Nursing Fundamentals & HESI Review 100 Practice Questions with
Explained Answers | Patient Safety, Infection Control, Fluids &
Electrolytes
Patient safety
1. Why use two approved patient identifiers before medication administration?
2. A patient’s wristband and chart show different birth dates. What should the
nurse do?
3. Why ask about allergies before giving a newly ordered medication?
4. An order is unreadable. What is the safe response?
5. What should a nurse do when a patient refuses a medication?
6. Why reassess pain after an intervention?
7. An older adult becomes dizzy on standing. What immediate safety measure is
appropriate?
8. Name two practical measures to reduce falls in a patient needing help to walk.
9. Why is a bed kept low when a patient is resting unattended?
10. Do four raised side rails always constitute the safest fall strategy?
11. Why should a nurse check transfer ability before helping a patient into a chair?
12. What is the purpose of an independent check for designated high-alert
medicines?
13. An IV pump alarms. Is silencing it sufficient?
14. What should be done after a medication error is recognised?
15. Why separate objective documentation from interpretation?
16. What belongs in a useful clinical handoff?
17. What does teach-back assess?
18. Why use a qualified interpreter for important consent or teaching discussions?
19. Why should initial assessment of an unstable patient stay with the RN?
20. What should delegation instructions include?
, Practice questions continued
21. Is completion of a delegated task the end of the RN’s responsibility?
22. What is a near miss?
23. Why avoid discussing patient information in a public corridor?
24. Why check a patient’s breathing before focusing on a routine comfort request
when acute deterioration is suspected?
25. What should happen when a new assessment contradicts an old care plan?
Infection control
26. To whom do Standard Precautions apply?
27. Do gloves replace hand hygiene?
28. When is soap and water required instead of relying on alcohol hand rub for
visibly dirty hands?
29. What is usually preferred for hand hygiene when hands are not visibly soiled in
routine clinical care?
30. What hand-hygiene nuance matters during C difficile outbreaks?
31. Why change gloves between patients?
32. Why change from contaminated gloves before a clean task on the same patient?
33. When are eye protection and a mask needed for splash risk?
34. What extra precautions are commonly needed for infections spread by contact?
35. What does dedicated equipment accomplish for a patient on Contact
Precautions?
36. What type of respiratory protection is needed for suspected pulmonary
tuberculosis?
37. What room is preferred for an airborne infection when available?
38. Why place a mask on an infectious patient during necessary transport when
tolerated?
39. What precaution tier is added to Standard Precautions for an infection spread
by respiratory droplets?
40. Why limit transport of a patient in transmission-based isolation?
Explained Answers | Patient Safety, Infection Control, Fluids &
Electrolytes
Patient safety
1. Why use two approved patient identifiers before medication administration?
2. A patient’s wristband and chart show different birth dates. What should the
nurse do?
3. Why ask about allergies before giving a newly ordered medication?
4. An order is unreadable. What is the safe response?
5. What should a nurse do when a patient refuses a medication?
6. Why reassess pain after an intervention?
7. An older adult becomes dizzy on standing. What immediate safety measure is
appropriate?
8. Name two practical measures to reduce falls in a patient needing help to walk.
9. Why is a bed kept low when a patient is resting unattended?
10. Do four raised side rails always constitute the safest fall strategy?
11. Why should a nurse check transfer ability before helping a patient into a chair?
12. What is the purpose of an independent check for designated high-alert
medicines?
13. An IV pump alarms. Is silencing it sufficient?
14. What should be done after a medication error is recognised?
15. Why separate objective documentation from interpretation?
16. What belongs in a useful clinical handoff?
17. What does teach-back assess?
18. Why use a qualified interpreter for important consent or teaching discussions?
19. Why should initial assessment of an unstable patient stay with the RN?
20. What should delegation instructions include?
, Practice questions continued
21. Is completion of a delegated task the end of the RN’s responsibility?
22. What is a near miss?
23. Why avoid discussing patient information in a public corridor?
24. Why check a patient’s breathing before focusing on a routine comfort request
when acute deterioration is suspected?
25. What should happen when a new assessment contradicts an old care plan?
Infection control
26. To whom do Standard Precautions apply?
27. Do gloves replace hand hygiene?
28. When is soap and water required instead of relying on alcohol hand rub for
visibly dirty hands?
29. What is usually preferred for hand hygiene when hands are not visibly soiled in
routine clinical care?
30. What hand-hygiene nuance matters during C difficile outbreaks?
31. Why change gloves between patients?
32. Why change from contaminated gloves before a clean task on the same patient?
33. When are eye protection and a mask needed for splash risk?
34. What extra precautions are commonly needed for infections spread by contact?
35. What does dedicated equipment accomplish for a patient on Contact
Precautions?
36. What type of respiratory protection is needed for suspected pulmonary
tuberculosis?
37. What room is preferred for an airborne infection when available?
38. Why place a mask on an infectious patient during necessary transport when
tolerated?
39. What precaution tier is added to Standard Precautions for an infection spread
by respiratory droplets?
40. Why limit transport of a patient in transmission-based isolation?
