Fundamental of Nursing 12TH Edition HESI Test Bank

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Sample questions from Fundamental of Nursing 12TH Edition HESI Test Bank

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

1. 1.In the medical-surgical unit, a client with suspected Clostridioides difficile infection has frequent watery stools. Which actions should the nurse take to reduce transmission? Select all that apply.

   • A.Dedicate equipment such as a blood pressure cuff to the client.
   • B.Use alcohol-based hand rub as the only hand hygiene after care.
   • C.Wear gown and gloves when entering the room.
   • D.Place the client in a private room with contact precautions.
   • E.Clean hands with soap and water after removing gloves.

   Rationale: A private room, gown and gloves, and dedicated equipment reduce spore transmission. Soap and water is preferred after care because alcohol-based hand rub does not reliably eliminate C. difficile spores. Alcohol hand rub alone is therefore inadequate.

2. 2.Which action is appropriate when removing contaminated gloves after changing a client's dressing?

   • A.Touch the outside of each glove with bare fingers to loosen it.
   • B.Pull both gloves off by grasping their fingertips.
   • C.Wash the gloved hands before removing the gloves.
   • D.Grasp the outside of one glove at the wrist and peel it away, then slide fingers under the remaining glove.

   Rationale: Peeling the first glove away by its contaminated exterior and sliding ungloved fingers beneath the second glove limits skin contact with contamination. Grasping both fingertips or touching the glove exterior with bare hands contaminates the hands. Washing gloves does not replace proper removal and hand hygiene.

3. 3.A nurse enters a room and finds a client on the floor beside the bed. What should the nurse do first?

   • A.Complete an incident report before notifying anyone.
   • B.Ask the client to walk to determine whether an injury occurred.
   • C.Assess the client for injury and level of responsiveness.
   • D.Help the client back into bed to prevent embarrassment.

   Rationale: The first priority is to assess responsiveness and possible injury before moving the client. Moving the client without assessment may worsen an injury, and walking is unsafe until injury is excluded. Documentation and an incident report follow immediate assessment and care.

4. 4.Before entering the room of a client on airborne precautions for pulmonary tuberculosis, which respiratory protection is required?

   • A.A fit-tested N95 respirator or higher-level respirator
   • B.A face shield without a mask
   • C.A gown and gloves without respiratory protection
   • D.A surgical mask worn only while near the bed

   Answer and rationale are in the full material.

5. 5.Refer to the client's chart. Which action should the nurse take first to address the immediate safety concern?

   • A.Apply wrist restraints before the client attempts to get up.
   • B.Keep the bed low, activate the bed alarm, and assist with toileting.
   • C.Encourage the client to walk independently to improve strength.
   • D.Request a prescription for a sedative.

   Answer and rationale are in the full material.