HESI RN FUNDAMENTALS EXIT EXAM
HESI RN FUNDAMENTALS EXIT EXAM LATEST 2025-2026
NEWEST ACTUAL EXAM WITH COMPLETE 150 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
The nurse assesses a 2-year-old who is admitted for dehydration and finds that the
peripheral IV rate by gravity has slowed, even though the venous access site is
healthy. What should the nurse do next?
A.
Apply a warm compress proximal to the site.
B.
Check for kinks in the tubing and raise the IV pole.
C.
Adjust the tape that stabilizes the needle.
D.
Flush with normal saline and recount the drop rate.
B
Rationale: The nurse should first check the tubing and height of the bag on the IV
pole, which are common factors that may slow the rate. Gravity infusion rates are
influenced by the height of the bag, tubing clamp closure or kinks, needle size or
position, fluid viscosity, client blood pressure (crying in the pediatric client), and
infiltration. Venospasm can slow the rate and often responds to warmth over the
vessel, but the nurse should first adjust the IV pole height. The nurse may need to
adjust the stabilizing tape on a positional needle or flush the venous access with
normal saline, but less invasive actions should be implemented first.
The nurse manager of a skilled nursing (chronic care) unit is instructing UAPs on
ways to prevent complications of immobility. Which action should be included in
this instruction?
A.
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, HESI RN FUNDAMENTALS EXIT EXAM
Perform range-of-motion exercises to prevent contractures.
B.
Decrease the client's fluid intake to prevent diarrhea.
C.
Massage the client's legs to reduce embolism occurrence.
D.
Turn the client from side to back every shift.
A
Rationale: Performing range-of-motion exercises is beneficial in reducing
contractures around joints. Options B, C, and D are all potentially harmful
practices that place the immobile client at risk of complications.
The nurse administered 10 mg of diazepam to the preoperative client. What steps
will the nurse take next? (Select all that apply.)
A.
Place the client in the bed next to the nurse's station.
B.
Instruct the client not to get out of bed.
C.
Place the call bell within the client's reach.
D.
Place the side rails up, according to institutional policy.
E.
Assist the client to the bathroom
B, C, D
Rationale: Diazepam is a common preoperative medication. Close observation by
placing the client close to the nurse's station is not necessary. The medication has
a sedative effect and the client should not get out of bed, even with assistance.
The remaining selections are correct.
A terminally ill client tells the nurse, "I am so tired and in so much pain! Please
help me to die." Which is the best response for the nurse to provide?
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, HESI RN FUNDAMENTALS EXIT EXAM
A.
Administer the prescribed maximum dose of pain medication.
B.
Talk with the client about thoughts and feelings about death.
C.
Collaborate with the health care provider about initiating antidepressant therapy.
D.
Refer the client to the ethics committee of her local health care facility.
B
Rationale: The nurse should first assess the client's feelings about death and
determine the extent to which this statement expresses the client's true feelings.
The client may need additional pain management, but further assessment is
needed before implementing option A. Options C and D are both premature
interventions and should not be implemented until further assessment is
obtained.
A nurse stops at a motor vehicle collision site to render aid until the emergency
personnel arrive and applies pressure to a groin wound that is bleeding profusely.
Later the client has to have the leg amputated and sues the nurse for malpractice.
Which statement reflects the likely outcome for the nurse?
A.
The Patient's Bill of Rights protects clients from malicious intents, so the nurse
could lose the case.
B.
The lawsuit may be settled out of court, but the nurse's license is likely to be
revoked.
C.
There will be no judgment against the nurse, whose actions are protected under
the Good Samaritan Act.
D.
The client will win because the four elements of negligence (duty, breach,
causation, and damages) can be proved.
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, HESI RN FUNDAMENTALS EXIT EXAM
C
Rationale: The Good Samaritan Act protects health care professionals who
practice in good faith and provide reasonable care from malpractice claims,
regardless of the client outcome. Although the Patient's Bill of Rights protects
clients, this nurse is protected by the Good Samaritan Act. The state Board of
Nursing has no reason to revoke a registered nurse's license unless there was
evidence that actions taken in the emergency were not done in good faith or that
reasonable care was not provided. All four elements of malpractice were not
shown.
An older client who had abdominal surgery 3 days earlier was given a barbiturate
for sleep and is now requesting to go to the bathroom. What is the priority
nursing action for this client?
A.
Assist the client to walk to the bathroom and do not leave the client alone.
B.
Request that the UAP assist the client onto a bedpan.
C.
Ask if the client needs to have a bowel movement or void.
D.
Assess the client's bladder to determine if the client needs to urinate.
A
Rationale: Barbiturates cause central nervous system (CNS) depression, and
individuals taking these medications are at greater risk for falls. The nurse should
assist the client to the bathroom. A bedpan is not necessary as long as safety is
ensured. Whether the client needs to void or have a bowel movement, option C is
irrelevant in terms of meeting this client's safety needs. There is no indication that
this client cannot voice her or his needs, so assessment of the bladder is not
needed.
The nurse is planning care for a client with an indwelling urinary catheter. Which
nursing action has the highest priority?
4|Page
HESI RN FUNDAMENTALS EXIT EXAM LATEST 2025-2026
NEWEST ACTUAL EXAM WITH COMPLETE 150 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
The nurse assesses a 2-year-old who is admitted for dehydration and finds that the
peripheral IV rate by gravity has slowed, even though the venous access site is
healthy. What should the nurse do next?
A.
Apply a warm compress proximal to the site.
B.
Check for kinks in the tubing and raise the IV pole.
C.
Adjust the tape that stabilizes the needle.
D.
Flush with normal saline and recount the drop rate.
B
Rationale: The nurse should first check the tubing and height of the bag on the IV
pole, which are common factors that may slow the rate. Gravity infusion rates are
influenced by the height of the bag, tubing clamp closure or kinks, needle size or
position, fluid viscosity, client blood pressure (crying in the pediatric client), and
infiltration. Venospasm can slow the rate and often responds to warmth over the
vessel, but the nurse should first adjust the IV pole height. The nurse may need to
adjust the stabilizing tape on a positional needle or flush the venous access with
normal saline, but less invasive actions should be implemented first.
The nurse manager of a skilled nursing (chronic care) unit is instructing UAPs on
ways to prevent complications of immobility. Which action should be included in
this instruction?
A.
1|Page
, HESI RN FUNDAMENTALS EXIT EXAM
Perform range-of-motion exercises to prevent contractures.
B.
Decrease the client's fluid intake to prevent diarrhea.
C.
Massage the client's legs to reduce embolism occurrence.
D.
Turn the client from side to back every shift.
A
Rationale: Performing range-of-motion exercises is beneficial in reducing
contractures around joints. Options B, C, and D are all potentially harmful
practices that place the immobile client at risk of complications.
The nurse administered 10 mg of diazepam to the preoperative client. What steps
will the nurse take next? (Select all that apply.)
A.
Place the client in the bed next to the nurse's station.
B.
Instruct the client not to get out of bed.
C.
Place the call bell within the client's reach.
D.
Place the side rails up, according to institutional policy.
E.
Assist the client to the bathroom
B, C, D
Rationale: Diazepam is a common preoperative medication. Close observation by
placing the client close to the nurse's station is not necessary. The medication has
a sedative effect and the client should not get out of bed, even with assistance.
The remaining selections are correct.
A terminally ill client tells the nurse, "I am so tired and in so much pain! Please
help me to die." Which is the best response for the nurse to provide?
2|Page
, HESI RN FUNDAMENTALS EXIT EXAM
A.
Administer the prescribed maximum dose of pain medication.
B.
Talk with the client about thoughts and feelings about death.
C.
Collaborate with the health care provider about initiating antidepressant therapy.
D.
Refer the client to the ethics committee of her local health care facility.
B
Rationale: The nurse should first assess the client's feelings about death and
determine the extent to which this statement expresses the client's true feelings.
The client may need additional pain management, but further assessment is
needed before implementing option A. Options C and D are both premature
interventions and should not be implemented until further assessment is
obtained.
A nurse stops at a motor vehicle collision site to render aid until the emergency
personnel arrive and applies pressure to a groin wound that is bleeding profusely.
Later the client has to have the leg amputated and sues the nurse for malpractice.
Which statement reflects the likely outcome for the nurse?
A.
The Patient's Bill of Rights protects clients from malicious intents, so the nurse
could lose the case.
B.
The lawsuit may be settled out of court, but the nurse's license is likely to be
revoked.
C.
There will be no judgment against the nurse, whose actions are protected under
the Good Samaritan Act.
D.
The client will win because the four elements of negligence (duty, breach,
causation, and damages) can be proved.
3|Page
, HESI RN FUNDAMENTALS EXIT EXAM
C
Rationale: The Good Samaritan Act protects health care professionals who
practice in good faith and provide reasonable care from malpractice claims,
regardless of the client outcome. Although the Patient's Bill of Rights protects
clients, this nurse is protected by the Good Samaritan Act. The state Board of
Nursing has no reason to revoke a registered nurse's license unless there was
evidence that actions taken in the emergency were not done in good faith or that
reasonable care was not provided. All four elements of malpractice were not
shown.
An older client who had abdominal surgery 3 days earlier was given a barbiturate
for sleep and is now requesting to go to the bathroom. What is the priority
nursing action for this client?
A.
Assist the client to walk to the bathroom and do not leave the client alone.
B.
Request that the UAP assist the client onto a bedpan.
C.
Ask if the client needs to have a bowel movement or void.
D.
Assess the client's bladder to determine if the client needs to urinate.
A
Rationale: Barbiturates cause central nervous system (CNS) depression, and
individuals taking these medications are at greater risk for falls. The nurse should
assist the client to the bathroom. A bedpan is not necessary as long as safety is
ensured. Whether the client needs to void or have a bowel movement, option C is
irrelevant in terms of meeting this client's safety needs. There is no indication that
this client cannot voice her or his needs, so assessment of the bladder is not
needed.
The nurse is planning care for a client with an indwelling urinary catheter. Which
nursing action has the highest priority?
4|Page
