NIGHTINGALE BSN 246 HESI HEALTH
ASSESSMENT EXAM 2025 LATEST VERSION
WITH REAL EXAM QUESTIONS AND CORRECT
ANSWERS GRADED A+/ HESI HEALTH
ASSESSMENT EXAM/ BSN 246 EXAM 2025/2026
A patient was diagnosed with a urinary tract infection. The patient has been
drinking fruit juice and has increased his intake of fluids but has failed to take his
antibiotic as prescribed because it caused gastric upset. Three days later, the patient
presents to the clinic with fever, malaise, nausea, and vomiting. What might you
suspect?
The patient may now have a systemic infection.
* The patient is displaying generalized symptoms that indicate a systemic
infection. Symptoms of a localized infection such as the urinary tract may include
,pain, burning from edematous membranes, and frequency of urination. Because the
patient failed to be treated as prescribed, you might suspect that the patient's
urinary tract infection has ascended to the kidney, producing more systemic
symptoms of infection. Gastrointestinal (GI) disturbance may be a side effect of
the antibiotic. An allergic response would be more likely suspected if the patient
developed a rash, hives, urticaria, or difficulty breathing.
The nurse is preparing to insert a urinary catheter. To perform this procedure, the
nurse will use:
Surgical asepsis (sterile technique).
* Inserting a urinary catheter requires sterile technique (surgical asepsis) to prevent
the introduction of any microorganisms into the urinary bladder during the
procedure. Medical asepsis (clean technique) is used to reduce the number or
transmission of microorganisms and includes hand hygiene, wearing clean
disposable gloves, etc. Droplet precautions are a type of standard precaution in
which the recommended barrier method includes the use of a mask. Standard
precautions refer to wearing personal protective equipment (PPE) when there is
potential contact with blood or body fluids. It does not specifically warrant sterile
technique.
The nurse is working in a busy emergency room. On entering station 1, the nurse
dons a pair of clean disposable gloves. The nurse sees that the patient has a gunshot
wound to the chest and is concerned there may be splattering of infectious
materials. The nurse applies goggles, a mask, and a gown. What is this called?
Following standard precautions.
* The nurse is demonstrating the use of standard precautions. Standard precautions
are used to protect the nurse from potential contact with blood and body fluids.
Because there is a risk of being splattered with infectious materials, the nurse
should use gloves, mask, eye protection, and a gown. Standard precautions should
become a routine part of her practice and thus be observed in every patient
encounter. Medical asepsis (or clean technique), includes procedures used to
,reduce the number of and prevent the spread of microorganisms. Surgical asepsis
(or sterile technique) includes procedures used to eliminate all microorganisms
from an area. Health care-acquired infections are those that develop as a result of a
stay or visit in a health care facility and that were absent at the time of admission.
A nurse assists a patient with a Foley catheter to ambulate down the hall. The nurse
holds the catheter bag below the level of the patient s bladder. What link in the
chain of infection is the nurse breaking by doing so?
Portal of entry.
* By not allowing the urine from the bedside drainage bag to reenter the bladder,
the nurse is breaking the chain of infection at the portal of entry. Emptying the
bedside drainage bag may be an example of controlling the reservoir. Host
susceptibility has to do with issues such as age, nutritional status, medical
treatments, immunizations, and so on.
The nurse manager is reviewing the use of standard precautions with the staff.
Which of the following should be included in the review? (Select all that apply.)
Standard precautions are used to protect you from potential contact with blood and
body fluids.
Standard precautions should be observed in every patient encounter.
* Standard precautions are used to protect you from potential contact with blood
and body fluids and should be observed in every patient encounter. Besides
gloving, standard precautions include the use of masks, eye protection, and gowns
when there is a risk of being splattered with infectious materials. Surgical asepsis
(sterile technique) requires the use of sterile gloves. Clean gloves may be worn
when following standard precautions. Any patient may be a source of infection and
should be treated as such rather than waiting until a pathogen is identified.
, A small group of nursing students is giving a teaching presentation on the
principles of surgical asepsis. Which of the following standards are appropriate to
include in the presentation? (Select all that apply.)
A sterile barrier that has been permeated by moisture must be considered
contaminated.
A sterile object or field out of the range of vision or an object held below a person's
waist is considered contaminated.
If there is any doubt about an item's sterility, the item is considered to be unsterile.
All items used within a sterile field must be sterile.
* A sterile surface that comes in contact with moisture must be considered
contaminated. A sterile object or field out of the range of vision or an object held
below a person's waist is considered contaminated. A sterile object or field
becomes contaminated by prolonged exposure to air; stay organized, and complete
any procedure as soon as possible. If there is any doubt about an item's sterility, the
item is considered to be unsterile. All items used within a sterile field must be
sterile.
A nurse is teaching infection control to a group of daycare workers. Which of the
following should the nurse include in the instruction?
Immunizations help protect children from being susceptible hosts.
* Receiving immunizations helps prevent being a susceptible host. Alcohol-based
hand rubs are also effective for reducing microorganisms. Hand washing should be
used when there is visible soiling. Smaller containers of hand sanitizer are
ASSESSMENT EXAM 2025 LATEST VERSION
WITH REAL EXAM QUESTIONS AND CORRECT
ANSWERS GRADED A+/ HESI HEALTH
ASSESSMENT EXAM/ BSN 246 EXAM 2025/2026
A patient was diagnosed with a urinary tract infection. The patient has been
drinking fruit juice and has increased his intake of fluids but has failed to take his
antibiotic as prescribed because it caused gastric upset. Three days later, the patient
presents to the clinic with fever, malaise, nausea, and vomiting. What might you
suspect?
The patient may now have a systemic infection.
* The patient is displaying generalized symptoms that indicate a systemic
infection. Symptoms of a localized infection such as the urinary tract may include
,pain, burning from edematous membranes, and frequency of urination. Because the
patient failed to be treated as prescribed, you might suspect that the patient's
urinary tract infection has ascended to the kidney, producing more systemic
symptoms of infection. Gastrointestinal (GI) disturbance may be a side effect of
the antibiotic. An allergic response would be more likely suspected if the patient
developed a rash, hives, urticaria, or difficulty breathing.
The nurse is preparing to insert a urinary catheter. To perform this procedure, the
nurse will use:
Surgical asepsis (sterile technique).
* Inserting a urinary catheter requires sterile technique (surgical asepsis) to prevent
the introduction of any microorganisms into the urinary bladder during the
procedure. Medical asepsis (clean technique) is used to reduce the number or
transmission of microorganisms and includes hand hygiene, wearing clean
disposable gloves, etc. Droplet precautions are a type of standard precaution in
which the recommended barrier method includes the use of a mask. Standard
precautions refer to wearing personal protective equipment (PPE) when there is
potential contact with blood or body fluids. It does not specifically warrant sterile
technique.
The nurse is working in a busy emergency room. On entering station 1, the nurse
dons a pair of clean disposable gloves. The nurse sees that the patient has a gunshot
wound to the chest and is concerned there may be splattering of infectious
materials. The nurse applies goggles, a mask, and a gown. What is this called?
Following standard precautions.
* The nurse is demonstrating the use of standard precautions. Standard precautions
are used to protect the nurse from potential contact with blood and body fluids.
Because there is a risk of being splattered with infectious materials, the nurse
should use gloves, mask, eye protection, and a gown. Standard precautions should
become a routine part of her practice and thus be observed in every patient
encounter. Medical asepsis (or clean technique), includes procedures used to
,reduce the number of and prevent the spread of microorganisms. Surgical asepsis
(or sterile technique) includes procedures used to eliminate all microorganisms
from an area. Health care-acquired infections are those that develop as a result of a
stay or visit in a health care facility and that were absent at the time of admission.
A nurse assists a patient with a Foley catheter to ambulate down the hall. The nurse
holds the catheter bag below the level of the patient s bladder. What link in the
chain of infection is the nurse breaking by doing so?
Portal of entry.
* By not allowing the urine from the bedside drainage bag to reenter the bladder,
the nurse is breaking the chain of infection at the portal of entry. Emptying the
bedside drainage bag may be an example of controlling the reservoir. Host
susceptibility has to do with issues such as age, nutritional status, medical
treatments, immunizations, and so on.
The nurse manager is reviewing the use of standard precautions with the staff.
Which of the following should be included in the review? (Select all that apply.)
Standard precautions are used to protect you from potential contact with blood and
body fluids.
Standard precautions should be observed in every patient encounter.
* Standard precautions are used to protect you from potential contact with blood
and body fluids and should be observed in every patient encounter. Besides
gloving, standard precautions include the use of masks, eye protection, and gowns
when there is a risk of being splattered with infectious materials. Surgical asepsis
(sterile technique) requires the use of sterile gloves. Clean gloves may be worn
when following standard precautions. Any patient may be a source of infection and
should be treated as such rather than waiting until a pathogen is identified.
, A small group of nursing students is giving a teaching presentation on the
principles of surgical asepsis. Which of the following standards are appropriate to
include in the presentation? (Select all that apply.)
A sterile barrier that has been permeated by moisture must be considered
contaminated.
A sterile object or field out of the range of vision or an object held below a person's
waist is considered contaminated.
If there is any doubt about an item's sterility, the item is considered to be unsterile.
All items used within a sterile field must be sterile.
* A sterile surface that comes in contact with moisture must be considered
contaminated. A sterile object or field out of the range of vision or an object held
below a person's waist is considered contaminated. A sterile object or field
becomes contaminated by prolonged exposure to air; stay organized, and complete
any procedure as soon as possible. If there is any doubt about an item's sterility, the
item is considered to be unsterile. All items used within a sterile field must be
sterile.
A nurse is teaching infection control to a group of daycare workers. Which of the
following should the nurse include in the instruction?
Immunizations help protect children from being susceptible hosts.
* Receiving immunizations helps prevent being a susceptible host. Alcohol-based
hand rubs are also effective for reducing microorganisms. Hand washing should be
used when there is visible soiling. Smaller containers of hand sanitizer are
