2025–2026 HESI Fundamentals of Nursing RN/PN Test Bank | 160+ Verified
NCLEX-Style Questions | A+ Guaranteed Pass
1.
A nurse is preparing to transfer a partially mobile client from the bed to a
wheelchair. What is the most appropriate safety intervention to prevent a fall?
A. Instruct the client to hold onto the bed rail
B. Ensure the wheelchair is locked and positioned close to the bed
C. Have the client pivot independently to promote autonomy
D. Raise the bed to the highest position for better leverage
Correct Answer: B
Rationale: Safety during transfers requires locking the wheelchair and placing it
close to the bed to reduce risk of falls. Raising the bed too high increases fall risk,
and the client should not pivot independently unless fully stable.
,2.
While providing care to a client on airborne precautions for tuberculosis, which
protective equipment must the nurse use?
A. Gown, gloves, and face shield
B. N95 respirator mask
C. Surgical mask and gloves
D. Gown, gloves, and surgical mask
Correct Answer: B
Rationale: Airborne precautions for diseases like TB require use of an N95
respirator, which filters airborne particles. Surgical masks are inadequate for
airborne pathogens.
3.
A nurse observes smoke coming from an electrical outlet in a patient’s room. What
is the first action the nurse should take?
A. Pull the fire alarm
B. Attempt to unplug the device
C. Remove the client from the room
D. Use a fire extinguisher
,Correct Answer: C
Rationale: According to the RACE protocol (Rescue, Alarm, Confine,
Extinguish), the first priority is safety—removing the client from immediate
danger before taking any other action.
4.
A client is on contact precautions for Clostridium difficile. Which statement by a
new nurse indicates a need for further teaching?
A. “I’ll wear gloves when entering the room.”
B. “I’ll use alcohol-based hand sanitizer after care.”
C. “I’ll wear a gown during direct contact.”
D. “I’ll dedicate equipment to this client.”
Correct Answer: B
Rationale: For C. diff, alcohol-based hand sanitizers are not effective. Hand
hygiene must be done with soap and water due to the spores’ resistance to
alcohol.
, 5.
A nurse is caring for a client with a chest tube. Which action would require
immediate intervention?
A. The drainage chamber is half full
B. Bubbling is noted in the suction chamber
C. The chest tube is disconnected from the drainage system
D. The dressing is dry and intact
Correct Answer: C
Rationale: A disconnected chest tube may result in a tension pneumothorax.
The nurse should immediately clamp the tube and reconnect it to maintain
negative pressure.
6.
What is the best way to prevent the spread of infection in a healthcare setting?
A. Perform proper hand hygiene consistently
B. Use antimicrobial soaps
C. Apply gloves before touching any client
D. Wear a gown for all patient care
NCLEX-Style Questions | A+ Guaranteed Pass
1.
A nurse is preparing to transfer a partially mobile client from the bed to a
wheelchair. What is the most appropriate safety intervention to prevent a fall?
A. Instruct the client to hold onto the bed rail
B. Ensure the wheelchair is locked and positioned close to the bed
C. Have the client pivot independently to promote autonomy
D. Raise the bed to the highest position for better leverage
Correct Answer: B
Rationale: Safety during transfers requires locking the wheelchair and placing it
close to the bed to reduce risk of falls. Raising the bed too high increases fall risk,
and the client should not pivot independently unless fully stable.
,2.
While providing care to a client on airborne precautions for tuberculosis, which
protective equipment must the nurse use?
A. Gown, gloves, and face shield
B. N95 respirator mask
C. Surgical mask and gloves
D. Gown, gloves, and surgical mask
Correct Answer: B
Rationale: Airborne precautions for diseases like TB require use of an N95
respirator, which filters airborne particles. Surgical masks are inadequate for
airborne pathogens.
3.
A nurse observes smoke coming from an electrical outlet in a patient’s room. What
is the first action the nurse should take?
A. Pull the fire alarm
B. Attempt to unplug the device
C. Remove the client from the room
D. Use a fire extinguisher
,Correct Answer: C
Rationale: According to the RACE protocol (Rescue, Alarm, Confine,
Extinguish), the first priority is safety—removing the client from immediate
danger before taking any other action.
4.
A client is on contact precautions for Clostridium difficile. Which statement by a
new nurse indicates a need for further teaching?
A. “I’ll wear gloves when entering the room.”
B. “I’ll use alcohol-based hand sanitizer after care.”
C. “I’ll wear a gown during direct contact.”
D. “I’ll dedicate equipment to this client.”
Correct Answer: B
Rationale: For C. diff, alcohol-based hand sanitizers are not effective. Hand
hygiene must be done with soap and water due to the spores’ resistance to
alcohol.
, 5.
A nurse is caring for a client with a chest tube. Which action would require
immediate intervention?
A. The drainage chamber is half full
B. Bubbling is noted in the suction chamber
C. The chest tube is disconnected from the drainage system
D. The dressing is dry and intact
Correct Answer: C
Rationale: A disconnected chest tube may result in a tension pneumothorax.
The nurse should immediately clamp the tube and reconnect it to maintain
negative pressure.
6.
What is the best way to prevent the spread of infection in a healthcare setting?
A. Perform proper hand hygiene consistently
B. Use antimicrobial soaps
C. Apply gloves before touching any client
D. Wear a gown for all patient care
