RN HESI Fundamentals Exit Exam Actual Exam |
Real Questions Correct Verified Answers with NGN
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Section 1: Safe & Effective Care Environment
Q1. A nursing student asks when it is necessary to use soap and water instead of
alcohol-based hand rub. Which situation requires hand washing with soap and water?
A. Before inserting a peripheral IV catheter
B. After removing gloves following a dressing change
C. When hands are visibly soiled with blood or body fluids
D. Before palpating a patient’s radial pulse
Rationale: The best answer is C. Alcohol-based hand rubs are effective for most
situations, but visible soiling requires soap and water to physically remove debris and
certain organisms like C. difficile spores.
Correct Answer: C
Q2. A patient is admitted with a wound infected with methicillin-resistant
Staphylococcus aureus (MRSA). Which PPE is required before entering the patient’s
room?
A. N95 respirator and face shield
,B. Gown and gloves
C. Surgical mask and goggles
D. Gloves only
Rationale: The best answer is B. MRSA requires contact precautions, which means
putting on a gown and gloves before patient contact and performing hand hygiene after
removal.
Correct Answer: B
Q3. A patient is diagnosed with pertussis. Which type of transmission-based
precautions is appropriate?
A. Airborne precautions
B. Droplet precautions
C. Contact precautions
D. Protective isolation
Rationale: The best answer is B. Pertussis is spread by large respiratory droplets, so
droplet precautions with a surgical mask within 3 feet of the patient are required.
Correct Answer: B
Q4. A patient is admitted with active pulmonary tuberculosis. Which statement by the
nurse indicates correct understanding of airborne precautions?
A. "I will wear a surgical mask when I am within three feet of the patient."
,B. "I need to put on an N95 respirator before entering the room."
C. "Gloves and gown are the only PPE required for this patient."
D. "The patient can be placed in a semi-private room with another patient."
Rationale: The best answer is B. Tuberculosis is airborne, requiring an N95 respirator or
higher-level protection, a private room with negative pressure, and the door kept closed.
Correct Answer: B
Q5. A nurse is opening a sterile package to create a sterile field. Which action maintains
sterility?
A. Opening the first flap away from the body, then the side flaps, then the flap closest to
the body
B. Touching the inner surface of the wrapper with bare hands to stabilize the field
C. Opening all flaps at once to save time
D. Placing the sterile field on the patient’s over-bed table without checking if it is clean
Rationale: The best answer is A. The first flap is opened away from the body to prevent
reaching over the sterile field, followed by side flaps and the nearest flap last to
maintain aseptic technique.
Correct Answer: A
Q6. While preparing a sterile dressing, the nurse accidentally touches the tip of the
sterile forceps to the outer edge of the sterile field. What is the nurse’s best action?
A. Continue the procedure because the outer edge is still considered sterile
, B. Discard the contaminated forceps and use a new sterile pair
C. Wipe the forceps with alcohol and continue
D. Set the forceps down on the sterile field and pick them up from the other end
Rationale: The best answer is B. Anything that falls below the waist level or touches a
non-sterile surface is considered contaminated; the nurse must obtain new sterile
supplies to prevent infection.
Correct Answer: B
Q7. An 84-year-old patient is admitted after a fall at home. The patient takes diuretics
and reports feeling dizzy when standing. Which intervention is the priority for fall
prevention?
A. Keep the bed in the highest position for easy exit
B. Ensure the call light is within reach and assist with all ambulation
C. Allow the patient to walk independently to maintain strength
D. Remove the bed alarm to prevent startling the patient
Rationale: The best answer is B. Keeping the call light accessible and assisting with
ambulation addresses the patient’s orthostatic dizziness and reduces the risk of
another fall.
Correct Answer: B
Q8. A confused patient repeatedly tries to remove their nasogastric tube. The provider
orders wrist restraints. Before applying them, what is the nurse’s priority action?
Real Questions Correct Verified Answers with NGN
– Pass Guaranteed - A+ Graded
Section 1: Safe & Effective Care Environment
Q1. A nursing student asks when it is necessary to use soap and water instead of
alcohol-based hand rub. Which situation requires hand washing with soap and water?
A. Before inserting a peripheral IV catheter
B. After removing gloves following a dressing change
C. When hands are visibly soiled with blood or body fluids
D. Before palpating a patient’s radial pulse
Rationale: The best answer is C. Alcohol-based hand rubs are effective for most
situations, but visible soiling requires soap and water to physically remove debris and
certain organisms like C. difficile spores.
Correct Answer: C
Q2. A patient is admitted with a wound infected with methicillin-resistant
Staphylococcus aureus (MRSA). Which PPE is required before entering the patient’s
room?
A. N95 respirator and face shield
,B. Gown and gloves
C. Surgical mask and goggles
D. Gloves only
Rationale: The best answer is B. MRSA requires contact precautions, which means
putting on a gown and gloves before patient contact and performing hand hygiene after
removal.
Correct Answer: B
Q3. A patient is diagnosed with pertussis. Which type of transmission-based
precautions is appropriate?
A. Airborne precautions
B. Droplet precautions
C. Contact precautions
D. Protective isolation
Rationale: The best answer is B. Pertussis is spread by large respiratory droplets, so
droplet precautions with a surgical mask within 3 feet of the patient are required.
Correct Answer: B
Q4. A patient is admitted with active pulmonary tuberculosis. Which statement by the
nurse indicates correct understanding of airborne precautions?
A. "I will wear a surgical mask when I am within three feet of the patient."
,B. "I need to put on an N95 respirator before entering the room."
C. "Gloves and gown are the only PPE required for this patient."
D. "The patient can be placed in a semi-private room with another patient."
Rationale: The best answer is B. Tuberculosis is airborne, requiring an N95 respirator or
higher-level protection, a private room with negative pressure, and the door kept closed.
Correct Answer: B
Q5. A nurse is opening a sterile package to create a sterile field. Which action maintains
sterility?
A. Opening the first flap away from the body, then the side flaps, then the flap closest to
the body
B. Touching the inner surface of the wrapper with bare hands to stabilize the field
C. Opening all flaps at once to save time
D. Placing the sterile field on the patient’s over-bed table without checking if it is clean
Rationale: The best answer is A. The first flap is opened away from the body to prevent
reaching over the sterile field, followed by side flaps and the nearest flap last to
maintain aseptic technique.
Correct Answer: A
Q6. While preparing a sterile dressing, the nurse accidentally touches the tip of the
sterile forceps to the outer edge of the sterile field. What is the nurse’s best action?
A. Continue the procedure because the outer edge is still considered sterile
, B. Discard the contaminated forceps and use a new sterile pair
C. Wipe the forceps with alcohol and continue
D. Set the forceps down on the sterile field and pick them up from the other end
Rationale: The best answer is B. Anything that falls below the waist level or touches a
non-sterile surface is considered contaminated; the nurse must obtain new sterile
supplies to prevent infection.
Correct Answer: B
Q7. An 84-year-old patient is admitted after a fall at home. The patient takes diuretics
and reports feeling dizzy when standing. Which intervention is the priority for fall
prevention?
A. Keep the bed in the highest position for easy exit
B. Ensure the call light is within reach and assist with all ambulation
C. Allow the patient to walk independently to maintain strength
D. Remove the bed alarm to prevent startling the patient
Rationale: The best answer is B. Keeping the call light accessible and assisting with
ambulation addresses the patient’s orthostatic dizziness and reduces the risk of
another fall.
Correct Answer: B
Q8. A confused patient repeatedly tries to remove their nasogastric tube. The provider
orders wrist restraints. Before applying them, what is the nurse’s priority action?
