BSN 225 HESI RN FUNDAMENTAL STUDY
QUESTIONS AND CORRECT ANSWERS (VRIFIED
ANSWERS) Q&A 2026/2027 |INSTANT
DOWNLOAD PDF
1. Which action should the nurse perform first when entering
a patient's room?
A. Administer medications
B. Wash hands
C. Check vital signs
D. Adjust the bed
Correct Answer: B. Wash hands
Rationale: Hand hygiene is the single most effective method of
preventing healthcare-associated infections and should always
be performed before patient contact.
2. Which pulse site is most appropriate during
cardiopulmonary resuscitation (CPR) in an adult?
A. Radial
B. Brachial
C. Carotid
D. Pedal
,Correct Answer: C. Carotid
Rationale: The carotid artery is the preferred pulse site in
unconscious adults because it is a central artery that is easily
accessible.
3. Which position is best for a patient experiencing shortness
of breath?
A. Supine
B. Trendelenburg
C. High Fowler's
D. Prone
Correct Answer: C. High Fowler's
Rationale: High Fowler's position maximizes lung expansion
and improves breathing.
4. Which patient is at the highest risk for developing pressure
injuries?
A. Ambulatory adolescent
B. Elderly patient on bed rest
C. Healthy adult with a sprained ankle
D. Preschool child
Correct Answer: B. Elderly patient on bed rest
,Rationale: Immobility, advanced age, and poor circulation
greatly increase pressure injury risk.
5. Which intervention best prevents falls in hospitalized
patients?
A. Raise all four side rails
B. Keep the bed in the lowest position
C. Encourage patients to walk alone
D. Dim all hallway lights
Correct Answer: B. Keep the bed in the lowest position
Rationale: A low bed position reduces injury risk if the patient
attempts to get out of bed.
6. Which assessment finding requires immediate nursing
intervention?
A. Temperature 98.6°F (37°C)
B. Respiratory rate 8 breaths/minute
C. Pulse 82 beats/minute
D. Blood pressure 124/76 mmHg
Correct Answer: B. Respiratory rate 8 breaths/minute
Rationale: A respiratory rate of 8 indicates respiratory
depression and requires immediate evaluation.
, 7. Which nursing action demonstrates advocacy?
A. Completing documentation promptly
B. Speaking to the provider about the patient's concerns
C. Administering medications on time
D. Following physician orders without question
Correct Answer: B. Speaking to the provider about the patient's
concerns
Rationale: Advocacy involves protecting patient rights and
communicating patient needs.
8. Which principle is included in Standard Precautions?
A. Wear sterile gloves for every patient encounter.
B. Perform hand hygiene before and after patient contact.
C. Isolate every patient.
D. Wear an N95 respirator at all times.
Correct Answer: B. Perform hand hygiene before and after
patient contact.
Rationale: Standard Precautions apply to all patients and
emphasize hand hygiene.
9. Which patient should the nurse assess first?
A. Patient with pain rated 4/10
B. Patient with oxygen saturation of 86%
QUESTIONS AND CORRECT ANSWERS (VRIFIED
ANSWERS) Q&A 2026/2027 |INSTANT
DOWNLOAD PDF
1. Which action should the nurse perform first when entering
a patient's room?
A. Administer medications
B. Wash hands
C. Check vital signs
D. Adjust the bed
Correct Answer: B. Wash hands
Rationale: Hand hygiene is the single most effective method of
preventing healthcare-associated infections and should always
be performed before patient contact.
2. Which pulse site is most appropriate during
cardiopulmonary resuscitation (CPR) in an adult?
A. Radial
B. Brachial
C. Carotid
D. Pedal
,Correct Answer: C. Carotid
Rationale: The carotid artery is the preferred pulse site in
unconscious adults because it is a central artery that is easily
accessible.
3. Which position is best for a patient experiencing shortness
of breath?
A. Supine
B. Trendelenburg
C. High Fowler's
D. Prone
Correct Answer: C. High Fowler's
Rationale: High Fowler's position maximizes lung expansion
and improves breathing.
4. Which patient is at the highest risk for developing pressure
injuries?
A. Ambulatory adolescent
B. Elderly patient on bed rest
C. Healthy adult with a sprained ankle
D. Preschool child
Correct Answer: B. Elderly patient on bed rest
,Rationale: Immobility, advanced age, and poor circulation
greatly increase pressure injury risk.
5. Which intervention best prevents falls in hospitalized
patients?
A. Raise all four side rails
B. Keep the bed in the lowest position
C. Encourage patients to walk alone
D. Dim all hallway lights
Correct Answer: B. Keep the bed in the lowest position
Rationale: A low bed position reduces injury risk if the patient
attempts to get out of bed.
6. Which assessment finding requires immediate nursing
intervention?
A. Temperature 98.6°F (37°C)
B. Respiratory rate 8 breaths/minute
C. Pulse 82 beats/minute
D. Blood pressure 124/76 mmHg
Correct Answer: B. Respiratory rate 8 breaths/minute
Rationale: A respiratory rate of 8 indicates respiratory
depression and requires immediate evaluation.
, 7. Which nursing action demonstrates advocacy?
A. Completing documentation promptly
B. Speaking to the provider about the patient's concerns
C. Administering medications on time
D. Following physician orders without question
Correct Answer: B. Speaking to the provider about the patient's
concerns
Rationale: Advocacy involves protecting patient rights and
communicating patient needs.
8. Which principle is included in Standard Precautions?
A. Wear sterile gloves for every patient encounter.
B. Perform hand hygiene before and after patient contact.
C. Isolate every patient.
D. Wear an N95 respirator at all times.
Correct Answer: B. Perform hand hygiene before and after
patient contact.
Rationale: Standard Precautions apply to all patients and
emphasize hand hygiene.
9. Which patient should the nurse assess first?
A. Patient with pain rated 4/10
B. Patient with oxygen saturation of 86%
