2026/2027 COMPLETE STUDY QUESTIONS AND
CORRECT SOLUTIONS WITH RATIOANLES
100% GUARANTEED PASS | RATED A+
,RN HESI FUNDAMENTALS EXIT LATEST EXAM 2026/2027
COMPLETE STUDY QUESTIONS AND CORRECT SOLUTIONS
WITH RATIOANLES 100% GUARANTEED PASS | RATED A+
The nurse is preparing to administer 10 mL of liquid potassium chloride through a feeding tube,
followed by 10 mL of liquid acetaminophen. Which action should the nurse include in this
procedure?
A.
Dilute each of the medications with sterile water prior to administration.
B.
Mix the medications in one syringe before opening the feeding tube.
C.
Administer water between the doses of the two liquid medications.
D.
Withdraw any fluid from the tube before instilling each medication. - Answer>>> C
Rationale: Water should be instilled into the feeding tube between administering the two
medications to maintain the patency of the feeding tube and ensure that the total dose of
medication enters the stomach and does not remain in the tube. These liquid medications do not
need to be diluted when administered via a feeding tube and should be administered separately,
with water instilled between each medication.
The nurse is evaluating the chart of a client scheduled for surgery in 1 hour. When viewing the
consent form, the nurse notes the surgeon's signature, but not the client's signature. What steps
must the nurse take? (Select all that apply.)
A.
Call the surgeon.
B.
,Ask the client, "Did your surgeon explain the procedure to you?"
C.
Have the client's spouse sign the form.
D.
Ask the client, "Do you have any questions?"
E.
Witness the signature.
F.
Obtain the consent. - Answer>>> B, D, E
Rationale: It is the surgeon's responsibility to review the procedure with the client until the client
has no further questions. The nurse can verify the review by the surgeon and ask if the client has
any further questions. If the client has questions, the nurse must call in the surgeon. When the
nurse signs the consent form, the nurse is witnessing the signature only.
Urinary catheterization is prescribed for a postoperative female client who has been unable to
void for 8 hours. The nurse inserts the catheter, but no urine is seen in the tubing. Which action
will the nurse take next?
A.
Clamp the catheter and recheck it in 60 minutes.
B.
Pull the catheter back 3 inches and redirect upward.
C.
Leave the catheter in place and reattempt with another catheter.
D.
Notify the health care provider of a possible obstruction. - Answer>>> C
, Rationale: It is likely that the first catheter is in the vagina, rather than the bladder. Leaving the
first catheter in place will help locate the meatus when attempting the second catheterization.
The client should have at least 240 mL of urine after 8 hours. Option A does not resolve the
problem. Option B will not change the location of the catheter unless it is completely removed,
in which case a new catheter must be used. There is no evidence of a urinary tract obstruction if
the catheter could be easily inserted.
The nurse observes a UAP taking a client's blood pressure in the lower extremity. Which
observation of this procedure requires the nurse to intervene with the UAP's approach?
A.
The cuff wraps around the girth of the leg.
B.
The UAP auscultates the popliteal pulse with the cuff on the lower leg.
C.
The client is placed in a prone position.
D.
The systolic reading is 20 mm Hg higher than the blood pressure in the client's arm. -
Answer>>> B
Rationale: When obtaining the blood pressure in the lower extremities, the popliteal pulse is the
site for auscultation when the blood pressure cuff is applied around the thigh. The nurse should
intervene with the UAP who has applied the cuff on the lower leg. Option A ensures an accurate
assessment, and option C provides the best access to the artery. Systolic pressure in the popliteal
artery is usually 10 to 40 mm Hg higher than in the brachial artery.
A client's blood pressure reading is 156/94 mm Hg. Which action should the nurse take first?
A.
Tell the client that the blood pressure is high and that the reading needs to be verified by another
nurse.