HESI RN Fundamentals NGN Proctored Exam

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Sample questions from HESI RN Fundamentals NGN Proctored Exam

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

1. 1.In a pediatric clinic, a parent of a 2-year-old asks how to reduce the risk of accidental poisoning at home. Which instruction is most important?

   • A.Transfer liquids to unbreakable beverage bottles before storing them.
   • B.Keep medications and household chemicals in their original, locked containers.
   • C.Tell the child not to touch anything in the medicine cabinet.
   • D.Store cleaning products under the kitchen sink so they are easy to find.

   Rationale: Keeping medications and chemicals locked in their original containers reduces access and preserves identifying labels and safety information. Under-sink storage may be accessible to a toddler, and beverage bottles can be mistaken for drinks. A verbal warning alone is not a reliable safety measure for a 2-year-old; prevention requires environmental controls.

2. 2.During a home visit, a caregiver asks how to prevent transmission of infection while caring for a newborn. Which instruction should the nurse emphasize?

   • A.Avoid bathing the newborn until the umbilical cord has separated.
   • B.Use hand sanitizer only when hands appear visibly soiled.
   • C.Perform hand hygiene before touching the newborn and after diaper changes.
   • D.Wear sterile gloves for every feeding and diaper change.

   Rationale: Hand hygiene before contact and after diaper care reduces the spread of pathogens to the newborn and the caregiver. Sterile gloves are not needed for routine care, and sanitizer is not the only option; visibly soiled hands require washing with soap and water. Delaying a bath is not the primary infection-prevention measure described.

3. 3.Refer to the client's chart. Which actions should the nurse take to reduce transmission risk while caring for the client? Select all that apply.

   • A.Wear a fit-tested N95 respirator when entering the room.
   • B.Keep the client's transport to essential purposes and have the client wear a mask if tolerated.
   • C.Place the client in a single room with the door closed.
   • D.Use dedicated equipment or disinfect shared equipment before it leaves the room.
   • E.Wear a surgical mask instead of a respirator for all room entry.

   Rationale: The client's positive tuberculosis test, persistent cough, and airborne isolation order support a single room with the door closed and a fit-tested N95 respirator for staff. A surgical mask does not provide the respiratory protection required for airborne precautions. Limiting transport and masking the client during essential transport reduce dispersal of infectious particles, while dedicated or disinfected equipment prevents indirect transmission.

4. 4.A client who is 28 years old is scheduled for a procedure. Which action best meets the nurse's responsibility for client identification before care?

   • A.Ask the client to state their full name and date of birth, then compare them with the identification band and order.
   • B.Ask the client to confirm the room number and compare it with the schedule.
   • C.Use the client's photograph in the electronic record as the only identifier.
   • D.Ask a family member to identify the client before proceeding.

   Answer and rationale are in the full material.

5. 5.At change of shift, the nurse receives report on four clients. Which client should the nurse assess first?

   • A.A 70-year-old client reporting chronic knee pain rated 4 out of 10
   • B.A 63-year-old client asking when a scheduled dressing change will occur
   • C.A 52-year-old client requesting assistance to the bathroom
   • D.A 41-year-old client who reports new shortness of breath after surgery

   Answer and rationale are in the full material.