RN HESI FUNDAMENTALS EXIT FINAL
EXAM PREP 2026/2027 QUESTIONS AND
ANSWERS
1. A nurse is preparing to perform an abdominal assessment on a client reporting discomfort.
In which order should the nurse perform the assessment techniques?
A. Inspection, palpation, percussion, auscultation
B. Auscultation, inspection, percussion, palpation
C. Palpation, percussion, auscultation, inspection
D. Inspection, auscultation, percussion, palpation
Answer: D
Conceptual Explanation: For abdominal assessment, the order is inspection, auscultation,
percussion, and then palpation. Palpation and percussion can alter bowel sounds, so
auscultation must be done first.
2. A nurse is caring for a client who is at risk for skin breakdown. Which of the following
interventions is the priority to maintain skin integrity?
A. Applying moisturizing lotion to bony prominences twice daily
,B. Massaging reddened areas to improve circulation
C. Repositioning the client every 2 hours while in bed
D. Using a donut-shaped cushion when the client is sitting in a chair
Answer: C
Conceptual Explanation: Repositioning every 2 hours is the standard of care to relieve
pressure. Massaging reddened areas is contraindicated as it can cause deep tissue damage.
Donut cushions increase localized pressure.
3. A nurse is caring for a client who has a prescription for a clear liquid diet. Which of the
following food items should the nurse offer?
A. Vanilla pudding
B. Apple juice
C. Orange juice with pulp
D. Cream of chicken soup
Answer: B
Conceptual Explanation: Clear liquids are those that are transparent at room
temperature. Apple juice is clear, whereas pudding and cream soups are full liquids, and
pulp makes juice non-clear.
, 4. A client is diagnosed with a Clostridium difficile (C. diff) infection. Which of the following
precautions should the nurse implement?
A. Contact precautions
B. Airborne precautions
C. Droplet precautions
D. Protective environment
Answer: A
Conceptual Explanation: C. diff requires contact precautions, including gown and gloves,
and requires handwashing with soap and water because alcohol-based rubs are ineffective
against C. diff spores.
5. A nurse discovers a small fire in a client’s trash can. Using the RACE acronym, which action
should the nurse take first?
A. Activate the fire alarm
B. Extinguish the fire with a fire extinguisher
C. Remove the client from the room
D. Close the door to the room
Answer: C
Conceptual Explanation: According to the RACE acronym, the first step is ‘R’ for
Rescue/Remove the client from immediate danger.
EXAM PREP 2026/2027 QUESTIONS AND
ANSWERS
1. A nurse is preparing to perform an abdominal assessment on a client reporting discomfort.
In which order should the nurse perform the assessment techniques?
A. Inspection, palpation, percussion, auscultation
B. Auscultation, inspection, percussion, palpation
C. Palpation, percussion, auscultation, inspection
D. Inspection, auscultation, percussion, palpation
Answer: D
Conceptual Explanation: For abdominal assessment, the order is inspection, auscultation,
percussion, and then palpation. Palpation and percussion can alter bowel sounds, so
auscultation must be done first.
2. A nurse is caring for a client who is at risk for skin breakdown. Which of the following
interventions is the priority to maintain skin integrity?
A. Applying moisturizing lotion to bony prominences twice daily
,B. Massaging reddened areas to improve circulation
C. Repositioning the client every 2 hours while in bed
D. Using a donut-shaped cushion when the client is sitting in a chair
Answer: C
Conceptual Explanation: Repositioning every 2 hours is the standard of care to relieve
pressure. Massaging reddened areas is contraindicated as it can cause deep tissue damage.
Donut cushions increase localized pressure.
3. A nurse is caring for a client who has a prescription for a clear liquid diet. Which of the
following food items should the nurse offer?
A. Vanilla pudding
B. Apple juice
C. Orange juice with pulp
D. Cream of chicken soup
Answer: B
Conceptual Explanation: Clear liquids are those that are transparent at room
temperature. Apple juice is clear, whereas pudding and cream soups are full liquids, and
pulp makes juice non-clear.
, 4. A client is diagnosed with a Clostridium difficile (C. diff) infection. Which of the following
precautions should the nurse implement?
A. Contact precautions
B. Airborne precautions
C. Droplet precautions
D. Protective environment
Answer: A
Conceptual Explanation: C. diff requires contact precautions, including gown and gloves,
and requires handwashing with soap and water because alcohol-based rubs are ineffective
against C. diff spores.
5. A nurse discovers a small fire in a client’s trash can. Using the RACE acronym, which action
should the nurse take first?
A. Activate the fire alarm
B. Extinguish the fire with a fire extinguisher
C. Remove the client from the room
D. Close the door to the room
Answer: C
Conceptual Explanation: According to the RACE acronym, the first step is ‘R’ for
Rescue/Remove the client from immediate danger.
