1|Page
HESI BSN FUNDAMENTALS EXAM 2026-2027;
200+ PRACTICE QUESTIONS WITH
RATIONALES – FIRST TIME PASS
# EXAM A: SAFETY & INFECTION CONTROL (45 QUESTIONS)
**Question 1**
A nurse is caring for a client with active pulmonary tuberculosis. Which
type of precautions should the nurse implement?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard precautions only
**Answer: C – Airborne precautions** (N95 respirator, negative
pressure room). Rationale: TB spreads via small droplet nuclei that
remain airborne. Contact = MRSA/VRE. Droplet = flu/meningitis.
Standard alone insufficient.
**Question 2**
A client is on contact precautions for Clostridioides difficile. Which
hand hygiene method is correct?
,2|Page
A. Alcohol-based hand rub
B. Soap and water only
C. Either soap/water or alcohol rub
D. Chlorhexidine wipes only
**Answer: B – Soap and water only.** Rationale: Alcohol does not kill
C. diff spores; mechanical washing friction is required.
**Question 3**
A nurse is preparing to insert an indwelling urinary catheter. Which
technique ensures sterility?
A. Clean gloves only
B. Sterile gloves, sterile field, sterile lubricant
C. Clean gloves and sterile catheter
D. Hand hygiene only
**Answer: B – Sterile gloves, sterile field, sterile lubricant.** Rationale:
Indwelling catheter insertion requires full sterile technique to prevent
CAUTI.
**Question 4**
A patient on droplet precautions needs transport to radiology. Which
action is correct?
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A. No mask needed for transport
B. Patient wears a surgical mask during transport
C. Staff wears N95 during transport
D. Cancel the transport
**Answer: B – Patient wears a surgical mask during transport.**
Rationale: Droplet precautions require patient to wear mask when
outside room to contain respiratory droplets.
**Question 5**
A nurse identifies a fire in a patient's trash can. What is the priority
action?
A. Pull the fire alarm
B. Use the nearest fire extinguisher
C. Evacuate the patient
D. Rescue anyone in immediate danger
**Answer: D – Rescue anyone in immediate danger.** Rationale:
RACE: Rescue, Alarm, Contain, Extinguish. Rescue first.
**Question 6**
A patient has a new order for wrist restraints. How long before the nurse
must reassess and renew the order?
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A. Every 1 hour
B. Every 2 hours (adult)
C. Every 4 hours
D. Every 8 hours
**Answer: C – Every 4 hours for adult restraints.** Rationale: Restraint
orders require renewal q4h for adults, q2h for children <18, q1h for
behavioral restraints.
**Question 7**
A nurse is applying restraints. Which finding indicates improper
application?
A. Two fingers fit between restraint and wrist
B. Restraint tied to bed frame (not side rail)
C. Patient in supine position
D. Quick-release knot used
**Answer: C – Patient in supine position.** Rationale: Restrained
patient should be supine or semi-Fowler's but never prone. Two-finger
rule correct. Tie to bed frame (movable part). Quick-release knot
required.
**Question 8**
Which patient is at highest risk for falls?
HESI BSN FUNDAMENTALS EXAM 2026-2027;
200+ PRACTICE QUESTIONS WITH
RATIONALES – FIRST TIME PASS
# EXAM A: SAFETY & INFECTION CONTROL (45 QUESTIONS)
**Question 1**
A nurse is caring for a client with active pulmonary tuberculosis. Which
type of precautions should the nurse implement?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard precautions only
**Answer: C – Airborne precautions** (N95 respirator, negative
pressure room). Rationale: TB spreads via small droplet nuclei that
remain airborne. Contact = MRSA/VRE. Droplet = flu/meningitis.
Standard alone insufficient.
**Question 2**
A client is on contact precautions for Clostridioides difficile. Which
hand hygiene method is correct?
,2|Page
A. Alcohol-based hand rub
B. Soap and water only
C. Either soap/water or alcohol rub
D. Chlorhexidine wipes only
**Answer: B – Soap and water only.** Rationale: Alcohol does not kill
C. diff spores; mechanical washing friction is required.
**Question 3**
A nurse is preparing to insert an indwelling urinary catheter. Which
technique ensures sterility?
A. Clean gloves only
B. Sterile gloves, sterile field, sterile lubricant
C. Clean gloves and sterile catheter
D. Hand hygiene only
**Answer: B – Sterile gloves, sterile field, sterile lubricant.** Rationale:
Indwelling catheter insertion requires full sterile technique to prevent
CAUTI.
**Question 4**
A patient on droplet precautions needs transport to radiology. Which
action is correct?
,3|Page
A. No mask needed for transport
B. Patient wears a surgical mask during transport
C. Staff wears N95 during transport
D. Cancel the transport
**Answer: B – Patient wears a surgical mask during transport.**
Rationale: Droplet precautions require patient to wear mask when
outside room to contain respiratory droplets.
**Question 5**
A nurse identifies a fire in a patient's trash can. What is the priority
action?
A. Pull the fire alarm
B. Use the nearest fire extinguisher
C. Evacuate the patient
D. Rescue anyone in immediate danger
**Answer: D – Rescue anyone in immediate danger.** Rationale:
RACE: Rescue, Alarm, Contain, Extinguish. Rescue first.
**Question 6**
A patient has a new order for wrist restraints. How long before the nurse
must reassess and renew the order?
, 4|Page
A. Every 1 hour
B. Every 2 hours (adult)
C. Every 4 hours
D. Every 8 hours
**Answer: C – Every 4 hours for adult restraints.** Rationale: Restraint
orders require renewal q4h for adults, q2h for children <18, q1h for
behavioral restraints.
**Question 7**
A nurse is applying restraints. Which finding indicates improper
application?
A. Two fingers fit between restraint and wrist
B. Restraint tied to bed frame (not side rail)
C. Patient in supine position
D. Quick-release knot used
**Answer: C – Patient in supine position.** Rationale: Restrained
patient should be supine or semi-Fowler's but never prone. Two-finger
rule correct. Tie to bed frame (movable part). Quick-release knot
required.
**Question 8**
Which patient is at highest risk for falls?
