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
75 100% 2026/2027
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Safety and Infection Control Protocols Basic Care and Comfort Interventions
Health Promotion and Disease Prevention Pharmacological Therapies and Dosage
Psychosocial Integrity and Mental Health Clinical Nursing Fundamentals and Skills
COVER PAGE - 1
, SECTION 1 | Safe and 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
Q1 Question 1 of 75
An 82-year-old female resident of a long-term care facility is transferred to the medical-surgical unit
with a draining wound culture positive for methicillin-resistant Staphylococcus aureus. The nurse
prepares to administer an oral antibiotic and should don which personal protective equipment before
entering the room?
A. Gown and gloves
B. Surgical mask and goggles
C. N95 respirator, gown, and gloves
D. Sterile gloves and shoe covers
Correct Answer: A
Rationale:
MRSA is transmitted by direct contact, requiring gown and gloves for all patient interactions. N95
respirators are reserved for airborne pathogens such as tuberculosis, and sterile gloves are not indicated
for routine medication administration.
Q2 Question 2 of 75
A 76-year-old male admitted with pneumonia scores 65 on the Morse Fall Scale during shift
assessment on a medical-surgical unit. Which combination of interventions should the nurse
implement as the priority fall-prevention strategy?
A. Bed alarm and four raised side rails at all times
B. Hourly rounding, low bed position, and a bed alarm
C. Soft wrist restraints with a PRN order for agitation
D. One-to-one sitter for 24 hours and a lap buddy
Correct Answer: B
Rationale:
A Morse score of 65 indicates high fall risk; hourly rounding addresses toileting and positioning needs, a
low bed reduces injury if a fall occurs, and a bed alarm alerts staff to wandering. Four side rails can be
considered a restraint, and restraints are never first-line.
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 40
, Q3 Question 3 of 75
A newly licensed nurse prepares to administer digoxin to a 71-year-old female who is wearing a
yellow allergy band and has an armband on her right wrist. Which action by the nurse demonstrates
correct patient identification before giving the medication?
A. Asking the patient to state her room number and date of birth
B. Comparing the medication administration record with the room door label
C. Asking the patient to state her full name and date of birth while comparing the armband
D. Asking the patient's spouse to confirm the patient's identity at the bedside
Correct Answer: C
Rationale:
The Joint Commission requires two patient identifiers, preferably name and date of birth, verified against
the armband. The room number and bed location are not acceptable identifiers, and family confirmation
does not replace patient verification.
Q4 Question 4 of 75
A 67-year-old male with hepatic encephalopathy repeatedly pulls at his nasogastric tube and IV line
despite redirection and family presence. The nurse considers applying soft wrist restraints. Which
intervention must be attempted and documented before restraint use?
A. Administration of PRN lorazepam to induce sleep
B. Asking security to assess the patient for elopement risk
C. Transferring the patient to the intensive care unit for closer monitoring
D. Concealing the NG tube and IV tubing under a gown and using mitten gloves
Correct Answer: D
Rationale:
Least-restrictive alternatives must be attempted and documented before physical restraints, including
camouflaging tubing and using mitten restraints. Chemical sedation is not a substitute for behavioral
interventions, and restraint use requires a clear clinical indication.
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 40
, Q5 Question 5 of 75
A small trash can fire ignites in a patient's room while the nurse is changing a dressing on a
68-year-old male who is on 4 L/min oxygen via nasal cannula. Place the nurse's actions in the correct
order using the RACE sequence and identify the first action.
A. Rescue the patient from the immediate area
B. Activate the fire alarm pull station on the unit
C. Close the door to confine the fire
D. Attempt to extinguish the fire with a Class A extinguisher
Correct Answer: A
Rationale:
The RACE sequence prioritizes rescue of any individuals in immediate danger as the first action. Alarm
activation, confinement, and extinguishing follow in order; oxygen should be removed from the patient
during rescue if it can be done safely.
Q6 Question 6 of 75
The circulating nurse prepares to initiate the surgical timeout for a 54-year-old patient scheduled for a
left total knee arthroplasty. Which action must occur during the timeout before the first incision?
A. Verifying the patient's insurance and consent forms with administration
B. Confirming the surgical site, procedure, and patient identity with the team
C. Counting all sponges, sharps, and instruments with the scrub nurse
D. Drawing a surgical marker across the operative site with the surgeon
Correct Answer: B
Rationale:
The Universal Protocol requires the surgical team to pause and confirm patient identity, procedure, site,
and laterality before incision. Counts occur before incision and at closure, while marking the site occurs
preoperatively during the consent phase.
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 40
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
75 100% 2026/2027
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Safety and Infection Control Protocols Basic Care and Comfort Interventions
Health Promotion and Disease Prevention Pharmacological Therapies and Dosage
Psychosocial Integrity and Mental Health Clinical Nursing Fundamentals and Skills
COVER PAGE - 1
, SECTION 1 | Safe and 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
Q1 Question 1 of 75
An 82-year-old female resident of a long-term care facility is transferred to the medical-surgical unit
with a draining wound culture positive for methicillin-resistant Staphylococcus aureus. The nurse
prepares to administer an oral antibiotic and should don which personal protective equipment before
entering the room?
A. Gown and gloves
B. Surgical mask and goggles
C. N95 respirator, gown, and gloves
D. Sterile gloves and shoe covers
Correct Answer: A
Rationale:
MRSA is transmitted by direct contact, requiring gown and gloves for all patient interactions. N95
respirators are reserved for airborne pathogens such as tuberculosis, and sterile gloves are not indicated
for routine medication administration.
Q2 Question 2 of 75
A 76-year-old male admitted with pneumonia scores 65 on the Morse Fall Scale during shift
assessment on a medical-surgical unit. Which combination of interventions should the nurse
implement as the priority fall-prevention strategy?
A. Bed alarm and four raised side rails at all times
B. Hourly rounding, low bed position, and a bed alarm
C. Soft wrist restraints with a PRN order for agitation
D. One-to-one sitter for 24 hours and a lap buddy
Correct Answer: B
Rationale:
A Morse score of 65 indicates high fall risk; hourly rounding addresses toileting and positioning needs, a
low bed reduces injury if a fall occurs, and a bed alarm alerts staff to wandering. Four side rails can be
considered a restraint, and restraints are never first-line.
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 40
, Q3 Question 3 of 75
A newly licensed nurse prepares to administer digoxin to a 71-year-old female who is wearing a
yellow allergy band and has an armband on her right wrist. Which action by the nurse demonstrates
correct patient identification before giving the medication?
A. Asking the patient to state her room number and date of birth
B. Comparing the medication administration record with the room door label
C. Asking the patient to state her full name and date of birth while comparing the armband
D. Asking the patient's spouse to confirm the patient's identity at the bedside
Correct Answer: C
Rationale:
The Joint Commission requires two patient identifiers, preferably name and date of birth, verified against
the armband. The room number and bed location are not acceptable identifiers, and family confirmation
does not replace patient verification.
Q4 Question 4 of 75
A 67-year-old male with hepatic encephalopathy repeatedly pulls at his nasogastric tube and IV line
despite redirection and family presence. The nurse considers applying soft wrist restraints. Which
intervention must be attempted and documented before restraint use?
A. Administration of PRN lorazepam to induce sleep
B. Asking security to assess the patient for elopement risk
C. Transferring the patient to the intensive care unit for closer monitoring
D. Concealing the NG tube and IV tubing under a gown and using mitten gloves
Correct Answer: D
Rationale:
Least-restrictive alternatives must be attempted and documented before physical restraints, including
camouflaging tubing and using mitten restraints. Chemical sedation is not a substitute for behavioral
interventions, and restraint use requires a clear clinical indication.
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 40
, Q5 Question 5 of 75
A small trash can fire ignites in a patient's room while the nurse is changing a dressing on a
68-year-old male who is on 4 L/min oxygen via nasal cannula. Place the nurse's actions in the correct
order using the RACE sequence and identify the first action.
A. Rescue the patient from the immediate area
B. Activate the fire alarm pull station on the unit
C. Close the door to confine the fire
D. Attempt to extinguish the fire with a Class A extinguisher
Correct Answer: A
Rationale:
The RACE sequence prioritizes rescue of any individuals in immediate danger as the first action. Alarm
activation, confinement, and extinguishing follow in order; oxygen should be removed from the patient
during rescue if it can be done safely.
Q6 Question 6 of 75
The circulating nurse prepares to initiate the surgical timeout for a 54-year-old patient scheduled for a
left total knee arthroplasty. Which action must occur during the timeout before the first incision?
A. Verifying the patient's insurance and consent forms with administration
B. Confirming the surgical site, procedure, and patient identity with the team
C. Counting all sponges, sharps, and instruments with the scrub nurse
D. Drawing a surgical marker across the operative site with the surgeon
Correct Answer: B
Rationale:
The Universal Protocol requires the surgical team to pause and confirm patient identity, procedure, site,
and laterality before incision. Counts occur before incision and at closure, while marking the site occurs
preoperatively during the consent phase.
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 40
