HESI RN FUNDAMENTALS EXIT EXAM
120+ (Fully Updated 2026) Exam Questions + Verified & Rationalized
Answers | A+ Graded
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📋 DOCUMENT OVERVIEW 125 Qs
This document, "HESI RN FUNDAMENTALS EXIT EXAM," covers specific nursing topics including client
preoperative routines, health promotion, dietary needs, communication techniques, fluid and electrolyte
balance, medication administration, and postoperative care. The document provides 125 questions with
correct answers and accompanying rationales, offering a comprehensive review of fundamental nursing
concepts. Students can utilize this resource to study, review, and understand key nursing principles,
ultimately aiding in their exam preparation and development of critical thinking skills.
✓ Verified Answers ✓ Exam Ready ✓ Study Guide
Trusted by thousands of students and professionals worldwide
EXAM QUESTIONS
QUESTION 1
In completing a client's preoperative routine, the nurse finds that the operative permit is not signed.
The client begins to ask more questions about the surgical procedure. Which action should the nurse
take next?
A.
Witness the client's signature to the permit.
B.
Answer the client's questions about the surgery.
C.
Inform the surgeon the client has questions about the surgery.
D.
Reassure the client that the surgeon will answer any questions before the anesthesia is administered.
CORRECT ANSWER
C
Rationale: It is the surgeon's responsibility to explain the procedure to the client and obtain the client's
signature on the permit. Although the nurse can witness an operative permit, the procedure must first be
Trusted by thousands of students and professionals worldwide Page 1 of 54
, explained by the health care provider or surgeon, including answering the client's questions. The client's
questions should be addressed before the permit is signed.
QUESTION 2
The nurse is teaching an obese client, newly diagnosed with arteriosclerosis, about reducing the risk
of a heart attack or stroke. Which health promotion brochure is most important for the nurse to
provide to this client?
A.
"Monitoring Your Blood Pressure at Home"
B.
"Smoking Cessation as a Lifelong Commitment"
C.
"Decreasing Cholesterol Levels Through Diet"
D.
"Stress Management for a Healthier You"
CORRECT ANSWER
C
Rationale: A health promotion brochure about decreasing cholesterol is most important to provide this
client, because the most significant risk factor contributing to development of arteriosclerosis is excess
dietary fat, particularly saturated fat and cholesterol. Option A does not address the underlying causes of
arteriosclerosis. Options B and D are also important factors for reversing arteriosclerosis but are not as
important as lowering cholesterol.
QUESTION 3
The nurse is instructing a client with cholecystitis regarding diet choices. Which meal best meets the
dietary needs of this client?
A.
Steak, baked beans, and a salad
B.
Broiled fish, green beans, and an apple
C.
Pork chops, macaroni and cheese, and grapes
D.
Avocado salad, milk, and angel food cake
CORRECT ANSWER
B
Rationale: Clients with cholecystitis (inflammation of the gallbladder) should follow a low-fat diet, such as
option B. Option A is a high-protein diet, and options C and D contain high-fat foods, which are
contraindicated for this client.
QUESTION 4
The nurse is making an initial daily assessment at 0715 and notes 550 mL of LR running at 75 mL an
hour. At what time, in military time, will the nurse hang the next bag of IV fluid? _____.
CORRECT ANSWER
Trusted by thousands of students and professionals worldwide Page 2 of 54
, 1435
60 min × 0.33333 = 19.99 min = 20 min7 hr 20 min + 0715 = 1435
QUESTION 5
The nurse is evaluating the chart of a client scheduled for surgery in 1 hour. When viewing the
consent form, the nurse notes the surgeon's signature, but not the client's signature. What steps must
the nurse take? (Select all that apply.)
A.
Call the surgeon.
B.
Ask the client, "Did your surgeon explain the procedure to you?"
C.
Have the client's spouse sign the form.
D.
Ask the client, "Do you have any questions?"
E.
Witness the signature.
F.
Obtain the consent.
CORRECT ANSWER
B, D, E
Rationale:It is the surgeon's responsibility to review the procedure with the client until the client has no
further questions. The nurse can verify the review by the surgeon and ask if the client has any further
questions. If the client has questions, the nurse must call in the surgeon. When the nurse signs the
consent form, the nurse is witnessing the signature only.
QUESTION 6
The nurse is reviewing a client's lab results from 2 hours ago. The sodium level is 128 mEq/L. The
nurse should be alert for which findings? (Select all that apply.)
A.
Weakness in the hands and feet
B.
+1 reflexes to the patella
C.
Headache
D.
Muscle twitching
E.
Nausea
F.
Facial redness
CORRECT ANSWER
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, A, B, C, E
Rationale: The client is hyponatremic. All are signs of hyponatremia except muscle twitching and facial
redness.
QUESTION 7
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.
QUESTION 8
A client is laughing at a television program when the evening nurse enters the room. The client states,
"My foot is hurting. I would like a pain pill." How should the nurse respond?
A.
Ask the client to rate the pain using a 1 to 10 scale.
B.
Encourage the client to wait until bedtime for the pill.
C.
Attend to an acutely ill client's needs first because this client is laughing.
D.
Instruct the client in the use of deep breathing exercises for pain control.
CORRECT ANSWER
A
Rationale: Obtaining a subjective estimate of the pain experience by asking the client to rate his pain
helps the nurse determine which pain medication should be administered and also provides a baseline for
evaluating the effectiveness of the medication. Medicating for pain should not be delayed so that it can be
used as a sleep medication. Option C is judgmental. Option D should be used as an adjunct to pain
medication, not instead of medication.
QUESTION 9
In assisting an older adult client prepare to take a tub bath, which nursing action is most important?
A.
Check the bath water temperature.
B.
Shut the bathroom door.
C.
Ensure that the client has voided.
Trusted by thousands of students and professionals worldwide Page 4 of 54
120+ (Fully Updated 2026) Exam Questions + Verified & Rationalized
Answers | A+ Graded
100% Guarantee Pass
📋 DOCUMENT OVERVIEW 125 Qs
This document, "HESI RN FUNDAMENTALS EXIT EXAM," covers specific nursing topics including client
preoperative routines, health promotion, dietary needs, communication techniques, fluid and electrolyte
balance, medication administration, and postoperative care. The document provides 125 questions with
correct answers and accompanying rationales, offering a comprehensive review of fundamental nursing
concepts. Students can utilize this resource to study, review, and understand key nursing principles,
ultimately aiding in their exam preparation and development of critical thinking skills.
✓ Verified Answers ✓ Exam Ready ✓ Study Guide
Trusted by thousands of students and professionals worldwide
EXAM QUESTIONS
QUESTION 1
In completing a client's preoperative routine, the nurse finds that the operative permit is not signed.
The client begins to ask more questions about the surgical procedure. Which action should the nurse
take next?
A.
Witness the client's signature to the permit.
B.
Answer the client's questions about the surgery.
C.
Inform the surgeon the client has questions about the surgery.
D.
Reassure the client that the surgeon will answer any questions before the anesthesia is administered.
CORRECT ANSWER
C
Rationale: It is the surgeon's responsibility to explain the procedure to the client and obtain the client's
signature on the permit. Although the nurse can witness an operative permit, the procedure must first be
Trusted by thousands of students and professionals worldwide Page 1 of 54
, explained by the health care provider or surgeon, including answering the client's questions. The client's
questions should be addressed before the permit is signed.
QUESTION 2
The nurse is teaching an obese client, newly diagnosed with arteriosclerosis, about reducing the risk
of a heart attack or stroke. Which health promotion brochure is most important for the nurse to
provide to this client?
A.
"Monitoring Your Blood Pressure at Home"
B.
"Smoking Cessation as a Lifelong Commitment"
C.
"Decreasing Cholesterol Levels Through Diet"
D.
"Stress Management for a Healthier You"
CORRECT ANSWER
C
Rationale: A health promotion brochure about decreasing cholesterol is most important to provide this
client, because the most significant risk factor contributing to development of arteriosclerosis is excess
dietary fat, particularly saturated fat and cholesterol. Option A does not address the underlying causes of
arteriosclerosis. Options B and D are also important factors for reversing arteriosclerosis but are not as
important as lowering cholesterol.
QUESTION 3
The nurse is instructing a client with cholecystitis regarding diet choices. Which meal best meets the
dietary needs of this client?
A.
Steak, baked beans, and a salad
B.
Broiled fish, green beans, and an apple
C.
Pork chops, macaroni and cheese, and grapes
D.
Avocado salad, milk, and angel food cake
CORRECT ANSWER
B
Rationale: Clients with cholecystitis (inflammation of the gallbladder) should follow a low-fat diet, such as
option B. Option A is a high-protein diet, and options C and D contain high-fat foods, which are
contraindicated for this client.
QUESTION 4
The nurse is making an initial daily assessment at 0715 and notes 550 mL of LR running at 75 mL an
hour. At what time, in military time, will the nurse hang the next bag of IV fluid? _____.
CORRECT ANSWER
Trusted by thousands of students and professionals worldwide Page 2 of 54
, 1435
60 min × 0.33333 = 19.99 min = 20 min7 hr 20 min + 0715 = 1435
QUESTION 5
The nurse is evaluating the chart of a client scheduled for surgery in 1 hour. When viewing the
consent form, the nurse notes the surgeon's signature, but not the client's signature. What steps must
the nurse take? (Select all that apply.)
A.
Call the surgeon.
B.
Ask the client, "Did your surgeon explain the procedure to you?"
C.
Have the client's spouse sign the form.
D.
Ask the client, "Do you have any questions?"
E.
Witness the signature.
F.
Obtain the consent.
CORRECT ANSWER
B, D, E
Rationale:It is the surgeon's responsibility to review the procedure with the client until the client has no
further questions. The nurse can verify the review by the surgeon and ask if the client has any further
questions. If the client has questions, the nurse must call in the surgeon. When the nurse signs the
consent form, the nurse is witnessing the signature only.
QUESTION 6
The nurse is reviewing a client's lab results from 2 hours ago. The sodium level is 128 mEq/L. The
nurse should be alert for which findings? (Select all that apply.)
A.
Weakness in the hands and feet
B.
+1 reflexes to the patella
C.
Headache
D.
Muscle twitching
E.
Nausea
F.
Facial redness
CORRECT ANSWER
Trusted by thousands of students and professionals worldwide Page 3 of 54
, A, B, C, E
Rationale: The client is hyponatremic. All are signs of hyponatremia except muscle twitching and facial
redness.
QUESTION 7
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.
QUESTION 8
A client is laughing at a television program when the evening nurse enters the room. The client states,
"My foot is hurting. I would like a pain pill." How should the nurse respond?
A.
Ask the client to rate the pain using a 1 to 10 scale.
B.
Encourage the client to wait until bedtime for the pill.
C.
Attend to an acutely ill client's needs first because this client is laughing.
D.
Instruct the client in the use of deep breathing exercises for pain control.
CORRECT ANSWER
A
Rationale: Obtaining a subjective estimate of the pain experience by asking the client to rate his pain
helps the nurse determine which pain medication should be administered and also provides a baseline for
evaluating the effectiveness of the medication. Medicating for pain should not be delayed so that it can be
used as a sleep medication. Option C is judgmental. Option D should be used as an adjunct to pain
medication, not instead of medication.
QUESTION 9
In assisting an older adult client prepare to take a tub bath, which nursing action is most important?
A.
Check the bath water temperature.
B.
Shut the bathroom door.
C.
Ensure that the client has voided.
Trusted by thousands of students and professionals worldwide Page 4 of 54
