ELITE COMPREHENSIVE
HESI RN FUNDAMENTALS EXIT EXAM
LATEST ACTUAL EXAMINATION SET
High-Yield NCLEX-Style Questions with
Answers, Rationales and Core Nursing
Fundamentals Review
Spring Examination May 2026
The nurse is preparing to initiate parenteral nutrition (PN) for a client. What actions will
the nurse consider when administering PN? (Select all that apply.)
A.
Remove the PN from the refrigerator 30 minutes before infusing.
B.
Have a second nurse double check the PN before connecting the solution.
C.
Have a second IV line in place for administering IV medications.
D.
Assure the infusion time for the PN does not exceed 24 hours.
E.
1
Tell the client a feeling of being full should occur with PN.
Page
F.
, Return amber and cloudy solutions of PN to the pharmacy.
• A, D, F
• Rationale: There are no issues with antibody incompatibility with PN,
so there is no need to double check the PN, or start a second IV line.
PN is administered through the venous system and does not satiate
the client. The remaining selections are true about the administration
of PN.
The nurse is preparing to insert an IV, and cap off the IV with an intermittent infusion
devise for an 80-year-old who is prescribed IV antibiotics every 8 hours. The client is
taking po fluids well. What supplies will the nurse take into the room for this procedure?
(Select all that apply.)
A.
A 16 gauge IV catheter
B.
Normal saline in a 10 mL syringe
C.
Clear plastic sterile bandage
D.
Skin preparation antiseptic swab
E.
1000 mL bag of normal saline
• B, C, D
• Rationale: Items not needed to insert an IV for intermittent antibiotic
therapy for an 80-year-old are a 16 gauge intracath; the intracath is
too large. Large bore intracaths are for rapid infusions. A small bag of
NS, e.g. 250 mL, will be needed to flush the line. The remaining items
2
are needed to start an IV.
Page
, 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
• 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.
A 65-year-old client who attends an adult daycare program and is wheelchair mobile
has redness in the sacral area. Which instruction is most important for the nurse to
provide?
A.
"Take a vitamin supplement tablet once a day."
B.
"Change positions in the chair frequently"
C.
"Increase daily intake of water or other oral fluids."
3
D.
Page
"Purchase a newer model wheelchair."
, • B
• Rationale: The most important teaching is to change positions
frequently because pressure is the most significant factor related to
the development of pressure ulcers. Increased vitamin and fluid
intake may also be beneficial and promote healing and reduce further
risk. Option D is an intervention of last resort because this will be very
expensive for the client.
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.
• A
• Rationale: 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, not option B, and
leaning toward the client, not option D. To communicate involvement
and willingness to listen to the client, eye contact should be
established and maintained.
4
Page
HESI RN FUNDAMENTALS EXIT EXAM
LATEST ACTUAL EXAMINATION SET
High-Yield NCLEX-Style Questions with
Answers, Rationales and Core Nursing
Fundamentals Review
Spring Examination May 2026
The nurse is preparing to initiate parenteral nutrition (PN) for a client. What actions will
the nurse consider when administering PN? (Select all that apply.)
A.
Remove the PN from the refrigerator 30 minutes before infusing.
B.
Have a second nurse double check the PN before connecting the solution.
C.
Have a second IV line in place for administering IV medications.
D.
Assure the infusion time for the PN does not exceed 24 hours.
E.
1
Tell the client a feeling of being full should occur with PN.
Page
F.
, Return amber and cloudy solutions of PN to the pharmacy.
• A, D, F
• Rationale: There are no issues with antibody incompatibility with PN,
so there is no need to double check the PN, or start a second IV line.
PN is administered through the venous system and does not satiate
the client. The remaining selections are true about the administration
of PN.
The nurse is preparing to insert an IV, and cap off the IV with an intermittent infusion
devise for an 80-year-old who is prescribed IV antibiotics every 8 hours. The client is
taking po fluids well. What supplies will the nurse take into the room for this procedure?
(Select all that apply.)
A.
A 16 gauge IV catheter
B.
Normal saline in a 10 mL syringe
C.
Clear plastic sterile bandage
D.
Skin preparation antiseptic swab
E.
1000 mL bag of normal saline
• B, C, D
• Rationale: Items not needed to insert an IV for intermittent antibiotic
therapy for an 80-year-old are a 16 gauge intracath; the intracath is
too large. Large bore intracaths are for rapid infusions. A small bag of
NS, e.g. 250 mL, will be needed to flush the line. The remaining items
2
are needed to start an IV.
Page
, 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
• 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.
A 65-year-old client who attends an adult daycare program and is wheelchair mobile
has redness in the sacral area. Which instruction is most important for the nurse to
provide?
A.
"Take a vitamin supplement tablet once a day."
B.
"Change positions in the chair frequently"
C.
"Increase daily intake of water or other oral fluids."
3
D.
Page
"Purchase a newer model wheelchair."
, • B
• Rationale: The most important teaching is to change positions
frequently because pressure is the most significant factor related to
the development of pressure ulcers. Increased vitamin and fluid
intake may also be beneficial and promote healing and reduce further
risk. Option D is an intervention of last resort because this will be very
expensive for the client.
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.
• A
• Rationale: 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, not option B, and
leaning toward the client, not option D. To communicate involvement
and willingness to listen to the client, eye contact should be
established and maintained.
4
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