Doc 001
Actual HESI RN Fundamentals Exit
Exam Prep | 100 Complete Questions
& Answers 2026 Test Bank
NAME: DATE:
Fast-track your nursing program exit benchmark and validate your NCLEX readiness with this comprehensive
HESI RN Fundamentals Practice Exam package. Mapped meticulously to the official 2026 Elsevier testing
blueprint, this resource provides an advanced test bank containing 100 high-yield, scenario-based multiple-
choice and select-all-that-apply (SATA) questions, complete with verified correct answers and deeply detailed
clinical rationales.
HESI RN FUNDAMENTALS EXIT EXAM LATEST 2026-2027 ACTUAL EXAM TESTBANK
Three days following a surgery, a male client observes his colostomy for the first time. He becomes
quite upset and tells the nurse that it is much bigger than he expected. What is the best response by
the nurse?
A. Reassure the client that he will become accustomed to the stoma appearance in time.
B. Instruct the client that the stoma will become much smaller when the initial swelling diminishes.
C. Offer to contact a member of the local ostomy support group to help him with his concerns.
D. Encourage the client to handle the stoma equipment to gain confidence with the procedure.
B. Instruct the client that the stoma will become smaller when the initial swelling diminishes (Postoperative
swelling causes enlargement of the stoma. The nurse can teach the client that the stoma will become
smaller when swelling is diminished (B). This will help reduce the client's anxiety and promote acceptance
of the colostomy. (A) does not provide helpful teaching or support. (C) is a useful action, and may be taken
after the nurse provides pertinent teaching. The client is not yet demonstrating readiness to learn colostomy
care. (D)
A female client with a nasogastric tube attached to low suction states that she is nauseated. The
nurse assesses that there has been no drainage through the nasogastric tube in the last two hours.
What action should the nurse take first?
Confidential | 2026 Edition Page
1
,Doc 001
A. Irrigate the nasogastric tube with sterile normal saline.
B. Reposition the client on her side.
C. Advance the nasogastric tube an additional five centimeters.
D. Administer an intravenous antiemetic prescribed for PRN use.
B. Reposition the client on her side. (The immediate priority is to determine if the tube is functioning
correctly, which would then relieve the client's nausea. The least invasive intervention (B) should be
attempted first, followed by (A and C), unless either of these interventions is contraindicated. If these
measures are unsuccessful, the client may require an antiemetic (D))
A hospitalized male client is receiving nasogastric tube feedings via a small-bore tube and a
continuous pump infusion. He reports that he had a bad bout of severe coughing a few minutes
ago, but feels fine now. What action is best for the nurse to take?
A. Record the coughing incident. No further action is required at this time.
B. Stop the feeding, explain to the family why it is being stopped, and notify the HCP.
C. After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from the tube.
D. Inject 30 ml of air into the tube while auscultating the epigastrium for gurgling.
C. After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from the tube.
A male client tells the nurse that he does not know where he is or what year it is. What data should
the nurse document that is most accurate?
A. demonstrates loss of remote memory
B. exhibits expressive dysphasia
C. has a diminished attention span
D. is disoriented to place and time
D. is disoriented to place and time (The client is exhibiting disorientation (D). (A) refers to memory of the
distant past. The client is able to express himself without difficulty (B), and does not demonstrate diminished
attention span. (C).
A client with chronic kidney disease (CKD) selects a scrambled egg for his breakfast. What action
should the nurse take?
A. Commend the client for selecting a high biologic value protein.
Confidential | 2026 Edition Page
2
,Doc 001
B. Remind the client that protein in the diet should be avoided.
C. Suggest that the client also select orange juice, to promote absorption.
D. Encourage the client to attend classes on dietary management of CKD.
A. Commend the client for selecting a high biologic value protein. (Foods such as eggs and milk (A) are
high biologic proteins which are allowed because they are complete proteins and supply the essential
amino acids that are necessary for growth and cell repair. Orange juice is rich in potassium and should not
be encouraged. The client has made a good diet choice so (D) is not necessary.)
When assisting an 82 year old client to ambulate, it is important for the nurse to realize that the
center of gravity for an elderly person is the--
Upper torso (The center of gravity for adults is the hips. However, as the person grows older, a stooped
posture is common because of the changes from osteoporosis and normal bone degeneration, and the
knees, hips, and elbows flex. This stooped posture results in the upper torso becoming the center of gravity
for older persons.)
In developing a plan of care for a client with dementia, the nurse should remember that confusion in
the elderly
A. is to be expected, and progresses with age
B. often follows relocation to new surroundings
C. is a result of irreversible brain pathology
D. can be prevented with adequate sleep
B. often follows relocation to new surroundings (Relocation (B) often results in confusion among elderly
clients-- moving is stressful for anyone. (A) is stereotypical judgement. Stress in the elderly often manifests
itself as confusion, so (C) is wrong. Adequate sleep is not a prevention (D) for confusion.)
A postoperative client will need to perform daily dressing changes after discharge. Which outcome
statement best demonstrates the client's readiness to manage his wound care after discharge? The
client
A. asks relevant questions regarding the dressing change
B. states he will be able to complete the wound care regimen
C. demonstrates the wound care procedure correctly
Confidential | 2026 Edition Page
3
, Doc 001
D. has all the necessary supplies for wound care
C. demonstrates the wound care procedure correctly
(A return demonstration of a procedure (C) provides an objective assessment of the client's ability to
perform a task, while (A and B) are subjective measures. (D) is important, but is less of a priority than the
the nurse's assessment of the client's ability to complete wound care.)
A client who is 5 '5" tall and weighs 200 pounds is scheduled for surgery the next day. What
question is most important for the nurse to include during the preoperative assessment?
A. What is your daily calorie consumption?
B. What vitamin and mineral supplements do you take?"
C. "Do you feel that you are overweight?"
D. "Will a clear liquid diet be okay after surgery?"
B. "What vitamin and mineral supplements do you take?"
(Vitamin and mineral supplements (B) may impact medications used during the operative period. (A and C)
are appropriate questions for long-term dietary counseling. The nature of the surgery and anesthesia will
determine the need for a clear liquid diet (D), rather than the client's preference.)
During the initial morning assessment, a male client denies dysuria but reports that his urine
appears dark amber. Which intervention should the nurse implement?
A. Provide additional coffee on the client's breakfast tray.
B. Exchange the client's grape juice for cranberry juice.
C. Bring the client additional fruit at mid-morning.
D. Encourage additional oral intake of juices and water.
D. Encourage additional oral intake of juices and water.
Which intervention is most important for the nurse to implement for a male client who is
experiencing urinary retention?
A. Apply a condom catheter
B. Apply a skin protectant
C. Encourage increased fluid intake
D. Assess for bladder distention
Confidential | 2026 Edition Page
4
Actual HESI RN Fundamentals Exit
Exam Prep | 100 Complete Questions
& Answers 2026 Test Bank
NAME: DATE:
Fast-track your nursing program exit benchmark and validate your NCLEX readiness with this comprehensive
HESI RN Fundamentals Practice Exam package. Mapped meticulously to the official 2026 Elsevier testing
blueprint, this resource provides an advanced test bank containing 100 high-yield, scenario-based multiple-
choice and select-all-that-apply (SATA) questions, complete with verified correct answers and deeply detailed
clinical rationales.
HESI RN FUNDAMENTALS EXIT EXAM LATEST 2026-2027 ACTUAL EXAM TESTBANK
Three days following a surgery, a male client observes his colostomy for the first time. He becomes
quite upset and tells the nurse that it is much bigger than he expected. What is the best response by
the nurse?
A. Reassure the client that he will become accustomed to the stoma appearance in time.
B. Instruct the client that the stoma will become much smaller when the initial swelling diminishes.
C. Offer to contact a member of the local ostomy support group to help him with his concerns.
D. Encourage the client to handle the stoma equipment to gain confidence with the procedure.
B. Instruct the client that the stoma will become smaller when the initial swelling diminishes (Postoperative
swelling causes enlargement of the stoma. The nurse can teach the client that the stoma will become
smaller when swelling is diminished (B). This will help reduce the client's anxiety and promote acceptance
of the colostomy. (A) does not provide helpful teaching or support. (C) is a useful action, and may be taken
after the nurse provides pertinent teaching. The client is not yet demonstrating readiness to learn colostomy
care. (D)
A female client with a nasogastric tube attached to low suction states that she is nauseated. The
nurse assesses that there has been no drainage through the nasogastric tube in the last two hours.
What action should the nurse take first?
Confidential | 2026 Edition Page
1
,Doc 001
A. Irrigate the nasogastric tube with sterile normal saline.
B. Reposition the client on her side.
C. Advance the nasogastric tube an additional five centimeters.
D. Administer an intravenous antiemetic prescribed for PRN use.
B. Reposition the client on her side. (The immediate priority is to determine if the tube is functioning
correctly, which would then relieve the client's nausea. The least invasive intervention (B) should be
attempted first, followed by (A and C), unless either of these interventions is contraindicated. If these
measures are unsuccessful, the client may require an antiemetic (D))
A hospitalized male client is receiving nasogastric tube feedings via a small-bore tube and a
continuous pump infusion. He reports that he had a bad bout of severe coughing a few minutes
ago, but feels fine now. What action is best for the nurse to take?
A. Record the coughing incident. No further action is required at this time.
B. Stop the feeding, explain to the family why it is being stopped, and notify the HCP.
C. After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from the tube.
D. Inject 30 ml of air into the tube while auscultating the epigastrium for gurgling.
C. After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from the tube.
A male client tells the nurse that he does not know where he is or what year it is. What data should
the nurse document that is most accurate?
A. demonstrates loss of remote memory
B. exhibits expressive dysphasia
C. has a diminished attention span
D. is disoriented to place and time
D. is disoriented to place and time (The client is exhibiting disorientation (D). (A) refers to memory of the
distant past. The client is able to express himself without difficulty (B), and does not demonstrate diminished
attention span. (C).
A client with chronic kidney disease (CKD) selects a scrambled egg for his breakfast. What action
should the nurse take?
A. Commend the client for selecting a high biologic value protein.
Confidential | 2026 Edition Page
2
,Doc 001
B. Remind the client that protein in the diet should be avoided.
C. Suggest that the client also select orange juice, to promote absorption.
D. Encourage the client to attend classes on dietary management of CKD.
A. Commend the client for selecting a high biologic value protein. (Foods such as eggs and milk (A) are
high biologic proteins which are allowed because they are complete proteins and supply the essential
amino acids that are necessary for growth and cell repair. Orange juice is rich in potassium and should not
be encouraged. The client has made a good diet choice so (D) is not necessary.)
When assisting an 82 year old client to ambulate, it is important for the nurse to realize that the
center of gravity for an elderly person is the--
Upper torso (The center of gravity for adults is the hips. However, as the person grows older, a stooped
posture is common because of the changes from osteoporosis and normal bone degeneration, and the
knees, hips, and elbows flex. This stooped posture results in the upper torso becoming the center of gravity
for older persons.)
In developing a plan of care for a client with dementia, the nurse should remember that confusion in
the elderly
A. is to be expected, and progresses with age
B. often follows relocation to new surroundings
C. is a result of irreversible brain pathology
D. can be prevented with adequate sleep
B. often follows relocation to new surroundings (Relocation (B) often results in confusion among elderly
clients-- moving is stressful for anyone. (A) is stereotypical judgement. Stress in the elderly often manifests
itself as confusion, so (C) is wrong. Adequate sleep is not a prevention (D) for confusion.)
A postoperative client will need to perform daily dressing changes after discharge. Which outcome
statement best demonstrates the client's readiness to manage his wound care after discharge? The
client
A. asks relevant questions regarding the dressing change
B. states he will be able to complete the wound care regimen
C. demonstrates the wound care procedure correctly
Confidential | 2026 Edition Page
3
, Doc 001
D. has all the necessary supplies for wound care
C. demonstrates the wound care procedure correctly
(A return demonstration of a procedure (C) provides an objective assessment of the client's ability to
perform a task, while (A and B) are subjective measures. (D) is important, but is less of a priority than the
the nurse's assessment of the client's ability to complete wound care.)
A client who is 5 '5" tall and weighs 200 pounds is scheduled for surgery the next day. What
question is most important for the nurse to include during the preoperative assessment?
A. What is your daily calorie consumption?
B. What vitamin and mineral supplements do you take?"
C. "Do you feel that you are overweight?"
D. "Will a clear liquid diet be okay after surgery?"
B. "What vitamin and mineral supplements do you take?"
(Vitamin and mineral supplements (B) may impact medications used during the operative period. (A and C)
are appropriate questions for long-term dietary counseling. The nature of the surgery and anesthesia will
determine the need for a clear liquid diet (D), rather than the client's preference.)
During the initial morning assessment, a male client denies dysuria but reports that his urine
appears dark amber. Which intervention should the nurse implement?
A. Provide additional coffee on the client's breakfast tray.
B. Exchange the client's grape juice for cranberry juice.
C. Bring the client additional fruit at mid-morning.
D. Encourage additional oral intake of juices and water.
D. Encourage additional oral intake of juices and water.
Which intervention is most important for the nurse to implement for a male client who is
experiencing urinary retention?
A. Apply a condom catheter
B. Apply a skin protectant
C. Encourage increased fluid intake
D. Assess for bladder distention
Confidential | 2026 Edition Page
4
