Page | 1
ALL HESI Fundamentals Exam Test Bank 2025 – 180
Verified Questions & Answers with Rationales |
GUARANTEED A+ | 100% Pass | NCLEX Prep PDF"
QUESTION 1; INFECTION CONTROL
A nurse is caring for a patient with suspected tuberculosis. What
type of precautions should the nurse implement?
A. Contact
B. Airborne
C. Droplet
D. Reverse isolation
Correct Answer: B. Airborne
Rationale: Tuberculosis is transmitted via airborne particles.
Patients must be placed in a negative pressure room, and
healthcare providers should wear an N95 respirator.
QUESTION 2; INFECTION CONTROL
Which personal protective equipment (PPE) is essential when
, caring for a patient on contact precautions for MRSA?
A. Gown and face shield
B. Mask and gloves
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C. Gown and gloves
D. N95 respirator
Correct Answer: C. Gown and gloves
Rationale: Contact precautions require the use of gloves and a
gown to prevent the spread of infection via direct or indirect
contact.
QUESTION 3; PATIENT SAFETY
A nurse discovers that a patient who is at high risk for falls is
attempting to get out of bed unassisted. What is the nurse’s
priority action?
A. Notify the provider
B. Instruct the patient to remain in bed
C. Activate the bed alarm
D. Assist the patient back to bed
Correct Answer: D. Assist the patient back to bed
Rationale: Ensuring the patient's immediate safety is the
priority. The nurse should first assist the patient to prevent a fall
before taking other actions.
QUESTION 4; VITAL SIGNS
Which of the following findings requires immediate
, intervention?
A. Blood pressure of 128/82 mm Hg
B. Temperature of 98.9°F (37.2°C)
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C. Pulse rate of 52 bpm in an athlete
D. Respiratory rate of 8 breaths/min
Correct Answer: D. Respiratory rate of 8 breaths/min
Rationale: A respiratory rate below 10 can indicate respiratory
depression, which requires immediate intervention to prevent
hypoxia.
QUESTION 5; MEDICATION ADMINISTRATION
A nurse is administering a medication that has a high first-pass
effect. Which route should the nurse anticipate for higher
bioavailability?
A. Oral
B. Subcutaneous
C. Intramuscular
D. Intravenous
Correct Answer: D. Intravenous
Rationale: IV administration bypasses the liver's first-pass
metabolism, resulting in greater bioavailability compared to oral
or parenteral routes.
QUESTION 6; NURSING PROCESS
What is the primary purpose of the evaluation phase in the
, nursing process?
A. Collect subjective data
B. Formulate nursing diagnoses
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C. Determine if goals were met
D. Implement nursing interventions
Correct Answer: C. Determine if goals were met
Rationale: Evaluation assesses the effectiveness of nursing
interventions and determines whether patient goals have been
achieved.
QUESTION 7; MOBILITY & IMMOBILITY
Which intervention is most appropriate to prevent complications
from immobility in a bedridden patient?
A. Elevate the head of the bed
B. Increase fluid intake
C. Reposition every 2 hours
D. Provide a high-protein snack
Correct Answer: C. Reposition every 2 hours
Rationale: Frequent repositioning prevents pressure ulcers,
promotes circulation, and reduces the risk of complications from
immobility.
QUESTION 8; HYGIENE & COMFORT
When providing perineal care for a female patient, which action
is correct?
ALL HESI Fundamentals Exam Test Bank 2025 – 180
Verified Questions & Answers with Rationales |
GUARANTEED A+ | 100% Pass | NCLEX Prep PDF"
QUESTION 1; INFECTION CONTROL
A nurse is caring for a patient with suspected tuberculosis. What
type of precautions should the nurse implement?
A. Contact
B. Airborne
C. Droplet
D. Reverse isolation
Correct Answer: B. Airborne
Rationale: Tuberculosis is transmitted via airborne particles.
Patients must be placed in a negative pressure room, and
healthcare providers should wear an N95 respirator.
QUESTION 2; INFECTION CONTROL
Which personal protective equipment (PPE) is essential when
, caring for a patient on contact precautions for MRSA?
A. Gown and face shield
B. Mask and gloves
Page | 2
C. Gown and gloves
D. N95 respirator
Correct Answer: C. Gown and gloves
Rationale: Contact precautions require the use of gloves and a
gown to prevent the spread of infection via direct or indirect
contact.
QUESTION 3; PATIENT SAFETY
A nurse discovers that a patient who is at high risk for falls is
attempting to get out of bed unassisted. What is the nurse’s
priority action?
A. Notify the provider
B. Instruct the patient to remain in bed
C. Activate the bed alarm
D. Assist the patient back to bed
Correct Answer: D. Assist the patient back to bed
Rationale: Ensuring the patient's immediate safety is the
priority. The nurse should first assist the patient to prevent a fall
before taking other actions.
QUESTION 4; VITAL SIGNS
Which of the following findings requires immediate
, intervention?
A. Blood pressure of 128/82 mm Hg
B. Temperature of 98.9°F (37.2°C)
Page | 3
C. Pulse rate of 52 bpm in an athlete
D. Respiratory rate of 8 breaths/min
Correct Answer: D. Respiratory rate of 8 breaths/min
Rationale: A respiratory rate below 10 can indicate respiratory
depression, which requires immediate intervention to prevent
hypoxia.
QUESTION 5; MEDICATION ADMINISTRATION
A nurse is administering a medication that has a high first-pass
effect. Which route should the nurse anticipate for higher
bioavailability?
A. Oral
B. Subcutaneous
C. Intramuscular
D. Intravenous
Correct Answer: D. Intravenous
Rationale: IV administration bypasses the liver's first-pass
metabolism, resulting in greater bioavailability compared to oral
or parenteral routes.
QUESTION 6; NURSING PROCESS
What is the primary purpose of the evaluation phase in the
, nursing process?
A. Collect subjective data
B. Formulate nursing diagnoses
Page | 4
C. Determine if goals were met
D. Implement nursing interventions
Correct Answer: C. Determine if goals were met
Rationale: Evaluation assesses the effectiveness of nursing
interventions and determines whether patient goals have been
achieved.
QUESTION 7; MOBILITY & IMMOBILITY
Which intervention is most appropriate to prevent complications
from immobility in a bedridden patient?
A. Elevate the head of the bed
B. Increase fluid intake
C. Reposition every 2 hours
D. Provide a high-protein snack
Correct Answer: C. Reposition every 2 hours
Rationale: Frequent repositioning prevents pressure ulcers,
promotes circulation, and reduces the risk of complications from
immobility.
QUESTION 8; HYGIENE & COMFORT
When providing perineal care for a female patient, which action
is correct?
