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HESI RN Fundamentals Exit Exam 2026
|Latest Actual Questions And Answers
With Rationales
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."
D.
"Purchase a newer model wheelchair." - correct-answer -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?
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A.
Sit facing the client.
B.
Cross arms and legs.
C.
Avoid eye contact.
D.
Lean back in the chair. - correct-answer -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.
The nurse is assisting a client to the bathroom. When the client is 5 feet from the
bathroom door, he states, "I feel faint." Before the nurse can get the client to a
chair, the client starts to fall. Which is the priority action for the nurse to take?
A.
Check the client's carotid pulse.
B.
Encourage the client to get to the toilet.
C.
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In a loud voice, call for help.
D.
Gently lower the client to the floor. - correct-answer -D
Rationale: Option D is the most prudent intervention and is the priority nursing
action to prevent injury to the client and the nurse. Lowering the client to the
floor should be done when the client cannot support his own weight. The client
should be placed in a bed or chair only when sufficient help is available to prevent
injury. Option A is important but should be done after the client is in a safe
position. Because the client is not supporting himself, option B is impractical.
Option C is likely to cause chaos on the unit and might alarm the other clients.
The nurse is reviewing a client's lab results from 2 hours ago. The sodium level is
128 mEq/L. The nurse should be alert for which findings? (Select all that apply.)
A.
Weakness in the hands and feet
B.
+1 reflexes to the patella
C.
Headache
D.
Muscle twitching
E.
Nausea
F.
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Facial redness - correct-answer -A, B, C, E
Rationale: The client is hyponatremic. All are signs of hyponatremia except muscle
twitching and facial redness.
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
Rationale: 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 clinic nurse is taking the vital signs of a 1-year-old. Which finding should the
nurse bring to the attention of the healthcare provider?
A.
HESI RN Fundamentals Exit Exam 2026
|Latest Actual Questions And Answers
With Rationales
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."
D.
"Purchase a newer model wheelchair." - correct-answer -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?
,2|Page
A.
Sit facing the client.
B.
Cross arms and legs.
C.
Avoid eye contact.
D.
Lean back in the chair. - correct-answer -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.
The nurse is assisting a client to the bathroom. When the client is 5 feet from the
bathroom door, he states, "I feel faint." Before the nurse can get the client to a
chair, the client starts to fall. Which is the priority action for the nurse to take?
A.
Check the client's carotid pulse.
B.
Encourage the client to get to the toilet.
C.
,3|Page
In a loud voice, call for help.
D.
Gently lower the client to the floor. - correct-answer -D
Rationale: Option D is the most prudent intervention and is the priority nursing
action to prevent injury to the client and the nurse. Lowering the client to the
floor should be done when the client cannot support his own weight. The client
should be placed in a bed or chair only when sufficient help is available to prevent
injury. Option A is important but should be done after the client is in a safe
position. Because the client is not supporting himself, option B is impractical.
Option C is likely to cause chaos on the unit and might alarm the other clients.
The nurse is reviewing a client's lab results from 2 hours ago. The sodium level is
128 mEq/L. The nurse should be alert for which findings? (Select all that apply.)
A.
Weakness in the hands and feet
B.
+1 reflexes to the patella
C.
Headache
D.
Muscle twitching
E.
Nausea
F.
, 4|Page
Facial redness - correct-answer -A, B, C, E
Rationale: The client is hyponatremic. All are signs of hyponatremia except muscle
twitching and facial redness.
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
Rationale: 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 clinic nurse is taking the vital signs of a 1-year-old. Which finding should the
nurse bring to the attention of the healthcare provider?
A.
