BSN 225 HESI RN SPECIALTY FUNDAMENTALS OF
NURSING EXAM V1 PRACTICE EXAM | STUDY GUIDE |
TESTBANK | LATEST UPDATE 2026/2027 | QUESTIONS
& 100% CORRECT ANSWERS
## Table of Contents
- Foundations of Professional Nursing Practice
- Nursing Process and Clinical Judgment
- Patient Safety and Quality Improvement
- Infection Prevention and Control
- Vital Signs and Health Assessment
- Medication Administration
- Fluid, Electrolyte, and Acid-Base Balance
- Mobility, Skin Integrity, and Comfort
- Nutrition and Elimination
- Documentation, Communication, and Delegation
- Ethical and Legal Nursing Practice
- Prioritization and Clinical Decision-Making
Introduction
The BSN 225 HESI RN Specialty Fundamentals of Nursing Exam evaluates a nursing
student's ability to apply foundational nursing concepts in complex clinical situations.
Success requires more than memorization; students must integrate clinical judgment,
evidence-based practice, patient safety principles, infection prevention,
pharmacologic knowledge, therapeutic communication, documentation standards,
and ethical decision-making. This practice examination reflects current nursing
standards for the 2026/2027 academic year and emphasizes realistic clinical scenarios
similar to those encountered on HESI examinations. Questions are designed to
strengthen analytical thinking, prioritization, and professional judgment while
preparing students to safely care for diverse patient populations in acute, long-term,
and community healthcare settings.
Question 1
,A nurse begins a shift by reviewing four assigned clients. Which client should the
nurse assess first?
A. A postoperative client reporting pain rated 7/10 after receiving analgesia 2 hours
ago.
B. A client with chronic heart failure who has gained 2 lb overnight.
C. A client receiving a blood transfusion who reports chills and low back pain 15
minutes after initiation.
D. A client awaiting discharge who requests additional education regarding
medications.
Correct Answer: C
Explanation: Chills and low back pain during a transfusion suggest an acute
hemolytic reaction requiring immediate discontinuation of the transfusion and
rapid assessment.
Question 2
A nurse enters a client's room and discovers the client lying unconscious on the floor.
Which action should occur first?
A. Assess for responsiveness and activate emergency assistance.
B. Complete an incident report.
C. Notify the healthcare provider.
D. Return the client to bed.
Correct Answer: A
, Explanation: Immediate assessment of responsiveness and activation of emergency
response follow the ABC priority framework.
Question 3
Which intervention most effectively interrupts transmission of Clostridioides difficile?
A. Alcohol-based hand sanitizer before leaving the room.
B. Surgical mask for all visitors.
C. Soap-and-water hand hygiene after glove removal.
D. N95 respirator during routine care.
Correct Answer: C
Explanation: Alcohol sanitizers do not reliably destroy C. difficile spores; soap and
water are required.
Question 4
A nurse notes a medication order that reads, "Morphine sulfate 2.0 mg IV daily."
Which action is most appropriate?
A. Administer the medication as written.
B. Clarify the order because of unsafe notation.
C. Ask another nurse to verify the dose.
D. Document that the medication was refused.
Correct Answer: B
, Explanation: A trailing zero increases the risk of medication error and requires
clarification before administration.
Question 5
A client with diabetes reports dizziness and diaphoresis. The blood glucose level is 48
mg/dL, and the client is awake and able to swallow. What should the nurse do first?
A. Administer glucagon IM.
B. Notify the provider.
C. Provide 15 g of rapid-acting carbohydrate.
D. Start IV dextrose.
Correct Answer: C
Explanation: Conscious clients with hypoglycemia should receive rapid oral
carbohydrates first.
Question 6
Which finding requires immediate intervention?
A. Temperature 100.2°F (37.9°C)
B. Respiratory rate 8 breaths/min after opioid administration
C. Blood pressure 142/88 mmHg
D. Pulse 96 beats/min
Correct Answer: B
NURSING EXAM V1 PRACTICE EXAM | STUDY GUIDE |
TESTBANK | LATEST UPDATE 2026/2027 | QUESTIONS
& 100% CORRECT ANSWERS
## Table of Contents
- Foundations of Professional Nursing Practice
- Nursing Process and Clinical Judgment
- Patient Safety and Quality Improvement
- Infection Prevention and Control
- Vital Signs and Health Assessment
- Medication Administration
- Fluid, Electrolyte, and Acid-Base Balance
- Mobility, Skin Integrity, and Comfort
- Nutrition and Elimination
- Documentation, Communication, and Delegation
- Ethical and Legal Nursing Practice
- Prioritization and Clinical Decision-Making
Introduction
The BSN 225 HESI RN Specialty Fundamentals of Nursing Exam evaluates a nursing
student's ability to apply foundational nursing concepts in complex clinical situations.
Success requires more than memorization; students must integrate clinical judgment,
evidence-based practice, patient safety principles, infection prevention,
pharmacologic knowledge, therapeutic communication, documentation standards,
and ethical decision-making. This practice examination reflects current nursing
standards for the 2026/2027 academic year and emphasizes realistic clinical scenarios
similar to those encountered on HESI examinations. Questions are designed to
strengthen analytical thinking, prioritization, and professional judgment while
preparing students to safely care for diverse patient populations in acute, long-term,
and community healthcare settings.
Question 1
,A nurse begins a shift by reviewing four assigned clients. Which client should the
nurse assess first?
A. A postoperative client reporting pain rated 7/10 after receiving analgesia 2 hours
ago.
B. A client with chronic heart failure who has gained 2 lb overnight.
C. A client receiving a blood transfusion who reports chills and low back pain 15
minutes after initiation.
D. A client awaiting discharge who requests additional education regarding
medications.
Correct Answer: C
Explanation: Chills and low back pain during a transfusion suggest an acute
hemolytic reaction requiring immediate discontinuation of the transfusion and
rapid assessment.
Question 2
A nurse enters a client's room and discovers the client lying unconscious on the floor.
Which action should occur first?
A. Assess for responsiveness and activate emergency assistance.
B. Complete an incident report.
C. Notify the healthcare provider.
D. Return the client to bed.
Correct Answer: A
, Explanation: Immediate assessment of responsiveness and activation of emergency
response follow the ABC priority framework.
Question 3
Which intervention most effectively interrupts transmission of Clostridioides difficile?
A. Alcohol-based hand sanitizer before leaving the room.
B. Surgical mask for all visitors.
C. Soap-and-water hand hygiene after glove removal.
D. N95 respirator during routine care.
Correct Answer: C
Explanation: Alcohol sanitizers do not reliably destroy C. difficile spores; soap and
water are required.
Question 4
A nurse notes a medication order that reads, "Morphine sulfate 2.0 mg IV daily."
Which action is most appropriate?
A. Administer the medication as written.
B. Clarify the order because of unsafe notation.
C. Ask another nurse to verify the dose.
D. Document that the medication was refused.
Correct Answer: B
, Explanation: A trailing zero increases the risk of medication error and requires
clarification before administration.
Question 5
A client with diabetes reports dizziness and diaphoresis. The blood glucose level is 48
mg/dL, and the client is awake and able to swallow. What should the nurse do first?
A. Administer glucagon IM.
B. Notify the provider.
C. Provide 15 g of rapid-acting carbohydrate.
D. Start IV dextrose.
Correct Answer: C
Explanation: Conscious clients with hypoglycemia should receive rapid oral
carbohydrates first.
Question 6
Which finding requires immediate intervention?
A. Temperature 100.2°F (37.9°C)
B. Respiratory rate 8 breaths/min after opioid administration
C. Blood pressure 142/88 mmHg
D. Pulse 96 beats/min
Correct Answer: B
