HESI RN FUNDAMENTALS EXIT EXAM PREP
HESI RN FUNDAMENTALS EXIT EXAM PREP NEWEST 2026/2027
ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW VERSION!!
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 - Correct 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.
1|Page
, HESI RN FUNDAMENTALS EXIT EXAM PREP
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 - Correct 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.
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.
2|Page
, HESI RN FUNDAMENTALS EXIT EXAM PREP
"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?
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.
3|Page
, HESI RN FUNDAMENTALS EXIT EXAM PREP
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.
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.
4|Page
HESI RN FUNDAMENTALS EXIT EXAM PREP NEWEST 2026/2027
ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW VERSION!!
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 - Correct 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.
1|Page
, HESI RN FUNDAMENTALS EXIT EXAM PREP
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 - Correct 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.
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.
2|Page
, HESI RN FUNDAMENTALS EXIT EXAM PREP
"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?
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.
3|Page
, HESI RN FUNDAMENTALS EXIT EXAM PREP
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.
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.
4|Page