HESI RN FUNDAMENTALS EXIT EXAM
2025 TO 2026 COMPREHENSIVE STUDY
GUIDE HESI STYLE PRACTICE QUESTIONS
RATIONALES AND FINAL EXAM REVIEW
The nurse administered 10 mg of diazepam to the preoperative client. What
steps will the nurse take next? (Select all that apply.)
A.
Place the client in the bed next to the nurse's station.
B.
Instruct the client not to get out of bed.
C.
Place the call bell within the client's reach.
D.
Place the side rails up, according to institutional policy.
E.
Assist the client to the bathroom -CORRECT ANSWER-B, C, D
Rationale: Diazepam is a common preoperative medication. Close
observation by placing the client close to the nurse's station is not
necessary. The medication has a sedative effect and the client should not
get out of bed, even with assistance. The remaining selections are correct.
A terminally ill client tells the nurse, "I am so tired and in so much pain!
Please help me to die." Which is the best response for the nurse to provide?
A.
Administer the prescribed maximum dose of pain medication.
,B.
Talk with the client about thoughts and feelings about death.
C.
Collaborate with the health care provider about initiating antidepressant
therapy.
D.
Refer the client to the ethics committee of her local health care facility. -
CORRECT ANSWER-B
Rationale: The nurse should first assess the client's feelings about death
and determine the extent to which this statement expresses the client's true
feelings. The client may need additional pain management, but further
assessment is needed before implementing option A. Options C and D are
both premature interventions and should not be implemented until further
assessment is obtained.
A nurse stops at a motor vehicle collision site to render aid until the
emergency personnel arrive and applies pressure to a groin wound that is
bleeding profusely. Later the client has to have the leg amputated and sues
the nurse for malpractice. Which statement reflects the likely outcome for
the nurse?
A.
The Patient's Bill of Rights protects clients from malicious intents, so the
nurse could lose the case.
B.
The lawsuit may be settled out of court, but the nurse's license is likely to be
revoked.
C.
There will be no judgment against the nurse, whose actions are protected
under the Good Samaritan Act.
D.
,The client will win because the four elements of negligence (duty, breach,
causation, and damages) can be proved. -CORRECT ANSWER-C
Rationale: The Good Samaritan Act protects health care professionals who
practice in good faith and provide reasonable care from malpractice claims,
regardless of the client outcome. Although the Patient's Bill of Rights
protects clients, this nurse is protected by the Good Samaritan Act. The
state Board of Nursing has no reason to revoke a registered nurse's license
unless there was evidence that actions taken in the emergency were not
done in good faith or that reasonable care was not provided. All four
elements of malpractice were not shown.
An older client who had abdominal surgery 3 days earlier was given a
barbiturate for sleep and is now requesting to go to the bathroom. What is
the priority nursing action for this client?
A.
Assist the client to walk to the bathroom and do not leave the client alone.
B.
Request that the UAP assist the client onto a bedpan.
C.
Ask if the client needs to have a bowel movement or void.
D.
Assess the client's bladder to determine if the client needs to urinate. -
CORRECT ANSWER-A
Rationale: Barbiturates cause central nervous system (CNS) depression,
and individuals taking these medications are at greater risk for falls. The
nurse should assist the client to the bathroom. A bedpan is not necessary as
long as safety is ensured. Whether the client needs to void or have a bowel
movement, option C is irrelevant in terms of meeting this client's safety
needs. There is no indication that this client cannot voice her or his needs,
so assessment of the bladder is not needed.
, The nurse is planning care for a client with an indwelling urinary catheter.
Which nursing action has the highest priority?
A.
Assist the client with daily cleansing.
B.
Tell the client that incontinence happens with aging.
C.
Offer 200 mL of fluid every 2 hours while awake.
D.
Take the client's temperature every 4 hours. -CORRECT ANSWER-D
Rationale: Indwelling urinary catheters are a major source of infection.
Option A is a problem that may develop from having an indwelling
catheter. Option B may or may not be true for the client. Option C is not
affected by an indwelling catheter.
When bathing an uncircumcised boy older than 3 years, which action
should the nurse take?
A.
Remind the child to clean his genital area.
B.
Defer perineal care because of the child's age.
C.
Retract the foreskin gently to cleanse the penis.
D.
Ask the parents why the child is not circumcised. -CORRECT ANSWER-
C
Rationale: The foreskin (prepuce) of the penis should be gently retracted to
cleanse all areas that could harbor bacteria. The child's cognitive
2025 TO 2026 COMPREHENSIVE STUDY
GUIDE HESI STYLE PRACTICE QUESTIONS
RATIONALES AND FINAL EXAM REVIEW
The nurse administered 10 mg of diazepam to the preoperative client. What
steps will the nurse take next? (Select all that apply.)
A.
Place the client in the bed next to the nurse's station.
B.
Instruct the client not to get out of bed.
C.
Place the call bell within the client's reach.
D.
Place the side rails up, according to institutional policy.
E.
Assist the client to the bathroom -CORRECT ANSWER-B, C, D
Rationale: Diazepam is a common preoperative medication. Close
observation by placing the client close to the nurse's station is not
necessary. The medication has a sedative effect and the client should not
get out of bed, even with assistance. The remaining selections are correct.
A terminally ill client tells the nurse, "I am so tired and in so much pain!
Please help me to die." Which is the best response for the nurse to provide?
A.
Administer the prescribed maximum dose of pain medication.
,B.
Talk with the client about thoughts and feelings about death.
C.
Collaborate with the health care provider about initiating antidepressant
therapy.
D.
Refer the client to the ethics committee of her local health care facility. -
CORRECT ANSWER-B
Rationale: The nurse should first assess the client's feelings about death
and determine the extent to which this statement expresses the client's true
feelings. The client may need additional pain management, but further
assessment is needed before implementing option A. Options C and D are
both premature interventions and should not be implemented until further
assessment is obtained.
A nurse stops at a motor vehicle collision site to render aid until the
emergency personnel arrive and applies pressure to a groin wound that is
bleeding profusely. Later the client has to have the leg amputated and sues
the nurse for malpractice. Which statement reflects the likely outcome for
the nurse?
A.
The Patient's Bill of Rights protects clients from malicious intents, so the
nurse could lose the case.
B.
The lawsuit may be settled out of court, but the nurse's license is likely to be
revoked.
C.
There will be no judgment against the nurse, whose actions are protected
under the Good Samaritan Act.
D.
,The client will win because the four elements of negligence (duty, breach,
causation, and damages) can be proved. -CORRECT ANSWER-C
Rationale: The Good Samaritan Act protects health care professionals who
practice in good faith and provide reasonable care from malpractice claims,
regardless of the client outcome. Although the Patient's Bill of Rights
protects clients, this nurse is protected by the Good Samaritan Act. The
state Board of Nursing has no reason to revoke a registered nurse's license
unless there was evidence that actions taken in the emergency were not
done in good faith or that reasonable care was not provided. All four
elements of malpractice were not shown.
An older client who had abdominal surgery 3 days earlier was given a
barbiturate for sleep and is now requesting to go to the bathroom. What is
the priority nursing action for this client?
A.
Assist the client to walk to the bathroom and do not leave the client alone.
B.
Request that the UAP assist the client onto a bedpan.
C.
Ask if the client needs to have a bowel movement or void.
D.
Assess the client's bladder to determine if the client needs to urinate. -
CORRECT ANSWER-A
Rationale: Barbiturates cause central nervous system (CNS) depression,
and individuals taking these medications are at greater risk for falls. The
nurse should assist the client to the bathroom. A bedpan is not necessary as
long as safety is ensured. Whether the client needs to void or have a bowel
movement, option C is irrelevant in terms of meeting this client's safety
needs. There is no indication that this client cannot voice her or his needs,
so assessment of the bladder is not needed.
, The nurse is planning care for a client with an indwelling urinary catheter.
Which nursing action has the highest priority?
A.
Assist the client with daily cleansing.
B.
Tell the client that incontinence happens with aging.
C.
Offer 200 mL of fluid every 2 hours while awake.
D.
Take the client's temperature every 4 hours. -CORRECT ANSWER-D
Rationale: Indwelling urinary catheters are a major source of infection.
Option A is a problem that may develop from having an indwelling
catheter. Option B may or may not be true for the client. Option C is not
affected by an indwelling catheter.
When bathing an uncircumcised boy older than 3 years, which action
should the nurse take?
A.
Remind the child to clean his genital area.
B.
Defer perineal care because of the child's age.
C.
Retract the foreskin gently to cleanse the penis.
D.
Ask the parents why the child is not circumcised. -CORRECT ANSWER-
C
Rationale: The foreskin (prepuce) of the penis should be gently retracted to
cleanse all areas that could harbor bacteria. The child's cognitive
