Fundamentals of Nursing HESI/ATI QBank 2025 | 180
Verified A+ Questions with Answers & Rationales |
Guaranteed Pass – Patient Safety & Clinical Skills
1. A nurse is caring for a client with a high risk of falls due to postoperative
delirium. Which of the following is the most appropriate safety intervention?
A. Restrain the client in bed to prevent injury
B. Place the client in a room near the nurses' station
C. Administer sedatives to reduce movement
D. Turn off the room lights to encourage sleep
Correct Answer: B. Place the client in a room near the nurses' station
Rationale: Placing the client close to the nurses' station allows for frequent
observation, quick response to unsafe behavior, and helps prevent falls. Restraints
and sedatives increase the risk of injury or complications, while turning off lights
may increase confusion in delirious clients.
2. A nurse observes smoke coming from the utility room on the unit. What is
the nurse’s first action based on RACE protocol?
A. Contain the fire by closing all doors
B. Rescue any patients in immediate danger
C. Sound the fire alarm
D. Extinguish the fire with the fire extinguisher
Correct Answer: B. Rescue any patients in immediate danger
Rationale: The RACE acronym (Rescue, Alarm, Contain, Extinguish) is the
standard fire response protocol. Rescuing patients in immediate danger is the
priority before activating alarms or containing the fire.
,3. A nurse is preparing to administer a medication to a patient. What is the
most reliable method for verifying the patient’s identity?
A. Ask the client’s roommate to confirm their name
B. Check the client’s room number
C. Compare the client's wristband with the medication administration record
D. Ask the client to state their favorite color
Correct Answer: C. Compare the client's wristband with the medication
administration record
Rationale: The most accurate method of identification includes checking the
patient’s ID band and comparing it to the MAR. Room numbers and verbal
responses alone are insufficient.
4. Which action by the nurse demonstrates correct sterile technique during
urinary catheter insertion?
A. Using clean gloves for the entire procedure
B. Touching the catheter tubing with bare hands
C. Opening the sterile catheter kit without contaminating contents
D. Cleaning the meatus with a dry swab before insertion
Correct Answer: C. Opening the sterile catheter kit without contaminating
contents
Rationale: Maintaining sterility during catheter insertion is critical. Opening the
sterile kit correctly sets the foundation for an aseptic procedure.
5. A client on oxygen therapy is at risk of fire. Which statement by the client
indicates understanding of fire prevention at home?
A. “I can light a candle as long as the oxygen is turned off.”
B. “I will keep my oxygen tank next to the gas stove.”
C. “I will use petroleum jelly on my dry lips.”
D. “I will avoid using wool blankets and keep flammable materials away.”
,Correct Answer: D. “I will avoid using wool blankets and keep flammable
materials away.”
Rationale: Wool can generate static electricity, increasing fire risk. Flammable
items must be kept away from oxygen sources. Petroleum-based products also pose
fire hazards.
6. A nurse is transferring a client from bed to wheelchair. Which of the
following actions promotes client safety during the transfer?
A. Position the wheelchair 3 feet away from the bed
B. Lock the wheels of the bed and wheelchair before transfer
C. Ask the client to push off the bed without assistance
D. Stand with feet together and pull the client forward quickly
Correct Answer: B. Lock the wheels of the bed and wheelchair before transfer
Rationale: Locking wheels prevents equipment movement during transfer,
minimizing fall risk. Standing with feet together or rushing compromises body
mechanics and safety.
7. A client with a history of seizures is admitted to the medical-surgical unit.
What is the nurse's priority action for seizure precautions?
A. Place padded side rails and keep suction equipment at bedside
B. Insert a padded tongue blade in the client's mouth
C. Restrain the client to prevent injury
D. Keep the bed in high Fowler’s position
Correct Answer: A. Place padded side rails and keep suction equipment at
bedside
Rationale: Padding and suction prevent aspiration and trauma during a seizure.
Tongue blades and restraints are outdated and dangerous practices.
8. When using a fire extinguisher, what does the acronym PASS stand for?
, A. Pull, Aim, Squeeze, Sweep
B. Push, Alert, Spray, Stand
C. Pass, Alarm, Stop, Secure
D. Pause, Aim, Shoot, Sweep
Correct Answer: A. Pull, Aim, Squeeze, Sweep
Rationale: PASS is the correct fire extinguisher operation procedure: Pull the pin,
Aim at the base, Squeeze the handle, Sweep side to side.
9. Which of the following interventions should the nurse implement for a
client with dysphagia to prevent aspiration during feeding?
A. Encourage the client to drink large sips of water
B. Position the client in a high Fowler’s position during meals
C. Offer foods with mixed textures
D. Allow the client to lie down immediately after eating
Correct Answer: B. Position the client in a high Fowler’s position during
meals
Rationale: Sitting upright helps control swallowing and reduces aspiration risk.
Thin liquids and mixed textures are harder to control.
10. Which is the correct sequence for donning personal protective equipment
(PPE)?
A. Mask, gloves, gown, goggles
B. Gloves, gown, mask, goggles
C. Gown, mask, goggles, gloves
D. Gown, gloves, goggles, mask
Correct Answer: C. Gown, mask, goggles, gloves
Rationale: The correct PPE donning sequence minimizes contamination during
care. Gloves are worn last to ensure full coverage.
Verified A+ Questions with Answers & Rationales |
Guaranteed Pass – Patient Safety & Clinical Skills
1. A nurse is caring for a client with a high risk of falls due to postoperative
delirium. Which of the following is the most appropriate safety intervention?
A. Restrain the client in bed to prevent injury
B. Place the client in a room near the nurses' station
C. Administer sedatives to reduce movement
D. Turn off the room lights to encourage sleep
Correct Answer: B. Place the client in a room near the nurses' station
Rationale: Placing the client close to the nurses' station allows for frequent
observation, quick response to unsafe behavior, and helps prevent falls. Restraints
and sedatives increase the risk of injury or complications, while turning off lights
may increase confusion in delirious clients.
2. A nurse observes smoke coming from the utility room on the unit. What is
the nurse’s first action based on RACE protocol?
A. Contain the fire by closing all doors
B. Rescue any patients in immediate danger
C. Sound the fire alarm
D. Extinguish the fire with the fire extinguisher
Correct Answer: B. Rescue any patients in immediate danger
Rationale: The RACE acronym (Rescue, Alarm, Contain, Extinguish) is the
standard fire response protocol. Rescuing patients in immediate danger is the
priority before activating alarms or containing the fire.
,3. A nurse is preparing to administer a medication to a patient. What is the
most reliable method for verifying the patient’s identity?
A. Ask the client’s roommate to confirm their name
B. Check the client’s room number
C. Compare the client's wristband with the medication administration record
D. Ask the client to state their favorite color
Correct Answer: C. Compare the client's wristband with the medication
administration record
Rationale: The most accurate method of identification includes checking the
patient’s ID band and comparing it to the MAR. Room numbers and verbal
responses alone are insufficient.
4. Which action by the nurse demonstrates correct sterile technique during
urinary catheter insertion?
A. Using clean gloves for the entire procedure
B. Touching the catheter tubing with bare hands
C. Opening the sterile catheter kit without contaminating contents
D. Cleaning the meatus with a dry swab before insertion
Correct Answer: C. Opening the sterile catheter kit without contaminating
contents
Rationale: Maintaining sterility during catheter insertion is critical. Opening the
sterile kit correctly sets the foundation for an aseptic procedure.
5. A client on oxygen therapy is at risk of fire. Which statement by the client
indicates understanding of fire prevention at home?
A. “I can light a candle as long as the oxygen is turned off.”
B. “I will keep my oxygen tank next to the gas stove.”
C. “I will use petroleum jelly on my dry lips.”
D. “I will avoid using wool blankets and keep flammable materials away.”
,Correct Answer: D. “I will avoid using wool blankets and keep flammable
materials away.”
Rationale: Wool can generate static electricity, increasing fire risk. Flammable
items must be kept away from oxygen sources. Petroleum-based products also pose
fire hazards.
6. A nurse is transferring a client from bed to wheelchair. Which of the
following actions promotes client safety during the transfer?
A. Position the wheelchair 3 feet away from the bed
B. Lock the wheels of the bed and wheelchair before transfer
C. Ask the client to push off the bed without assistance
D. Stand with feet together and pull the client forward quickly
Correct Answer: B. Lock the wheels of the bed and wheelchair before transfer
Rationale: Locking wheels prevents equipment movement during transfer,
minimizing fall risk. Standing with feet together or rushing compromises body
mechanics and safety.
7. A client with a history of seizures is admitted to the medical-surgical unit.
What is the nurse's priority action for seizure precautions?
A. Place padded side rails and keep suction equipment at bedside
B. Insert a padded tongue blade in the client's mouth
C. Restrain the client to prevent injury
D. Keep the bed in high Fowler’s position
Correct Answer: A. Place padded side rails and keep suction equipment at
bedside
Rationale: Padding and suction prevent aspiration and trauma during a seizure.
Tongue blades and restraints are outdated and dangerous practices.
8. When using a fire extinguisher, what does the acronym PASS stand for?
, A. Pull, Aim, Squeeze, Sweep
B. Push, Alert, Spray, Stand
C. Pass, Alarm, Stop, Secure
D. Pause, Aim, Shoot, Sweep
Correct Answer: A. Pull, Aim, Squeeze, Sweep
Rationale: PASS is the correct fire extinguisher operation procedure: Pull the pin,
Aim at the base, Squeeze the handle, Sweep side to side.
9. Which of the following interventions should the nurse implement for a
client with dysphagia to prevent aspiration during feeding?
A. Encourage the client to drink large sips of water
B. Position the client in a high Fowler’s position during meals
C. Offer foods with mixed textures
D. Allow the client to lie down immediately after eating
Correct Answer: B. Position the client in a high Fowler’s position during
meals
Rationale: Sitting upright helps control swallowing and reduces aspiration risk.
Thin liquids and mixed textures are harder to control.
10. Which is the correct sequence for donning personal protective equipment
(PPE)?
A. Mask, gloves, gown, goggles
B. Gloves, gown, mask, goggles
C. Gown, mask, goggles, gloves
D. Gown, gloves, goggles, mask
Correct Answer: C. Gown, mask, goggles, gloves
Rationale: The correct PPE donning sequence minimizes contamination during
care. Gloves are worn last to ensure full coverage.
