HESI RN FUNDAMENTALS EXIT EXAM LATEST 2026-2027
ACTUAL EXAM 100 QUESTIONS AND CORRECT ANSWERS
WITH RATIOANLES (VERIFIED ANSWERS)
1. The nurse is collecting equipment to administer a unit of packed red blood
cells. Which IV fluid should be used to initiate the IV for this transfusion?
100 mL of 5% dextrose and 1/2 normal saline
250 mL of normal saline
1,000 mL of lactated Ringer's solution
500 mL of 5% dextrose and water
2. A nurse is assessing the respiratory rate of a sleeping infant. Which of the
following would the nurse document as a normal finding?
30 to 60 breaths per minute
60 to 80 breaths per minute
80 to 100 breaths per minute
12 to 20 breaths per minute
3. What is one method to prevent contractures in immobile patients?
Encourage the client to remain in bed for longer periods.
Apply heat to the client's legs to improve circulation.
Perform range-of-motion exercises to prevent contractures.
Increase the client's fluid intake to promote hydration.
4. A nurse is preparing to assist with insertion of a central venous catheter. The
physician has said that he wants to use the brachiocephalic vein for insertion.
Which of the following best describes the location of this vein?
, The lateral portion of the upper arm, next to the biceps muscle
At the level of the clavicle, connecting the internal jugular and the
subclavian veins
In the upper thigh, connecting the saphenous and femoral veins
The side of the neck, extending from the jaw to the clavicle
5. Why is it important for the nurse to assess the client's usual sleep pattern
when addressing altered sleep due to nocturia?
Assessing the client's usual sleep pattern helps identify specific
issues and tailor interventions.
The usual sleep pattern is irrelevant to nocturia management.
Assessing sleep patterns is only important for elderly clients.
It is not necessary to assess sleep patterns if nocturia is present.
6. If the nurse finds that the client's neurologic assessment reveals confusion
and decreased responsiveness, what should be the next step in the nursing
process?
Document the findings and continue monitoring.
Call the family to discuss the client's condition.
Reassess the client in one hour.
Notify the healthcare provider immediately.
7. The nurse finds a client who has been diagnosed with terminal lung cancer
quietly crying. Which of the following nursing responses most reflects a need
for additional guidance regarding therapeutic communication with a dying
client?
"Would you like some medication to help you sleep?"
, "If there is anything I can do to help, just ask."
"Try not to be sad; let's find something to be thankful for."
"Do you want me to call your wife so you two can talk?"
8. What is the first action a nurse should take when an older client exhibits
altered mental status after signing an operative permit?
Make the client comfortable and allow the client to sleep.
Assess the client's neurologic status.
Notify the surgeon about the comment.
Ask the client's family to co-sign the operative permit.
9. Why is careful handwashing considered the most effective method to prevent
infection in burn patients?
Limiting visitors is the best way to ensure patient safety.
Topical antibacterial creams are sufficient to prevent infection on their
own.
Plasma expanders directly combat infection risk.
Careful handwashing reduces the transmission of pathogens that
can lead to infection.
10. A nurse is helping a client who is not getting enough sleep because of
increased frequency of nighttime urination. which response from the nurse is
most appropriate?
avoid the use of dried fruits and vegetable juice
i will help you pick out some adult diapers
try to avoid drinking fluids after dinner and do not drink caffeine or
alcohol
ACTUAL EXAM 100 QUESTIONS AND CORRECT ANSWERS
WITH RATIOANLES (VERIFIED ANSWERS)
1. The nurse is collecting equipment to administer a unit of packed red blood
cells. Which IV fluid should be used to initiate the IV for this transfusion?
100 mL of 5% dextrose and 1/2 normal saline
250 mL of normal saline
1,000 mL of lactated Ringer's solution
500 mL of 5% dextrose and water
2. A nurse is assessing the respiratory rate of a sleeping infant. Which of the
following would the nurse document as a normal finding?
30 to 60 breaths per minute
60 to 80 breaths per minute
80 to 100 breaths per minute
12 to 20 breaths per minute
3. What is one method to prevent contractures in immobile patients?
Encourage the client to remain in bed for longer periods.
Apply heat to the client's legs to improve circulation.
Perform range-of-motion exercises to prevent contractures.
Increase the client's fluid intake to promote hydration.
4. A nurse is preparing to assist with insertion of a central venous catheter. The
physician has said that he wants to use the brachiocephalic vein for insertion.
Which of the following best describes the location of this vein?
, The lateral portion of the upper arm, next to the biceps muscle
At the level of the clavicle, connecting the internal jugular and the
subclavian veins
In the upper thigh, connecting the saphenous and femoral veins
The side of the neck, extending from the jaw to the clavicle
5. Why is it important for the nurse to assess the client's usual sleep pattern
when addressing altered sleep due to nocturia?
Assessing the client's usual sleep pattern helps identify specific
issues and tailor interventions.
The usual sleep pattern is irrelevant to nocturia management.
Assessing sleep patterns is only important for elderly clients.
It is not necessary to assess sleep patterns if nocturia is present.
6. If the nurse finds that the client's neurologic assessment reveals confusion
and decreased responsiveness, what should be the next step in the nursing
process?
Document the findings and continue monitoring.
Call the family to discuss the client's condition.
Reassess the client in one hour.
Notify the healthcare provider immediately.
7. The nurse finds a client who has been diagnosed with terminal lung cancer
quietly crying. Which of the following nursing responses most reflects a need
for additional guidance regarding therapeutic communication with a dying
client?
"Would you like some medication to help you sleep?"
, "If there is anything I can do to help, just ask."
"Try not to be sad; let's find something to be thankful for."
"Do you want me to call your wife so you two can talk?"
8. What is the first action a nurse should take when an older client exhibits
altered mental status after signing an operative permit?
Make the client comfortable and allow the client to sleep.
Assess the client's neurologic status.
Notify the surgeon about the comment.
Ask the client's family to co-sign the operative permit.
9. Why is careful handwashing considered the most effective method to prevent
infection in burn patients?
Limiting visitors is the best way to ensure patient safety.
Topical antibacterial creams are sufficient to prevent infection on their
own.
Plasma expanders directly combat infection risk.
Careful handwashing reduces the transmission of pathogens that
can lead to infection.
10. A nurse is helping a client who is not getting enough sleep because of
increased frequency of nighttime urination. which response from the nurse is
most appropriate?
avoid the use of dried fruits and vegetable juice
i will help you pick out some adult diapers
try to avoid drinking fluids after dinner and do not drink caffeine or
alcohol
