RN HESI FUNDAMENTALS EXIT EXAM 2026
COMPLETE QUESTIONS AND SOLUTIONS
GRADED A PLUS BASIC NURSING SKILLS
REVIEW GUIDE
◉ A client with chronic renal disease is admitted to the hospital for
evaluation prior to a surgical procedure. Which laboratory test
indicates client's protein status for the longest length of time?
Answer: Serum albumin
Rationale: Serum albumin has a long half-life.
◉ What client statement indicates to the nurse that the client
requires assistance with bathing?
Answer: "I don't understand why I'm so weak & tired."
◉ How should the nurse handle linens that are soiled with
incontinent feces?
Answer: Place the soiled linens in a pillow case & deposit them in
the dirty linen hamper
◉ When caring for an immobile client, what nursing diagnosis has
the highest priority?
,Answer: Impaired gas exchange
◉ The nurse assesses an immobile, elderly male client & determines
that his blood pressure is 138/60, his temperature is 95.8F & his
output is 100 mL of concentrated urine during the last hour. He has
wet sounding lungs & increased respiratory secretions. Based on
these assessment findings , what nursing action is most important
for the nurse to implement?
Answer: Turn the client q2h
Rationale: It will help move & drain respiratory secretions & prevent
pneumonia from occurring.
◉ The home health nurse visits an elderly female client who had a
brain attack 3 months ago & is now able to ambulate with the
assistance of a quad cane. Which assessment finding has the greatest
implications for this client's care?
Answer: The nurse notes there are numerous scatter rugs
throughout the house
◉ The nurse removes the dressing on a client's heel that is cover a
pressure sore 1" in diameter & finds that there is straw-colored
drainage seeping from the wound. What description of this finding
should the nurse include in the client's record?
Answer: One-inch pressure sore draining serous fluid
, ◉ Medication is prescribed to be given QID. What schedule should
the nurse use to administer this Rx?
Answer: 0800, 1200, 1600, 2000
◉ The nurse working in the ED is assessing 4 clients' ability to
tolerate pain. Which client is likely to tolerate a higher level of pain?
Answer: 1 55y/o woman who has had moderate low back pain for 3
months
Rationale: Experiences with the same type of pain that has
successfully been relieved makes it easier for the client to interpret
the pain sensation and, as a result, the client is better prepared to
take steps to relieve the pain. All other clients are having new
experiences with pain.
◉ A 4y/o boy who is scheduled for a tonsillectomy & adenoidectomy
asks the nurse, "Will it hurt to have my tonsils & adenoids taken
out?" Which response is best for the nurse to provide?
Answer: "It may hurt, but we'll give you medicine to help you feel
better."
◉ A low-sodium, low-protein diet is prescribed for a 45y/o client
with renal insufficiency & HTN, who gained 3lbs in the last month.
COMPLETE QUESTIONS AND SOLUTIONS
GRADED A PLUS BASIC NURSING SKILLS
REVIEW GUIDE
◉ A client with chronic renal disease is admitted to the hospital for
evaluation prior to a surgical procedure. Which laboratory test
indicates client's protein status for the longest length of time?
Answer: Serum albumin
Rationale: Serum albumin has a long half-life.
◉ What client statement indicates to the nurse that the client
requires assistance with bathing?
Answer: "I don't understand why I'm so weak & tired."
◉ How should the nurse handle linens that are soiled with
incontinent feces?
Answer: Place the soiled linens in a pillow case & deposit them in
the dirty linen hamper
◉ When caring for an immobile client, what nursing diagnosis has
the highest priority?
,Answer: Impaired gas exchange
◉ The nurse assesses an immobile, elderly male client & determines
that his blood pressure is 138/60, his temperature is 95.8F & his
output is 100 mL of concentrated urine during the last hour. He has
wet sounding lungs & increased respiratory secretions. Based on
these assessment findings , what nursing action is most important
for the nurse to implement?
Answer: Turn the client q2h
Rationale: It will help move & drain respiratory secretions & prevent
pneumonia from occurring.
◉ The home health nurse visits an elderly female client who had a
brain attack 3 months ago & is now able to ambulate with the
assistance of a quad cane. Which assessment finding has the greatest
implications for this client's care?
Answer: The nurse notes there are numerous scatter rugs
throughout the house
◉ The nurse removes the dressing on a client's heel that is cover a
pressure sore 1" in diameter & finds that there is straw-colored
drainage seeping from the wound. What description of this finding
should the nurse include in the client's record?
Answer: One-inch pressure sore draining serous fluid
, ◉ Medication is prescribed to be given QID. What schedule should
the nurse use to administer this Rx?
Answer: 0800, 1200, 1600, 2000
◉ The nurse working in the ED is assessing 4 clients' ability to
tolerate pain. Which client is likely to tolerate a higher level of pain?
Answer: 1 55y/o woman who has had moderate low back pain for 3
months
Rationale: Experiences with the same type of pain that has
successfully been relieved makes it easier for the client to interpret
the pain sensation and, as a result, the client is better prepared to
take steps to relieve the pain. All other clients are having new
experiences with pain.
◉ A 4y/o boy who is scheduled for a tonsillectomy & adenoidectomy
asks the nurse, "Will it hurt to have my tonsils & adenoids taken
out?" Which response is best for the nurse to provide?
Answer: "It may hurt, but we'll give you medicine to help you feel
better."
◉ A low-sodium, low-protein diet is prescribed for a 45y/o client
with renal insufficiency & HTN, who gained 3lbs in the last month.
