HESI VN MODULE 1 EXAM (Remediation) Exam
AND PRACTICE QUESTIONS ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
1. Infection Control Priority
A nurse enters a patient room and notices the patient has Clostridium difficile. The
MOST appropriate precaution is:
A. Droplet precautions
B. Contact precautions
C. Airborne precautions
D. Standard precautions only
Answer: B
Rationale: C. difficile spreads via contact with contaminated surfaces; strict
contact precautions are required.
2. Hand Hygiene Timing
The MOST important time for hand hygiene is:
A. Before entering the facility
B. After removing gloves
C. Before documentation
D. Before eating only
Answer: B
Rationale: Hand hygiene after glove removal prevents transmission of
microorganisms.
,3. Vital Signs Interpretation
A patient has a BP of 88/54 mmHg, HR 118 bpm, and cool clammy skin. The
nurse should FIRST suspect:
A. Hypertension
B. Hypovolemic shock
C. Hyperglycemia
D. Normal aging response
Answer: B
Rationale: Low BP, tachycardia, and poor perfusion indicate shock.
4. Scenario: Medication Safety
A patient receives the wrong dose of medication. The nurse’s FIRST action should
be:
A. Document later
B. Assess patient condition
C. Inform family
D. Ignore if no symptoms
Answer: B
Rationale: Patient safety requires immediate assessment of condition first.
5. Medical Asepsis Concept
Medical asepsis refers to:
A. Sterile surgical technique
B. Reducing number of pathogens
C. Killing all microorganisms
D. Isolation of all patients
Answer: B
Rationale: Medical asepsis reduces but does not eliminate microorganisms.
,6. Scenario: Oxygen Therapy
A patient with COPD is receiving oxygen. The nurse should prioritize:
A. High-flow oxygen at 10 L/min
B. Low-flow oxygen and monitoring CO₂ retention
C. No oxygen therapy
D. Oxygen only during sleep
Answer: B
Rationale: COPD patients require controlled oxygen to prevent CO₂ retention.
7. Chain of Infection
The reservoir in the chain of infection is:
A. Mode of transmission
B. Place where microorganisms live
C. Entry portal
D. Susceptible host
Answer: B
Rationale: Reservoir is the environment where pathogens survive and multiply.
8. Scenario: Fall Risk
An elderly patient is confused and tries to get out of bed repeatedly. The BEST
intervention is:
A. Restrain immediately
B. Place bed in low position with alarm
C. Leave patient alone
D. Give sedatives without order
Answer: B
Rationale: Safety measures like bed alarms reduce fall risk without restraint.
, 9. Pain Assessment
Which pain scale is MOST appropriate for a conscious adult?
A. FLACC scale
B. Numeric rating scale
C. Apgar score
D. Glasgow coma scale
Answer: B
Rationale: The numeric scale is standard for adult pain assessment.
10. Scenario: Sterile Technique Break
During sterile dressing change, a nurse accidentally touches non-sterile surface.
The nurse should:
A. Continue procedure
B. Replace contaminated items and re-establish sterility
C. Ignore contamination
D. Ask patient to assist
Answer: B
Rationale: Sterility must be maintained; contamination requires correction.
11. Pulse Assessment
A weak, thready pulse suggests:
A. Strong cardiac output
B. Poor perfusion
C. Hypertension
D. Fluid overload
Answer: B
Rationale: Weak pulses indicate reduced circulation and perfusion.
AND PRACTICE QUESTIONS ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
1. Infection Control Priority
A nurse enters a patient room and notices the patient has Clostridium difficile. The
MOST appropriate precaution is:
A. Droplet precautions
B. Contact precautions
C. Airborne precautions
D. Standard precautions only
Answer: B
Rationale: C. difficile spreads via contact with contaminated surfaces; strict
contact precautions are required.
2. Hand Hygiene Timing
The MOST important time for hand hygiene is:
A. Before entering the facility
B. After removing gloves
C. Before documentation
D. Before eating only
Answer: B
Rationale: Hand hygiene after glove removal prevents transmission of
microorganisms.
,3. Vital Signs Interpretation
A patient has a BP of 88/54 mmHg, HR 118 bpm, and cool clammy skin. The
nurse should FIRST suspect:
A. Hypertension
B. Hypovolemic shock
C. Hyperglycemia
D. Normal aging response
Answer: B
Rationale: Low BP, tachycardia, and poor perfusion indicate shock.
4. Scenario: Medication Safety
A patient receives the wrong dose of medication. The nurse’s FIRST action should
be:
A. Document later
B. Assess patient condition
C. Inform family
D. Ignore if no symptoms
Answer: B
Rationale: Patient safety requires immediate assessment of condition first.
5. Medical Asepsis Concept
Medical asepsis refers to:
A. Sterile surgical technique
B. Reducing number of pathogens
C. Killing all microorganisms
D. Isolation of all patients
Answer: B
Rationale: Medical asepsis reduces but does not eliminate microorganisms.
,6. Scenario: Oxygen Therapy
A patient with COPD is receiving oxygen. The nurse should prioritize:
A. High-flow oxygen at 10 L/min
B. Low-flow oxygen and monitoring CO₂ retention
C. No oxygen therapy
D. Oxygen only during sleep
Answer: B
Rationale: COPD patients require controlled oxygen to prevent CO₂ retention.
7. Chain of Infection
The reservoir in the chain of infection is:
A. Mode of transmission
B. Place where microorganisms live
C. Entry portal
D. Susceptible host
Answer: B
Rationale: Reservoir is the environment where pathogens survive and multiply.
8. Scenario: Fall Risk
An elderly patient is confused and tries to get out of bed repeatedly. The BEST
intervention is:
A. Restrain immediately
B. Place bed in low position with alarm
C. Leave patient alone
D. Give sedatives without order
Answer: B
Rationale: Safety measures like bed alarms reduce fall risk without restraint.
, 9. Pain Assessment
Which pain scale is MOST appropriate for a conscious adult?
A. FLACC scale
B. Numeric rating scale
C. Apgar score
D. Glasgow coma scale
Answer: B
Rationale: The numeric scale is standard for adult pain assessment.
10. Scenario: Sterile Technique Break
During sterile dressing change, a nurse accidentally touches non-sterile surface.
The nurse should:
A. Continue procedure
B. Replace contaminated items and re-establish sterility
C. Ignore contamination
D. Ask patient to assist
Answer: B
Rationale: Sterility must be maintained; contamination requires correction.
11. Pulse Assessment
A weak, thready pulse suggests:
A. Strong cardiac output
B. Poor perfusion
C. Hypertension
D. Fluid overload
Answer: B
Rationale: Weak pulses indicate reduced circulation and perfusion.
