HESI FUNDAMENTALS OF
NURSING FINAL EXAM (Latest
2026)|| Questions And Answers With
Rationales/Graded A+/2026
Update/100% Correct /Instant
Download
SECTION 1: SAFETY & INFECTION CONTROL (Questions 1–12)
1. A nurse is caring for a client on contact precautions for Clostridioides
difficile. Which hand hygiene method is most appropriate?
A. Alcohol-based hand rub
B. Soap and water for at least 15 seconds
C. Hand wipes with chlorhexidine
D. Sterile gloves then hand rub
Rationale: C. diff spores are not killed by alcohol-based rubs. Mechanical friction
with soap and water is required.
2. A client is placed in restraints. Which action by the nurse is correct?
A. Tie restraints to the side rail for quick access
B. Remove restraint every 4 hours for ROM exercises
C. Document the client’s behavior leading to restraint application
D. Obtain a PRN order for restraints to use as needed
Rationale: Restraints require a specific order (never PRN), documentation of
behavior, and removal every 2 hours (not 4). Tying to side rail is unsafe.
3. A nurse is applying a restraint belt to a client. Where should the belt be
positioned?
A. Over the client’s chest
,B. Over the client’s iliac crests
C. Around the client’s neck
D. Over the client’s thighs
Rationale: Restraint belts are placed over clothing or a pad at the iliac crests to
prevent upward migration and respiratory compromise.
4. A client with tuberculosis is admitted. Which type of precautions should the
nurse initiate?
A. Contact precautions
B. Airborne precautions
C. Droplet precautions
D. Standard precautions alone
Rationale: TB requires airborne precautions (N95 mask, negative pressure room).
5. The nurse is preparing to insert an indwelling urinary catheter. Which
technique is correct?
A. Use clean gloves during insertion
B. Use sterile gloves and sterile drapes
C. Insert catheter after perineal care with tap water
D. Inflate balloon before insertion to test it
Rationale: Indwelling catheter insertion is a sterile procedure. Balloon is inflated
after insertion and urine flow confirmed.
6. A nurse enters a client’s room and finds the client on the floor. What is the
nurse’s priority action?
A. Call the provider
B. Assess the client for injury
C. Complete an incident report
D. Check the client’s vital signs and level of consciousness
Rationale: First assess the client for injury (ABCs and LOC). Then notify
provider, then complete incident report.
7. A client has a new prescription for wrist restraints. How often must the
nurse assess the client’s circulation?
A. Every 15 minutes
B. Every 1–2 hours
, C. Every 4 hours
D. Every shift
Rationale: Restraints require neurovascular assessment and removal every 2 hours
for ROM and skin checks.
8. Which action by the nursing assistant requires immediate intervention by
the nurse?
A. Wearing gloves to empty a urinal
B. Touching the inside of a sterile dressing package with bare hands
C. Performing hand hygiene before donning gloves
D. Using a mask when suctioning a client
Rationale: The inside of sterile packaging is sterile; touching with bare hands
contaminates it.
9. A nurse is caring for a client with MRSA in a wound. Which personal
protective equipment (PPE) is needed for wound care?
A. Surgical mask and sterile gloves
B. Gloves and gown only
C. Gown, gloves, and N95 mask
D. Eye protection and gloves
Rationale: MRSA requires contact precautions: gown and gloves for direct contact
with wound or environment.
10. A nurse spills a small amount of blood on the floor. Which solution is
appropriate for disinfection?
A. 10% bleach solution (1:10 dilution)
B. 70% isopropyl alcohol
C. Hydrogen peroxide
D. Quaternary ammonium compound
Rationale: 1:10 bleach solution is effective against bloodborne pathogens
including HBV, HCV, HIV.
11. A client is on fall precautions. Which intervention is most important?
A. Keeping side rails fully up at all times
B. Placing the call light within reach
C. Applying wrist restraints at night
D. Turning off bed alarm to reduce anxiety
NURSING FINAL EXAM (Latest
2026)|| Questions And Answers With
Rationales/Graded A+/2026
Update/100% Correct /Instant
Download
SECTION 1: SAFETY & INFECTION CONTROL (Questions 1–12)
1. A nurse is caring for a client on contact precautions for Clostridioides
difficile. Which hand hygiene method is most appropriate?
A. Alcohol-based hand rub
B. Soap and water for at least 15 seconds
C. Hand wipes with chlorhexidine
D. Sterile gloves then hand rub
Rationale: C. diff spores are not killed by alcohol-based rubs. Mechanical friction
with soap and water is required.
2. A client is placed in restraints. Which action by the nurse is correct?
A. Tie restraints to the side rail for quick access
B. Remove restraint every 4 hours for ROM exercises
C. Document the client’s behavior leading to restraint application
D. Obtain a PRN order for restraints to use as needed
Rationale: Restraints require a specific order (never PRN), documentation of
behavior, and removal every 2 hours (not 4). Tying to side rail is unsafe.
3. A nurse is applying a restraint belt to a client. Where should the belt be
positioned?
A. Over the client’s chest
,B. Over the client’s iliac crests
C. Around the client’s neck
D. Over the client’s thighs
Rationale: Restraint belts are placed over clothing or a pad at the iliac crests to
prevent upward migration and respiratory compromise.
4. A client with tuberculosis is admitted. Which type of precautions should the
nurse initiate?
A. Contact precautions
B. Airborne precautions
C. Droplet precautions
D. Standard precautions alone
Rationale: TB requires airborne precautions (N95 mask, negative pressure room).
5. The nurse is preparing to insert an indwelling urinary catheter. Which
technique is correct?
A. Use clean gloves during insertion
B. Use sterile gloves and sterile drapes
C. Insert catheter after perineal care with tap water
D. Inflate balloon before insertion to test it
Rationale: Indwelling catheter insertion is a sterile procedure. Balloon is inflated
after insertion and urine flow confirmed.
6. A nurse enters a client’s room and finds the client on the floor. What is the
nurse’s priority action?
A. Call the provider
B. Assess the client for injury
C. Complete an incident report
D. Check the client’s vital signs and level of consciousness
Rationale: First assess the client for injury (ABCs and LOC). Then notify
provider, then complete incident report.
7. A client has a new prescription for wrist restraints. How often must the
nurse assess the client’s circulation?
A. Every 15 minutes
B. Every 1–2 hours
, C. Every 4 hours
D. Every shift
Rationale: Restraints require neurovascular assessment and removal every 2 hours
for ROM and skin checks.
8. Which action by the nursing assistant requires immediate intervention by
the nurse?
A. Wearing gloves to empty a urinal
B. Touching the inside of a sterile dressing package with bare hands
C. Performing hand hygiene before donning gloves
D. Using a mask when suctioning a client
Rationale: The inside of sterile packaging is sterile; touching with bare hands
contaminates it.
9. A nurse is caring for a client with MRSA in a wound. Which personal
protective equipment (PPE) is needed for wound care?
A. Surgical mask and sterile gloves
B. Gloves and gown only
C. Gown, gloves, and N95 mask
D. Eye protection and gloves
Rationale: MRSA requires contact precautions: gown and gloves for direct contact
with wound or environment.
10. A nurse spills a small amount of blood on the floor. Which solution is
appropriate for disinfection?
A. 10% bleach solution (1:10 dilution)
B. 70% isopropyl alcohol
C. Hydrogen peroxide
D. Quaternary ammonium compound
Rationale: 1:10 bleach solution is effective against bloodborne pathogens
including HBV, HCV, HIV.
11. A client is on fall precautions. Which intervention is most important?
A. Keeping side rails fully up at all times
B. Placing the call light within reach
C. Applying wrist restraints at night
D. Turning off bed alarm to reduce anxiety
