Adds sterile saline to a sterile bowl on the field
C. Turns their back to the sterile field [CORRECT]
D. Opens a sterile package using sterile technique
Correct Answer: C
Rationale: Turning one's back to the sterile field contaminates it because the nurse
cannot visualize or protect the field from breaches. Sterile forceps, sterile saline, and
properly opened sterile packages are all appropriate additions to a sterile field.
, Q4: An 82-year-old client is being discharged home after total hip arthroplasty. Which
nursing recommendation best reduces the risk of falls in the home environment?
A. Install grab bars in the bathroom only
B. Keep scatter rugs for warmth and comfort
C. Remove scatter rugs to prevent falls [CORRECT]
D. Encourage the client to walk barefoot indoors
Correct Answer: C
Rationale: Scatter rugs are a leading cause of falls in elderly clients because they slip
and bunch. While grab bars help, removing scatter rugs is the most direct fall-prevention
strategy. Walking barefoot reduces traction and increases fall risk.
Q5: A nurse is assessing a bedbound 78-year-old client using the Braden Scale for
Predicting Pressure Sore Risk. The client scores 13. The nurse interprets this score as
indicating:
A. No risk for pressure injury
B. Mild risk for pressure injury
C. Moderate risk for pressure injury [CORRECT]
D. Severe risk for pressure injury
Correct Answer: C
