HESI RN FUNDAMENTALS EXIT Updated Exam
2026 WITH Recent Newest Verified And Well
Analyzed Exam Questions (Actual Exam 2026-
2027) Correct Detailed & Verified ANSWERS
(100% Accurate Solutions) ALREADY GRADED
A+||NEWEST VERSION Of The Exam Guarantee
Pass!!
The nurse transcribes the postoperative prescriptions for a client who returns to the unit
following surgery and notes that an antihypertensive medication that was prescribed
preoperatively is not listed. Which action should the nurse take?
A.Consult with the pharmacist about the need to continue the medication.
B.Administer the antihypertensive medication as prescribed preoperatively.
C.Withhold the medication until the client is fully alert and vital signs are stable.
D.Contact the health care provider to renew the prescription for the medication. -
ANSWERS-D
Rationale: Medications prescribed preoperatively must be renewed postoperatively, so
the nurse should contact the health care provider if the antihypertensive medication is
not included in the postoperative prescriptions. The pharmacist does not prescribe
medications or renew prescriptions. The nurse must have a current prescription before
administering any medications.
Which fluid will the nurse select to administer with the prescribed blood transfusion?
A.5% Dextrose and water
B.Normal saline
C.Lactated Ringers solution
D.5% Dextrose and lactated ringers - ANSWERS-B
Rationale: Normal saline solution is the only solution that is compatible with blood.
,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 - ANSWERS-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?
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. - ANSWERS-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. - ANSWERS-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. - ANSWERS-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?
A.Assist the client with daily cleansing.
B.Tell the client that incontinence happens with aging.
C.Offer 200 mL of fluid every 2 hours while awake.
D.Take the client's temperature every 4 hours. - ANSWERS-D
Rationale: Indwelling urinary catheters are a major source of infection. Option A is a
problem that may develop from having an indwelling catheter. Option B may or may not
be true for the client. Option C is not affected by an indwelling catheter.
, When bathing an uncircumcised boy older than 3 years, which action should the nurse
take?
A.Remind the child to clean his genital area.
B.Defer perineal care because of the child's age.
C.Retract the foreskin gently to cleanse the penis.
D.Ask the parents why the child is not circumcised. - ANSWERS-C
Rationale: The foreskin (prepuce) of the penis should be gently retracted to cleanse all
areas that could harbor bacteria. The child's cognitive development may not be at the
level at which option A would be effective. Perineal care needs to be provided daily
regardless of the client's age. Option D is not indicated and may be perceived as
intrusive.
When assisting a client from the bed to a chair, which procedure is best for the nurse to
follow?
A.Place the chair parallel to the bed, with its back toward the head of the bed and assist
the client in moving to the chair.
B.With the nurse's feet spread apart and knees aligned with the client's knees, stand
and pivot the client into the chair.
C.Assist the client to a standing position by gently lifting upward, underneath the
axillae.
D.Stand beside the client, place the client's arms around the nurse's neck, and gently
move the client to the chair. - ANSWERS-B
Rationale: Option B describes the correct positioning of the nurse and affords the nurse
a wide base of support while stabilizing the client's knees when assisting to a standing
position. The chair should be placed at a 45-degree angle to the bed, with the back of
the chair toward the head of the bed. Clients should never be lifted under the axillae;
this could damage nerves and strain the nurse's back. The client should be instructed to
use the arms of the chair and should never place his or her arms around the nurse's
neck; this places undue stress on the nurse's neck and back and increases the risk for a
fall.
The nurse is called to the waiting room of a pediatric clinic. The frantic mother states, "I
think my 4-month-old baby is choking!" What steps will the nurse take? (Select all that
apply.)
A.Compress the chest once between the nipples with two fingers.
2026 WITH Recent Newest Verified And Well
Analyzed Exam Questions (Actual Exam 2026-
2027) Correct Detailed & Verified ANSWERS
(100% Accurate Solutions) ALREADY GRADED
A+||NEWEST VERSION Of The Exam Guarantee
Pass!!
The nurse transcribes the postoperative prescriptions for a client who returns to the unit
following surgery and notes that an antihypertensive medication that was prescribed
preoperatively is not listed. Which action should the nurse take?
A.Consult with the pharmacist about the need to continue the medication.
B.Administer the antihypertensive medication as prescribed preoperatively.
C.Withhold the medication until the client is fully alert and vital signs are stable.
D.Contact the health care provider to renew the prescription for the medication. -
ANSWERS-D
Rationale: Medications prescribed preoperatively must be renewed postoperatively, so
the nurse should contact the health care provider if the antihypertensive medication is
not included in the postoperative prescriptions. The pharmacist does not prescribe
medications or renew prescriptions. The nurse must have a current prescription before
administering any medications.
Which fluid will the nurse select to administer with the prescribed blood transfusion?
A.5% Dextrose and water
B.Normal saline
C.Lactated Ringers solution
D.5% Dextrose and lactated ringers - ANSWERS-B
Rationale: Normal saline solution is the only solution that is compatible with blood.
,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 - ANSWERS-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?
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. - ANSWERS-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. - ANSWERS-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. - ANSWERS-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?
A.Assist the client with daily cleansing.
B.Tell the client that incontinence happens with aging.
C.Offer 200 mL of fluid every 2 hours while awake.
D.Take the client's temperature every 4 hours. - ANSWERS-D
Rationale: Indwelling urinary catheters are a major source of infection. Option A is a
problem that may develop from having an indwelling catheter. Option B may or may not
be true for the client. Option C is not affected by an indwelling catheter.
, When bathing an uncircumcised boy older than 3 years, which action should the nurse
take?
A.Remind the child to clean his genital area.
B.Defer perineal care because of the child's age.
C.Retract the foreskin gently to cleanse the penis.
D.Ask the parents why the child is not circumcised. - ANSWERS-C
Rationale: The foreskin (prepuce) of the penis should be gently retracted to cleanse all
areas that could harbor bacteria. The child's cognitive development may not be at the
level at which option A would be effective. Perineal care needs to be provided daily
regardless of the client's age. Option D is not indicated and may be perceived as
intrusive.
When assisting a client from the bed to a chair, which procedure is best for the nurse to
follow?
A.Place the chair parallel to the bed, with its back toward the head of the bed and assist
the client in moving to the chair.
B.With the nurse's feet spread apart and knees aligned with the client's knees, stand
and pivot the client into the chair.
C.Assist the client to a standing position by gently lifting upward, underneath the
axillae.
D.Stand beside the client, place the client's arms around the nurse's neck, and gently
move the client to the chair. - ANSWERS-B
Rationale: Option B describes the correct positioning of the nurse and affords the nurse
a wide base of support while stabilizing the client's knees when assisting to a standing
position. The chair should be placed at a 45-degree angle to the bed, with the back of
the chair toward the head of the bed. Clients should never be lifted under the axillae;
this could damage nerves and strain the nurse's back. The client should be instructed to
use the arms of the chair and should never place his or her arms around the nurse's
neck; this places undue stress on the nurse's neck and back and increases the risk for a
fall.
The nurse is called to the waiting room of a pediatric clinic. The frantic mother states, "I
think my 4-month-old baby is choking!" What steps will the nurse take? (Select all that
apply.)
A.Compress the chest once between the nipples with two fingers.
