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LATEST FUNDAMENTAL PN HESI SPECIALTY V2
## COMPLETE EXAM BANK WITH 200+ QUESTIONS &
DETAILED RATIONALES
## FIRST-TIME PASS GUARANTEE | UPDATED FOR
2026/2027 | VERIFIED ANSWERS
## SECTION 1: SAFETY & INFECTION CONTROL (Questions 1-25)
**1.** A PN is caring for a client with tuberculosis (TB). Which type of isolation
precautions should the nurse implement?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Protective isolation
**Answer: C (Airborne precautions)**
**Rationale:** Tuberculosis spreads via airborne droplet nuclei that remain
suspended in the air. Airborne precautions require a negative-pressure room
(airborne infection isolation room), an N95 respirator for staff, and the client
wearing a surgical mask when transported outside the room. Contact precautions
are for MRSA/VRE, droplet for influenza/pertussis, and protective for
immunocompromised clients.
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---
**2.** A PN is preparing to perform hand hygiene. Which action demonstrates
correct technique?
A. Using hot water to kill microorganisms
B. Keeping hands lower than elbows during rinsing
C. Rubbing hands together for at least 20 seconds
D. Drying hands with a cloth towel that is also used to turn off faucet
**Answer: C (Rubbing hands together for at least 20 seconds)**
**Rationale:** Effective hand hygiene requires rubbing all surfaces of hands
together for at least 20 seconds. Warm (not hot) water should be used to prevent
skin damage. Hands should be kept lower than elbows during rinsing to allow
water to flow from clean to dirty areas (elbows to hands). A clean dry paper towel
should be used to turn off the faucet to prevent recontamination.
---
**3.** A PN is caring for a client on contact precautions for Clostridium difficile.
Which action is most important?
A. Using alcohol-based hand sanitizer after client care
B. Wearing an N95 respirator when entering the room
C. Washing hands with soap and water after client care
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D. Placing the client in a negative-pressure room
**Answer: C (Washing hands with soap and water after client care)**
**Rationale:** C. diff spores are not killed by alcohol-based hand sanitizers. Soap
and water with friction physically removes spores from hands. N95 respirators and
negative pressure are for airborne precautions. Contact precautions require gloves
and gown.
---
**4.** A PN discovers a small fire in a client's wastebasket. Which action should
the nurse take first?
A. Pull the fire alarm
B. Evacuate the client from the room
C. Attempt to extinguish the fire
D. Close the door to contain the fire
**Answer: B (Evacuate the client from the room)**
**Rationale:** RACE protocol: Rescue (evacuate clients in immediate danger),
Alarm (activate fire alarm), Contain (close doors/windows), Extinguish (use fire
extinguisher). Client safety is always the priority. The client should be moved to a
safe location before other actions.
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---
**5.** A PN is applying wrist restraints to a confused client who is pulling at IV
lines. Which action is correct?
A. Tie the restraint to the side rail of the bed
B. Apply the restraint tightly to prevent movement
C. Allow two fingers to fit between restraint and client's skin
D. Remove the restraint every 4 hours for skin assessment
**Answer: C (Allow two fingers to fit between restraint and client's skin)**
**Rationale:** Restraints should be applied snugly but allow two fingers to fit
between the restraint and the client's skin to prevent circulatory compromise.
Restraints must NEVER be attached to side rails (can cause injury if side rails are
lowered). They should be removed and skin assessed every 2 hours, not every 4
hours.
---
**6.** A client receiving chemotherapy has neutropenia. Which instruction should
the PN include in teaching?
A. "You should eat fresh fruits and vegetables daily"
B. "Avoid large crowds and people with infections"
C. "It is safe to have fresh flowers in your room"
LATEST FUNDAMENTAL PN HESI SPECIALTY V2
## COMPLETE EXAM BANK WITH 200+ QUESTIONS &
DETAILED RATIONALES
## FIRST-TIME PASS GUARANTEE | UPDATED FOR
2026/2027 | VERIFIED ANSWERS
## SECTION 1: SAFETY & INFECTION CONTROL (Questions 1-25)
**1.** A PN is caring for a client with tuberculosis (TB). Which type of isolation
precautions should the nurse implement?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Protective isolation
**Answer: C (Airborne precautions)**
**Rationale:** Tuberculosis spreads via airborne droplet nuclei that remain
suspended in the air. Airborne precautions require a negative-pressure room
(airborne infection isolation room), an N95 respirator for staff, and the client
wearing a surgical mask when transported outside the room. Contact precautions
are for MRSA/VRE, droplet for influenza/pertussis, and protective for
immunocompromised clients.
,2|Page
---
**2.** A PN is preparing to perform hand hygiene. Which action demonstrates
correct technique?
A. Using hot water to kill microorganisms
B. Keeping hands lower than elbows during rinsing
C. Rubbing hands together for at least 20 seconds
D. Drying hands with a cloth towel that is also used to turn off faucet
**Answer: C (Rubbing hands together for at least 20 seconds)**
**Rationale:** Effective hand hygiene requires rubbing all surfaces of hands
together for at least 20 seconds. Warm (not hot) water should be used to prevent
skin damage. Hands should be kept lower than elbows during rinsing to allow
water to flow from clean to dirty areas (elbows to hands). A clean dry paper towel
should be used to turn off the faucet to prevent recontamination.
---
**3.** A PN is caring for a client on contact precautions for Clostridium difficile.
Which action is most important?
A. Using alcohol-based hand sanitizer after client care
B. Wearing an N95 respirator when entering the room
C. Washing hands with soap and water after client care
,3|Page
D. Placing the client in a negative-pressure room
**Answer: C (Washing hands with soap and water after client care)**
**Rationale:** C. diff spores are not killed by alcohol-based hand sanitizers. Soap
and water with friction physically removes spores from hands. N95 respirators and
negative pressure are for airborne precautions. Contact precautions require gloves
and gown.
---
**4.** A PN discovers a small fire in a client's wastebasket. Which action should
the nurse take first?
A. Pull the fire alarm
B. Evacuate the client from the room
C. Attempt to extinguish the fire
D. Close the door to contain the fire
**Answer: B (Evacuate the client from the room)**
**Rationale:** RACE protocol: Rescue (evacuate clients in immediate danger),
Alarm (activate fire alarm), Contain (close doors/windows), Extinguish (use fire
extinguisher). Client safety is always the priority. The client should be moved to a
safe location before other actions.
, 4|Page
---
**5.** A PN is applying wrist restraints to a confused client who is pulling at IV
lines. Which action is correct?
A. Tie the restraint to the side rail of the bed
B. Apply the restraint tightly to prevent movement
C. Allow two fingers to fit between restraint and client's skin
D. Remove the restraint every 4 hours for skin assessment
**Answer: C (Allow two fingers to fit between restraint and client's skin)**
**Rationale:** Restraints should be applied snugly but allow two fingers to fit
between the restraint and the client's skin to prevent circulatory compromise.
Restraints must NEVER be attached to side rails (can cause injury if side rails are
lowered). They should be removed and skin assessed every 2 hours, not every 4
hours.
---
**6.** A client receiving chemotherapy has neutropenia. Which instruction should
the PN include in teaching?
A. "You should eat fresh fruits and vegetables daily"
B. "Avoid large crowds and people with infections"
C. "It is safe to have fresh flowers in your room"
