BSN 225 HESI RN Specialty Fundamentals of Nursing Exam Prep Practice Questions
with Rationales (Latest Update 2026/2027) | 100% Correct | Grade A - Nightingale
2026/2027
OBJECTIVE ASSESSMENT - EXAM
BSN 225 HESI RN Specialty
Fundamentals of Nursing Exam Prep
Practice Questions with Rationales
(Latest Update 2026/2027) | 100%
Correct | Grade A - Nightingale
2026/2027
75 100% 2026
2027
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Basic Nursing Care & Comfort
Patient Safety & Infection Control
Health Assessment & Vital Signs
Nursing Process & Clinical Decision Making
Psychosocial & Ethical Nursing Care
Legal Standards & Patient Rights
COVER PAGE - 1
, SECTION 1 | Basic Nursing Care & Comfort | Q1-Q15 | BSN 225 HESI RN Specialty Fundamentals of Nursing Exam
Prep Practice Questions with Rationales (Latest Update 2026/2027) | 100% Correct | Grade A - Nightingale 2026/2027
2026/2027
Q1 Question 1 of 75
A 72-year-old patient confined to bed after a hip replacement requires a complete bed bath.
The nurse observes redness over the sacral area that does not blanch when pressed with a
finger.
Re osition the patient every 4 hours and apply a donut-shaped cushion under the sacrum
Ap ly a transparent film dressing over the area and limit all repositioning to prevent further skin
breakdown
Ma sage the reddened area vigorously to improve circulation and apply a heating pad for 20
minutes
Do ument the finding as a Stage I pressure injury and implement a turning schedule every 2 hours
Correct Answer: D
Rationale:
Non-blanchable erythema is the hallmark of a Stage I pressure injury, requiring immediate repositioning
every 2 hours to relieve pressure. Massaging the area (C) or using a donut cushion (A) can cause
further tissue damage by restricting blood flow or creating additional pressure points.
BSN 225 HESI RN Specialty Fundamentals of Nursing Exam Prep Practice Questions with Rationales (Latest Update 2026/2027) | 100% Correct | Grade A - Nightingale 2026/2027 2026/2027 | Passing Score:
80% | Page 2 of 75
, Q2 Question 2 of 75
A 65-year-old post-stroke patient has left-sided hemiparesis and requires passive
range-of-motion exercises. The nurse begins moving the patient's left shoulder through flexion,
and the patient winces and verbalizes discomfort at 90 degrees of flexion.
Co tinue the movement through the full range of motion to prevent contracture formation despite
the discomfort
Sw tch to active-assisted range of motion and instruct the patient to move the arm independently
through the painful arc
Ap ly a warm compress to the shoulder for 15 minutes and then repeat the exercise to achieve full
range
St p the movement at the point of pain and document the range achieved as the new baseline for
this joint
Correct Answer: D
Rationale:
Passive ROM should stop at the point of pain to prevent tissue injury and joint damage; the pain
threshold becomes the documented baseline. Forcing movement past pain (A) can cause muscle tears
or joint inflammation, and warm compresses (C) do not address the underlying limitation.
BSN 225 HESI RN Specialty Fundamentals of Nursing Exam Prep Practice Questions with Rationales (Latest Update 2026/2027) | 100% Correct | Grade A - Nightingale 2026/2027 2026/2027 | Passing Score:
80% | Page 3 of 75
, Q3 Question 3 of 75
A 58-year-old patient with dysphagia following a cerebrovascular accident is scheduled to
receive enteral tube feeding via a nasogastric tube. Before initiating the feeding, the nurse
aspirates 250 mL of residual gastric content from the tube.
Re urn the aspirated content to the stomach and begin the feeding at the prescribed rate of 80 mL
per hour
Di card the aspirated content, flush the tube with 30 mL of water, and begin the feeding at half the
prescribed rate
Ho d the feeding and recheck the residual volume in 1 hour before making a decision about
restarting the feeding
Re urn half of the aspirate, begin the feeding at 40 mL per hour, and reassess residuals in 4 hours
Correct Answer: C
Rationale:
A gastric residual volume of 250 mL exceeds the commonly accepted threshold of 200 mL and places
the patient at risk for aspiration; the feeding should be held and reassessed. Returning large volumes
(A) increases the risk of regurgitation, and discarding then starting at half rate (B) does not address that
the stomach has not adequately emptied.
BSN 225 HESI RN Specialty Fundamentals of Nursing Exam Prep Practice Questions with Rationales (Latest Update 2026/2027) | 100% Correct | Grade A - Nightingale 2026/2027 2026/2027 | Passing Score:
80% | Page 4 of 75
with Rationales (Latest Update 2026/2027) | 100% Correct | Grade A - Nightingale
2026/2027
OBJECTIVE ASSESSMENT - EXAM
BSN 225 HESI RN Specialty
Fundamentals of Nursing Exam Prep
Practice Questions with Rationales
(Latest Update 2026/2027) | 100%
Correct | Grade A - Nightingale
2026/2027
75 100% 2026
2027
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Basic Nursing Care & Comfort
Patient Safety & Infection Control
Health Assessment & Vital Signs
Nursing Process & Clinical Decision Making
Psychosocial & Ethical Nursing Care
Legal Standards & Patient Rights
COVER PAGE - 1
, SECTION 1 | Basic Nursing Care & Comfort | Q1-Q15 | BSN 225 HESI RN Specialty Fundamentals of Nursing Exam
Prep Practice Questions with Rationales (Latest Update 2026/2027) | 100% Correct | Grade A - Nightingale 2026/2027
2026/2027
Q1 Question 1 of 75
A 72-year-old patient confined to bed after a hip replacement requires a complete bed bath.
The nurse observes redness over the sacral area that does not blanch when pressed with a
finger.
Re osition the patient every 4 hours and apply a donut-shaped cushion under the sacrum
Ap ly a transparent film dressing over the area and limit all repositioning to prevent further skin
breakdown
Ma sage the reddened area vigorously to improve circulation and apply a heating pad for 20
minutes
Do ument the finding as a Stage I pressure injury and implement a turning schedule every 2 hours
Correct Answer: D
Rationale:
Non-blanchable erythema is the hallmark of a Stage I pressure injury, requiring immediate repositioning
every 2 hours to relieve pressure. Massaging the area (C) or using a donut cushion (A) can cause
further tissue damage by restricting blood flow or creating additional pressure points.
BSN 225 HESI RN Specialty Fundamentals of Nursing Exam Prep Practice Questions with Rationales (Latest Update 2026/2027) | 100% Correct | Grade A - Nightingale 2026/2027 2026/2027 | Passing Score:
80% | Page 2 of 75
, Q2 Question 2 of 75
A 65-year-old post-stroke patient has left-sided hemiparesis and requires passive
range-of-motion exercises. The nurse begins moving the patient's left shoulder through flexion,
and the patient winces and verbalizes discomfort at 90 degrees of flexion.
Co tinue the movement through the full range of motion to prevent contracture formation despite
the discomfort
Sw tch to active-assisted range of motion and instruct the patient to move the arm independently
through the painful arc
Ap ly a warm compress to the shoulder for 15 minutes and then repeat the exercise to achieve full
range
St p the movement at the point of pain and document the range achieved as the new baseline for
this joint
Correct Answer: D
Rationale:
Passive ROM should stop at the point of pain to prevent tissue injury and joint damage; the pain
threshold becomes the documented baseline. Forcing movement past pain (A) can cause muscle tears
or joint inflammation, and warm compresses (C) do not address the underlying limitation.
BSN 225 HESI RN Specialty Fundamentals of Nursing Exam Prep Practice Questions with Rationales (Latest Update 2026/2027) | 100% Correct | Grade A - Nightingale 2026/2027 2026/2027 | Passing Score:
80% | Page 3 of 75
, Q3 Question 3 of 75
A 58-year-old patient with dysphagia following a cerebrovascular accident is scheduled to
receive enteral tube feeding via a nasogastric tube. Before initiating the feeding, the nurse
aspirates 250 mL of residual gastric content from the tube.
Re urn the aspirated content to the stomach and begin the feeding at the prescribed rate of 80 mL
per hour
Di card the aspirated content, flush the tube with 30 mL of water, and begin the feeding at half the
prescribed rate
Ho d the feeding and recheck the residual volume in 1 hour before making a decision about
restarting the feeding
Re urn half of the aspirate, begin the feeding at 40 mL per hour, and reassess residuals in 4 hours
Correct Answer: C
Rationale:
A gastric residual volume of 250 mL exceeds the commonly accepted threshold of 200 mL and places
the patient at risk for aspiration; the feeding should be held and reassessed. Returning large volumes
(A) increases the risk of regurgitation, and discarding then starting at half rate (B) does not address that
the stomach has not adequately emptied.
BSN 225 HESI RN Specialty Fundamentals of Nursing Exam Prep Practice Questions with Rationales (Latest Update 2026/2027) | 100% Correct | Grade A - Nightingale 2026/2027 2026/2027 | Passing Score:
80% | Page 4 of 75
