Fortis College NUR 210 HESI RN Exit Exam Prep
2025 – Comprehensive Study Guide
Patient Safety and Infection Control
1. A nurse is caring for a client with Clostridium difficile (C. diff). Which action is most
important for preventing the spread of infection?
A. Wearing a sterile gown and gloves upon entering the room.
B. Placing the client in a private room with contact precautions. ✓
C. Using a disinfectant spray to clean the room twice daily.
D. Wearing a mask during all client contact.
2. Upon entering a client's room, the nurse sees a fire in the trash can. What is the nurse's
priority action?
A. Activate the fire alarm.
B. Evacuate the client from the room. ✓
C. Use the fire extinguisher.
D. Close all doors and windows.
3. A client is prescribed a medication via a nasogastric (NG) tube. What should the nurse do
before administering the medication?
A. Flush the tube with 30 mL of air.
B. Check the pH of the gastric aspirate. ✓
C. Instill 10 mL of water to check for patency.
D. Advance the tube 2 inches.
4. The nurse discovers an electrical cord with a frayed wire in a client's room. What is the
most appropriate action?
A. Place a piece of tape over the frayed area.
B. Unplug the equipment and label it "Broken." ✓
C. Notify the facility's engineering department.
D. Move the equipment to the hallway.
5. To ensure correct client identification, the nurse should always:
A. Check the name on the client's door.
B. Ask the client to state their full name and date of birth. ✓
C. Ask the family member to confirm the client's name.
D. Check the name on the client's wristband and call them by name.
,Health Promotion and Maintenance
6. A mother brings her 2-month-old infant for a well-child visit. Which immunization does the
nurse anticipate administering?
A. MMR (Measles, Mumps, Rubella)
B. Varicella (Chickenpox)
C. DTaP (Diphtheria, Tetanus, Pertussis) ✓
D. HPV (Human Papillomavirus)
7. The nurse is providing education to a postpartum client about car seat safety. The correct
instruction is:
A. "The car seat should be placed in the front passenger seat."
B. "The car seat should be rear-facing until age 2 or the height/weight limit." ✓
C. "You can switch to a forward-facing seat once the baby is 1 year old."
D. "A booster seat is appropriate once the baby outgrows the infant carrier."
8. During a health fair, the nurse is teaching a group of older adults about osteoporosis
prevention. Which instruction is most important?
A. Limit weight-bearing exercise.
B. Ensure adequate intake of calcium and Vitamin D. ✓
C. Increase consumption of red meat.
D. Avoid all dairy products.
9. A 55-year-old client asks about screening for colorectal cancer. The nurse should
recommend:
A. A colonoscopy every 10 years. ✓
B. A fecal occult blood test every 5 years.
C. A sigmoidoscopy every year.
D. No screening is needed unless symptoms are present.
10. The nurse is counseling an adolescent about healthy lifestyle choices. Which statement by
the adolescent indicates an understanding of safe sex practices?
A. "I don't need to use condoms if I'm on the pill."
B. "Using condoms every time can help prevent STIs and pregnancy." ✓
C. "Withdrawal is a very effective method of birth control."
D. "I only have one partner, so I'm safe."
Psychosocial Integrity
,11. A client is crying and states, "I just got a diagnosis of terminal cancer." What is the nurse's
best response?
A. "Everything will be okay; don't lose hope."
B. "You should talk to your doctor about treatment options."
C. "I understand how you feel; my aunt had cancer."
D. "This must be very difficult for you. I'm here to listen." ✓
12. A client with depression has not bathed and is still in their pajamas at 2:00 PM. What is
the most therapeutic response by the nurse?
A. "You need to get up and take a shower now. It will make you feel better."
B. "Let's pick out some clothes together, and I will help you get started with your bath." ✓
C. "Why haven't you taken a shower yet today?"
D. "I will come back in an hour, and I expect you to be dressed."
13. A nurse is caring for a client who is experiencing a panic attack. The priority nursing action
is to:
A. Leave the client alone to calm down.
B. Stay with the client and remain calm. ✓
C. Administer a PRN anti-anxiety medication immediately.
D. Provide detailed explanations about the physiology of panic.
14. When assessing a client for suicide risk, which question is most direct and appropriate?
A. "You're not thinking of hurting yourself, are you?"
B. "Have you had thoughts of killing yourself?" ✓
C. "Life is worth living, don't you think?"
D. "I hope you don't have any plans to harm yourself."
15. A client with schizophrenia says, "The television is sending me secret messages." The
nurse's best response is:
A. "That must be very frightening for you." ✓
B. "That's impossible; the television can't send messages."
C. "What kind of messages is it sending?"
D. "Just ignore the television."
Basic Care and Comfort
16. A client on bed rest complains of difficulty sleeping. Which nursing intervention is most
appropriate?
A. Administer a sleeping medication as ordered.
, B. Encourage the use of over-the-counter sleep aids.
C. Provide mouth care and a quiet, dark environment. ✓
D. Advise the client to drink warm milk with caffeine.
17. An older adult client is at risk for falls. Which intervention is most important to include in
the plan of care?
A. Use a nightlight and keep the bed in the lowest position. ✓
B. Apply soft wrist restraints at night.
C. Keep all four side rails up at all times.
D. Ask a family member to stay 24 hours a day.
18. A client has dysphagia following a stroke. Which dietary modification should the nurse
anticipate?
A. A clear liquid diet.
B. A full liquid diet.
C. A pureed or mechanical soft diet. ✓
D. A regular diet cut into small pieces.
19. The nurse is assisting a client with constipation. What is the recommended independent
nursing action?
A. Administer a soap suds enema.
B. Increase fluid intake and fiber in the diet. ✓
C. Administer a PRN laxative.
D. Digitally remove the fecal impaction.
20. To prevent foot drop in a client with long-term paralysis, the nurse should:
A. Place trochanter rolls along the legs.
B. Use a footboard or high-top tennis shoes. ✓
C. Keep the feet plantarflexed.
D. Massage the calves every 2 hours.
Pharmacological and Parenteral Therapies
21. The nurse is preparing to administer insulin. Which action is essential?
A. Shake the vial vigorously to mix the insulin.
B. Have a snack ready for the client.
C. Check the blood glucose level. ✓
D. Administer it intramuscularly for rapid absorption.
2025 – Comprehensive Study Guide
Patient Safety and Infection Control
1. A nurse is caring for a client with Clostridium difficile (C. diff). Which action is most
important for preventing the spread of infection?
A. Wearing a sterile gown and gloves upon entering the room.
B. Placing the client in a private room with contact precautions. ✓
C. Using a disinfectant spray to clean the room twice daily.
D. Wearing a mask during all client contact.
2. Upon entering a client's room, the nurse sees a fire in the trash can. What is the nurse's
priority action?
A. Activate the fire alarm.
B. Evacuate the client from the room. ✓
C. Use the fire extinguisher.
D. Close all doors and windows.
3. A client is prescribed a medication via a nasogastric (NG) tube. What should the nurse do
before administering the medication?
A. Flush the tube with 30 mL of air.
B. Check the pH of the gastric aspirate. ✓
C. Instill 10 mL of water to check for patency.
D. Advance the tube 2 inches.
4. The nurse discovers an electrical cord with a frayed wire in a client's room. What is the
most appropriate action?
A. Place a piece of tape over the frayed area.
B. Unplug the equipment and label it "Broken." ✓
C. Notify the facility's engineering department.
D. Move the equipment to the hallway.
5. To ensure correct client identification, the nurse should always:
A. Check the name on the client's door.
B. Ask the client to state their full name and date of birth. ✓
C. Ask the family member to confirm the client's name.
D. Check the name on the client's wristband and call them by name.
,Health Promotion and Maintenance
6. A mother brings her 2-month-old infant for a well-child visit. Which immunization does the
nurse anticipate administering?
A. MMR (Measles, Mumps, Rubella)
B. Varicella (Chickenpox)
C. DTaP (Diphtheria, Tetanus, Pertussis) ✓
D. HPV (Human Papillomavirus)
7. The nurse is providing education to a postpartum client about car seat safety. The correct
instruction is:
A. "The car seat should be placed in the front passenger seat."
B. "The car seat should be rear-facing until age 2 or the height/weight limit." ✓
C. "You can switch to a forward-facing seat once the baby is 1 year old."
D. "A booster seat is appropriate once the baby outgrows the infant carrier."
8. During a health fair, the nurse is teaching a group of older adults about osteoporosis
prevention. Which instruction is most important?
A. Limit weight-bearing exercise.
B. Ensure adequate intake of calcium and Vitamin D. ✓
C. Increase consumption of red meat.
D. Avoid all dairy products.
9. A 55-year-old client asks about screening for colorectal cancer. The nurse should
recommend:
A. A colonoscopy every 10 years. ✓
B. A fecal occult blood test every 5 years.
C. A sigmoidoscopy every year.
D. No screening is needed unless symptoms are present.
10. The nurse is counseling an adolescent about healthy lifestyle choices. Which statement by
the adolescent indicates an understanding of safe sex practices?
A. "I don't need to use condoms if I'm on the pill."
B. "Using condoms every time can help prevent STIs and pregnancy." ✓
C. "Withdrawal is a very effective method of birth control."
D. "I only have one partner, so I'm safe."
Psychosocial Integrity
,11. A client is crying and states, "I just got a diagnosis of terminal cancer." What is the nurse's
best response?
A. "Everything will be okay; don't lose hope."
B. "You should talk to your doctor about treatment options."
C. "I understand how you feel; my aunt had cancer."
D. "This must be very difficult for you. I'm here to listen." ✓
12. A client with depression has not bathed and is still in their pajamas at 2:00 PM. What is
the most therapeutic response by the nurse?
A. "You need to get up and take a shower now. It will make you feel better."
B. "Let's pick out some clothes together, and I will help you get started with your bath." ✓
C. "Why haven't you taken a shower yet today?"
D. "I will come back in an hour, and I expect you to be dressed."
13. A nurse is caring for a client who is experiencing a panic attack. The priority nursing action
is to:
A. Leave the client alone to calm down.
B. Stay with the client and remain calm. ✓
C. Administer a PRN anti-anxiety medication immediately.
D. Provide detailed explanations about the physiology of panic.
14. When assessing a client for suicide risk, which question is most direct and appropriate?
A. "You're not thinking of hurting yourself, are you?"
B. "Have you had thoughts of killing yourself?" ✓
C. "Life is worth living, don't you think?"
D. "I hope you don't have any plans to harm yourself."
15. A client with schizophrenia says, "The television is sending me secret messages." The
nurse's best response is:
A. "That must be very frightening for you." ✓
B. "That's impossible; the television can't send messages."
C. "What kind of messages is it sending?"
D. "Just ignore the television."
Basic Care and Comfort
16. A client on bed rest complains of difficulty sleeping. Which nursing intervention is most
appropriate?
A. Administer a sleeping medication as ordered.
, B. Encourage the use of over-the-counter sleep aids.
C. Provide mouth care and a quiet, dark environment. ✓
D. Advise the client to drink warm milk with caffeine.
17. An older adult client is at risk for falls. Which intervention is most important to include in
the plan of care?
A. Use a nightlight and keep the bed in the lowest position. ✓
B. Apply soft wrist restraints at night.
C. Keep all four side rails up at all times.
D. Ask a family member to stay 24 hours a day.
18. A client has dysphagia following a stroke. Which dietary modification should the nurse
anticipate?
A. A clear liquid diet.
B. A full liquid diet.
C. A pureed or mechanical soft diet. ✓
D. A regular diet cut into small pieces.
19. The nurse is assisting a client with constipation. What is the recommended independent
nursing action?
A. Administer a soap suds enema.
B. Increase fluid intake and fiber in the diet. ✓
C. Administer a PRN laxative.
D. Digitally remove the fecal impaction.
20. To prevent foot drop in a client with long-term paralysis, the nurse should:
A. Place trochanter rolls along the legs.
B. Use a footboard or high-top tennis shoes. ✓
C. Keep the feet plantarflexed.
D. Massage the calves every 2 hours.
Pharmacological and Parenteral Therapies
21. The nurse is preparing to administer insulin. Which action is essential?
A. Shake the vial vigorously to mix the insulin.
B. Have a snack ready for the client.
C. Check the blood glucose level. ✓
D. Administer it intramuscularly for rapid absorption.
