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FORTIS COLLEGE NUR 210 HESI RN EXIT EXAM
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES
FORTIS COLLEGE NUR 210 HESI RN EXIT EXAM
10 Most Relevant and Tested Coverage Areas
Management of Care, prioritization, delegation, and assignment
Safety, infection control, emergency response, and client protection
Pharmacological and parenteral therapies
Medical-surgical nursing and physiological adaptation
Reduction of risk potential and complication prevention
Basic care, comfort, nutrition, mobility, and elimination
Health promotion, maintenance, and developmental care
Psychosocial integrity and mental-health nursing
Maternal-newborn and pediatric nursing
Clinical judgment, patient education, discharge planning, and NGN-style application
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QUESTIONS 1–250
MANAGEMENT OF CARE, PRIORITIZATION, AND DELEGATION
1. Which client should the nurse assess first after receiving report on a medical-surgical unit?
A. Client requesting scheduled pain medication
B. Client with new chest pressure
C. Client awaiting discharge instructions
D. Client needing assistance with bathing
Answer: B
Rationale: New chest pressure may indicate acute coronary syndrome and requires immediate
assessment because airway, breathing, and circulation threats take priority over routine needs.
2. Which task is most appropriate for the registered nurse to delegate to an experienced UAP?
A. Assessing a newly admitted client
B. Teaching insulin self-administration
C. Obtaining vital signs on a stable client
D. Evaluating response to medication
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Answer: C
Rationale: Routine vital signs for a stable client are within typical UAP responsibilities. Assessment,
teaching, and evaluation require nursing judgment.
3. Which client should the nurse see first when four clients require attention?
A. Client with oxygen saturation of 86%
B. Client requesting assistance with breakfast
C. Client reporting chronic back discomfort
D. Client awaiting routine laboratory results
Answer: A
Rationale: Significant hypoxemia represents an immediate physiological priority and requires prompt
assessment and intervention.
4. Which assignment is most appropriate for an LPN/LVN caring for clients on a medical-surgical unit?
A. Assessing a client with new confusion
B. Developing an initial nursing care plan
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C. Administering routine medications to stable clients
D. Evaluating a client's response to unstable symptoms
Answer: C
Rationale: LPN/LVN responsibilities commonly include care of stable clients and routine medication
administration according to state law and facility policy.
5. Which client can the nurse safely assign to an experienced UAP?
A. Client requiring initial postoperative assessment
B. Client needing assistance with routine ambulation
C. Client experiencing newly worsening dyspnea
D. Client needing evaluation of chest pain
Answer: B
Rationale: Routine ambulation for a stable client can generally be delegated. Assessment of acute
changes remains the RN's responsibility.
6. Which statement by a nurse demonstrates appropriate delegation?
FORTIS COLLEGE NUR 210 HESI RN EXIT EXAM
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES
FORTIS COLLEGE NUR 210 HESI RN EXIT EXAM
10 Most Relevant and Tested Coverage Areas
Management of Care, prioritization, delegation, and assignment
Safety, infection control, emergency response, and client protection
Pharmacological and parenteral therapies
Medical-surgical nursing and physiological adaptation
Reduction of risk potential and complication prevention
Basic care, comfort, nutrition, mobility, and elimination
Health promotion, maintenance, and developmental care
Psychosocial integrity and mental-health nursing
Maternal-newborn and pediatric nursing
Clinical judgment, patient education, discharge planning, and NGN-style application
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QUESTIONS 1–250
MANAGEMENT OF CARE, PRIORITIZATION, AND DELEGATION
1. Which client should the nurse assess first after receiving report on a medical-surgical unit?
A. Client requesting scheduled pain medication
B. Client with new chest pressure
C. Client awaiting discharge instructions
D. Client needing assistance with bathing
Answer: B
Rationale: New chest pressure may indicate acute coronary syndrome and requires immediate
assessment because airway, breathing, and circulation threats take priority over routine needs.
2. Which task is most appropriate for the registered nurse to delegate to an experienced UAP?
A. Assessing a newly admitted client
B. Teaching insulin self-administration
C. Obtaining vital signs on a stable client
D. Evaluating response to medication
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Answer: C
Rationale: Routine vital signs for a stable client are within typical UAP responsibilities. Assessment,
teaching, and evaluation require nursing judgment.
3. Which client should the nurse see first when four clients require attention?
A. Client with oxygen saturation of 86%
B. Client requesting assistance with breakfast
C. Client reporting chronic back discomfort
D. Client awaiting routine laboratory results
Answer: A
Rationale: Significant hypoxemia represents an immediate physiological priority and requires prompt
assessment and intervention.
4. Which assignment is most appropriate for an LPN/LVN caring for clients on a medical-surgical unit?
A. Assessing a client with new confusion
B. Developing an initial nursing care plan
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C. Administering routine medications to stable clients
D. Evaluating a client's response to unstable symptoms
Answer: C
Rationale: LPN/LVN responsibilities commonly include care of stable clients and routine medication
administration according to state law and facility policy.
5. Which client can the nurse safely assign to an experienced UAP?
A. Client requiring initial postoperative assessment
B. Client needing assistance with routine ambulation
C. Client experiencing newly worsening dyspnea
D. Client needing evaluation of chest pain
Answer: B
Rationale: Routine ambulation for a stable client can generally be delegated. Assessment of acute
changes remains the RN's responsibility.
6. Which statement by a nurse demonstrates appropriate delegation?
