BSN 225 HESI RN Specialty Fundamentals of Nursing Exam Prep (Latest Update 2026/2027) Questions & Answers |
100% Correct | Grade A - Nightingale 2026/2027 - 2026/2027 Official Exam
OBJECTIVE ASSESSMENT - EXAM
BSN 225 HESI RN Specialty Fundamentals of Nursing Exam Prep
(Latest Update 2026/2027) Questions & Answers | 100% Correct |
Grade A - Nightingale 2026/2027 - 2026/2027 Official Exam
Health Promotion & Maintenance Across Lifespan Pharmacological & Parenteral Therapies
75 100%
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Safe Effective Care Environment & Infection Control Basic Care, Comfort & Mobility Interventions
COVER PAGE - 1
, SECTION 1 | Safe Effective Care Environment | Q1-Q15 | BSN 225 HESI RN Specialty Fundamentals of Nursing Exam Prep (Latest
Update 2026/2027) Questions & Answers | 100% Correct | Grade A - Nightingale 2026/2027 - 2026/2027 Official Exam 2026/2027
1
Q1 Question 1 of 75
A 72-year-old inpatient with Clostridioides difficile infection is being cared for in a private
room. The nurse has just completed perineal care and is preparing to exit the room. Which
hand hygiene action is most appropriate before leaving the bedside?
A. Wash hands with soap and warm running water for at least 20 seconds, friction on all
surfaces
B. Apply an alcohol-based hand sanitizer to all surfaces of the hands and wrists until dry
C. Wipe hands with a single-use antiseptic towelette and allow them to air dry
D. Don fresh gloves before touching the door handle to exit the room
Correct Answer: A
Rationale:
Alcohol-based hand sanitizers do not destroy C. difficile spores, which require mechanical removal with
soap and water. The CDC mandates soap-and-water hand hygiene after caring for patients with
suspected or confirmed C. difficile. Option B is incorrect because alcohol gel is ineffective against
spores, and option C does not achieve adequate decontamination.
BSN 225 HESI RN Specialty Fundamentals of Nursing Exam Prep (Latest Update 2026/2027) Questions & Answers | 100% Correct | Grade A - Nightingale 2026/2027 - 2026/2027 Official Exam
2026/2027 | Passing Score: 80% | Page 2 of 42
, Q2 Question 2 of 75
A new graduate nurse is preparing to enter the room of a patient on contact precautions for a
draining methicillin-resistant Staphylococcus aureus wound. In which order should the nurse
don personal protective equipment before providing direct care?
A. Gloves first, then gown, then mask, then eye protection last
B. Mask first, then goggles, then gown, then gloves pulled over cuffs
C. Gown first, then mask or respirator, then goggles or face shield, then gloves last
D. Goggles first, then mask, then gown, then gloves last
Correct Answer: C
Rationale:
The CDC-recommended donning sequence is gown, mask/respirator, goggles or face shield, and gloves
last so that gloves cover gown cuffs. This sequence minimizes contamination of exposed skin and
mucous membranes. Option B places the mask before the gown, which is incorrect; options A and D put
gloves or goggles first, which violates aseptic principles.
Q3 Question 3 of 75
After completing care for a patient on droplet precautions, the nurse needs to remove
personal protective equipment safely. Which removal sequence best reduces the risk of
self-contamination?
A. Remove the gown first, then goggles, then mask, then gloves last
B. Remove goggles first, then mask, then gown, then gloves last
C. Remove mask first, then gloves, then gown, then goggles last
D. Remove gloves first, then goggles, then gown, then mask or respirator last
Correct Answer: D
Rationale:
The doffing sequence removes the most contaminated items first: gloves (most contaminated), then
goggles or face shield, then gown, and mask last so the nurse's face is not exposed during removal.
Hand hygiene is performed immediately after doffing. Option A removes the gown first, leaving
contaminated gloves on; option C removes the mask first, risking facial contamination.
BSN 225 HESI RN Specialty Fundamentals of Nursing Exam Prep (Latest Update 2026/2027) Questions & Answers | 100% Correct | Grade A - Nightingale 2026/2027 - 2026/2027 Official Exam
2026/2027 | Passing Score: 80% | Page 3 of 42
, Q4 Question 4 of 75
A 45-year-old patient is admitted with suspected pulmonary tuberculosis and a productive
cough. Which room assignment and respiratory protection measure is most appropriate for
this patient?
A. Place in a private positive-pressure room; staff wear a standard surgical mask
B. Place in a private negative-pressure airborne infection isolation room; staff wear an N95
respirator
C. Place in a semi-private room with another respiratory patient; staff wear a surgical mask
D. Place in a private room with standard precautions; staff wear eye protection only
Correct Answer: B
Rationale:
Pulmonary tuberculosis requires airborne precautions: a negative-pressure airborne infection isolation
room (AIIR) with at least 6 to 12 air exchanges per hour and an N95 or higher respirator for staff. Option
A is wrong because positive pressure would push contaminated air into the hallway; option C fails to
provide isolation, and option D omits respiratory protection.
Q5 Question 5 of 75
A 35-year-old patient is diagnosed with confirmed influenza and is admitted to the medical
unit. Which infection control measure is most appropriate to prevent transmission to other
patients and staff?
A. Place the patient in a private room or cohort; staff wear a surgical mask within 3 to 6 feet
of the patient
B. Place the patient in a private negative-pressure room with N95 respirators for staff
C. Place the patient in a semi-private room with a patient on antibiotics; no mask required
D. Place the patient in a private room with eye protection only for staff
Correct Answer: A
Rationale:
Influenza is transmitted by large respiratory droplets and requires droplet precautions: a private room or
cohorting and a surgical mask worn within 3 to 6 feet of the patient. Option B describes airborne
precautions, which are not required for influenza; option C fails to isolate the patient; option D omits the
surgical mask needed for droplet transmission.
BSN 225 HESI RN Specialty Fundamentals of Nursing Exam Prep (Latest Update 2026/2027) Questions & Answers | 100% Correct | Grade A - Nightingale 2026/2027 - 2026/2027 Official Exam
2026/2027 | Passing Score: 80% | Page 4 of 42