BSN 225 HESI RN Fundamentals of
Nursing Exam Prep Practice Questions
with Rationales (Latest Update 2025 /
2026) 100% Correct [Grade A] -
Nightingale
The nurse teaches the use of a gait belt to a male caregiver whose wife has right-
sided weakness and needs assistance with ambulation. The caregiver performs a
return demonstration of the skill. Which observation indicates that the caregiver has
learned how to perform this procedure correctly?
A. Standing on his wife's strong side, the caregiver is ready to hold the gait belt if any
evidence of weakness is observed.
B. Standing on his wife's weak side, the caregiver provides security by holding the
gait belt from the back.
C. Standing behind his wife, the caregiver provides balance by holding both sides of
the gait belt.
D. Standing slightly in front and to the right of his wife, the caregiver guides her
forward by gently pulling on the gait belt. - correct answer B
, BSN 225 HESI RN Fundamentals of
Nursing Exam Prep Practice Questions
with Rationales (Latest Update 2025 /
2026) 100% Correct [Grade A] -
Nightingale
Rationale: His wife is most likely to lean toward the weak side and needs extra
support on that side and from the back to prevent falling. Options A, C, and D
provide less security for her.
Which nursing diagnosis has the highest priority when planning care for a client with
an indwelling urinary catheter?
A. Self-care deficit
B. Functional incontinence
C. Fluid volume deficit
D. High risk for infection - correct answer D
Rationale: Indwelling urinary catheters are a major source of infection. Options A and
B are both problems that may require an indwelling catheter. Option C is not affected
by an indwelling catheter.
, BSN 225 HESI RN Fundamentals of
Nursing Exam Prep Practice Questions
with Rationales (Latest Update 2025 /
2026) 100% Correct [Grade A] -
Nightingale
A client has a nursing diagnosis of Altered sleep patterns related to nocturia. Which
client instruction is important for the nurse to provide?
A. Decrease intake of fluids after the evening meal.
B. Drink a glass of cranberry juice every day.
C. Drink a glass of warm decaffeinated beverage at bedtime.
D. Consult the health care provider about a sleeping pill. - correct answer A
Rationale: Nocturia is urination during the night. Option A is helpful to decrease the
production of urine, thus decreasing the need to void at night. Option B helps
prevent bladder infections. Option C may promote sleep, but the fluid will contribute
to nocturia. Option D may result in urinary incontinence if the client is sedated and
does not awaken to void.
, BSN 225 HESI RN Fundamentals of
Nursing Exam Prep Practice Questions
with Rationales (Latest Update 2025 /
2026) 100% Correct [Grade A] -
Nightingale
When performing sterile wound care in the acute care setting, the nurse obtains a
bottle of normal saline from the bedside table that is labeled "opened" and dated 48
hours prior to the current date. Which is the best action for the nurse to take?
A. Use the normal saline solution once more and then discard.
B. Obtain a new sterile syringe to draw up the labeled saline solution.
C. Use the saline solution and then relabel the bottle with the current date.
D. Discard the saline solution and obtain a new unopened bottle. - correct answer D
Rationale: Solutions labeled as opened within 24 hours may be used for clean
procedures, but only newly opened solutions are considered sterile. This solution is
not newly opened and is out of date, so it should be discarded. Options A, B, and C
describe incorrect procedures.
Based on the nursing diagnosis of risk for infection, which intervention is best for the
nurse to implement when providing care for an older incontinent client?
Nursing Exam Prep Practice Questions
with Rationales (Latest Update 2025 /
2026) 100% Correct [Grade A] -
Nightingale
The nurse teaches the use of a gait belt to a male caregiver whose wife has right-
sided weakness and needs assistance with ambulation. The caregiver performs a
return demonstration of the skill. Which observation indicates that the caregiver has
learned how to perform this procedure correctly?
A. Standing on his wife's strong side, the caregiver is ready to hold the gait belt if any
evidence of weakness is observed.
B. Standing on his wife's weak side, the caregiver provides security by holding the
gait belt from the back.
C. Standing behind his wife, the caregiver provides balance by holding both sides of
the gait belt.
D. Standing slightly in front and to the right of his wife, the caregiver guides her
forward by gently pulling on the gait belt. - correct answer B
, BSN 225 HESI RN Fundamentals of
Nursing Exam Prep Practice Questions
with Rationales (Latest Update 2025 /
2026) 100% Correct [Grade A] -
Nightingale
Rationale: His wife is most likely to lean toward the weak side and needs extra
support on that side and from the back to prevent falling. Options A, C, and D
provide less security for her.
Which nursing diagnosis has the highest priority when planning care for a client with
an indwelling urinary catheter?
A. Self-care deficit
B. Functional incontinence
C. Fluid volume deficit
D. High risk for infection - correct answer D
Rationale: Indwelling urinary catheters are a major source of infection. Options A and
B are both problems that may require an indwelling catheter. Option C is not affected
by an indwelling catheter.
, BSN 225 HESI RN Fundamentals of
Nursing Exam Prep Practice Questions
with Rationales (Latest Update 2025 /
2026) 100% Correct [Grade A] -
Nightingale
A client has a nursing diagnosis of Altered sleep patterns related to nocturia. Which
client instruction is important for the nurse to provide?
A. Decrease intake of fluids after the evening meal.
B. Drink a glass of cranberry juice every day.
C. Drink a glass of warm decaffeinated beverage at bedtime.
D. Consult the health care provider about a sleeping pill. - correct answer A
Rationale: Nocturia is urination during the night. Option A is helpful to decrease the
production of urine, thus decreasing the need to void at night. Option B helps
prevent bladder infections. Option C may promote sleep, but the fluid will contribute
to nocturia. Option D may result in urinary incontinence if the client is sedated and
does not awaken to void.
, BSN 225 HESI RN Fundamentals of
Nursing Exam Prep Practice Questions
with Rationales (Latest Update 2025 /
2026) 100% Correct [Grade A] -
Nightingale
When performing sterile wound care in the acute care setting, the nurse obtains a
bottle of normal saline from the bedside table that is labeled "opened" and dated 48
hours prior to the current date. Which is the best action for the nurse to take?
A. Use the normal saline solution once more and then discard.
B. Obtain a new sterile syringe to draw up the labeled saline solution.
C. Use the saline solution and then relabel the bottle with the current date.
D. Discard the saline solution and obtain a new unopened bottle. - correct answer D
Rationale: Solutions labeled as opened within 24 hours may be used for clean
procedures, but only newly opened solutions are considered sterile. This solution is
not newly opened and is out of date, so it should be discarded. Options A, B, and C
describe incorrect procedures.
Based on the nursing diagnosis of risk for infection, which intervention is best for the
nurse to implement when providing care for an older incontinent client?
