HESI RN Fundamentals Proctored Exam

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Sample questions from HESI RN Fundamentals Proctored Exam

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.In the newborn nursery, a nurse prepares to care for an infant whose mother is being evaluated for a contagious respiratory infection. Which action is most important before entering the infant's room?

   • A.Wear a surgical mask for every interaction, regardless of the prescribed precautions
   • B.Bring all needed supplies into the room without checking the isolation instructions
   • C.Put on gloves and rely on them instead of hand hygiene
   • D.Perform hand hygiene and put on the indicated personal protective equipment

   Rationale: Hand hygiene is required before patient contact, and the nurse should use the personal protective equipment indicated by the transmission-based precautions. Gloves do not replace hand hygiene. Bringing supplies in without checking precautions can contaminate equipment, and wearing a mask without regard to the required precautions may not provide appropriate protection.

2. 2.A toddler is admitted with suspected measles. Which room assignment is appropriate?

   • A.A private room with airborne infection isolation and the door closed
   • B.A room near the nurses' station with standard precautions only
   • C.A room with another child who has a confirmed bacterial infection
   • D.A private room with droplet precautions and the door open

   Rationale: Measles spreads through airborne transmission, so the child should be placed in an airborne infection isolation room with the door closed. Droplet precautions alone are inadequate. Cohorting with a client who has a different infection can expose both clients to additional pathogens, and standard precautions alone do not control measles transmission.

3. 3.During a home visit, a nurse sees that a 4-year-old has a loose area rug beside the bed. Which instruction should the nurse give the caregiver to reduce fall risk?

   • A.Place a night-light on the rug so the child can see it
   • B.Remove the rug or secure it firmly with a nonslip backing
   • C.Keep the rug in place and ask the child to walk around it
   • D.Add a second rug to provide a softer landing surface

   Rationale: Removing a loose rug or securing it with a nonslip backing reduces the risk of tripping. A night-light improves visibility but does not prevent the rug from slipping. Asking a young child to avoid the rug is not a reliable environmental safety measure, and adding another rug creates additional trip hazards.

4. 4.Refer to the client's chart. Which actions should the nurse take when entering the room to provide care? Select all that apply.

   • A.Perform hand hygiene before putting on gloves
   • B.Wear a fit-tested respirator when entering the room
   • C.Use a surgical mask instead of a respirator because the client is afebrile
   • D.Keep the room door closed
   • E.Wear gloves when handling respiratory secretions

   Answer and rationale are in the full material.

5. 5.A client states, "I feel dizzy when I get out of bed." Which action should the nurse take first to prevent a fall?

   • A.Encourage the client to walk independently to improve balance
   • B.Raise all four side rails before helping the client move
   • C.Assist the client to sit at the side of the bed and assess symptoms before standing
   • D.Ask the client to wait until the next scheduled vital-sign assessment

   Answer and rationale are in the full material.