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HESI FUNDAMENTALS EXIT EXAM LATEST 2026-2027 ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
A client hospitalized with pneumonia has thick, tenacious
secretions. Which intervention should the nurse include when
planning this client's care?
a) Turning the client every 2 hours
b) Maintaining a cool room temperature
c) Encouraging increased fluid intake
d) Elevating the head of the bed 30 degrees - ANSWER-
Encouraging increased fluid intake
Correct
Explanation:
Increasing the client's intake of oral or I.V. fluids helps
liquefy thick, tenacious secretions and ensures adequate
hydration. Turning the client every 2 hours would help
prevent pressure ulcers but wouldn't help with the
secretions. Elevating the head of the bed would reduce
pressure on the diaphragm and ease breathing but wouldn't
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help the client with secretions. Maintaining a cool room
temperature wouldn't help the client with secretions
Which of the following is the recommended nursing assessment
to confirm placement of the nasogastric (NG) tube into the
stomach of a client?
a) NG tube length is equal to the distance from the client's ear
lobe to the nose, plus the distance from the nose to the tip of the
xiphoid process; this will confirm correct placement.
b) Obtain a chest X-ray and measure the pH of stomach
contents.
c) Measure to the second or third black marking on the NG tube.
d) Apply the stethoscope to the xiphoid process and instill 50 mL
of air into the tube and listen for a gurgling or popping sound. -
ANSWER-Obtain a chest X-ray and measure the pH of stomach
contents.
Correct
Explanation:
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A chest X-ray and pH that shows acidity are the only
definitive diagnostic tools to confirm placement. The other
choices are not best practice. Measuring the tube or using
makings do not confirm placement, only approximate
distance for insertion
What would be an appropriate action for the nurse prior to
performing deep tracheal suctioning due to increased secretions?
a) Apply negative pressure as the catheter is being inserted.
b) Hyperoxygenate the client before suctioning.
c) Deflate the cuff of the tracheotomy during suctioning.
d) Instill acetylcysteine into the tracheotomy before suctioning. -
ANSWER-Hyperoxygenate the client before suctioning.
Correct
Explanation:
Preoxygenation and deep breathing assist in reducing
suction-induced hypoxemia because it decreases the risk of
atelectasis caused by negative pressure of suctioning.
Deflating the cuff is not necessary and there is no reason to
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instill acetylcysteine into the tracheotomy before suctioning.
Pressure is applied only with the removal of the catheter
A client is being discharged after abdominal surgery and
colostomy formation to treat colon cancer. Which nursing action is
most likely to promote continuity of care?
a) Advocating for the client by ordering Meals on Wheels 5 days
a week
b) Notifying the American Cancer Society (Canadian Cancer
Society) of the client's diagnosis
c) Asking the physician to write an order for home skilled nursing
assessments and interventions
d) Asking an occupational therapist to evaluate the client at home
- ANSWER-Asking the physician to write an order for home skilled
nursing assessments and interventions
Correct
Explanation:
Many clients are discharged from acute care settings so
quickly that they don't receive complete instructions.
HESI FUNDAMENTALS EXIT EXAM LATEST 2026-2027 ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
A client hospitalized with pneumonia has thick, tenacious
secretions. Which intervention should the nurse include when
planning this client's care?
a) Turning the client every 2 hours
b) Maintaining a cool room temperature
c) Encouraging increased fluid intake
d) Elevating the head of the bed 30 degrees - ANSWER-
Encouraging increased fluid intake
Correct
Explanation:
Increasing the client's intake of oral or I.V. fluids helps
liquefy thick, tenacious secretions and ensures adequate
hydration. Turning the client every 2 hours would help
prevent pressure ulcers but wouldn't help with the
secretions. Elevating the head of the bed would reduce
pressure on the diaphragm and ease breathing but wouldn't
,2|Page
help the client with secretions. Maintaining a cool room
temperature wouldn't help the client with secretions
Which of the following is the recommended nursing assessment
to confirm placement of the nasogastric (NG) tube into the
stomach of a client?
a) NG tube length is equal to the distance from the client's ear
lobe to the nose, plus the distance from the nose to the tip of the
xiphoid process; this will confirm correct placement.
b) Obtain a chest X-ray and measure the pH of stomach
contents.
c) Measure to the second or third black marking on the NG tube.
d) Apply the stethoscope to the xiphoid process and instill 50 mL
of air into the tube and listen for a gurgling or popping sound. -
ANSWER-Obtain a chest X-ray and measure the pH of stomach
contents.
Correct
Explanation:
,3|Page
A chest X-ray and pH that shows acidity are the only
definitive diagnostic tools to confirm placement. The other
choices are not best practice. Measuring the tube or using
makings do not confirm placement, only approximate
distance for insertion
What would be an appropriate action for the nurse prior to
performing deep tracheal suctioning due to increased secretions?
a) Apply negative pressure as the catheter is being inserted.
b) Hyperoxygenate the client before suctioning.
c) Deflate the cuff of the tracheotomy during suctioning.
d) Instill acetylcysteine into the tracheotomy before suctioning. -
ANSWER-Hyperoxygenate the client before suctioning.
Correct
Explanation:
Preoxygenation and deep breathing assist in reducing
suction-induced hypoxemia because it decreases the risk of
atelectasis caused by negative pressure of suctioning.
Deflating the cuff is not necessary and there is no reason to
, 4|Page
instill acetylcysteine into the tracheotomy before suctioning.
Pressure is applied only with the removal of the catheter
A client is being discharged after abdominal surgery and
colostomy formation to treat colon cancer. Which nursing action is
most likely to promote continuity of care?
a) Advocating for the client by ordering Meals on Wheels 5 days
a week
b) Notifying the American Cancer Society (Canadian Cancer
Society) of the client's diagnosis
c) Asking the physician to write an order for home skilled nursing
assessments and interventions
d) Asking an occupational therapist to evaluate the client at home
- ANSWER-Asking the physician to write an order for home skilled
nursing assessments and interventions
Correct
Explanation:
Many clients are discharged from acute care settings so
quickly that they don't receive complete instructions.
