BSN225 Final Exam Actual Exam Style V1 |
BSN 225 HESI RN Specialty Fundamentals
of Nursing Exam | Nightingale
1. Which action is the most effective way for a nurse to prevent the spread of infection?
A. Performing hand hygiene before and after patient contact
B. Wearing a mask for all patient interactions
C. Administering prophylactic antibiotics to all patients
D. Keeping the patient’s door closed at all times
Correct Answer: A
Expert Explanation: Hand hygiene is the single most effective way to prevent the spread
of microorganisms in the healthcare setting. Nurses should perform hand hygiene before
and after every patient contact to ensure safety. This practice includes the use of alcohol-
based hand rubs or soap and water when hands are visibly soiled.
2. When measuring a patient’s blood pressure, what is the effect of using a cuff that is too
small?
A. The blood pressure reading will be falsely high
B. The blood pressure reading will be falsely low
C. The reading will not be affected by cuff size
D. The systolic reading will be low but diastolic will be high
,Correct Answer: A
Expert Explanation: Using a blood pressure cuff that is too small will result in a reading
that is falsely high. It is essential to use the correct size to ensure the accuracy of the vital
signs obtained. The cuff width should be approximately 40% of the circumference of the
arm being used.
3. A nurse is identifying a patient before administering medication. Which is the correct
method for identification?
A. Asking the patient’s roommate for the patient’s name
B. Checking the name on the door of the patient’s room
C. Calling the patient by the name listed on the bed board
D. Checking the patient’s identification band against the medication record
Correct Answer: D
Expert Explanation: Standard safety protocols require using at least two patient
identifiers before any procedure or medication administration. Checking the identification
band against the medication administration record is a reliable way to confirm the patient’s
identity. This practice helps prevent serious medical errors and ensures patient safety.
4. In the event of a hospital fire, what does the ‘R’ in the acronym RACE stand for?
A. Run away from the fire
B. Report the fire to the supervisor
, C. Rescue anyone in immediate danger
D. Restinguish the fire using a water bucket
Correct Answer: C
Expert Explanation: The RACE acronym is used to help staff remember the priority of
actions during a fire. The first step, R, stands for Rescue, which means moving patients out
of immediate danger. Following this, staff should Alarm, Confine, and then Extinguish the
fire if possible.
5. Which ethical principle refers to the nurse’s obligation to do no harm to the patient?
A. Justice
B. Beneficence
C. Autonomy
D. Nonmaleficence
Correct Answer: D
Expert Explanation: Nonmaleficence is the ethical principle that dictates healthcare
providers should avoid causing harm to patients. This includes both intentional harm and
the risk of harm during treatment. Nurses uphold this principle by following safety
protocols and providing competent care.
BSN 225 HESI RN Specialty Fundamentals
of Nursing Exam | Nightingale
1. Which action is the most effective way for a nurse to prevent the spread of infection?
A. Performing hand hygiene before and after patient contact
B. Wearing a mask for all patient interactions
C. Administering prophylactic antibiotics to all patients
D. Keeping the patient’s door closed at all times
Correct Answer: A
Expert Explanation: Hand hygiene is the single most effective way to prevent the spread
of microorganisms in the healthcare setting. Nurses should perform hand hygiene before
and after every patient contact to ensure safety. This practice includes the use of alcohol-
based hand rubs or soap and water when hands are visibly soiled.
2. When measuring a patient’s blood pressure, what is the effect of using a cuff that is too
small?
A. The blood pressure reading will be falsely high
B. The blood pressure reading will be falsely low
C. The reading will not be affected by cuff size
D. The systolic reading will be low but diastolic will be high
,Correct Answer: A
Expert Explanation: Using a blood pressure cuff that is too small will result in a reading
that is falsely high. It is essential to use the correct size to ensure the accuracy of the vital
signs obtained. The cuff width should be approximately 40% of the circumference of the
arm being used.
3. A nurse is identifying a patient before administering medication. Which is the correct
method for identification?
A. Asking the patient’s roommate for the patient’s name
B. Checking the name on the door of the patient’s room
C. Calling the patient by the name listed on the bed board
D. Checking the patient’s identification band against the medication record
Correct Answer: D
Expert Explanation: Standard safety protocols require using at least two patient
identifiers before any procedure or medication administration. Checking the identification
band against the medication administration record is a reliable way to confirm the patient’s
identity. This practice helps prevent serious medical errors and ensures patient safety.
4. In the event of a hospital fire, what does the ‘R’ in the acronym RACE stand for?
A. Run away from the fire
B. Report the fire to the supervisor
, C. Rescue anyone in immediate danger
D. Restinguish the fire using a water bucket
Correct Answer: C
Expert Explanation: The RACE acronym is used to help staff remember the priority of
actions during a fire. The first step, R, stands for Rescue, which means moving patients out
of immediate danger. Following this, staff should Alarm, Confine, and then Extinguish the
fire if possible.
5. Which ethical principle refers to the nurse’s obligation to do no harm to the patient?
A. Justice
B. Beneficence
C. Autonomy
D. Nonmaleficence
Correct Answer: D
Expert Explanation: Nonmaleficence is the ethical principle that dictates healthcare
providers should avoid causing harm to patients. This includes both intentional harm and
the risk of harm during treatment. Nurses uphold this principle by following safety
protocols and providing competent care.
