BSN 225 Hesi Practice Test 1 | Specialty
Fundamentals of Nursing Exam V1 (Latest
Update ) Questions & Answers |
100% Correct | Grade A - Nightingale
This BSN 225 Hesi Practice Test 1 provides a comprehensive set of 80 practice questions
and verified answers designed to help nursing students master core concepts and confidently
prepare for their official Hesi exams.
Description
Ace your BSN 225 and Hesi exams with this ultimate preparation tool!
This comprehensive study guide features 80 high-yield, exam-style practice questions
complete with detailed, evidence-based rationales and answers for every question.
Whether you are prepping for your specialty fundamentals or end-of-course exams, this
resource is designed to simulate the actual Hesi testing format.
What is included?
• 80 Comprehensive Questions: Carefully curated to test your critical thinking and
clinical reasoning.
• Verified Answers: 100% accurate solutions vetted by top-performing nursing
students.
• Detailed Answers: Understand why an answer is correct so you can apply the concept
to similar questions on exam day.
• Focus Areas: Covers key nursing fundamentals, patient care, physiological adaptations,
and pharmacology concepts.
Why do students need this?
• Boost Confidence: Familiarize yourself with the Hesi-style question phrasing and
alternate-format questions.
• Identify Knowledge Gaps: Pinpoint exactly which concepts you need to review
before test day.
• Save Time: Stop digging through textbooks—get straight to the core material you
need to pass.
1
,Format: Instant, easy-to-read PDF/Document download.
Q1. Explain why starting an adult's intravenous infusion in an upper extremity is
preferred over a lower-extremity site, and describe the clinical significance of
decreased flow in the lower extremities. [Short Answer]
Answer: Upper-extremity sites are preferred because lower-extremity veins have
decreased flow, which increases the risk that blood will clot around the cannula and
form a thrombosis. Choosing an upper-extremity site helps maintain better venous flow
and reduces the likelihood of thrombus formation.
Explanation: A complete answer links the choice of site to blood flow and clot risk: lower-
extremity veins tend to have slower flow, and slow or stagnant flow promotes thrombus
formation around an IV catheter. Stating that upper-extremity sites preserve better flow and
therefore lower thrombosis risk explains both the reason for the practice and its clinical
significance.
Q2. When a certified translator is needed for a client, what action should the
nurse take regarding the translator? [Multiple Choice]
A) Request and document the name of the certified translator.
B) Explain that anyone who speaks her language can answer her questions.
C) Provide a translator only in an emergency situation.
D) Ask a family member or friend of the client to translate.
Answer: Request and document the name of the certified translator.
Explanation: Using a certified translator ensures accurate, confidential communication;
requesting and documenting the translator's name records who provided the service. Allowing
anyone who speaks the language, using family members, or limiting provision to emergencies
risks miscommunication, breaches confidentiality, and may miss important clinical details.
Q3. A client with a nasogastric tube on low suction reports nausea and there has
been no drainage for two hours. What should the nurse do first? [Multiple Choice]
A) Administer an intravenous antiemetic prescribed for PRN use.
B) Irrigate the nasogastric tube with sterile normal saline.
C) Advance the nasogastric tube an additional five centimeters.
D) Reposition the client on her side.
2
, Answer: Reposition the client on her side.
Explanation: If an NG tube on suction is not draining and the client is nauseated, repositioning to
her side may facilitate drainage by changing the tube position and relieving an obstruction
before invasive measures. Irrigating or advancing the tube without first trying repositioning can
dislodge or misplace the tube. Administering an antiemetic treats the symptom but does not
address possible tube occlusion causing the nausea.
Q4. A UAP is assigned to obtain vital signs from a very anxious client. What
instruction should the nurse give the UAP regarding those measurements?
[Multiple Choice]
A) Notify the medication nurse immediately if the pulse or blood pressure is low.
B) Reassure the client that the vital signs are normal.
C) Report the results of the vital signs to the nurse.
D) Remain calm with the client and record abnormal results in the chart.
Answer: Report the results of the vital signs to the nurse.
Explanation: When a UAP collects data like vital signs, the UAP should report the findings to the
nurse so the nurse can interpret them and decide on interventions. Telling the UAP to record
abnormal results in the chart assumes the UAP can interpret clinical significance and make
decisions, which is beyond their role. Notifying the medication nurse or reassuring the client that
vitals are normal would be inappropriate without the nurse's assessment and judgment.
Q5. If a patient must take theophylline three times daily but time-release
capsules are not available, which dosing schedule spaces doses appropriately?
[Multiple Choice]
A) 8 a.m., 4 p.m., and midnight.
B) Before breakfast, before lunch, and before dinner.
C) With breakfast, with lunch, and with dinner.
D) 9 a.m., 1 p.m., and 5 p.m.
Answer: 8 a.m., 4 p.m., and midnight.
Explanation: Three evenly spaced doses every 8 hours maintain more consistent drug levels; 8
a.m., 4 p.m., and midnight are 8 hours apart. The other schedules cluster doses unevenly or align
with meals, which may cause suboptimal spacing when time-release formulation is not used.
Q6. When transferring an older client who has left-sided weakness from bed to
chair, which transfer arrangement maximizes safety? [Multiple Choice]
3
, A) Place the chair at a right angle to the bed on the client's left side before moving.
B) Have the client place the left foot next to the chair and pivot to the left before sitting.
C) Assist the client to a standing position, then place the right hand on the armrest.
D) Move the chair parallel to the right side of the bed, and stand the client on the right
foot.
Answer: Move the chair parallel to the right side of the bed, and stand the client on the
right foot.
Explanation: Clients with unilateral weakness should lead transfers with the stronger side
toward the chair to bear weight and pivot safely; placing the chair parallel to the right side and
standing on the right foot uses the stronger side. Positioning the chair on the weak (left) side,
pivoting toward the weak side, or standing without directing weight onto the stronger side
increases risk of falls and unsafe transfer mechanics.
Q7. When a nurse witnesses a client's informed consent signature, what
responsibility is the nurse verifying? [Multiple Choice]
A) The client agrees with the procedure to be done.
B) The client voluntarily signed the form.
C) The client authorizes continued treatment.
D) The client fully understands the procedure.
Answer: The client voluntarily signed the form.
Explanation: Witnessing a signature certifies that the signature was given voluntarily and that
the identity of the signer is authentic; it does not prove the signer comprehends the procedure or
consents to treatment—that is the provider's responsibility. Saying the client agrees or fully
understands would overstate what witnessing verifies.
Q8. During an admission interview, which technique is most efficient for
obtaining information about a client's signs and symptoms? [Multiple Choice]
A) Problem-seeking responses.
B) Restatement of responses.
C) Closed-ended questions.
D) Open-ended questions.
Answer: Closed-ended questions.
4
Fundamentals of Nursing Exam V1 (Latest
Update ) Questions & Answers |
100% Correct | Grade A - Nightingale
This BSN 225 Hesi Practice Test 1 provides a comprehensive set of 80 practice questions
and verified answers designed to help nursing students master core concepts and confidently
prepare for their official Hesi exams.
Description
Ace your BSN 225 and Hesi exams with this ultimate preparation tool!
This comprehensive study guide features 80 high-yield, exam-style practice questions
complete with detailed, evidence-based rationales and answers for every question.
Whether you are prepping for your specialty fundamentals or end-of-course exams, this
resource is designed to simulate the actual Hesi testing format.
What is included?
• 80 Comprehensive Questions: Carefully curated to test your critical thinking and
clinical reasoning.
• Verified Answers: 100% accurate solutions vetted by top-performing nursing
students.
• Detailed Answers: Understand why an answer is correct so you can apply the concept
to similar questions on exam day.
• Focus Areas: Covers key nursing fundamentals, patient care, physiological adaptations,
and pharmacology concepts.
Why do students need this?
• Boost Confidence: Familiarize yourself with the Hesi-style question phrasing and
alternate-format questions.
• Identify Knowledge Gaps: Pinpoint exactly which concepts you need to review
before test day.
• Save Time: Stop digging through textbooks—get straight to the core material you
need to pass.
1
,Format: Instant, easy-to-read PDF/Document download.
Q1. Explain why starting an adult's intravenous infusion in an upper extremity is
preferred over a lower-extremity site, and describe the clinical significance of
decreased flow in the lower extremities. [Short Answer]
Answer: Upper-extremity sites are preferred because lower-extremity veins have
decreased flow, which increases the risk that blood will clot around the cannula and
form a thrombosis. Choosing an upper-extremity site helps maintain better venous flow
and reduces the likelihood of thrombus formation.
Explanation: A complete answer links the choice of site to blood flow and clot risk: lower-
extremity veins tend to have slower flow, and slow or stagnant flow promotes thrombus
formation around an IV catheter. Stating that upper-extremity sites preserve better flow and
therefore lower thrombosis risk explains both the reason for the practice and its clinical
significance.
Q2. When a certified translator is needed for a client, what action should the
nurse take regarding the translator? [Multiple Choice]
A) Request and document the name of the certified translator.
B) Explain that anyone who speaks her language can answer her questions.
C) Provide a translator only in an emergency situation.
D) Ask a family member or friend of the client to translate.
Answer: Request and document the name of the certified translator.
Explanation: Using a certified translator ensures accurate, confidential communication;
requesting and documenting the translator's name records who provided the service. Allowing
anyone who speaks the language, using family members, or limiting provision to emergencies
risks miscommunication, breaches confidentiality, and may miss important clinical details.
Q3. A client with a nasogastric tube on low suction reports nausea and there has
been no drainage for two hours. What should the nurse do first? [Multiple Choice]
A) Administer an intravenous antiemetic prescribed for PRN use.
B) Irrigate the nasogastric tube with sterile normal saline.
C) Advance the nasogastric tube an additional five centimeters.
D) Reposition the client on her side.
2
, Answer: Reposition the client on her side.
Explanation: If an NG tube on suction is not draining and the client is nauseated, repositioning to
her side may facilitate drainage by changing the tube position and relieving an obstruction
before invasive measures. Irrigating or advancing the tube without first trying repositioning can
dislodge or misplace the tube. Administering an antiemetic treats the symptom but does not
address possible tube occlusion causing the nausea.
Q4. A UAP is assigned to obtain vital signs from a very anxious client. What
instruction should the nurse give the UAP regarding those measurements?
[Multiple Choice]
A) Notify the medication nurse immediately if the pulse or blood pressure is low.
B) Reassure the client that the vital signs are normal.
C) Report the results of the vital signs to the nurse.
D) Remain calm with the client and record abnormal results in the chart.
Answer: Report the results of the vital signs to the nurse.
Explanation: When a UAP collects data like vital signs, the UAP should report the findings to the
nurse so the nurse can interpret them and decide on interventions. Telling the UAP to record
abnormal results in the chart assumes the UAP can interpret clinical significance and make
decisions, which is beyond their role. Notifying the medication nurse or reassuring the client that
vitals are normal would be inappropriate without the nurse's assessment and judgment.
Q5. If a patient must take theophylline three times daily but time-release
capsules are not available, which dosing schedule spaces doses appropriately?
[Multiple Choice]
A) 8 a.m., 4 p.m., and midnight.
B) Before breakfast, before lunch, and before dinner.
C) With breakfast, with lunch, and with dinner.
D) 9 a.m., 1 p.m., and 5 p.m.
Answer: 8 a.m., 4 p.m., and midnight.
Explanation: Three evenly spaced doses every 8 hours maintain more consistent drug levels; 8
a.m., 4 p.m., and midnight are 8 hours apart. The other schedules cluster doses unevenly or align
with meals, which may cause suboptimal spacing when time-release formulation is not used.
Q6. When transferring an older client who has left-sided weakness from bed to
chair, which transfer arrangement maximizes safety? [Multiple Choice]
3
, A) Place the chair at a right angle to the bed on the client's left side before moving.
B) Have the client place the left foot next to the chair and pivot to the left before sitting.
C) Assist the client to a standing position, then place the right hand on the armrest.
D) Move the chair parallel to the right side of the bed, and stand the client on the right
foot.
Answer: Move the chair parallel to the right side of the bed, and stand the client on the
right foot.
Explanation: Clients with unilateral weakness should lead transfers with the stronger side
toward the chair to bear weight and pivot safely; placing the chair parallel to the right side and
standing on the right foot uses the stronger side. Positioning the chair on the weak (left) side,
pivoting toward the weak side, or standing without directing weight onto the stronger side
increases risk of falls and unsafe transfer mechanics.
Q7. When a nurse witnesses a client's informed consent signature, what
responsibility is the nurse verifying? [Multiple Choice]
A) The client agrees with the procedure to be done.
B) The client voluntarily signed the form.
C) The client authorizes continued treatment.
D) The client fully understands the procedure.
Answer: The client voluntarily signed the form.
Explanation: Witnessing a signature certifies that the signature was given voluntarily and that
the identity of the signer is authentic; it does not prove the signer comprehends the procedure or
consents to treatment—that is the provider's responsibility. Saying the client agrees or fully
understands would overstate what witnessing verifies.
Q8. During an admission interview, which technique is most efficient for
obtaining information about a client's signs and symptoms? [Multiple Choice]
A) Problem-seeking responses.
B) Restatement of responses.
C) Closed-ended questions.
D) Open-ended questions.
Answer: Closed-ended questions.
4
