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HESI FUNDAMENTALS EXIT EXAM V1, V2 & V3
NEWEST 2026 TEST BANK| RN/ PN FUNDAMENTALS
HESI EXIT EXAM/ 3 VERSIONS WITH COMPLETE
REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) GRADED A+
HESI FUNDAMENTALS EXIT EXAM V1.
The nurse manager of a skilled nursing (chronic care) unit is instructing
UAPs on ways to prevent complications of immobility. Which action
should be included in this instruction?
A. Perform range-of-motion exercises to prevent contractures.
B. Decrease the client's fluid intake to prevent diarrhea.
C. Massage the client's legs to reduce embolism occurrence.
D. Turn the client from side to back every shift. - Correct Answer - A
Performing range-of-motion exercises is beneficial in reducing
contractures around joints.
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. - Correct Answer - D
Indwelling urinary catheters are a major source of infection. Option A is
a problem that may develop from having an indwelling catheter.
,2|Page
The nurse selects the best site for insertion of an IV catheter in the
client's right arm. Which documentation should the nurse use to identify
placement of the IV access?
A. Left brachial vein
B. Right cephalic vein
C. Dorsal side of the right wrist
D. Right upper extremity - Correct Answer - B
The cephalic vein is large and superficial and identifies the anatomic
name of the vein that is accessed, which should be included in the
documentation. The basilic vein of the arm is used for IV access, not the
brachial vein, which is too deep to be accessed for IV infusion. Although
veins on the dorsal side of the right wrist are visible, they are fragile and
using them would be painful, so they are not recommended for IV
access. Option D is not specific enough for documenting the location of
the IV access.
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
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.
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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
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 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
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.
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Which nonverbal action should the nurse implement to demonstrate
active listening?
A. Sit facing the client.
B. Cross arms and legs.
C. Avoid eye contact.
D. Lean back in the chair. - Correct Answer - A
Active listening is conveyed using attentive verbal and nonverbal
communication techniques. To facilitate therapeutic communication and
attentiveness, the nurse should sit facing the client, which lets the client
know that the nurse is there to listen. Active listening skills include
postures that are open to the client, such as keeping the arms open and
relaxed
The nurse is drawing a blood sample from the client's basilic vein.
Multiple attempts were made prior to obtaining the sample with the
tourniquet in place for nearly 5 minutes. Which laboratory finding would
the nurse suspect is inaccurate related to the prolonged tourniquet
placement?
A. Na 148 mEq/L
B. K 5.3 mEq/L
C. Cl 102 mEq/L
D. Ca 9.3 mg/dL - Correct Answer - B
Prolonged tourniquet placement can cause accumulation of potassium,
skewing the result upward. The sodium level is also high, but that is not
related to the blood draw. The chloride and calcium levels are normal.
The nurse is instructing a client with cholecystitis regarding diet choices.
Which meal best meets the dietary needs of this client?
HESI FUNDAMENTALS EXIT EXAM V1, V2 & V3
NEWEST 2026 TEST BANK| RN/ PN FUNDAMENTALS
HESI EXIT EXAM/ 3 VERSIONS WITH COMPLETE
REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) GRADED A+
HESI FUNDAMENTALS EXIT EXAM V1.
The nurse manager of a skilled nursing (chronic care) unit is instructing
UAPs on ways to prevent complications of immobility. Which action
should be included in this instruction?
A. Perform range-of-motion exercises to prevent contractures.
B. Decrease the client's fluid intake to prevent diarrhea.
C. Massage the client's legs to reduce embolism occurrence.
D. Turn the client from side to back every shift. - Correct Answer - A
Performing range-of-motion exercises is beneficial in reducing
contractures around joints.
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. - Correct Answer - D
Indwelling urinary catheters are a major source of infection. Option A is
a problem that may develop from having an indwelling catheter.
,2|Page
The nurse selects the best site for insertion of an IV catheter in the
client's right arm. Which documentation should the nurse use to identify
placement of the IV access?
A. Left brachial vein
B. Right cephalic vein
C. Dorsal side of the right wrist
D. Right upper extremity - Correct Answer - B
The cephalic vein is large and superficial and identifies the anatomic
name of the vein that is accessed, which should be included in the
documentation. The basilic vein of the arm is used for IV access, not the
brachial vein, which is too deep to be accessed for IV infusion. Although
veins on the dorsal side of the right wrist are visible, they are fragile and
using them would be painful, so they are not recommended for IV
access. Option D is not specific enough for documenting the location of
the IV access.
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
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.
,3|Page
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
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 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
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.
, 4|Page
Which nonverbal action should the nurse implement to demonstrate
active listening?
A. Sit facing the client.
B. Cross arms and legs.
C. Avoid eye contact.
D. Lean back in the chair. - Correct Answer - A
Active listening is conveyed using attentive verbal and nonverbal
communication techniques. To facilitate therapeutic communication and
attentiveness, the nurse should sit facing the client, which lets the client
know that the nurse is there to listen. Active listening skills include
postures that are open to the client, such as keeping the arms open and
relaxed
The nurse is drawing a blood sample from the client's basilic vein.
Multiple attempts were made prior to obtaining the sample with the
tourniquet in place for nearly 5 minutes. Which laboratory finding would
the nurse suspect is inaccurate related to the prolonged tourniquet
placement?
A. Na 148 mEq/L
B. K 5.3 mEq/L
C. Cl 102 mEq/L
D. Ca 9.3 mg/dL - Correct Answer - B
Prolonged tourniquet placement can cause accumulation of potassium,
skewing the result upward. The sodium level is also high, but that is not
related to the blood draw. The chloride and calcium levels are normal.
The nurse is instructing a client with cholecystitis regarding diet choices.
Which meal best meets the dietary needs of this client?
