BSN HESI
BSN HESI 225 FUNDAMENTALS OF NURSING PRACTICE
EXAM (2025/ 2026 UPDATE) QUESTIONS & ANSWERS|
GRADE A| 100% CORRECT (VERIFIED SOLUTIONS)
1. A nurse is admitting a new client. Which of the following
actions should the nurse take while performing medication
reconciliation?: Compare the Clients home medications with the
providers prescriptions.
2. A nurse is providing discharge instructions to a client who will
be using a walker which of the following client statement
indicates an understanding of the teaching.: A"I will hire
someone to trim the tree that hangs low over the stairs of my front
porch."
3. Leading cause of trauma in older adults: Fire
4. when completing a safety even report, the nurse should:
5. The nurse obtains a prescription from a health care provider
to restrain a client and instructs an unlicensed assistive
personnel (UAP) to apply the safety device to the client. Which
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observation of unsafe application of the safety device would
indicate that further instruction is required by the UAP?: a
Safety devise straps are secured to the bed frame and never to the
side rails to avoid injury if the side rails are released.
6. The nurse cares for the client who is confused. The health
care provider ordered that the client have cotton wrist
restraints to prevent the client from attempting to remove the
intravenous (IV) and indwelling catheter. Which action is
essential for the nurse to include in the client's care plan?:
remove the restrains, assess limbs and provide skin care every
hour (Safety)
7. The newly hired nurse is assigned to a very disoriented client
with soft wrist restraints. The nurse asks the head nurse for
the purpose of the client's restraints. Which response by the
head nurse is correct:
8. The nurse is caring for a CT on hospice who started on a 25
mcg/hr fentanyl patch yesterday 0800. Today at 2 the pt has
complaints of pain 7/10 which intervention is best for the
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nurse to provide: Off to administer 5 mg of morphine orally as
prescribed for breakthrough pain ( med was already ordered)
9. You are caring for a hospice client who is at the end of life.
Based on this clients' signs and symptoms, the client is
comatose, dehydrated, free of pain, constipated without
distress and expected to die in a day or two. Which of the
following is an appropriate client outcome or an appropriate
intervention for this client?:
10. Ordered: 20 mEq KCL in 50 ml to infuse over 30 minutes. What
is the flow rate in ml per hour: 50ml/30 min x 60 min/ 1 hour =
100ml/hr
11. When assessing a 22-year-old pt who required emergency
surgery and multiple transfusion 3 days ago you find that the
patient looks anxious and has labored respirations at the rate
of 32 breaths/min. The oxygen saturation is 97% with the
oxygen delivery at 2L/min via nasal cannula which action is
most appropriate?: administer the ordered morphine sulfate to the
patient to decrease his anxiety and reduce hyperventilation.
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