NUR 112 HESI FUNDAMENTALS BLUEPRINT
PACKAGE NCLEX NEXT-GEN PRACTICE
QUESTIONS (GRADED A+)
Master your nursing curriculum with this premium,
classroom-tested test bank covering critical core
competencies, pharmacologic math, and complex clinical
judgment. Each high-yield question features explicit
italicized answers paired with comprehensive, bolded
rationales to streamline your retention and accelerate
your study efficiency.
Fundamentals of Nursing & Safety (Questions 1–15)
Q1. A client is admitted to the medical-surgical unit
with a diagnosis of active pulmonary tuberculosis.
Which type of isolation precaution should the nurse
implement immediately?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Protective environment
Answer: C. Airborne precautions
Rationale: Mycobacterium tuberculosis is
transmitted via airborne droplet nuclei smaller
, than 5 microns. Airborne precautions require a
negative-pressure airflow room and the use of
an N95 respirator mask by all healthcare staff
entering the room.
Q2. While preparing to administer a medication, the
nurse notes that the client’s identification band is
missing. What is the most appropriate action for the
nurse to take?
A. Ask a coworker to verify the client's identity
before giving the drug.
B. Obtain a new identification band after
verifying identity via two methods.
C. Administer the medication if the nurse
recognizes the client from earlier.
D. Check the room number and bed number
against the medication record.
Answer: B. Obtain a new identification band
after verifying identity via two methods.
Rationale: Joint Commission safety goals
require two distinct identifiers (e.g., name and
birthdate) to verify identity. A missing band
must be replaced immediately, and room
, numbers are never acceptable identifiers due to
high risk of error.
Q3. The nurse is caring for an older adult client who
is at high risk for skin breakdown. Which
intervention should the nurse include in the client's
care plan?
A. Massage reddened bony prominences daily.
B. Use a donut-shaped cushion when sitting in a
chair.
C. Keep the head of the bed elevated at 45
degrees continuously.
D. Reposition the client at least every 2 hours
while in bed.
Answer: D. Reposition the client at least every 2
hours while in bed.
Rationale: Frequent repositioning relieves
localized pressure, preserving tissue perfusion.
Massaging reddened areas causes deep tissue
damage, donut cushions restrict localized blood
flow, and keeping the bed elevated at 45
degrees increases shearing forces on the
sacrum.
, Q4. A client experiences a grand mal seizure while
sitting in a chair in the dining area. What is the
nurse's immediate priority action?
A. Insert a padded tongue blade into the client's
mouth.
B. Gently lower the client to the floor and clear
nearby objects.
C. Restrain the client's limbs to prevent
fractures.
D. Call for a code team and prepare to intubate
the client.
Answer: B. Gently lower the client to the floor
and clear nearby objects.
Rationale: Patient safety during a seizure
focuses on protecting the client from physical
trauma. Lowering them to the floor prevents a
fall injury, and clearing objects prevents blunt
trauma. Forcing items into the mouth or using
restraints can cause severe secondary injuries.
Q5. A nurse accidentally administers a double dose
of an antihypertensive medication to a client. What
is the nurse's very first action?
PACKAGE NCLEX NEXT-GEN PRACTICE
QUESTIONS (GRADED A+)
Master your nursing curriculum with this premium,
classroom-tested test bank covering critical core
competencies, pharmacologic math, and complex clinical
judgment. Each high-yield question features explicit
italicized answers paired with comprehensive, bolded
rationales to streamline your retention and accelerate
your study efficiency.
Fundamentals of Nursing & Safety (Questions 1–15)
Q1. A client is admitted to the medical-surgical unit
with a diagnosis of active pulmonary tuberculosis.
Which type of isolation precaution should the nurse
implement immediately?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Protective environment
Answer: C. Airborne precautions
Rationale: Mycobacterium tuberculosis is
transmitted via airborne droplet nuclei smaller
, than 5 microns. Airborne precautions require a
negative-pressure airflow room and the use of
an N95 respirator mask by all healthcare staff
entering the room.
Q2. While preparing to administer a medication, the
nurse notes that the client’s identification band is
missing. What is the most appropriate action for the
nurse to take?
A. Ask a coworker to verify the client's identity
before giving the drug.
B. Obtain a new identification band after
verifying identity via two methods.
C. Administer the medication if the nurse
recognizes the client from earlier.
D. Check the room number and bed number
against the medication record.
Answer: B. Obtain a new identification band
after verifying identity via two methods.
Rationale: Joint Commission safety goals
require two distinct identifiers (e.g., name and
birthdate) to verify identity. A missing band
must be replaced immediately, and room
, numbers are never acceptable identifiers due to
high risk of error.
Q3. The nurse is caring for an older adult client who
is at high risk for skin breakdown. Which
intervention should the nurse include in the client's
care plan?
A. Massage reddened bony prominences daily.
B. Use a donut-shaped cushion when sitting in a
chair.
C. Keep the head of the bed elevated at 45
degrees continuously.
D. Reposition the client at least every 2 hours
while in bed.
Answer: D. Reposition the client at least every 2
hours while in bed.
Rationale: Frequent repositioning relieves
localized pressure, preserving tissue perfusion.
Massaging reddened areas causes deep tissue
damage, donut cushions restrict localized blood
flow, and keeping the bed elevated at 45
degrees increases shearing forces on the
sacrum.
, Q4. A client experiences a grand mal seizure while
sitting in a chair in the dining area. What is the
nurse's immediate priority action?
A. Insert a padded tongue blade into the client's
mouth.
B. Gently lower the client to the floor and clear
nearby objects.
C. Restrain the client's limbs to prevent
fractures.
D. Call for a code team and prepare to intubate
the client.
Answer: B. Gently lower the client to the floor
and clear nearby objects.
Rationale: Patient safety during a seizure
focuses on protecting the client from physical
trauma. Lowering them to the floor prevents a
fall injury, and clearing objects prevents blunt
trauma. Forcing items into the mouth or using
restraints can cause severe secondary injuries.
Q5. A nurse accidentally administers a double dose
of an antihypertensive medication to a client. What
is the nurse's very first action?
