1
RN HESI Fundamentals Exit Exam
2025/2026 – Actual NGN Questions
with Correct Verified Answers | A+
Graded (Latest Version)
Safety/Infection Control
Multiple-Choice Questions
1. A nurse is preparing to enter a room with a patient on airborne precautions. Which action
is most appropriate?
o A. Wearing a surgical mask
o B. Wearing an N95 respirator
o C. Using standard precautions only
o D. Avoiding personal protective equipment
o Rationale: An N95 respirator is required for airborne precautions to protect
against pathogens like tuberculosis.
2. Which action prevents catheter-associated urinary tract infections (CAUTIs)?
o A. Leaving the catheter in place indefinitely
o B. Maintaining a closed drainage system
o C. Using non-sterile gloves for insertion
o D. Emptying the drainage bag weekly
o Rationale: A closed drainage system minimizes bacterial entry.
3. What is the priority action when a patient experiences a chemical spill?
o A. Continuing patient care
o B. Following facility spill protocols
o C. Cleaning the spill with water
o D. Ignoring the spill
o Rationale: Facility protocols ensure safe spill management.
4. Which precaution is used for a patient with Clostridium difficile?
o A. Airborne
o B. Contact
o C. Droplet
o D. Standard
o Rationale: C. difficile requires contact precautions due to fecal-oral transmission.
5. What is the correct response to a fire in a healthcare facility?
o A. Ignoring the alarm
o B. Following the RACE protocol
, 2
o C. Continuing routine care
o D. Evacuating without a plan
o Rationale: RACE (Rescue, Alarm, Contain, Extinguish) ensures safe fire
response.
Matrix Question
6. Match the infection control precaution with the appropriate equipment. Select all that
apply.
Precaution Equipment Needed
Airborne A. Surgical mask
Contact B. Gloves and gown
Droplet C. Face shield and mask
Standard D. Gloves for body fluid contact
• Correct Answers:
o Airborne: N95 respirator (not listed, but implied as correct over surgical mask)
o Contact: B. Gloves and gown
o Droplet: C. Face shield and mask
o Standard: D. Gloves for body fluid contact
• Rationale: Each precaution requires specific equipment to prevent pathogen
transmission.
Case-Based NGN Question
7. Case: A nurse is caring for a patient with MRSA in a surgical wound. The patient is on
contact precautions. The nurse is preparing to change the wound dressing.
Question: Which actions should the nurse take? Select all that apply.
o A. Don gloves and gown before entering the room
o B. Use a surgical mask during the procedure
o C. Perform hand hygiene before and after contact
o D. Dispose of dressings in a regular trash bin
o Correct Answers: A, C
o Rationale: Contact precautions require gloves and gown (A) and hand hygiene
(C). A surgical mask (B) is unnecessary, and dressings must be disposed of in
biohazard bins (D is incorrect).
Hygiene
, 3
Multiple-Choice Questions
8. Which action promotes oral hygiene in an unconscious patient?
o A. Providing a toothbrush
o B. Using a foam swab with antiseptic
o C. Offering mouthwash
o D. Avoiding oral care
o Rationale: Foam swabs are safe for unconscious patients to prevent aspiration.
9. What is the correct technique for bathing a bedridden patient?
o A. Using cold water
o B. Washing from clean to dirty areas
o C. Leaving soap residue
o D. Avoiding privacy measures
o Rationale: Washing from clean to dirty prevents infection spread.
10. Which intervention prevents skin breakdown during perineal care?
o A. Using harsh soap
o B. Applying a barrier cream
o C. Leaving the area wet
o D. Rubbing vigorously
o Rationale: Barrier cream protects skin from moisture-related damage.
11. What is the priority when providing hygiene for a patient with incontinence?
o A. Delaying skin cleaning
o B. Cleaning and drying the skin promptly
o C. Using alcohol-based wipes
o D. Limiting hygiene frequency
o Rationale: Prompt cleaning prevents skin irritation and infection.
12. Which action ensures patient dignity during hygiene care?
o A. Exposing the patient unnecessarily
o B. Providing privacy with a curtain
o C. Rushing the procedure
o D. Ignoring patient preferences
o Rationale: Privacy respects patient dignity.
Matrix Question
13. Indicate whether the following hygiene interventions are appropriate (Yes/No).
Intervention Appropriate
Using warm water for bathing Yes
Leaving soap residue on skin No
Cleaning perineal area last Yes
Using alcohol wipes for sensitive skin No
• Rationale: Warm water and cleaning perineal area last are appropriate to promote
comfort and prevent infection. Soap residue and alcohol wipes can cause skin irritation.
RN HESI Fundamentals Exit Exam
2025/2026 – Actual NGN Questions
with Correct Verified Answers | A+
Graded (Latest Version)
Safety/Infection Control
Multiple-Choice Questions
1. A nurse is preparing to enter a room with a patient on airborne precautions. Which action
is most appropriate?
o A. Wearing a surgical mask
o B. Wearing an N95 respirator
o C. Using standard precautions only
o D. Avoiding personal protective equipment
o Rationale: An N95 respirator is required for airborne precautions to protect
against pathogens like tuberculosis.
2. Which action prevents catheter-associated urinary tract infections (CAUTIs)?
o A. Leaving the catheter in place indefinitely
o B. Maintaining a closed drainage system
o C. Using non-sterile gloves for insertion
o D. Emptying the drainage bag weekly
o Rationale: A closed drainage system minimizes bacterial entry.
3. What is the priority action when a patient experiences a chemical spill?
o A. Continuing patient care
o B. Following facility spill protocols
o C. Cleaning the spill with water
o D. Ignoring the spill
o Rationale: Facility protocols ensure safe spill management.
4. Which precaution is used for a patient with Clostridium difficile?
o A. Airborne
o B. Contact
o C. Droplet
o D. Standard
o Rationale: C. difficile requires contact precautions due to fecal-oral transmission.
5. What is the correct response to a fire in a healthcare facility?
o A. Ignoring the alarm
o B. Following the RACE protocol
, 2
o C. Continuing routine care
o D. Evacuating without a plan
o Rationale: RACE (Rescue, Alarm, Contain, Extinguish) ensures safe fire
response.
Matrix Question
6. Match the infection control precaution with the appropriate equipment. Select all that
apply.
Precaution Equipment Needed
Airborne A. Surgical mask
Contact B. Gloves and gown
Droplet C. Face shield and mask
Standard D. Gloves for body fluid contact
• Correct Answers:
o Airborne: N95 respirator (not listed, but implied as correct over surgical mask)
o Contact: B. Gloves and gown
o Droplet: C. Face shield and mask
o Standard: D. Gloves for body fluid contact
• Rationale: Each precaution requires specific equipment to prevent pathogen
transmission.
Case-Based NGN Question
7. Case: A nurse is caring for a patient with MRSA in a surgical wound. The patient is on
contact precautions. The nurse is preparing to change the wound dressing.
Question: Which actions should the nurse take? Select all that apply.
o A. Don gloves and gown before entering the room
o B. Use a surgical mask during the procedure
o C. Perform hand hygiene before and after contact
o D. Dispose of dressings in a regular trash bin
o Correct Answers: A, C
o Rationale: Contact precautions require gloves and gown (A) and hand hygiene
(C). A surgical mask (B) is unnecessary, and dressings must be disposed of in
biohazard bins (D is incorrect).
Hygiene
, 3
Multiple-Choice Questions
8. Which action promotes oral hygiene in an unconscious patient?
o A. Providing a toothbrush
o B. Using a foam swab with antiseptic
o C. Offering mouthwash
o D. Avoiding oral care
o Rationale: Foam swabs are safe for unconscious patients to prevent aspiration.
9. What is the correct technique for bathing a bedridden patient?
o A. Using cold water
o B. Washing from clean to dirty areas
o C. Leaving soap residue
o D. Avoiding privacy measures
o Rationale: Washing from clean to dirty prevents infection spread.
10. Which intervention prevents skin breakdown during perineal care?
o A. Using harsh soap
o B. Applying a barrier cream
o C. Leaving the area wet
o D. Rubbing vigorously
o Rationale: Barrier cream protects skin from moisture-related damage.
11. What is the priority when providing hygiene for a patient with incontinence?
o A. Delaying skin cleaning
o B. Cleaning and drying the skin promptly
o C. Using alcohol-based wipes
o D. Limiting hygiene frequency
o Rationale: Prompt cleaning prevents skin irritation and infection.
12. Which action ensures patient dignity during hygiene care?
o A. Exposing the patient unnecessarily
o B. Providing privacy with a curtain
o C. Rushing the procedure
o D. Ignoring patient preferences
o Rationale: Privacy respects patient dignity.
Matrix Question
13. Indicate whether the following hygiene interventions are appropriate (Yes/No).
Intervention Appropriate
Using warm water for bathing Yes
Leaving soap residue on skin No
Cleaning perineal area last Yes
Using alcohol wipes for sensitive skin No
• Rationale: Warm water and cleaning perineal area last are appropriate to promote
comfort and prevent infection. Soap residue and alcohol wipes can cause skin irritation.
