BSN 225 HESI PREP FUNDAMENTALS OF NURSING EXAM EXAM STUDY GUIDE
COMPLETE EXAM QUESTIONS AND ANSWERS (VERIFIED ANSWERS) (LATEST
UPDATE 2026)
What is the correct order of actions a nurse should take before 1. Wash hands
entering a room for wound care? 2. Put on an isolation gown
3. Apply surgical mask
- wash hands 4. Don gloves.
- apply surgical mask
- don gloves
- put on an isolation gown
Using the SBAR technique, what information should the nurse A. Admitted after a motor vehicle accident.
provide first when notifying the healthcare provider?
A. Admitted after a motor vehicle accident
B. A 26 year old client
C. Prescription for ?? PO every 12 hours
D. Blood pressure is 80/48mmHG
The nurse observed the UAP securing a client's wrist restraints C. Demonstrate proper securing of the restraints.
to the bedside rails. Which action is most important for the
nurse to implement?
A. ensure that the restraints are not too tight
B. complete an adverse occurrence/incident report
C. demonstrate proper securing of the restraints
D. initiate the facility's restraint flow sheet
The nurse is obtaining a systolic blood pressure by palpation. B. Inflate the blood pressure cuff to 120 mmHg.
While inflating the cuff, the radial pulse is no longer palpable
at 90mHG, Which action should the nurse take?
A. Document the absence of the radial pulse
B. Inflate the blood pressure cuff to 120mmHG
C. Release the manometer valve immediately
D. record a palpable systolic pressure of 90mmHg
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,3/27/26, 5:11 PM
The healthcare provider prescribes Digoxin elixir 125 mcg PO 2.5 mL.
daily. The drug is available in a 60mL bottle labeled "Digoxin
elixir 0.05mg/mL". How many mL should the nurse administer?
(Enter NUMERIC value only)
A client with atrial fibrillation receives a prescription for a 4 tablets.
loading dose of Digoxin 0.5mg PO. The medication is available
in 125 mcg tablets. How many tablets should the nurse
administer?
(Enter NUMERICAL value only).
Which assessment data reflects the need for the nurse to D. Opioid analgesic received one hour ago.
include the problem, "risk for falls" in a client's plan of care?
Reference range: Hemoglobin [14 to 18 g/dL (140 to 180 g/L)]
A. expressed feelings of depression
B. Recent serum hemoglobin level of 16 g/dL (160 g/dL)
C. Stooped posture with a steady gait
D. opioid analgesic received one hour ago
What action should the nurse take when preparing to obtain a C. Obtain the specimen from the client's current bowel movement.
stool specimen for occult blood from a client with soft, solid,
light brown feces?
A. Wait to obtain the specimen until the observable blood is
pre- sent
B. Withhold the specimen collection until tarry black stool is
ob- served
C. Obtain the specimen from the client's current bowel
movement
D. Contact the healthcare provider before obtaining the
specimen
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, 3/27/26, 5:11 PM
When administering a new medication to a patient, the nurse B. Scan the medication barcode to document administration on the eMAR.
logs in the electronic medication administration record (eMAR).
Which action should the nurse take next?
A. Reconcile the medication to be administered with the initial
client prescription
B. Scan the medication barcode to document administration
on the eMAR
C. verify the clients identification by scanning the barcode on
the armband
D. remove the mediation from the unit dose packaging while
verifying the dose
The nurse educator is conducting a class for UAP. Which C. puts on new gloves when entering a client's room
action indicates that a UAP understands gloving procedures?
A. don sterile gloves when caring for clients with HIV
B. Keeps a pair of gloves in uniform pocket
C. puts on new gloves when entering a client's room
D. Uses sterile gloves when handling bodily fluids
The nurse is caring for a client with type 2 diabetes who had C. The client will demonstrate the ability to change the ostomy bag in two days.
surgery for a large bowel resection with a colostomy
placement. The client has developed hyperglycemia which
requires self injections of insulin after discharge When
designing the postoperative plan of care, which outcome
statement should the nurse use?
A. the client will adhere to medication regimen after discharge
B. the client's breath sounds will be auscultated by the nurse
every 4 hours
C. the client will demonstrate the ability to change the ostomy
bag in two days
D. the client attempts to self administer insulin but is unable to
perform injection
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