RN HESI EXIT EXAM VERSION 2
COMPREHENSIVE STUDY GUIDE 2026 SOLVED
CONTENT A+
◉ When turning an immobile bedridden client without assistance,
which action by the nurse best ensures client safety?
A.
Securely grasp the client's arm and leg.
B.
Put bed rails up on the side of bed opposite from the nurse.
C.
Correctly position and use a turn sheet.
D.
Lower the head of the client's bed slowly. Answer: B
Rationale: Because the nurse can only stand on one side of the bed,
bed rails should be up on the opposite side to ensure that the client
does not fall out of bed. Option A can cause client injury to the skin
or joint. Options C and D are useful techniques while turning a client
but have less priority in terms of safety than use of the bed rails.
◉ A community hospital is opening a mental health services
department. Which document should the nurse use to develop the
unit's nursing guidelines?
,A.
Americans with Disabilities Act of 1990
B.
ANA Code of Ethics with Interpretative Statements
C.
ANA's Scope and Standards of Nursing Practice
D.
Patient's Bill of Rights of 1990 Answer: C
Rationale: The ANA Scope of Standards of Practice for Psychiatric-
Mental Health Nursing serves to direct the philosophy and standards
of psychiatric nursing practice. Options A and D define the client's
rights. Option B provides ethical guidelines for nursing.
◉ 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.
Tell the client a feeling of being full should occur with PN.
F.
Return amber and cloudy solutions of PN to the pharmacy. Answer:
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 Answer: 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 are needed to start an IV.
◉ 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 Answer: 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.
COMPREHENSIVE STUDY GUIDE 2026 SOLVED
CONTENT A+
◉ When turning an immobile bedridden client without assistance,
which action by the nurse best ensures client safety?
A.
Securely grasp the client's arm and leg.
B.
Put bed rails up on the side of bed opposite from the nurse.
C.
Correctly position and use a turn sheet.
D.
Lower the head of the client's bed slowly. Answer: B
Rationale: Because the nurse can only stand on one side of the bed,
bed rails should be up on the opposite side to ensure that the client
does not fall out of bed. Option A can cause client injury to the skin
or joint. Options C and D are useful techniques while turning a client
but have less priority in terms of safety than use of the bed rails.
◉ A community hospital is opening a mental health services
department. Which document should the nurse use to develop the
unit's nursing guidelines?
,A.
Americans with Disabilities Act of 1990
B.
ANA Code of Ethics with Interpretative Statements
C.
ANA's Scope and Standards of Nursing Practice
D.
Patient's Bill of Rights of 1990 Answer: C
Rationale: The ANA Scope of Standards of Practice for Psychiatric-
Mental Health Nursing serves to direct the philosophy and standards
of psychiatric nursing practice. Options A and D define the client's
rights. Option B provides ethical guidelines for nursing.
◉ 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.
Tell the client a feeling of being full should occur with PN.
F.
Return amber and cloudy solutions of PN to the pharmacy. Answer:
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 Answer: 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 are needed to start an IV.
◉ 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 Answer: 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.
