Prepare for the HESI RN Fundamentals Exit Exam 2026–2027 with this comprehensive exam preparation resource featuring 100 carefully selected practice questions with verified answers and detailed rationales designed to strengthen clinical judgment and improve examination performance. This study guide provides extensive coverage of the core principles of nursing fundamentals, including infection prevention and control, patient safety, medication administration, dosage calculations, delegation and prioritization, nursing ethics, legal responsibilities, therapeutic communication, documentation, vital signs, nutrition, hydration, elimination, mobility and body mechanics, wound care, intravenous therapy, enteral and parenteral nutrition, oxygenation, perioperative nursing, pain management, fluid and electrolyte balance, blood transfusion safety, urinary catheterization, enteral feeding, postmortem care, pediatric nursing fundamentals, geriatric nursing, cultural competence, sleep and rest, emergency care, informed consent, client education, and NCLEX-style critical thinking.
Designed in a realistic HESI examination format, this resource enables nursing students to master essential nursing concepts through application-based questions that reflect current nursing education standards and HESI testing methodology. Each question is supported by comprehensive rationales that reinforce evidence-based nursing practice, improve clinical reasoning, and enhance decision-making skills required in academic examinations and clinical practice. Students will review high-yield topics such as standard and transmission-based precautions, IV therapy management, medication safety, delegation to LPNs and UAPs, patient positioning, mobility assistance, nutrition support, electrolyte abnormalities, ethical and legal nursing responsibilities, communication techniques, postoperative care, respiratory management, urinary elimination, pediatric and geriatric nursing care, emergency nursing interventions, and prioritization strategies commonly tested on HESI Exit Exams and the NCLEX-RN®. This resource serves as an excellent review for course examinations, comprehensive HESI assessments, nursing competency evaluations, and final NCLEX preparation.
The content is consistent with nationally recognized nursing education standards and authoritative references, including:
Elsevier. HESI Comprehensive Review for the NCLEX-RN® Examination (Latest Edition).
Potter, P. A., Perry, A. G., Stockert, P. A., & Hall, A. M. Fundamentals of Nursing. Elsevier.
Taylor, C., Lynn, P., & Bartlett, J. Fundamentals of Nursing: The Art and Science of Person-Centered Care. Wolters Kluwer.
National Council of State Boards of Nursing (NCSBN). NCLEX-RN® Test Plan.
American Nurses Association (ANA). Code of Ethics for Nurses with Interpretive Statements.
Quality and Safety Education for Nurses (QSEN). QSEN Competencies for Pre-Licensure Nursing Education.
This study guide is highly recommended for Bachelor of Science in Nursing (BSN) students, Associate Degree in Nursing (ADN) students, accelerated BSN students, Practical Nursing (LPN/LVN) students, RN students, HESI Fundamentals candidates, HESI Exit Exam candidates, NCLEX-RN candidates, nursing educators, nursing bridge program students, healthcare students, and graduate-entry nursing students seeking to strengthen foundational nursing knowledge, improve clinical reasoning, and achieve success on HESI, NCLEX, and nursing program examinations.
Keywords: HESI RN Fundamentals, HESI Fundamentals Exit Exam, HESI Exit Exam, Nursing Fundamentals, Nursing Practice Questions, HESI Test Bank, NCLEX Review, Elsevier HESI, Nursing Process, Infection Control, Standard Precautions, Patient Safety, Medication Administration, Dosage Calculations, Delegation, Prioritization, Therapeutic Communication, Nursing Ethics, Legal Nursing, Nursing Documentation, Vital Signs, Fluid and Electrolyte Balance, Blood Transfusion, IV Therapy, Enteral Nutrition, Parenteral Nutrition, Urinary Catheterization, Wound Care, Mobility, Body Mechanics, Pediatric Nursing, Geriatric Nursing, Perioperative Nursing, Pain Management, Oxygenation, Client Education, Nursing Study Guide
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HESI RN FUNDAMENTALS EXIT
EXAM LATEST 2026-2027
ACTUAL EXAM 100 QUESTIONS
AND CORRECT ANSWERS WITH
RATIOANLES (VERIFIED
ANSWERS)
The nurse is called to the waiting room of a pediatric clinic. The frantic
mother states, "I think my 4-month-old baby is choking!" What steps will
the nurse take? (Select all that apply.)
A.
Compress the chest once between the nipples with two fingers.
B.
,Note any obstruction or absence of breathing.
C.
Deliver five backslaps between the shoulder blades.
D.
Place the infant over the nurse's arm.
E.
Perform a blind finger sweep. - ANSWER ✔✔B, C, D
Rationale: The fingers are placed at the same location on an infant as
chest compressions for CPR; however, the nurse must deliver five chest
thrusts, after the five back slaps. Blind sweeps are not used as this
action may push the object deeper into the throat. The remaining steps
are correct.
Which fluid will the nurse select to administer with the prescribed blood
transfusion?
A.
5% Dextrose and water
B.
Normal saline
,C.
Lactated Ringers solution
D.
5% Dextrose and lactated ringers - ANSWER ✔✔B
Rationale: Normal saline solution is the only solution that is compatible
with blood.
When assisting a client from the bed to a chair, which procedure is best
for the nurse to follow?
A.
Place the chair parallel to the bed, with its back toward the head of the
bed and assist the client in moving to the chair.
B.
With the nurse's feet spread apart and knees aligned with the client's
knees, stand and pivot the client into the chair.
C.
Assist the client to a standing position by gently lifting upward,
underneath the axillae.
D.
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3
, Stand beside the client, place the client's arms around the nurse's neck,
and gently move the client to the chair. - ANSWER ✔✔B
Rationale: Option B describes the correct positioning of the nurse and
affords the nurse a wide base of support while stabilizing the client's
knees when assisting to a standing position. The chair should be placed
at a 45-degree angle to the bed, with the back of the chair toward the
head of the bed. Clients should never be lifted under the axillae; this
could damage nerves and strain the nurse's back. The client should be
instructed to use the arms of the chair and should never place his or her
arms around the nurse's neck; this places undue stress on the nurse's
neck and back and increases the risk for a fall.
How many mL will the nurse document on the client's intake and output
record from the items listed? _____ mL
1200 mL water
4 ounce container of gelatin
8 ounces of orange juice
355 mL can of soda1 cup of soup - ANSWER ✔✔Answer: 2155
Rationale: 1200 + 240 (8 oz) + 240 (1 cup) + 120 (4 oz) + 355 = 2155