RN HESI FUNDAMENTALS EXIT EXAMINATION
TEST 2026 FULL SOLVED QUESTIONS
ANSWERS FUNDAMENTAL NURSING CARE
STUDY SHEET
◉ 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.
The nurse determines that the client has been noncompliant with
the diet, based on which report from the 24hr diet recall?
Answer: 1. Snack of potato chips & diet soda
2. Lunch of tuna, carrots, fruit & coffee
3. Breakfast of eggs, bacon, toast & coffee
4. Bedtime snack of crackers & milk
,◉ What intervention should the nurse include in the care plan for a
client who is being treated with an Unna's paste boot for leg ulcers
due to chronic venous insufficiency?
Answer: Check capillary refill of toes on lower extremity with Unna's
paste boot
Rationale: Boot becomes rigid after it dries, so it is important to
check distally for adequate circulation. No bandage should be put
under it. Should be applied from foot & wrapped towards knee. Acts
as a sterile dressing & should not be removed q8h. Weekly removal
is reasonable.
◉ Male client with nursing diagnosis of "spiritual distress". What
intervention is best for the nurse to implement when caring for this
client?
Answer: Use reflective listening techniques when the client
expresses spiritual doubts.
Rationale: Client should be consulted before involving chaplain.
◉ Client with nursing diagnosis of "Spiritual distress r/t loss of hope
secondary to impending death." What intervention is best for the
nurse to implement when caring for this client?
Answer: Assist & support the client in establishing short-term goals.
, Rationale: Hopefulness is necessary to sustain a meaningful
existence, even close to death.
◉ Nurse who puts meds in her uniform pocket to deliver to clients
confides that after arriving home, she found a hydrocodone tablet in
her pocket. Which possible outcome of this situation should be the
nurse's greatest concern?
Answer: Accused of diversion
◉ A signed consent form indicated a client should have an
electromyogram, by a myelogram was performed instead. Thought
the myelogram revealed the cause of the client's back pain, the client
filed a lawsuit against the nurse & HCP for performing the incorrect
procedure. The court is likely to rule in favor of the plaintiff because
these events represent which infraction?
Answer: Assault & battery with deliberate intent to deviate from the
consent form
◉ A 75y/o client who has a history of end stage renal failure &
advancing lung cancer, recently had a stroke. 2 days ago, the HCP d/c
the client's dialysis treatments, stating that death is inevitable, but
the client is disoriented & will not sign a DNR directive. What is the
priority nursing intervention?
Answer: Determine who is legally empowered to make decisions
TEST 2026 FULL SOLVED QUESTIONS
ANSWERS FUNDAMENTAL NURSING CARE
STUDY SHEET
◉ 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.
The nurse determines that the client has been noncompliant with
the diet, based on which report from the 24hr diet recall?
Answer: 1. Snack of potato chips & diet soda
2. Lunch of tuna, carrots, fruit & coffee
3. Breakfast of eggs, bacon, toast & coffee
4. Bedtime snack of crackers & milk
,◉ What intervention should the nurse include in the care plan for a
client who is being treated with an Unna's paste boot for leg ulcers
due to chronic venous insufficiency?
Answer: Check capillary refill of toes on lower extremity with Unna's
paste boot
Rationale: Boot becomes rigid after it dries, so it is important to
check distally for adequate circulation. No bandage should be put
under it. Should be applied from foot & wrapped towards knee. Acts
as a sterile dressing & should not be removed q8h. Weekly removal
is reasonable.
◉ Male client with nursing diagnosis of "spiritual distress". What
intervention is best for the nurse to implement when caring for this
client?
Answer: Use reflective listening techniques when the client
expresses spiritual doubts.
Rationale: Client should be consulted before involving chaplain.
◉ Client with nursing diagnosis of "Spiritual distress r/t loss of hope
secondary to impending death." What intervention is best for the
nurse to implement when caring for this client?
Answer: Assist & support the client in establishing short-term goals.
, Rationale: Hopefulness is necessary to sustain a meaningful
existence, even close to death.
◉ Nurse who puts meds in her uniform pocket to deliver to clients
confides that after arriving home, she found a hydrocodone tablet in
her pocket. Which possible outcome of this situation should be the
nurse's greatest concern?
Answer: Accused of diversion
◉ A signed consent form indicated a client should have an
electromyogram, by a myelogram was performed instead. Thought
the myelogram revealed the cause of the client's back pain, the client
filed a lawsuit against the nurse & HCP for performing the incorrect
procedure. The court is likely to rule in favor of the plaintiff because
these events represent which infraction?
Answer: Assault & battery with deliberate intent to deviate from the
consent form
◉ A 75y/o client who has a history of end stage renal failure &
advancing lung cancer, recently had a stroke. 2 days ago, the HCP d/c
the client's dialysis treatments, stating that death is inevitable, but
the client is disoriented & will not sign a DNR directive. What is the
priority nursing intervention?
Answer: Determine who is legally empowered to make decisions
