1|Page
HESI BSN 395 PROFESSIONAL NURSING
PRACTICE EXAM
**205 QUESTIONS | ANSWER & RATIONALES
INCLUDED**
*GRADED A+ | 2026–2027 EDITION
# DOMAIN 1: SAFE & EFFECTIVE CARE ENVIRONMENT (40
questions)
## Management of Care (Questions 1–20)
**1.** A nurse is delegating tasks to an LPN/LVN. Which task is
appropriate?
A. Initial patient admission assessment
B. Insertion of a nasogastric tube for decompression
C. Creating the nursing care plan
D. Evaluating patient response to pain medication
**Correct Answer: B**
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*Rationale:* LPNs/LVNs can perform stable, predictable procedures
like NG tube insertion. RNs must assess, plan, and evaluate.
**2.** A charge nurse is making shift assignments. Which patient
should be assigned to the most experienced RN?
A. 2 days post-op cholecystectomy, stable vitals
B. Newly admitted with acute stroke requiring neurological q1h checks
C. Chronic COPD patient requesting discharge teaching
D. Post-appendectomy day 3, ready for discharge
**Correct Answer: B**
*Rationale:* Acute neurological instability requires complex assessment
and rapid intervention — highest acuity.
**3.** A patient with a DNR order becomes pulseless. A new graduate
RN begins CPR. What should the charge nurse do?
A. Join CPR efforts
B. Remind the nurse of DNR order and stop compressions
C. Call a code blue
D. Let the nurse continue but document later
**Correct Answer: B**
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*Rationale:* DNR status means no resuscitation. The charge nurse must
enforce the legal order.
**4.** A nurse receives a verbal order from a physician over the phone.
Which action is most important?
A. Ask another nurse to listen to the order
B. Read back the order word-for-word
C. Execute the order immediately
D. Have the physician call back later
**Correct Answer: B**
*Rationale:* Read-back verification prevents errors. Do not execute
without verification.
**5.** A patient falls while getting out of bed. What is the nurse’s first
action?
A. Complete an incident report
B. Assess the patient for injury
C. Notify the physician
D. Place a fall risk sign on the door
**Correct Answer: B**
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*Rationale:* Patient assessment is always first. Documentation and
notification follow.
**6.** Which task can an RN delegate to an unlicensed assistive
personnel (UAP)?
A. Feeding a patient with dysphagia
B. Measuring vital signs on a stable post-op patient
C. Reinserting a dislodged tracheostomy tube
D. Teaching a patient how to use an incentive spirometer
**Correct Answer: B**
*Rationale:* Stable, routine vital signs are within UAP scope.
Dysphagia feeding requires skilled assessment.
**7.** A nurse is caring for four patients. Which one should be seen
first?
A. Chest pain radiating to left arm, diaphoretic
B. Post-op day 2, requesting pain medication
C. New admit waiting for room assignment
D. Patient with pneumonia, O2 sat 91% on 2L
**Correct Answer: A**
HESI BSN 395 PROFESSIONAL NURSING
PRACTICE EXAM
**205 QUESTIONS | ANSWER & RATIONALES
INCLUDED**
*GRADED A+ | 2026–2027 EDITION
# DOMAIN 1: SAFE & EFFECTIVE CARE ENVIRONMENT (40
questions)
## Management of Care (Questions 1–20)
**1.** A nurse is delegating tasks to an LPN/LVN. Which task is
appropriate?
A. Initial patient admission assessment
B. Insertion of a nasogastric tube for decompression
C. Creating the nursing care plan
D. Evaluating patient response to pain medication
**Correct Answer: B**
,2|Page
*Rationale:* LPNs/LVNs can perform stable, predictable procedures
like NG tube insertion. RNs must assess, plan, and evaluate.
**2.** A charge nurse is making shift assignments. Which patient
should be assigned to the most experienced RN?
A. 2 days post-op cholecystectomy, stable vitals
B. Newly admitted with acute stroke requiring neurological q1h checks
C. Chronic COPD patient requesting discharge teaching
D. Post-appendectomy day 3, ready for discharge
**Correct Answer: B**
*Rationale:* Acute neurological instability requires complex assessment
and rapid intervention — highest acuity.
**3.** A patient with a DNR order becomes pulseless. A new graduate
RN begins CPR. What should the charge nurse do?
A. Join CPR efforts
B. Remind the nurse of DNR order and stop compressions
C. Call a code blue
D. Let the nurse continue but document later
**Correct Answer: B**
,3|Page
*Rationale:* DNR status means no resuscitation. The charge nurse must
enforce the legal order.
**4.** A nurse receives a verbal order from a physician over the phone.
Which action is most important?
A. Ask another nurse to listen to the order
B. Read back the order word-for-word
C. Execute the order immediately
D. Have the physician call back later
**Correct Answer: B**
*Rationale:* Read-back verification prevents errors. Do not execute
without verification.
**5.** A patient falls while getting out of bed. What is the nurse’s first
action?
A. Complete an incident report
B. Assess the patient for injury
C. Notify the physician
D. Place a fall risk sign on the door
**Correct Answer: B**
, 4|Page
*Rationale:* Patient assessment is always first. Documentation and
notification follow.
**6.** Which task can an RN delegate to an unlicensed assistive
personnel (UAP)?
A. Feeding a patient with dysphagia
B. Measuring vital signs on a stable post-op patient
C. Reinserting a dislodged tracheostomy tube
D. Teaching a patient how to use an incentive spirometer
**Correct Answer: B**
*Rationale:* Stable, routine vital signs are within UAP scope.
Dysphagia feeding requires skilled assessment.
**7.** A nurse is caring for four patients. Which one should be seen
first?
A. Chest pain radiating to left arm, diaphoretic
B. Post-op day 2, requesting pain medication
C. New admit waiting for room assignment
D. Patient with pneumonia, O2 sat 91% on 2L
**Correct Answer: A**
