HESI RN FUNDAMENTALS TESTBANK FINAL STUDY GUIDE 2026 QUESTIONS WITH ANSWERS GRADED A+

HESI RN EXIT COMPREHENSIVE
CERTIFICATION SCRIPT 2026 FULL
ANSWERS GRADED A+

⩥ In taking a client's history, the nurse asks about the stool
characteristics. Which description should the nurse report to the health
care provider as soon as possible?
A.
Daily black, sticky stool
B.
Daily dark brown stool
C.
Firm brown stool every other day
D.
Soft light brown stool twice a day. Answer: A
Rationale: Black sticky stool (melena) is a sign of gastrointestinal
bleeding and should be reported to the health care provider promptly.
Option C indicates constipation, which is a lesser priority. Options B and
D are variations of normal.


⩥ The nurse is preparing to administer a new medication through an
existing IV line containing a vasopressor. What action must the nurse
take first?

,A.
Flush the line with normal saline at the same rate as the vasopressor.
B.
Administer the medication at the prescribed IV rate.
C.
Start a second IV line to administer the new medication.
D.
Call the health care provider to change the order for the new medication
to po.. Answer: A
Rationale: The medication in the IV line between the post and the patient
contains the vasopressor medication. The nurse must continue to
administer the vasopressor medication at the prescribed rate by injecting
normal saline at that rate. Once the line is clear of the vasopressor
medication, then the nurse can inject the new medication at the
prescribed rate. There is no need to start a second IV or change the route
of administration.


⩥ The nurse is working at a community-based clinic. Which client's
spiritual well-being concerns the nurse the most?
A.
Roman Catholic woman considering an abortion
B.
Jewish man considering hospice care for his wife
C.

,Seventh-Day Adventist who needs a blood transfusion
D.
Muslim man who needs a total knee replacement. Answer: A
Rationale: In the Roman Catholic religion, any type of abortion is
prohibited, so facing this decision may place the client at risk for
spiritual distress. There is no prohibition of hospice care for members of
the Jewish faith. Jehovah's Witnesses, not Seventh-Day Adventists,
prohibit blood transfusions. There is no conflict in the Muslim faith with
regard to joint replacement.


⩥ The mental health nurse plans to discuss a client's depression with the
health care provider in the emergency department. There are two clients
sitting across from the emergency department desk. Which nursing
action is best?
A.
Only refer to the client by gender.
B.
Identify the client only by age.
C.
Avoid using the client's name.
D.
Discuss the client another time.. Answer: D
Rationale: The best nursing action is to discuss the client another time.
Confidentiality must be observed at all times, so the nurse should not
discuss the client when the conversation can be overheard by others.

, Details of the client can be identified when referring to the client by
gender or age, even when not using the client's name.


⩥ The nurse is teaching a client how to perform progressive muscle
relaxation techniques to relieve insomnia. A week later the client reports,
"I am still unable to sleep, despite following the same routine every
night." Which action should the nurse take next?
A.
Instruct the client to add regular exercise as a daily routine.
B.
Determine if the client has been keeping a sleep diary.
C.
Encourage the client to continue the routine until sleep is achieved.
D.
Ask the client to describe the routine he is currently following.. Answer:
D
Rationale: The nurse should first evaluate whether the client has been
adhering to the original instructions. A verbal report of the client's
routine will provide more specific information than the client's written
diary. The nurse can then determine which changes need to be made.
The routine practiced by the client is clearly unsuccessful, so
encouragement alone is insufficient.