• HESI Fundamentals 09/14/2026
Exit Exam
HESI Fundamentals Exit Exam V1, V2 & V3 RN &
PN Fundamentals Test Bank 2026/2027 |
Complete Questions & Answers with Rationales
| Verified Nursing Practice Questions | NGN
Clinical Judgment Review | Graded A+ HESI Exit
Exam Prep
The nurse is administering the 0900 medications to a client who was admitted during the night. Which client
statement indicates that the nurse should further assess the medication order?
A.
"At home I take my pills at 8:00 am."
B.
"It costs a lot of money to buy all of these pills."
P 1
, • HESI Fundamentals 09/14/2026
Exit Exam
C.
"I get so tired of taking pills every day."
D.
"This is a new pill I have never taken before."
- Correct Answer :D
Rationale:
The client's recognition of a "new" pill requires further assessment to verify that the medication is correct, if it is
a new prescription or a different manufacturer, or if the client needs further instruction. The time difference may
not be as significant in terms of its effect, but this should be explained. Although comments about cost should
be considered when developing a discharge plan, option D is a higher priority. The client's feelings C should be
acknowledged, but observation of the five rights of medication administration is most essential.
During evacuation of a group of clients from a medical unit because of a fire, the nurse observes an ambulatory
client walking alone toward the stairway at the end of the hall. Which action should the nurse take?
A.
Assign an unlicensed assistive personnel to transport the client via a wheelchair.
B.
Remind the client to walk carefully down the stairs until reaching a lower floor.
C.
Ask the client to help by assisting a wheelchair-bound client to a nearby elevator.
D.
Open the closest fire doors so that ambulatory clients can evacuate more rapidly. –
Correct Answer :B
Rationale: During evacuation of a unit because of fire, ambulatory clients should be evacuated via the stairway if
at all possible and reminded to walk carefully. Ambulatory clients do not require the assistance of a wheelchair to
P 2
, • HESI Fundamentals 09/14/2026
Exit Exam
be evacuated. Elevators should not be used during a fire, and fire doors should be kept closed to help contain
the fire.
The client reports to the clinic nurse, "I sleep for about 2 hours and then I have to get up to use the bathroom. I
repeat that pattern about three to four times per night." What questions will the nurse include in this client's
assessment? (Select all that apply.)
A.
"How much fluid do you drink after 8:00 in the evening?"
B.
"Does your spouse wake up with you, and use the bathroom after you?"
C.
"What time of day do you take your water pill?"
D.
"Do you drink any alcoholic beverages in the evening?"
E.
"When did this pattern of urination start?"
F.
"Do you have any itching or burning when you urinate?"
- Correct Answer :A, C, D, E, F
Rationale: Asking if the spouse also gets up at night does not relate to the clients' pattern of frequency of
urination at night. The goal of the assessment is to try and understand the client's urinary usual patterns and to
determine if there are any modifiable factors that can decrease the frequency of urinating at night. Urinary
frequency is also a sign of a urinary tract infection.
When performing sterile wound care in the acute care setting, the nurse obtains a bottle of normal saline from
the bedside table that is labeled "opened" and dated 48 hours prior to the current date. Which is the best action
for the nurse to take?
A.
Use the normal saline solution once more and then discard.
P 3
, • HESI Fundamentals 09/14/2026
Exit Exam
B.
Obtain a new sterile syringe to draw up the labeled saline solution.
C.
Use the saline solution and then relabel the bottle with the current date.
D.
Discard the saline solution and obtain a new unopened bottle. –
Correct Answer :D
Rationale: Solutions labeled as opened within 24 hours may be used for clean procedures, but only newly
opened solutions are considered sterile. This solution is not newly opened and is out of date, so it should be
discarded. Options A, B, and C describe incorrect procedures.
Which action should the nurse implement when providing wound care instructions to a client who does not
speak English?
A.
Ask an interpreter to provide wound care instructions.
B.
Speak directly to the client, with an interpreter translating.
C.
Request the accompanying family member to translate.
D.
Instruct a bilingual employee to read the instructions. –
Correct Answer :B
Rationale: Wound care instructions should be given directly to the client by the nurse with an interpreter who is
trained to provide accurate and objective translation in the client's primary language so that the client has the
opportunity to ask questions during the teaching process. The interpreter usually does not have any health care
experience, so the nurse must provide client teaching. Family members should not be used to translate
instructions because the client or family member may alter the instructions during conversation or be
uncomfortable with the topics discussed. The employee should be a trained interpreter to ensure that the
nurse's instructions are understood accurately by the client.
P 4
Exit Exam
HESI Fundamentals Exit Exam V1, V2 & V3 RN &
PN Fundamentals Test Bank 2026/2027 |
Complete Questions & Answers with Rationales
| Verified Nursing Practice Questions | NGN
Clinical Judgment Review | Graded A+ HESI Exit
Exam Prep
The nurse is administering the 0900 medications to a client who was admitted during the night. Which client
statement indicates that the nurse should further assess the medication order?
A.
"At home I take my pills at 8:00 am."
B.
"It costs a lot of money to buy all of these pills."
P 1
, • HESI Fundamentals 09/14/2026
Exit Exam
C.
"I get so tired of taking pills every day."
D.
"This is a new pill I have never taken before."
- Correct Answer :D
Rationale:
The client's recognition of a "new" pill requires further assessment to verify that the medication is correct, if it is
a new prescription or a different manufacturer, or if the client needs further instruction. The time difference may
not be as significant in terms of its effect, but this should be explained. Although comments about cost should
be considered when developing a discharge plan, option D is a higher priority. The client's feelings C should be
acknowledged, but observation of the five rights of medication administration is most essential.
During evacuation of a group of clients from a medical unit because of a fire, the nurse observes an ambulatory
client walking alone toward the stairway at the end of the hall. Which action should the nurse take?
A.
Assign an unlicensed assistive personnel to transport the client via a wheelchair.
B.
Remind the client to walk carefully down the stairs until reaching a lower floor.
C.
Ask the client to help by assisting a wheelchair-bound client to a nearby elevator.
D.
Open the closest fire doors so that ambulatory clients can evacuate more rapidly. –
Correct Answer :B
Rationale: During evacuation of a unit because of fire, ambulatory clients should be evacuated via the stairway if
at all possible and reminded to walk carefully. Ambulatory clients do not require the assistance of a wheelchair to
P 2
, • HESI Fundamentals 09/14/2026
Exit Exam
be evacuated. Elevators should not be used during a fire, and fire doors should be kept closed to help contain
the fire.
The client reports to the clinic nurse, "I sleep for about 2 hours and then I have to get up to use the bathroom. I
repeat that pattern about three to four times per night." What questions will the nurse include in this client's
assessment? (Select all that apply.)
A.
"How much fluid do you drink after 8:00 in the evening?"
B.
"Does your spouse wake up with you, and use the bathroom after you?"
C.
"What time of day do you take your water pill?"
D.
"Do you drink any alcoholic beverages in the evening?"
E.
"When did this pattern of urination start?"
F.
"Do you have any itching or burning when you urinate?"
- Correct Answer :A, C, D, E, F
Rationale: Asking if the spouse also gets up at night does not relate to the clients' pattern of frequency of
urination at night. The goal of the assessment is to try and understand the client's urinary usual patterns and to
determine if there are any modifiable factors that can decrease the frequency of urinating at night. Urinary
frequency is also a sign of a urinary tract infection.
When performing sterile wound care in the acute care setting, the nurse obtains a bottle of normal saline from
the bedside table that is labeled "opened" and dated 48 hours prior to the current date. Which is the best action
for the nurse to take?
A.
Use the normal saline solution once more and then discard.
P 3
, • HESI Fundamentals 09/14/2026
Exit Exam
B.
Obtain a new sterile syringe to draw up the labeled saline solution.
C.
Use the saline solution and then relabel the bottle with the current date.
D.
Discard the saline solution and obtain a new unopened bottle. –
Correct Answer :D
Rationale: Solutions labeled as opened within 24 hours may be used for clean procedures, but only newly
opened solutions are considered sterile. This solution is not newly opened and is out of date, so it should be
discarded. Options A, B, and C describe incorrect procedures.
Which action should the nurse implement when providing wound care instructions to a client who does not
speak English?
A.
Ask an interpreter to provide wound care instructions.
B.
Speak directly to the client, with an interpreter translating.
C.
Request the accompanying family member to translate.
D.
Instruct a bilingual employee to read the instructions. –
Correct Answer :B
Rationale: Wound care instructions should be given directly to the client by the nurse with an interpreter who is
trained to provide accurate and objective translation in the client's primary language so that the client has the
opportunity to ask questions during the teaching process. The interpreter usually does not have any health care
experience, so the nurse must provide client teaching. Family members should not be used to translate
instructions because the client or family member may alter the instructions during conversation or be
uncomfortable with the topics discussed. The employee should be a trained interpreter to ensure that the
nurse's instructions are understood accurately by the client.
P 4
