HESI Fundamental Exam 1 Herzing

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Sample questions from HESI Fundamental Exam 1 Herzing

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

1. 1.A nurse enters a client's room and finds the client lying on the floor beside the bed. What should the nurse do first?

   • A.Notify the health care provider
   • B.Assess the client for injury and level of responsiveness
   • C.Complete an incident report
   • D.Help the client back into bed

   Rationale: Assessing responsiveness and possible injury is the immediate priority after a fall. Moving the client before assessing can worsen an injury, and notification and documentation follow initial assessment and care. The exam takeaway is to assess and protect the client before completing reporting tasks.

2. 2.A nurse is caring for a client with suspected Clostridioides difficile infection. Which actions are appropriate? Select all that apply.

   • A.Place the client on airborne precautions
   • B.Use alcohol-based hand rub as the only hand hygiene method after care
   • C.Wash hands with soap and water after removing gloves
   • D.Wear gloves when entering the room for care
   • E.Use dedicated equipment when possible

   Rationale: Gloves and dedicated equipment help limit transmission of this spore-forming organism. Soap-and-water handwashing is preferred after care because alcohol-based hand rub is not reliably effective against spores. Alcohol hand rub alone and airborne precautions are not appropriate substitutes for contact precautions and handwashing.

3. 3.A nurse sustains a needlestick injury while disposing of a used needle. What is the nurse's first action?

   • A.Squeeze the puncture site until it bleeds
   • B.Apply bleach to the puncture site
   • C.Finish the medication pass before reporting the injury
   • D.Wash the area with soap and water

   Rationale: The nurse should immediately wash the area with soap and water, then promptly report the exposure and follow the facility's evaluation protocol. Squeezing the site is not recommended, and delaying reporting can delay time-sensitive postexposure care. Bleach is caustic and must never be applied to skin.

4. 4.A nurse is caring for a client with an indwelling urinary catheter. Which action helps prevent catheter-associated infection?

   • A.Disconnect the tubing daily to clean the connection
   • B.Irrigate the catheter routinely without an order
   • C.Keep the drainage bag below bladder level
   • D.Place the drainage bag on the bed during transport

   Answer and rationale are in the full material.

5. 5.A nurse is preparing to enter the room of a client on contact precautions for a draining wound. Which actions are appropriate? Select all that apply.

   • A.Wear a gown and gloves for care that may involve contact with the client or environment
   • B.Clean shared equipment before using it for another client
   • C.Perform hand hygiene before donning personal protective equipment
   • D.Wear an N95 respirator for every room entry
   • E.Remove the gown and gloves before leaving the room

   Answer and rationale are in the full material.