BSN 225 HESI RN Fundamentals of
Nursing Exam Prep Practice Questions
with Rationales (Latest Update 2025 /
2026) 100% Correct [Grade A] -
Nightingale
The nurse is instructing a client in the proper use of a metered-dose inhaler. Which
instruction should the nurse provide the client to ensure the optimal benefits from
the drug?
A. "Fill your lungs with air through your mouth and then compress the inhaler."
B. "Compress the inhaler while slowly breathing in through your mouth."
C. "Compress the inhaler while inhaling quickly through your nose."
D. "Exhale completely after compressing the inhaler and then inhale." - correct
answer B
Rationale: The medication should be inhaled through the mouth simultaneously with
compression of the inhaler. This will facilitate the desired destination of the aerosol
medication deep in the lungs for an optimal bronchodilation effect. Options A, C, and
D do not allow for deep lung penetration.
, BSN 225 HESI RN Fundamentals of
Nursing Exam Prep Practice Questions
with Rationales (Latest Update 2025 /
2026) 100% Correct [Grade A] -
Nightingale
A 20-year-old female client with a noticeable body odor has refused to shower for the
last 3 days. She states, "I have been told that it is harmful to bathe during my period."
Which action should the nurse take first?
A. Accept and document the client's wish to refrain from bathing.
B. Offer to give the client a bed bath, avoiding the perineal area.
C. Obtain written brochures about menstruation to give to the client.
D. Teach the importance of personal hygiene during menstruation with the client. -
correct answer D
Rationale: Because a shower is most beneficial for the client in terms of hygiene, the
client should receive teaching first, respecting any personal beliefs such as cultural or
spiritual values. After client teaching, the client may still choose option A or B.
Brochures reinforce the teaching.
, BSN 225 HESI RN Fundamentals of
Nursing Exam Prep Practice Questions
with Rationales (Latest Update 2025 /
2026) 100% Correct [Grade A] -
Nightingale
While reviewing the side effects of a newly prescribed medication, a 72-year-old
client notes that one of the side effects is a reduction in sexual drive. Which is the
best response by the nurse?
A. "How will this affect your present sexual activity?"
B. "How active is your current sex life?"
C. "How has your sex life changed as you have become older?"
D. "Tell me about your sexual needs as an older adult." - correct answer A
Rationale: Option A offers an open-ended question most relevant to the client's
statement. Option B does not offer the client the opportunity to express concerns.
Options C and D are even less relevant to the client's statement.
The nurse is using the Glasgow Coma Scale to perform a neurologic assessment. A
comatose client winces and pulls away from a painful stimulus. Which action should
the nurse take next?
, BSN 225 HESI RN Fundamentals of
Nursing Exam Prep Practice Questions
with Rationales (Latest Update 2025 /
2026) 100% Correct [Grade A] -
Nightingale
A. Document that the client responds to painful stimulus.
B. Observe the client's response to verbal stimulation.
C. Place the client on seizure precautions for 24 hours.
D. Report decorticate posturing to the health care provider - correct answer .A
Rationale: The client has demonstrated a purposeful response to pain, which should
be documented as such. Response to painful stimulus is assessed after response to
verbal stimulus, not before. There is no indication for placing the client on seizure
precautions. Reporting decorticate posturing to the health care provider is
nonpurposeful movement.
The nurse plans to administer diazepam, 4 mg IV push, to a client with severe anxiety.
How many milliliters should the nurse administer? (Round to the nearest tenth.)
A. 0.2 mL
B. 0.8 mL
Nursing Exam Prep Practice Questions
with Rationales (Latest Update 2025 /
2026) 100% Correct [Grade A] -
Nightingale
The nurse is instructing a client in the proper use of a metered-dose inhaler. Which
instruction should the nurse provide the client to ensure the optimal benefits from
the drug?
A. "Fill your lungs with air through your mouth and then compress the inhaler."
B. "Compress the inhaler while slowly breathing in through your mouth."
C. "Compress the inhaler while inhaling quickly through your nose."
D. "Exhale completely after compressing the inhaler and then inhale." - correct
answer B
Rationale: The medication should be inhaled through the mouth simultaneously with
compression of the inhaler. This will facilitate the desired destination of the aerosol
medication deep in the lungs for an optimal bronchodilation effect. Options A, C, and
D do not allow for deep lung penetration.
, BSN 225 HESI RN Fundamentals of
Nursing Exam Prep Practice Questions
with Rationales (Latest Update 2025 /
2026) 100% Correct [Grade A] -
Nightingale
A 20-year-old female client with a noticeable body odor has refused to shower for the
last 3 days. She states, "I have been told that it is harmful to bathe during my period."
Which action should the nurse take first?
A. Accept and document the client's wish to refrain from bathing.
B. Offer to give the client a bed bath, avoiding the perineal area.
C. Obtain written brochures about menstruation to give to the client.
D. Teach the importance of personal hygiene during menstruation with the client. -
correct answer D
Rationale: Because a shower is most beneficial for the client in terms of hygiene, the
client should receive teaching first, respecting any personal beliefs such as cultural or
spiritual values. After client teaching, the client may still choose option A or B.
Brochures reinforce the teaching.
, BSN 225 HESI RN Fundamentals of
Nursing Exam Prep Practice Questions
with Rationales (Latest Update 2025 /
2026) 100% Correct [Grade A] -
Nightingale
While reviewing the side effects of a newly prescribed medication, a 72-year-old
client notes that one of the side effects is a reduction in sexual drive. Which is the
best response by the nurse?
A. "How will this affect your present sexual activity?"
B. "How active is your current sex life?"
C. "How has your sex life changed as you have become older?"
D. "Tell me about your sexual needs as an older adult." - correct answer A
Rationale: Option A offers an open-ended question most relevant to the client's
statement. Option B does not offer the client the opportunity to express concerns.
Options C and D are even less relevant to the client's statement.
The nurse is using the Glasgow Coma Scale to perform a neurologic assessment. A
comatose client winces and pulls away from a painful stimulus. Which action should
the nurse take next?
, BSN 225 HESI RN Fundamentals of
Nursing Exam Prep Practice Questions
with Rationales (Latest Update 2025 /
2026) 100% Correct [Grade A] -
Nightingale
A. Document that the client responds to painful stimulus.
B. Observe the client's response to verbal stimulation.
C. Place the client on seizure precautions for 24 hours.
D. Report decorticate posturing to the health care provider - correct answer .A
Rationale: The client has demonstrated a purposeful response to pain, which should
be documented as such. Response to painful stimulus is assessed after response to
verbal stimulus, not before. There is no indication for placing the client on seizure
precautions. Reporting decorticate posturing to the health care provider is
nonpurposeful movement.
The nurse plans to administer diazepam, 4 mg IV push, to a client with severe anxiety.
How many milliliters should the nurse administer? (Round to the nearest tenth.)
A. 0.2 mL
B. 0.8 mL
