HESI RN Exit Exam | NGN Nursing UP-TO-DATE 2026
EXAM QUESTIONS AND 100% ACCURATE SOLUTIONS |
Question And VERIFIED ANSWERS - INSTANT PDF
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SECTION 1: SAFETY & INFECTION CONTROL
Question 1
The nurse is caring for a client 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) Airborne precautions
Rationale: Tuberculosis is transmitted via airborne droplet nuclei. Airborne
precautions require an N95 respirator and negative pressure room. Contact
precautions are for MDROs; droplet precautions are for influenza and meningitis.
Question 2
A nurse sustains a needlestick injury from a client known to be HIV positive.
Which action should the nurse take first?
A) Report the injury to occupational health
B) Wash the site with soap and water
,C) Start post-exposure prophylaxis
D) Test the client for viral load
Correct Answer: B) Wash the site with soap and water
Rationale: Immediate wound care (washing with soap and water) is the first
step to reduce viral transmission risk. Then report the injury, then initiate PEP
within 72 hours.
Question 3
A client with Clostridioides difficile (C. diff) has frequent watery diarrhea. Which
type of precautions is required?
A) Airborne precautions
B) Droplet precautions
C) Contact precautions
D) Standard precautions only
Correct Answer: C) Contact precautions
Rationale: C. diff is transmitted via contact with contaminated surfaces or
feces. Contact precautions include gown and gloves, and handwashing with soap
and water (alcohol-based hand sanitizer is ineffective against C. diff spores).
Question 4
A nurse is preparing to insert a urinary catheter. Which technique is correct for
maintaining sterility?
A) Open the outer packaging and place on the bedside table
B) Use sterile gloves and a sterile field for all supplies
, C) Clean the meatus from back to front
D) Insert the catheter fully into the vagina if misplaced
Correct Answer: B) Use sterile gloves and a sterile field for all supplies
Rationale: Urinary catheter insertion requires sterile technique including sterile
gloves, sterile field, and sterile supplies. Cleaning is front to back, and a catheter
inserted into the vagina should be discarded.
Question 5
A client with varicella (chickenpox) is admitted. Which roommate assignment is
appropriate?
A) A client with pneumonia
B) A client with a fractured hip
C) A client who has had chickenpox previously
D) A client who is immunocompromised
Correct Answer: C) A client who has had chickenpox previously
Rationale: Clients who have had chickenpox are immune to varicella and can
safely room with an infected client. Immunocompromised clients and those
without immunity should not be exposed.
Question 6
A client with active measles (rubeola) is admitted. What type of precautions
should the nurse implement?
A) Contact precautions
B) Droplet precautions
EXAM QUESTIONS AND 100% ACCURATE SOLUTIONS |
Question And VERIFIED ANSWERS - INSTANT PDF
DOWNLOAD Latest PDF Update)
SECTION 1: SAFETY & INFECTION CONTROL
Question 1
The nurse is caring for a client 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) Airborne precautions
Rationale: Tuberculosis is transmitted via airborne droplet nuclei. Airborne
precautions require an N95 respirator and negative pressure room. Contact
precautions are for MDROs; droplet precautions are for influenza and meningitis.
Question 2
A nurse sustains a needlestick injury from a client known to be HIV positive.
Which action should the nurse take first?
A) Report the injury to occupational health
B) Wash the site with soap and water
,C) Start post-exposure prophylaxis
D) Test the client for viral load
Correct Answer: B) Wash the site with soap and water
Rationale: Immediate wound care (washing with soap and water) is the first
step to reduce viral transmission risk. Then report the injury, then initiate PEP
within 72 hours.
Question 3
A client with Clostridioides difficile (C. diff) has frequent watery diarrhea. Which
type of precautions is required?
A) Airborne precautions
B) Droplet precautions
C) Contact precautions
D) Standard precautions only
Correct Answer: C) Contact precautions
Rationale: C. diff is transmitted via contact with contaminated surfaces or
feces. Contact precautions include gown and gloves, and handwashing with soap
and water (alcohol-based hand sanitizer is ineffective against C. diff spores).
Question 4
A nurse is preparing to insert a urinary catheter. Which technique is correct for
maintaining sterility?
A) Open the outer packaging and place on the bedside table
B) Use sterile gloves and a sterile field for all supplies
, C) Clean the meatus from back to front
D) Insert the catheter fully into the vagina if misplaced
Correct Answer: B) Use sterile gloves and a sterile field for all supplies
Rationale: Urinary catheter insertion requires sterile technique including sterile
gloves, sterile field, and sterile supplies. Cleaning is front to back, and a catheter
inserted into the vagina should be discarded.
Question 5
A client with varicella (chickenpox) is admitted. Which roommate assignment is
appropriate?
A) A client with pneumonia
B) A client with a fractured hip
C) A client who has had chickenpox previously
D) A client who is immunocompromised
Correct Answer: C) A client who has had chickenpox previously
Rationale: Clients who have had chickenpox are immune to varicella and can
safely room with an infected client. Immunocompromised clients and those
without immunity should not be exposed.
Question 6
A client with active measles (rubeola) is admitted. What type of precautions
should the nurse implement?
A) Contact precautions
B) Droplet precautions
