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HESI RN Fundamentals Exit Exam
2026- Complete Exam Set- Certified
Questions With Verified Solutions
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. -
correct-answer -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.
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When emptying 350 mL of pale yellow urine from a client's urinal, the nurse notes
that this is the first time the client has voided in 4 hours. Which action should the
nurse take next?
A.
Record the amount on the client's fluid output record.
B.
Encourage the client to increase oral fluid intake.
C.
Notify the health care provider of the findings.
D.
Palpate the client's bladder for distention. - correct-answer -A
Rationale: The amount and appearance of the client's urine output is within
normal limits, so the nurse should record the output, but no additional action is
needed.
The client states to the nurse, "This medication makes my mouth so dry." What
are the nurse's suggestions to quench the client's thirst? (Select all that apply.)
A.
Drink 2, 8 ounce glasses of lemon-lime soda every day.
B.
Infuse your water with fresh citrus fruits to quench your thirst.
C.
Freeze strawberries and water together in popsicle mold.
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D.
Add ginger ale to your daily glass of juice every day.
E.
Keep a few pieces of hard candy with you to suck on. - correct-answer -B, C, E
Rationale: Sodas do not tend to be thirst quenching because of the amount of
sugar in them that draws fluid into the GI system. Citrus infused water quenches
thirst, as does consuming frozen liquids. Hard candy can produce moisture in the
mouth.
The nurse notes in the client's plan of care altered sleep patterns related to
nocturia. Which nursing actions are important for the nurse to provide? (Select all
that apply.)
A.
Decrease intake of fluids after the evening meal.
B.
Drink a glass of cranberry juice every day.
C.
Drink a glass of warm decaffeinated beverage at bedtime.
D.
Consult the health care provider about a sleeping pill.
E.
Assess the client's usual sleep pattern. - correct-answer -A, E
Rationale: Nocturia is urination during the night. Option A is helpful to decrease
the production of urine, thus decreasing the need to void at night. Option E gives
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the nurse the client's baseline sleep pattern. Option B helps prevent bladder
infections. Option C may promote sleep, but the fluid will contribute to nocturia.
Option D may result in urinary incontinence if the client is sedated and does not
awaken to void.
The nurse is counting a client's respiratory rate. During a 30-second interval, the
nurse counts six respirations and the client coughs three times. In repeating the
count for a second 30-second interval, the nurse counts eight respirations. Which
respiratory rate will the nurse document?
A. 15
B. 16
C. 17
D. 28 - correct-answer -B
Rationale: The most accurate respiratory rate is the second count obtained by the
nurse, which was not interrupted by coughing. Because it was counted for 30
seconds, the rate should be doubled. Options A, C, and D are inaccurate
recordings.
The nurse is preparing to administer a bolus tube feeding. What steps must the
nurse include prior to administering the feeding? (Select all that apply.)
A.
Aspirate the stomach contents.
B.
Assess bowel sounds.
HESI RN Fundamentals Exit Exam
2026- Complete Exam Set- Certified
Questions With Verified Solutions
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. -
correct-answer -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.
,2|Page
When emptying 350 mL of pale yellow urine from a client's urinal, the nurse notes
that this is the first time the client has voided in 4 hours. Which action should the
nurse take next?
A.
Record the amount on the client's fluid output record.
B.
Encourage the client to increase oral fluid intake.
C.
Notify the health care provider of the findings.
D.
Palpate the client's bladder for distention. - correct-answer -A
Rationale: The amount and appearance of the client's urine output is within
normal limits, so the nurse should record the output, but no additional action is
needed.
The client states to the nurse, "This medication makes my mouth so dry." What
are the nurse's suggestions to quench the client's thirst? (Select all that apply.)
A.
Drink 2, 8 ounce glasses of lemon-lime soda every day.
B.
Infuse your water with fresh citrus fruits to quench your thirst.
C.
Freeze strawberries and water together in popsicle mold.
,3|Page
D.
Add ginger ale to your daily glass of juice every day.
E.
Keep a few pieces of hard candy with you to suck on. - correct-answer -B, C, E
Rationale: Sodas do not tend to be thirst quenching because of the amount of
sugar in them that draws fluid into the GI system. Citrus infused water quenches
thirst, as does consuming frozen liquids. Hard candy can produce moisture in the
mouth.
The nurse notes in the client's plan of care altered sleep patterns related to
nocturia. Which nursing actions are important for the nurse to provide? (Select all
that apply.)
A.
Decrease intake of fluids after the evening meal.
B.
Drink a glass of cranberry juice every day.
C.
Drink a glass of warm decaffeinated beverage at bedtime.
D.
Consult the health care provider about a sleeping pill.
E.
Assess the client's usual sleep pattern. - correct-answer -A, E
Rationale: Nocturia is urination during the night. Option A is helpful to decrease
the production of urine, thus decreasing the need to void at night. Option E gives
, 4|Page
the nurse the client's baseline sleep pattern. Option B helps prevent bladder
infections. Option C may promote sleep, but the fluid will contribute to nocturia.
Option D may result in urinary incontinence if the client is sedated and does not
awaken to void.
The nurse is counting a client's respiratory rate. During a 30-second interval, the
nurse counts six respirations and the client coughs three times. In repeating the
count for a second 30-second interval, the nurse counts eight respirations. Which
respiratory rate will the nurse document?
A. 15
B. 16
C. 17
D. 28 - correct-answer -B
Rationale: The most accurate respiratory rate is the second count obtained by the
nurse, which was not interrupted by coughing. Because it was counted for 30
seconds, the rate should be doubled. Options A, C, and D are inaccurate
recordings.
The nurse is preparing to administer a bolus tube feeding. What steps must the
nurse include prior to administering the feeding? (Select all that apply.)
A.
Aspirate the stomach contents.
B.
Assess bowel sounds.
