BSN 225 HESI RN Fundamentals of
Nursing Exam Prep Practice Questions
with Rationales (Latest Update 2025 /
2026) 100% Correct [Grade A] -
Nightingale
When turning an immobile bedridden client without assistance, which action by the
nurse best ensures client safety?
A. Securely grasp the client's arm and leg.
B. Put bed rails up on the side of bed opposite from the nurse.
C. Correctly position and use a turn sheet.
D. Lower the head of the client's bed slowly. - correct answer B
Rationale: Because the nurse can only stand on one side of the bed, bed rails should
be up on the opposite side to ensure that the client does not fall out of bed. Option A
can cause client injury to the skin or joint. Options C and D are useful techniques
while turning a client but have less priority in terms of safety than use of the bed rails.
The nurse identifies a potential for infection in a client with partial-thickness (second-
degree) and full-thickness (third-degree) burns. What intervention has the highest
priority in decreasing the client's risk of infection?
, BSN 225 HESI RN Fundamentals of
Nursing Exam Prep Practice Questions
with Rationales (Latest Update 2025 /
2026) 100% Correct [Grade A] -
Nightingale
A. Administration of plasma expanders
B. Use of careful handwashing technique
C. Application of a topical antibacterial cream
D. Limiting visitors to the client with burns - correct answer B
Rationale: Careful handwashing technique is the single most effective intervention for
the prevention of contamination to all clients. Option A reverses the hypovolemia
that initially accompanies burn trauma but is not related to decreasing the
proliferation of infective organisms. Options C and D are recommended by various
burn centers as possible ways to reduce the chance of infection. Option B is a proven
technique to prevent infection.
The nurse is aware that malnutrition is a common problem among clients served by a
community health clinic for the homeless. Which laboratory value is the most reliable
indicator of chronic protein malnutrition?
, BSN 225 HESI RN Fundamentals of
Nursing Exam Prep Practice Questions
with Rationales (Latest Update 2025 /
2026) 100% Correct [Grade A] -
Nightingale
A. Low serum albumin level
B. Low serum transferrin level
C. High hemoglobin level
D. High cholesterol level - correct answer A
Rationale: Long-term protein deficiency is required to cause significantly lowered
serum albumin levels. Albumin is made by the liver only when adequate amounts of
amino acids (from protein breakdown) are available. Albumin has a long half-life, so
acute protein loss does not significantly alter serum levels. Option B is a serum
protein with a half-life of only 8 to 10 days, so it will drop with an acute protein
deficiency. Options C and D are not clinical measures of protein malnutrition.
In completing a client's preoperative routine, the nurse finds that the operative
permit is not signed. The client begins to ask more questions about the surgical
procedure. Which action should the nurse take next?
, BSN 225 HESI RN Fundamentals of
Nursing Exam Prep Practice Questions
with Rationales (Latest Update 2025 /
2026) 100% Correct [Grade A] -
Nightingale
A. Witness the client's signature to the permit.
B. Answer the client's questions about the surgery.
C. Inform the surgeon that the operative permit is not signed and the client has
questions about the surgery.
D. Reassure the client that the surgeon will answer any questions before the
anesthesia is administered. - correct answer C
Rationale: The surgeon should be informed immediately that the permit is not signed.
It is the surgeon's responsibility to explain the procedure to the client and obtain the
client's signature on the permit. Although the nurse can witness an operative permit,
the procedure must first be explained by the health care provider or surgeon,
including answering the client's questions. The client's questions should be addressed
before the permit is signed.
Nursing Exam Prep Practice Questions
with Rationales (Latest Update 2025 /
2026) 100% Correct [Grade A] -
Nightingale
When turning an immobile bedridden client without assistance, which action by the
nurse best ensures client safety?
A. Securely grasp the client's arm and leg.
B. Put bed rails up on the side of bed opposite from the nurse.
C. Correctly position and use a turn sheet.
D. Lower the head of the client's bed slowly. - correct answer B
Rationale: Because the nurse can only stand on one side of the bed, bed rails should
be up on the opposite side to ensure that the client does not fall out of bed. Option A
can cause client injury to the skin or joint. Options C and D are useful techniques
while turning a client but have less priority in terms of safety than use of the bed rails.
The nurse identifies a potential for infection in a client with partial-thickness (second-
degree) and full-thickness (third-degree) burns. What intervention has the highest
priority in decreasing the client's risk of infection?
, BSN 225 HESI RN Fundamentals of
Nursing Exam Prep Practice Questions
with Rationales (Latest Update 2025 /
2026) 100% Correct [Grade A] -
Nightingale
A. Administration of plasma expanders
B. Use of careful handwashing technique
C. Application of a topical antibacterial cream
D. Limiting visitors to the client with burns - correct answer B
Rationale: Careful handwashing technique is the single most effective intervention for
the prevention of contamination to all clients. Option A reverses the hypovolemia
that initially accompanies burn trauma but is not related to decreasing the
proliferation of infective organisms. Options C and D are recommended by various
burn centers as possible ways to reduce the chance of infection. Option B is a proven
technique to prevent infection.
The nurse is aware that malnutrition is a common problem among clients served by a
community health clinic for the homeless. Which laboratory value is the most reliable
indicator of chronic protein malnutrition?
, BSN 225 HESI RN Fundamentals of
Nursing Exam Prep Practice Questions
with Rationales (Latest Update 2025 /
2026) 100% Correct [Grade A] -
Nightingale
A. Low serum albumin level
B. Low serum transferrin level
C. High hemoglobin level
D. High cholesterol level - correct answer A
Rationale: Long-term protein deficiency is required to cause significantly lowered
serum albumin levels. Albumin is made by the liver only when adequate amounts of
amino acids (from protein breakdown) are available. Albumin has a long half-life, so
acute protein loss does not significantly alter serum levels. Option B is a serum
protein with a half-life of only 8 to 10 days, so it will drop with an acute protein
deficiency. Options C and D are not clinical measures of protein malnutrition.
In completing a client's preoperative routine, the nurse finds that the operative
permit is not signed. The client begins to ask more questions about the surgical
procedure. Which action should the nurse take next?
, BSN 225 HESI RN Fundamentals of
Nursing Exam Prep Practice Questions
with Rationales (Latest Update 2025 /
2026) 100% Correct [Grade A] -
Nightingale
A. Witness the client's signature to the permit.
B. Answer the client's questions about the surgery.
C. Inform the surgeon that the operative permit is not signed and the client has
questions about the surgery.
D. Reassure the client that the surgeon will answer any questions before the
anesthesia is administered. - correct answer C
Rationale: The surgeon should be informed immediately that the permit is not signed.
It is the surgeon's responsibility to explain the procedure to the client and obtain the
client's signature on the permit. Although the nurse can witness an operative permit,
the procedure must first be explained by the health care provider or surgeon,
including answering the client's questions. The client's questions should be addressed
before the permit is signed.
