BSN 225 HESI RN/HESI RN BSN 225 SPECIALTY
FUNDAMENTALS OF NURSING VERSION 1 EXAM
NEWEST EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS A NEW UPDATED VERSION
LATEST 2026-2027 FULLY REVISED EXAM VERSION
(CORRECT VERIFIED ANSWERS) MOST RECENT
ALREADY GRADED A+
Question 1
A nurse is preparing to perform hand hygiene before entering a patient's room.
The patient is diagnosed with Clostridium difficile infection. Which action
should the nurse take?
A. Use an alcohol-based hand sanitizer for 15 seconds.
B. Wash hands with soap and water for at least 20 seconds.
C. Wash hands with soap and water and then dry with paper towels.
D. Use an alcohol-based hand sanitizer followed by a chlorhexidine wipe.
Answer: C
Rationale: C. difficile spores are resistant to alcohol-based hand sanitizers; the
mechanical action of washing with soap and water for at least 20 seconds is
required to physically remove the spores from the hands. Drying with paper
towels is the final step to complete the process .
,Question 2
A nurse is applying personal protective equipment (PPE) before entering a
patient's room for contact precautions. What is the correct sequence for
donning PPE?
A. Gown, mask, goggles, gloves.
B. Mask, goggles, gown, gloves.
C. Gown, mask, goggles, gloves.
D. Gloves, gown, mask, goggles.
Answer: C
Rationale: The correct sequence for donning PPE is to put on the gown first,
then the mask, followed by goggles or a face shield, and finally gloves. This
order ensures that the PPE is applied in a manner that minimizes the risk of
contamination .
Question 3
A patient has been placed in restraints due to agitation. Which action by the
nurse demonstrates compliance with safe restraint use?
A. Applying the restraints tightly to prevent the patient from moving.
B. Leaving the restraints in place for 4 hours without reassessment.
C. Removing the restraints every 2 hours to assess skin integrity.
D. Documenting the restraint application but not the patient's behavior.
Answer: C
Rationale: To prevent injury and complications from restraints, they must be
removed or loosened every 2 hours to assess skin integrity, circulation, and to
provide range-of-motion exercises. The Joint Commission and HESI
guidelines mandate frequent reassessment .
,Question 4
A patient on airborne precautions requires transport to the radiology
department. What action is most appropriate?
A. Place a surgical mask on the patient and transport via the main hallway.
B. Place an N95 respirator on the patient and notify the receiving department.
C. Postpone the transport until the patient is no longer contagious.
D. Transport the patient using a negative-pressure isolation stretcher.
Answer: B
Rationale: For airborne precautions (e.g., TB, measles), the patient must wear
an N95 respirator during transport to prevent the spread of infectious droplets.
The receiving department must be notified in advance so they can implement
appropriate precautions .
Question 5
A nurse is preparing a sterile field for a wound dressing change. Which action
would compromise the sterile field?
A. Placing the sterile drape with the water-repellent side down on a clean, dry
surface.
B. Opening the sterile package away from the body.
C. Reaching over the sterile field to retrieve an additional gauze pad.
D. Keeping the sterile field within the nurse's line of vision.
Answer: C
Rationale: Reaching over a sterile field contaminates it, as non-sterile clothing
or air currents can shed microorganisms onto the field. The edge of a sterile
field is considered contaminated, and one should never reach across it .
, Question 6
A nurse is preparing to administer an enema to an adult patient. The nurse
should position the patient in which position?
A. Supine with legs extended.
B. Prone with a pillow under the abdomen.
C. Left lateral Sims' position with right knee flexed.
D. Right lateral with left knee flexed.
Answer: C
Rationale: The left lateral Sims' position (left side lying, right knee flexed)
facilitates the flow of fluid into the sigmoid colon by following the natural
anatomical curvature of the colon. This is the standard position for enema
administration in adults .
Question 7
A nurse notes that a patient has a temperature of 38.9°C (102°F) and is
shivering. Which intervention should the nurse implement first?
A. Administer acetaminophen as prescribed.
B. Apply ice packs to the axillae and groin.
C. Remove heavy blankets and provide a tepid sponge bath.
D. Increase the room temperature to reduce shivering.
Answer: C
Rationale: Shivering indicates the body is trying to generate heat, so applying
external cold (like ice packs) may worsen shivering. The first step is to reduce
environmental heat retention by removing blankets and using tepid sponging
to promote comfort and heat loss .
Question 8
FUNDAMENTALS OF NURSING VERSION 1 EXAM
NEWEST EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS A NEW UPDATED VERSION
LATEST 2026-2027 FULLY REVISED EXAM VERSION
(CORRECT VERIFIED ANSWERS) MOST RECENT
ALREADY GRADED A+
Question 1
A nurse is preparing to perform hand hygiene before entering a patient's room.
The patient is diagnosed with Clostridium difficile infection. Which action
should the nurse take?
A. Use an alcohol-based hand sanitizer for 15 seconds.
B. Wash hands with soap and water for at least 20 seconds.
C. Wash hands with soap and water and then dry with paper towels.
D. Use an alcohol-based hand sanitizer followed by a chlorhexidine wipe.
Answer: C
Rationale: C. difficile spores are resistant to alcohol-based hand sanitizers; the
mechanical action of washing with soap and water for at least 20 seconds is
required to physically remove the spores from the hands. Drying with paper
towels is the final step to complete the process .
,Question 2
A nurse is applying personal protective equipment (PPE) before entering a
patient's room for contact precautions. What is the correct sequence for
donning PPE?
A. Gown, mask, goggles, gloves.
B. Mask, goggles, gown, gloves.
C. Gown, mask, goggles, gloves.
D. Gloves, gown, mask, goggles.
Answer: C
Rationale: The correct sequence for donning PPE is to put on the gown first,
then the mask, followed by goggles or a face shield, and finally gloves. This
order ensures that the PPE is applied in a manner that minimizes the risk of
contamination .
Question 3
A patient has been placed in restraints due to agitation. Which action by the
nurse demonstrates compliance with safe restraint use?
A. Applying the restraints tightly to prevent the patient from moving.
B. Leaving the restraints in place for 4 hours without reassessment.
C. Removing the restraints every 2 hours to assess skin integrity.
D. Documenting the restraint application but not the patient's behavior.
Answer: C
Rationale: To prevent injury and complications from restraints, they must be
removed or loosened every 2 hours to assess skin integrity, circulation, and to
provide range-of-motion exercises. The Joint Commission and HESI
guidelines mandate frequent reassessment .
,Question 4
A patient on airborne precautions requires transport to the radiology
department. What action is most appropriate?
A. Place a surgical mask on the patient and transport via the main hallway.
B. Place an N95 respirator on the patient and notify the receiving department.
C. Postpone the transport until the patient is no longer contagious.
D. Transport the patient using a negative-pressure isolation stretcher.
Answer: B
Rationale: For airborne precautions (e.g., TB, measles), the patient must wear
an N95 respirator during transport to prevent the spread of infectious droplets.
The receiving department must be notified in advance so they can implement
appropriate precautions .
Question 5
A nurse is preparing a sterile field for a wound dressing change. Which action
would compromise the sterile field?
A. Placing the sterile drape with the water-repellent side down on a clean, dry
surface.
B. Opening the sterile package away from the body.
C. Reaching over the sterile field to retrieve an additional gauze pad.
D. Keeping the sterile field within the nurse's line of vision.
Answer: C
Rationale: Reaching over a sterile field contaminates it, as non-sterile clothing
or air currents can shed microorganisms onto the field. The edge of a sterile
field is considered contaminated, and one should never reach across it .
, Question 6
A nurse is preparing to administer an enema to an adult patient. The nurse
should position the patient in which position?
A. Supine with legs extended.
B. Prone with a pillow under the abdomen.
C. Left lateral Sims' position with right knee flexed.
D. Right lateral with left knee flexed.
Answer: C
Rationale: The left lateral Sims' position (left side lying, right knee flexed)
facilitates the flow of fluid into the sigmoid colon by following the natural
anatomical curvature of the colon. This is the standard position for enema
administration in adults .
Question 7
A nurse notes that a patient has a temperature of 38.9°C (102°F) and is
shivering. Which intervention should the nurse implement first?
A. Administer acetaminophen as prescribed.
B. Apply ice packs to the axillae and groin.
C. Remove heavy blankets and provide a tepid sponge bath.
D. Increase the room temperature to reduce shivering.
Answer: C
Rationale: Shivering indicates the body is trying to generate heat, so applying
external cold (like ice packs) may worsen shivering. The first step is to reduce
environmental heat retention by removing blankets and using tepid sponging
to promote comfort and heat loss .
Question 8
