Latest BSN 225 HESI RN Fundamentals of Nursing Exam V1
With 200 Questions And Answers, (Brand New!!!!) Grade
A+.
1. Which action by the nurse best demonstrates patient advocacy?
A. Following the physician’s orders exactly as written
B. Encouraging a patient to participate in their care decisions
C. Completing charting accurately
D. Preparing the patient for surgery efficiently
Answer: B. Encouraging a patient to participate in their care decisions
2. A nurse is caring for a patient with a prescription for morphine 2 mg IV every 4
hours PRN for pain. The patient reports pain 3 hours after the last dose. What should
the nurse do first?
A. Administer the morphine immediately
B. Assess the patient’s pain level and vital signs
C. Wait until the full 4 hours have passed
D. Contact the physician for a dose increase
Answer: B. Assess the patient’s pain level and vital signs
3. Which nursing intervention is most appropriate for a patient experiencing orthostatic
hypotension?
A. Encourage rapid ambulation
B. Have the patient rise slowly from a lying position
C. Administer antihypertensive medications
D. Restrict fluid intake
Answer: B. Have the patient rise slowly from a lying position
4. The nurse notes that a patient’s IV site is red, swollen, and painful. Which action
should the nurse take first?
A. Apply a warm compress and document the findings
B. Discontinue the IV and restart in another location
C. Elevate the affected limb
D. Notify the physician
Answer: B. Discontinue the IV and restart in another location
5. Which action demonstrates correct hand hygiene in a clinical setting?
A. Rubbing hands with alcohol-based sanitizer for 10 seconds
B. Washing hands with soap and water for at least 20 seconds
C. Wearing gloves without washing hands
D. Quickly rinsing hands under water for 5 seconds
Answer: B. Washing hands with soap and water for at least 20 seconds
6. What is the priority nursing action for a patient with acute shortness of breath?
A. Obtain a detailed health history
B. Administer oxygen as prescribed
,C. Document the vital signs
D. Notify the dietitian
Answer: B. Administer oxygen as prescribed
7. Which patient is at greatest risk for developing a pressure ulcer?
A. 25-year-old post-op appendectomy patient
B. 70-year-old bedridden patient with diabetes
C. 40-year-old patient with pneumonia
D. 50-year-old patient with hypertension
Answer: B. 70-year-old bedridden patient with diabetes
8. The nurse is caring for a patient who is NPO. Which action is most appropriate?
A. Provide oral care every 2 hours
B. Encourage the patient to drink water
C. Offer clear liquids every hour
D. Allow the patient to chew gum
Answer: A. Provide oral care every 2 hours
9. Which vital sign change is most concerning in a post-operative patient?
A. BP 120/80 mmHg, HR 88 bpm
B. Temp 100.4°F
C. HR 120 bpm, BP 88/60 mmHg
D. RR 18/min, SpO₂ 95%
Answer: C. HR 120 bpm, BP 88/60 mmHg
10. Which technique is best for preventing the spread of infection when performing
wound care?
A. Using sterile gloves and sterile dressing
B. Wearing clean gloves and using a clean dressing
C. Applying antibiotic ointment without gloves
D. Covering the wound loosely with a towel
Answer: A. Using sterile gloves and sterile dressing
11. Which nursing action best demonstrates patient-centered care?
A. Completing the patient’s hygiene quickly
B. Asking the patient about preferences and respecting their choices
C. Following a standardized routine regardless of patient needs
D. Administering medications at fixed times without explanation
Answer: B. Asking the patient about preferences and respecting their choices
12. Which intervention is most important for a patient at risk for falls?
A. Ensuring the patient has proper footwear
B. Performing passive range-of-motion exercises
C. Limiting visitors in the patient’s room
D. Providing high-calorie meals
Answer: A. Ensuring the patient has proper footwear
13. The nurse is administering a subcutaneous injection. Which site is recommended for
adults?
,A. Ventrogluteal
B. Abdomen, 2 inches from the umbilicus
C. Deltoid
D. Dorsogluteal
Answer: B. Abdomen, 2 inches from the umbilicus
14. Which lab value indicates risk for infection?
A. WBC 12,500/mm³
B. Hemoglobin 14 g/dL
C. Platelets 250,000/mm³
D. Sodium 140 mEq/L
Answer: A. WBC 12,500/mm³
15. Which patient statement indicates understanding of fluid restriction?
A. “I can drink as much water as I want”
B. “I will limit my fluid intake to the amount ordered by my doctor”
C. “I will drink juice only”
D. “I can drink fluids whenever I feel thirsty”
Answer: B. “I will limit my fluid intake to the amount ordered by my doctor”
16. Which action is appropriate when a patient’s blood glucose is 55 mg/dL and they are
awake and alert?
A. Administer IV insulin
B. Give a fast-acting carbohydrate orally
C. Call the physician immediately
D. Withhold all food and fluids
Answer: B. Give a fast-acting carbohydrate orally
17. Which intervention is most effective for preventing deep vein thrombosis (DVT) in a
post-op patient?
A. Encouraging early ambulation
B. Placing pillows under the knees
C. Restricting fluids
D. Providing bed rest for 24 hours
Answer: A. Encouraging early ambulation
18. Which action is most important when performing a head-to-toe assessment?
A. Document findings after the assessment is complete
B. Use a systematic approach to ensure no area is missed
C. Focus on the area the patient complains about
D. Skip assessment of vital signs if the patient appears stable
Answer: B. Use a systematic approach to ensure no area is missed
19. Which patient should the nurse see first?
A. Post-op patient with mild nausea
B. Patient with BP 90/60 mmHg and dizziness
C. Patient requesting assistance to the bathroom
D. Patient scheduled for discharge
Answer: B. Patient with BP 90/60 mmHg and dizziness
, 20. Which type of isolation is indicated for a patient with tuberculosis?
A. Contact isolation
B. Droplet isolation
C. Airborne isolation
D. Standard precautions only
Answer: C. Airborne isolation
21. Which nursing action best prevents aspiration in a patient with dysphagia?
A. Encourage thickened liquids and upright positioning during meals
B. Offer thin liquids frequently
C. Place the patient in supine position for meals
D. Feed the patient quickly
Answer: A. Encourage thickened liquids and upright positioning during meals
22. Which action demonstrates proper use of a walker for an older adult patient?
A. Walking behind the patient while they use the walker
B. Ensuring the walker moves ahead of the patient and stepping into it
C. Encouraging the patient to swing their legs without support
D. Using the walker only when the patient feels unsteady
Answer: B. Ensuring the walker moves ahead of the patient and stepping into it
23. Which intervention is priority for a patient experiencing hypovolemic shock?
A. Administer IV fluids rapidly
B. Monitor urine output
C. Provide oxygen as needed
D. Obtain baseline vital signs
Answer: A. Administer IV fluids rapidly
24. Which sign is most indicative of hypoglycemia?
A. Polyuria and polydipsia
B. Confusion and diaphoresis
C. Dry skin and mucous membranes
D. Fruity breath odor
Answer: B. Confusion and diaphoresis
25. Which intervention is most important for preventing catheter-associated urinary
tract infection (CAUTI)?
A. Maintaining closed drainage system
B. Performing intermittent catheterization every 8 hours
C. Encouraging fluid restriction
D. Cleaning around the catheter daily only
Answer: A. Maintaining closed drainage system
26. The nurse is teaching a patient about insulin administration. Which statement
indicates understanding?
A. “I will inject insulin into my muscle”
B. “I will rotate injection sites within the same area”
C. “I will inject insulin into scar tissue”
With 200 Questions And Answers, (Brand New!!!!) Grade
A+.
1. Which action by the nurse best demonstrates patient advocacy?
A. Following the physician’s orders exactly as written
B. Encouraging a patient to participate in their care decisions
C. Completing charting accurately
D. Preparing the patient for surgery efficiently
Answer: B. Encouraging a patient to participate in their care decisions
2. A nurse is caring for a patient with a prescription for morphine 2 mg IV every 4
hours PRN for pain. The patient reports pain 3 hours after the last dose. What should
the nurse do first?
A. Administer the morphine immediately
B. Assess the patient’s pain level and vital signs
C. Wait until the full 4 hours have passed
D. Contact the physician for a dose increase
Answer: B. Assess the patient’s pain level and vital signs
3. Which nursing intervention is most appropriate for a patient experiencing orthostatic
hypotension?
A. Encourage rapid ambulation
B. Have the patient rise slowly from a lying position
C. Administer antihypertensive medications
D. Restrict fluid intake
Answer: B. Have the patient rise slowly from a lying position
4. The nurse notes that a patient’s IV site is red, swollen, and painful. Which action
should the nurse take first?
A. Apply a warm compress and document the findings
B. Discontinue the IV and restart in another location
C. Elevate the affected limb
D. Notify the physician
Answer: B. Discontinue the IV and restart in another location
5. Which action demonstrates correct hand hygiene in a clinical setting?
A. Rubbing hands with alcohol-based sanitizer for 10 seconds
B. Washing hands with soap and water for at least 20 seconds
C. Wearing gloves without washing hands
D. Quickly rinsing hands under water for 5 seconds
Answer: B. Washing hands with soap and water for at least 20 seconds
6. What is the priority nursing action for a patient with acute shortness of breath?
A. Obtain a detailed health history
B. Administer oxygen as prescribed
,C. Document the vital signs
D. Notify the dietitian
Answer: B. Administer oxygen as prescribed
7. Which patient is at greatest risk for developing a pressure ulcer?
A. 25-year-old post-op appendectomy patient
B. 70-year-old bedridden patient with diabetes
C. 40-year-old patient with pneumonia
D. 50-year-old patient with hypertension
Answer: B. 70-year-old bedridden patient with diabetes
8. The nurse is caring for a patient who is NPO. Which action is most appropriate?
A. Provide oral care every 2 hours
B. Encourage the patient to drink water
C. Offer clear liquids every hour
D. Allow the patient to chew gum
Answer: A. Provide oral care every 2 hours
9. Which vital sign change is most concerning in a post-operative patient?
A. BP 120/80 mmHg, HR 88 bpm
B. Temp 100.4°F
C. HR 120 bpm, BP 88/60 mmHg
D. RR 18/min, SpO₂ 95%
Answer: C. HR 120 bpm, BP 88/60 mmHg
10. Which technique is best for preventing the spread of infection when performing
wound care?
A. Using sterile gloves and sterile dressing
B. Wearing clean gloves and using a clean dressing
C. Applying antibiotic ointment without gloves
D. Covering the wound loosely with a towel
Answer: A. Using sterile gloves and sterile dressing
11. Which nursing action best demonstrates patient-centered care?
A. Completing the patient’s hygiene quickly
B. Asking the patient about preferences and respecting their choices
C. Following a standardized routine regardless of patient needs
D. Administering medications at fixed times without explanation
Answer: B. Asking the patient about preferences and respecting their choices
12. Which intervention is most important for a patient at risk for falls?
A. Ensuring the patient has proper footwear
B. Performing passive range-of-motion exercises
C. Limiting visitors in the patient’s room
D. Providing high-calorie meals
Answer: A. Ensuring the patient has proper footwear
13. The nurse is administering a subcutaneous injection. Which site is recommended for
adults?
,A. Ventrogluteal
B. Abdomen, 2 inches from the umbilicus
C. Deltoid
D. Dorsogluteal
Answer: B. Abdomen, 2 inches from the umbilicus
14. Which lab value indicates risk for infection?
A. WBC 12,500/mm³
B. Hemoglobin 14 g/dL
C. Platelets 250,000/mm³
D. Sodium 140 mEq/L
Answer: A. WBC 12,500/mm³
15. Which patient statement indicates understanding of fluid restriction?
A. “I can drink as much water as I want”
B. “I will limit my fluid intake to the amount ordered by my doctor”
C. “I will drink juice only”
D. “I can drink fluids whenever I feel thirsty”
Answer: B. “I will limit my fluid intake to the amount ordered by my doctor”
16. Which action is appropriate when a patient’s blood glucose is 55 mg/dL and they are
awake and alert?
A. Administer IV insulin
B. Give a fast-acting carbohydrate orally
C. Call the physician immediately
D. Withhold all food and fluids
Answer: B. Give a fast-acting carbohydrate orally
17. Which intervention is most effective for preventing deep vein thrombosis (DVT) in a
post-op patient?
A. Encouraging early ambulation
B. Placing pillows under the knees
C. Restricting fluids
D. Providing bed rest for 24 hours
Answer: A. Encouraging early ambulation
18. Which action is most important when performing a head-to-toe assessment?
A. Document findings after the assessment is complete
B. Use a systematic approach to ensure no area is missed
C. Focus on the area the patient complains about
D. Skip assessment of vital signs if the patient appears stable
Answer: B. Use a systematic approach to ensure no area is missed
19. Which patient should the nurse see first?
A. Post-op patient with mild nausea
B. Patient with BP 90/60 mmHg and dizziness
C. Patient requesting assistance to the bathroom
D. Patient scheduled for discharge
Answer: B. Patient with BP 90/60 mmHg and dizziness
, 20. Which type of isolation is indicated for a patient with tuberculosis?
A. Contact isolation
B. Droplet isolation
C. Airborne isolation
D. Standard precautions only
Answer: C. Airborne isolation
21. Which nursing action best prevents aspiration in a patient with dysphagia?
A. Encourage thickened liquids and upright positioning during meals
B. Offer thin liquids frequently
C. Place the patient in supine position for meals
D. Feed the patient quickly
Answer: A. Encourage thickened liquids and upright positioning during meals
22. Which action demonstrates proper use of a walker for an older adult patient?
A. Walking behind the patient while they use the walker
B. Ensuring the walker moves ahead of the patient and stepping into it
C. Encouraging the patient to swing their legs without support
D. Using the walker only when the patient feels unsteady
Answer: B. Ensuring the walker moves ahead of the patient and stepping into it
23. Which intervention is priority for a patient experiencing hypovolemic shock?
A. Administer IV fluids rapidly
B. Monitor urine output
C. Provide oxygen as needed
D. Obtain baseline vital signs
Answer: A. Administer IV fluids rapidly
24. Which sign is most indicative of hypoglycemia?
A. Polyuria and polydipsia
B. Confusion and diaphoresis
C. Dry skin and mucous membranes
D. Fruity breath odor
Answer: B. Confusion and diaphoresis
25. Which intervention is most important for preventing catheter-associated urinary
tract infection (CAUTI)?
A. Maintaining closed drainage system
B. Performing intermittent catheterization every 8 hours
C. Encouraging fluid restriction
D. Cleaning around the catheter daily only
Answer: A. Maintaining closed drainage system
26. The nurse is teaching a patient about insulin administration. Which statement
indicates understanding?
A. “I will inject insulin into my muscle”
B. “I will rotate injection sites within the same area”
C. “I will inject insulin into scar tissue”
