HESI Fundamentals of Nursing Exam
Questions And Answers Plus Rationales
2026/27 Instant Pdf Download
Safety & Infection Control
1. A nurse is preparing to insert an indwelling urinary
catheter. Which technique requires the use of sterile
gloves?
A. Removing the catheter from the package
B. Cleaning the meatus with antiseptic swabs
C. Handling the sterile catheter and drapes
D. Securing the catheter to the thigh
Answer: C. Handling the sterile catheter and drapes
Rationale: Sterile gloves are required for the sterile field and
handling sterile equipment. Cleaning the meatus is done with
clean gloves; securing the catheter uses clean gloves.
2. A client on contact precautions for Clostridioides
difficile infection. Which action by the UAP requires
intervention?
,A. Wearing a gown and gloves when entering the room
B. Using alcohol-based hand rub after removing gloves
C. Washing hands with soap and water before leaving the room
D. Placing a "Contact Precautions" sign on the door
Answer: B. Using alcohol-based hand rub after removing
gloves
Rationale: Alcohol-based hand rub does not kill C.
difficile spores. Soap and water must be used. Gown/gloves are
correct; signage is required.
3. A client falls while getting out of bed. After ensuring the
client is safe, what is the nurse’s priority documentation?
A. The time and location of the fall
B. The names of all staff who witnessed the fall
C. The client’s vital signs and neurological status
D. A detailed description of the events and any injuries, plus
notification of the provider
Answer: D. A detailed description of the events and any
injuries, plus notification of the provider
Rationale: Incident reports should document the facts, not
assign blame. Assessment findings and provider notification are
critical. The incident report is a separate, confidential document.
,4. A nurse is applying wrist restraints to a confused client
who is pulling at IV lines. Which action is correct?
A. Tie the restraints to the side rail of the bed
B. Secure the restraints with a quick-release knot to the bed
frame
C. Apply the restraints tightly to prevent movement
D. Release the restraints every 4 hours for skin assessment
Answer: B. Secure the restraints with a quick-release knot to
the bed frame
Rationale: Restraints must be attached to the bed frame (not
side rails) with a quick-release knot. They should allow some
movement (2 fingers between restraint and skin). Release every
2 hours for skin check and range of motion.
5. A nurse is caring for a client with a new diagnosis of
tuberculosis. Which type of precautions should the nurse
implement?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard precautions only
, Answer: C. Airborne precautions
Rationale: Tuberculosis is transmitted via airborne droplets (<5
microns). Airborne precautions include an N95 respirator and
negative pressure room.
6. A client is on fall precautions. Which action by the night
shift nurse requires correction?
A. Placing the call light within reach
B. Keeping the bed in the lowest position
C. Using two side rails up
D. Leaving the bathroom light off to promote sleep
Answer: D. Leaving the bathroom light off to promote sleep
Rationale: A nightlight or low lighting should be on to prevent
falls when the client gets up. Complete darkness increases fall
risk.
7. A nurse is preparing to administer a blood transfusion.
Which IV solution is compatible for priming the tubing?
A. Dextrose 5% in water (D5W)
B. Lactated Ringer’s (LR)
C. 0.9% Normal Saline (NS)
D. Dextrose 5% in 0.45% saline
Questions And Answers Plus Rationales
2026/27 Instant Pdf Download
Safety & Infection Control
1. A nurse is preparing to insert an indwelling urinary
catheter. Which technique requires the use of sterile
gloves?
A. Removing the catheter from the package
B. Cleaning the meatus with antiseptic swabs
C. Handling the sterile catheter and drapes
D. Securing the catheter to the thigh
Answer: C. Handling the sterile catheter and drapes
Rationale: Sterile gloves are required for the sterile field and
handling sterile equipment. Cleaning the meatus is done with
clean gloves; securing the catheter uses clean gloves.
2. A client on contact precautions for Clostridioides
difficile infection. Which action by the UAP requires
intervention?
,A. Wearing a gown and gloves when entering the room
B. Using alcohol-based hand rub after removing gloves
C. Washing hands with soap and water before leaving the room
D. Placing a "Contact Precautions" sign on the door
Answer: B. Using alcohol-based hand rub after removing
gloves
Rationale: Alcohol-based hand rub does not kill C.
difficile spores. Soap and water must be used. Gown/gloves are
correct; signage is required.
3. A client falls while getting out of bed. After ensuring the
client is safe, what is the nurse’s priority documentation?
A. The time and location of the fall
B. The names of all staff who witnessed the fall
C. The client’s vital signs and neurological status
D. A detailed description of the events and any injuries, plus
notification of the provider
Answer: D. A detailed description of the events and any
injuries, plus notification of the provider
Rationale: Incident reports should document the facts, not
assign blame. Assessment findings and provider notification are
critical. The incident report is a separate, confidential document.
,4. A nurse is applying wrist restraints to a confused client
who is pulling at IV lines. Which action is correct?
A. Tie the restraints to the side rail of the bed
B. Secure the restraints with a quick-release knot to the bed
frame
C. Apply the restraints tightly to prevent movement
D. Release the restraints every 4 hours for skin assessment
Answer: B. Secure the restraints with a quick-release knot to
the bed frame
Rationale: Restraints must be attached to the bed frame (not
side rails) with a quick-release knot. They should allow some
movement (2 fingers between restraint and skin). Release every
2 hours for skin check and range of motion.
5. A nurse is caring for a client with a new diagnosis of
tuberculosis. Which type of precautions should the nurse
implement?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard precautions only
, Answer: C. Airborne precautions
Rationale: Tuberculosis is transmitted via airborne droplets (<5
microns). Airborne precautions include an N95 respirator and
negative pressure room.
6. A client is on fall precautions. Which action by the night
shift nurse requires correction?
A. Placing the call light within reach
B. Keeping the bed in the lowest position
C. Using two side rails up
D. Leaving the bathroom light off to promote sleep
Answer: D. Leaving the bathroom light off to promote sleep
Rationale: A nightlight or low lighting should be on to prevent
falls when the client gets up. Complete darkness increases fall
risk.
7. A nurse is preparing to administer a blood transfusion.
Which IV solution is compatible for priming the tubing?
A. Dextrose 5% in water (D5W)
B. Lactated Ringer’s (LR)
C. 0.9% Normal Saline (NS)
D. Dextrose 5% in 0.45% saline
