Page 1 of 340
HESI FUNDAMENTALS EXIT EXAM
## COMPREHENSIVE TEST BANK
### V1, V2 & V3 | RN & PN | 2026-2027
ACADEMIC YEAR
ITSJEREGUIDES
# SECTION I: SAFETY & INFECTION CONTROL
**Question 1**
A nurse is caring for a client diagnosed with active pulmonary tuberculosis. Which type of
precautions should the nurse implement?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard precautions only
**Correct Answer: C**
**Rationale:** **Airborne precautions** are required for clients with active pulmonary
tuberculosis. These precautions include a **private negative-pressure room**, wearing an
**N95 respirator** or **high-efficiency particulate air (HEPA) respirator**, and ensuring the
client wears a surgical mask when transported outside the room. Airborne precautions are also
indicated for measles, varicella, and disseminated herpes zoster.
,Page 2 of 340
**Why the other answers are incorrect:**
- **A** is incorrect: Contact precautions are used for infections transmitted by direct contact,
such as MRSA, VRE, and C. difficile. TB is transmitted via airborne particles, not direct contact.
- **B** is incorrect: Droplet precautions are used for infections transmitted via respiratory
droplets larger than 5 microns, such as influenza, pertussis, and bacterial meningitis. TB
organisms are smaller and remain suspended in the air, requiring airborne precautions.
- **D** is incorrect: Standard precautions alone are insufficient for TB. Standard precautions are
the baseline infection control measures used for all clients, but TB requires additional airborne
precautions.
---
**Question 2**
A client on contact precautions for MRSA requires a wound dressing change. Which of the
following is the CORRECT sequence for donning personal protective equipment (PPE)?
A. Gown → Mask → Gloves → Eye protection
B. Mask → Gown → Eye protection → Gloves
C. Gown → Mask → Eye protection → Gloves
D. Gloves → Gown → Mask → Eye protection
**Correct Answer: C**
**Rationale:** The correct sequence for donning PPE is **gown first, then mask, then eye
protection, then gloves**. The gown is donned first to protect the torso, followed by the mask to
protect the mucous membranes, then eye protection, and finally gloves. This sequence ensures
that the hands are free to adjust other PPE and that the gloves are the last item donned to prevent
contamination.
,Page 3 of 340
**Why the other answers are incorrect:**
- **A** is incorrect: Gloves should be the **last** item donned, not the third. Donning gloves
before other PPE can contaminate the mask or eye protection.
- **B** is incorrect: The gown should be donned **before** the mask to protect the clothing.
Donning the mask first exposes the gown to potential contamination during the process.
- **D** is incorrect: Gloves should be the **last** item donned, not the first. Donning gloves
first makes it difficult to don other PPE without contaminating them.
---
**Question 3**
A nurse is preparing to perform a sterile procedure. Which action indicates a break in sterile
technique?
A. Opening the sterile package away from the body
B. Holding sterile items above waist level
C. Reaching over the sterile field to retrieve an item
D. Keeping the sterile field in the line of vision
**Correct Answer: C**
**Rationale:** **Reaching over the sterile field** is a break in sterile technique because it can
cause contamination from the non-sterile arm or clothing. The sterile field should be maintained
at waist level or above, and the nurse should **reach around the edge** of the sterile field, not
over it.
**Why the other answers are incorrect:**
- **A** is incorrect: Opening the sterile package **away from the body** is a correct action
that prevents contamination of the sterile contents by the nurse's clothing.
, Page 4 of 340
- **B** is incorrect: Holding sterile items **above waist level** is a correct action because the
waist is considered the boundary between sterile and non-sterile areas.
- **D** is incorrect: Keeping the sterile field in the line of vision is a correct action that allows
the nurse to monitor the field for contamination.
---
**Question 4**
A client with a urinary tract infection has a urine culture positive for vancomycin-resistant
Enterococcus (VRE). Which type of precautions should the nurse implement?
A. Airborne precautions
B. Droplet precautions
C. Contact precautions
D. Protective environment
**Correct Answer: C**
**Rationale:** **Contact precautions** are required for clients with VRE, MRSA, and other
multidrug-resistant organisms (MDROs) transmitted by direct contact. Contact precautions
include **private room** (or cohorting), **gloves and gown** for all contact with the client or
environment, and **dedicated equipment** or thorough cleaning between clients.
**Why the other answers are incorrect:**
- **A** is incorrect: Airborne precautions are for organisms transmitted via airborne particles,
such as TB, measles, and varicella. VRE is not transmitted via airborne route.
- **B** is incorrect: Droplet precautions are for organisms transmitted via respiratory droplets,
such as influenza and pertussis. VRE is transmitted via direct or indirect contact.
- **D** is incorrect: Protective environment is for immunocompromised clients (e.g., stem cell
transplant recipients) to protect them from infection, not to prevent transmission of MDROs.
HESI FUNDAMENTALS EXIT EXAM
## COMPREHENSIVE TEST BANK
### V1, V2 & V3 | RN & PN | 2026-2027
ACADEMIC YEAR
ITSJEREGUIDES
# SECTION I: SAFETY & INFECTION CONTROL
**Question 1**
A nurse is caring for a client diagnosed with active pulmonary tuberculosis. Which type of
precautions should the nurse implement?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard precautions only
**Correct Answer: C**
**Rationale:** **Airborne precautions** are required for clients with active pulmonary
tuberculosis. These precautions include a **private negative-pressure room**, wearing an
**N95 respirator** or **high-efficiency particulate air (HEPA) respirator**, and ensuring the
client wears a surgical mask when transported outside the room. Airborne precautions are also
indicated for measles, varicella, and disseminated herpes zoster.
,Page 2 of 340
**Why the other answers are incorrect:**
- **A** is incorrect: Contact precautions are used for infections transmitted by direct contact,
such as MRSA, VRE, and C. difficile. TB is transmitted via airborne particles, not direct contact.
- **B** is incorrect: Droplet precautions are used for infections transmitted via respiratory
droplets larger than 5 microns, such as influenza, pertussis, and bacterial meningitis. TB
organisms are smaller and remain suspended in the air, requiring airborne precautions.
- **D** is incorrect: Standard precautions alone are insufficient for TB. Standard precautions are
the baseline infection control measures used for all clients, but TB requires additional airborne
precautions.
---
**Question 2**
A client on contact precautions for MRSA requires a wound dressing change. Which of the
following is the CORRECT sequence for donning personal protective equipment (PPE)?
A. Gown → Mask → Gloves → Eye protection
B. Mask → Gown → Eye protection → Gloves
C. Gown → Mask → Eye protection → Gloves
D. Gloves → Gown → Mask → Eye protection
**Correct Answer: C**
**Rationale:** The correct sequence for donning PPE is **gown first, then mask, then eye
protection, then gloves**. The gown is donned first to protect the torso, followed by the mask to
protect the mucous membranes, then eye protection, and finally gloves. This sequence ensures
that the hands are free to adjust other PPE and that the gloves are the last item donned to prevent
contamination.
,Page 3 of 340
**Why the other answers are incorrect:**
- **A** is incorrect: Gloves should be the **last** item donned, not the third. Donning gloves
before other PPE can contaminate the mask or eye protection.
- **B** is incorrect: The gown should be donned **before** the mask to protect the clothing.
Donning the mask first exposes the gown to potential contamination during the process.
- **D** is incorrect: Gloves should be the **last** item donned, not the first. Donning gloves
first makes it difficult to don other PPE without contaminating them.
---
**Question 3**
A nurse is preparing to perform a sterile procedure. Which action indicates a break in sterile
technique?
A. Opening the sterile package away from the body
B. Holding sterile items above waist level
C. Reaching over the sterile field to retrieve an item
D. Keeping the sterile field in the line of vision
**Correct Answer: C**
**Rationale:** **Reaching over the sterile field** is a break in sterile technique because it can
cause contamination from the non-sterile arm or clothing. The sterile field should be maintained
at waist level or above, and the nurse should **reach around the edge** of the sterile field, not
over it.
**Why the other answers are incorrect:**
- **A** is incorrect: Opening the sterile package **away from the body** is a correct action
that prevents contamination of the sterile contents by the nurse's clothing.
, Page 4 of 340
- **B** is incorrect: Holding sterile items **above waist level** is a correct action because the
waist is considered the boundary between sterile and non-sterile areas.
- **D** is incorrect: Keeping the sterile field in the line of vision is a correct action that allows
the nurse to monitor the field for contamination.
---
**Question 4**
A client with a urinary tract infection has a urine culture positive for vancomycin-resistant
Enterococcus (VRE). Which type of precautions should the nurse implement?
A. Airborne precautions
B. Droplet precautions
C. Contact precautions
D. Protective environment
**Correct Answer: C**
**Rationale:** **Contact precautions** are required for clients with VRE, MRSA, and other
multidrug-resistant organisms (MDROs) transmitted by direct contact. Contact precautions
include **private room** (or cohorting), **gloves and gown** for all contact with the client or
environment, and **dedicated equipment** or thorough cleaning between clients.
**Why the other answers are incorrect:**
- **A** is incorrect: Airborne precautions are for organisms transmitted via airborne particles,
such as TB, measles, and varicella. VRE is not transmitted via airborne route.
- **B** is incorrect: Droplet precautions are for organisms transmitted via respiratory droplets,
such as influenza and pertussis. VRE is transmitted via direct or indirect contact.
- **D** is incorrect: Protective environment is for immunocompromised clients (e.g., stem cell
transplant recipients) to protect them from infection, not to prevent transmission of MDROs.
