Fortis HESI Exit Exam V2 Transition to
Practice-Capstone Practice Test Actual 2026/2027 with
Detailed Rationales | 100% Verified | Pass Guaranteed –
A+ Graded
SECTION 1: Management of Care (Questions 1–15)
Q1: A nurse is caring for four patients on a medical-surgical unit. Which task is most
appropriate to delegate to an unlicensed assistive personnel (UAP)?
A. Assessing a postoperative patient's incision for signs of infection
B. Obtaining a blood glucose reading on a patient with type 2 diabetes
C. Administering an oral antibiotic to a patient with pneumonia
D. Evaluating a patient's response to pain medication
Correct Answer: B
Rationale: Obtaining a blood glucose reading is within the scope of UAP practice as
it is a routine, standardized procedure that does not require nursing judgment or
assessment; assessment, medication administration, and evaluation are RN
responsibilities.
Q2: A nurse manager is implementing quality improvement measures on the unit.
Which action demonstrates the evaluation phase of the quality improvement
process?
A. Collecting data on the number of patient falls over the past quarter
,B. Developing a new fall prevention protocol based on identified risks
C. Comparing post-intervention fall rates to pre-intervention baseline data
D. Educating staff on the new fall prevention protocol
Correct Answer: C
Rationale: The evaluation phase involves comparing outcomes after implementing
an intervention against baseline data to determine effectiveness; this determines
whether the quality improvement initiative achieved its goals.
Q3: A nurse witnesses a colleague documenting care that was not provided. Which
action by the nurse demonstrates client advocacy?
A. Confronting the colleague immediately in front of the patient
B. Reporting the incident to the nurse manager following chain of command
C. Documenting the observation in the patient's medical record
D. Ignoring the incident to avoid conflict with the colleague
Correct Answer: B
Rationale: Reporting falsified documentation through proper chain of command
protects patient safety, maintains professional integrity, and follows organizational
policy while addressing the ethical breach appropriately.
Q4: A patient with terminal cancer expresses a desire to discontinue chemotherapy
and focus on comfort measures. The family insists on continuing aggressive
treatment. Which action by the nurse best supports patient autonomy?
A. Convince the family that the patient's wishes should be respected
,B. Facilitate a family meeting with the healthcare team to discuss the patient's goals
of care
C. Encourage the patient to comply with the family's wishes to avoid conflict
D. Contact the ethics committee without involving the patient or family
Correct Answer: B
Rationale: Facilitating a family meeting with the healthcare team allows open
communication about the patient's goals of care, respects patient autonomy, and
provides a structured environment for shared decision-making.
Q5: A nurse is prioritizing care for four patients. Which patient should the nurse
assess first?
A. A patient scheduled for discharge in 2 hours who needs medication teaching
B. A patient with stable vital signs requesting a pain medication that is 30 minutes
overdue
C. A patient with a new onset of chest pain rated 8/10 and diaphoresis
D. A patient with a Foley catheter due for routine irrigation per protocol
Correct Answer: C
Rationale: New onset chest pain with diaphoresis indicates a potential
life-threatening cardiac event requiring immediate assessment and intervention; this
follows the ABCs and Maslow's hierarchy of needs for prioritization.
Q6: A nurse is supervising a newly licensed nurse who is administering medications.
Which observation requires immediate intervention by the supervising nurse?
, A. The new nurse checks the patient's identification band before administering
medication
B. The new nurse administers a medication 15 minutes before the scheduled time
C. The new nurse prepares an IM injection without aspirating before medication
administration
D. The new nurse documents medication administration immediately after giving the
medication
Correct Answer: C
Rationale: Failure to aspirate before IM injection could result in intravascular
administration of medication; this safety measure must be performed to prevent
adverse effects from direct vascular delivery.
Q7: A nurse is caring for a patient who speaks limited English. The patient's family
offers to interpret during the informed consent process for surgery. Which action by
the nurse is most appropriate?
A. Accept the family's offer to interpret to maintain family involvement
B. Arrange for a professional medical interpreter to ensure accurate communication
C. Use a translation smartphone app to facilitate communication
D. Proceed with the consent using simple English words and gestures
Correct Answer: B
Rationale: Professional medical interpreters are required for informed consent to
ensure accurate translation of medical terminology, protect patient rights, and
comply with legal and ethical standards for healthcare communication.
Practice-Capstone Practice Test Actual 2026/2027 with
Detailed Rationales | 100% Verified | Pass Guaranteed –
A+ Graded
SECTION 1: Management of Care (Questions 1–15)
Q1: A nurse is caring for four patients on a medical-surgical unit. Which task is most
appropriate to delegate to an unlicensed assistive personnel (UAP)?
A. Assessing a postoperative patient's incision for signs of infection
B. Obtaining a blood glucose reading on a patient with type 2 diabetes
C. Administering an oral antibiotic to a patient with pneumonia
D. Evaluating a patient's response to pain medication
Correct Answer: B
Rationale: Obtaining a blood glucose reading is within the scope of UAP practice as
it is a routine, standardized procedure that does not require nursing judgment or
assessment; assessment, medication administration, and evaluation are RN
responsibilities.
Q2: A nurse manager is implementing quality improvement measures on the unit.
Which action demonstrates the evaluation phase of the quality improvement
process?
A. Collecting data on the number of patient falls over the past quarter
,B. Developing a new fall prevention protocol based on identified risks
C. Comparing post-intervention fall rates to pre-intervention baseline data
D. Educating staff on the new fall prevention protocol
Correct Answer: C
Rationale: The evaluation phase involves comparing outcomes after implementing
an intervention against baseline data to determine effectiveness; this determines
whether the quality improvement initiative achieved its goals.
Q3: A nurse witnesses a colleague documenting care that was not provided. Which
action by the nurse demonstrates client advocacy?
A. Confronting the colleague immediately in front of the patient
B. Reporting the incident to the nurse manager following chain of command
C. Documenting the observation in the patient's medical record
D. Ignoring the incident to avoid conflict with the colleague
Correct Answer: B
Rationale: Reporting falsified documentation through proper chain of command
protects patient safety, maintains professional integrity, and follows organizational
policy while addressing the ethical breach appropriately.
Q4: A patient with terminal cancer expresses a desire to discontinue chemotherapy
and focus on comfort measures. The family insists on continuing aggressive
treatment. Which action by the nurse best supports patient autonomy?
A. Convince the family that the patient's wishes should be respected
,B. Facilitate a family meeting with the healthcare team to discuss the patient's goals
of care
C. Encourage the patient to comply with the family's wishes to avoid conflict
D. Contact the ethics committee without involving the patient or family
Correct Answer: B
Rationale: Facilitating a family meeting with the healthcare team allows open
communication about the patient's goals of care, respects patient autonomy, and
provides a structured environment for shared decision-making.
Q5: A nurse is prioritizing care for four patients. Which patient should the nurse
assess first?
A. A patient scheduled for discharge in 2 hours who needs medication teaching
B. A patient with stable vital signs requesting a pain medication that is 30 minutes
overdue
C. A patient with a new onset of chest pain rated 8/10 and diaphoresis
D. A patient with a Foley catheter due for routine irrigation per protocol
Correct Answer: C
Rationale: New onset chest pain with diaphoresis indicates a potential
life-threatening cardiac event requiring immediate assessment and intervention; this
follows the ABCs and Maslow's hierarchy of needs for prioritization.
Q6: A nurse is supervising a newly licensed nurse who is administering medications.
Which observation requires immediate intervention by the supervising nurse?
, A. The new nurse checks the patient's identification band before administering
medication
B. The new nurse administers a medication 15 minutes before the scheduled time
C. The new nurse prepares an IM injection without aspirating before medication
administration
D. The new nurse documents medication administration immediately after giving the
medication
Correct Answer: C
Rationale: Failure to aspirate before IM injection could result in intravascular
administration of medication; this safety measure must be performed to prevent
adverse effects from direct vascular delivery.
Q7: A nurse is caring for a patient who speaks limited English. The patient's family
offers to interpret during the informed consent process for surgery. Which action by
the nurse is most appropriate?
A. Accept the family's offer to interpret to maintain family involvement
B. Arrange for a professional medical interpreter to ensure accurate communication
C. Use a translation smartphone app to facilitate communication
D. Proceed with the consent using simple English words and gestures
Correct Answer: B
Rationale: Professional medical interpreters are required for informed consent to
ensure accurate translation of medical terminology, protect patient rights, and
comply with legal and ethical standards for healthcare communication.
