PN HESI EXIT ACTUAL EXAM SCREENSHOTS NEWEST 2025/2026
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES|ALREADY GRADED A+
1. A client with leukemia is being considered for a bone marrow transplant. The health care team is discussing the risks and benefits of this treatment and other possible treatments with the goal of inflicting the least possible harm on the client. ID: 18630150568
Which principle of health care ethics is the team practicing?
A. Fidelity
B. Nonmaleficence Correct
Rationale: Nonmaleficence is the avoidance of hurt or harm. Remember that in health care ethics, ethical practice involves not only the will to do good but also the equal commitment to do no harm. Health care professionals try to balance
the risks and benefits of a plan of care while striving to do the least possible harm. Justice refers to fairness and equity and ensuring fair allocation of resources, such as nursing care for all clients. Fidelity is the keeping of promises made
to clients, families, and other health care professionals. Autonomy refers to a person’s independence and represents an agreement to respect another’s right to determine his or her course of action.
Test-Taking Strategy: Use knowledge of the subject to help you with the process of elimination. Think about the definition of each item in the options. Note the relationship of the words <least possible harm= in the question and the definition
of nonmaleficence. Review the principles of health care ethics if you had difficulty with this question.
Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment Integrated
C. Autonomy
D. Justice
Awarded 1.0 points out of 1.0 possible points.
2. Which action by the nurse represents the ethical principle of beneficence? ID: 18630149735
A. The nurse administers an immunization to a child even though it may cause discomfort. Correct
Rationale: Beneficence is taking action to help others. Although administration of a child’s immunization might cause discomfort, the benefits of protection from disease outweigh the temporary discomfort. Fidelity is keeping promises made to
clients, families, and other health care professionals. Autonomy is a person’s independence. Respecting another’s autonomy means that you are agreeing to respect that person’s right to determine his or her course of action. Justice
refers to fairness and equity, including fair allocation of resources, such as nursing care for all clients.
Test-Taking Strategy: Focus on the subject, beneficence. Recalling that beneficence refers to taking action to help others will direct you to the correct option. Review the principles of health care ethics if you had
difficulty with this question.
Cognitive Ability: Applying
B. The nurse follows a plan of care designed to relieve pain in a client with cancer. Incorrect
C. The nurse provides equal amounts of care to all assigned clients on the basis of illness acuity.
D. The nurse upholds a client’s decision to refuse chemotherapy for lung cancer.
Awarded 0.0 points out of 1.0 possible points.
3. The nursing instructor asks a student to name an example of false imprisonment. Which situation reflects a violation of this client right? ID: 18630149791
A. Performing a procedure without consent
B. Threatening to give a client a medication against his or her will
C. Observing the provision of care to the client without the client’s permission D.
Telling the client that he or she may not leave the hospital Correct
Rationale: Telling a client that he or she may not leave the hospital constitutes false imprisonment. Performing a procedure without consent is an example of battery. Threatening to give a client a medication against his or her will is assault.
Invasion of privacy takes place with unreasonable intrusion into an individual’s private affairs. Observing the provision of care to a client without the client’s permission is an example of invasion of privacy.
Test-Taking Strategy: Focus on the subject, an example of false imprisonment. Note the relationship of the subject and the words in the correct option. If you had difficulty with this question, review the concept of false imprisonment.
Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment
,Awarded 1.0 points out of 1.0 possible points.
,
, lOMoAR cPSD| 19500986
4. A nurse and a nursing assistant enter a client’s room to provide care and find the client lying on the floor. Which action should the nurse take first?
ID: 18630149739
A. Ask the nursing assistant to complete an incident report B.
Check the client s level of consciousness and vital signs Correct
Rationale: When a client sustains a fall, the nurse must first assess the client. The nurse should check the client’s level of consciousness and vital signs and look for any bruises or injuries sustained in the fall. If the nurse determines that the
client has not sustained any injuries and that it is safe to move the client, the nurse should ask the nursing assistant to assist in getting the client into bed. The nurse should then contact the health care provider and file an incident report.
Test-Taking Strategy: Note the strategic word <first.= Use the steps of the nursing process to answer the question. The correct option is the only one that addresses assessment. Remember to always assess the client first if a client
sustains a fall. Review client injuries and procedures for filing incident reports if you had difficulty with this question.
Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment Integrated
C. Contact the unit secretary on the intercom and ask that the client’s health care provider be called
D. Ask the nursing assistant to assist in getting the client back to bed
Awarded 1.0 points out of 1.0 possible points.
5. Which action exemplifies the use of evidence-based practice in the delivery of client care? ID: 18630150587
A. Advising a client to agree to the treatment recommended by her health care provider
B. Taking a rectal temperature from a client for whom bleeding precautions have been instituted C.
Donning sterile gloves to change an abdominal wound dressing Correct
Rationale: Evidence-based practice is an approach to client care in which the nurse integrates the client’s preferences, clinical expertise, and the best research evidence to deliver quality care. Donning sterile gloves to change an abdominal
wound dressing reflects evidence-based practice because it prevents the entrance of harmful bacteria into the wound. The remaining options do not reflect evidence-based practice. Taking an herbal substance could be harmful to some
clients. It is nontherapeutic for a nurse to advise a client to agree to a treatment. Because of the risk of injury to the rectal mucosa, rectal temperature-taking is avoided in the client for whom bleeding precautions have been instituted.
Test-Taking Strategy: Read each option carefully, focusing on the subject, evidence-based practice. Recall the definition of evidence-based practice and note the words <sterile gloves= in the correct option. Review the situations that reflect
evidence-based practice if you had difficulty with this question.
Cognitive Ability: Understanding
D. Encouraging a client to take an herbal substance to treat his insomnia
Awarded 1.0 points out of 1.0 possible points.
6. The nurse is working with the registered nurse who has accepted a new position as case manager in a hospital. The nurse realizes which responsibilities are part of the registered nurse’s new role? Select all that apply.
ID: 18630149783
A. Prescribing treatments specific to the client s needs
B. Establishing a safe and cost-effective plan of care with the client Correct
C. Evaluating and updating the plan of care as needed Correct
D. Coordinating consultations and referrals to facilitate discharge Correct
E. Assessing the client s needs for home supplies and equipment Correct
Rationale: A case manager is a nurse who assumes responsibility for coordinating the client’s care from the point of admission through, and after, discharge. Specific responsibilities of the case manager include establishing a safe and cost-effective
plan of care with the client, coordinating consultations and referrals, and facilitating discharge; initiating a plan of nursing care, care map, or clinical pathway as appropriate to guide care and evaluating and updating the plan of care as needed;
ensuring that the plan of care is tailored to the client’s needs, taking into account the client’s diagnosis, self-care ability, and prescribed treatments; assessing the client’s need for equipment such as oxygen or wound care supplies and exploring
available resources to provide the client with these supplies; providing resources that will assist the client in maintaining independence as much as possible; and providing the client with information on discharge procedures and the plan of
care. The nurse does not prescribe treatments.
Test-Taking Strategy: Focus on the subject, the responsibilities of the case manager. Note the word <prescribing= in the incorrect option. It is not within the role of the nurse to prescribe. Review the responsibilities of the case manager if you have
difficulty with this question.
Cognitive Ability: Understanding
Client Needs: Safe and Effective Care Environment Integrated
7. The nurse manager of a quality improvement program asks a nurse in the neurological unit to conduct a retrospective audit. Which action should the auditing nurse plan to perform in this type of audit? ID: 18630149723
A. Checking the crash cart to ensure that all needed supplies are readily available should an emergency arise
B. Checking the documentation written by a new nursing graduate on her assigned clients at the end of the shift
C. Reviewing neurological assessment checklists for all clients on the unit to ensure that these assessments are being conducted as prescribed D.
Obtaining the assigned medical record from the hospital’s medical record room to review documentation made during a client’s hospital stay Correct
2/30
Rationale: Quality improvement, also known as performance improvement, is focused on processes or systems that significantly contribute to client safety and effective client care outcomes. Criteria are used to assess outcomes of care
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES|ALREADY GRADED A+
1. A client with leukemia is being considered for a bone marrow transplant. The health care team is discussing the risks and benefits of this treatment and other possible treatments with the goal of inflicting the least possible harm on the client. ID: 18630150568
Which principle of health care ethics is the team practicing?
A. Fidelity
B. Nonmaleficence Correct
Rationale: Nonmaleficence is the avoidance of hurt or harm. Remember that in health care ethics, ethical practice involves not only the will to do good but also the equal commitment to do no harm. Health care professionals try to balance
the risks and benefits of a plan of care while striving to do the least possible harm. Justice refers to fairness and equity and ensuring fair allocation of resources, such as nursing care for all clients. Fidelity is the keeping of promises made
to clients, families, and other health care professionals. Autonomy refers to a person’s independence and represents an agreement to respect another’s right to determine his or her course of action.
Test-Taking Strategy: Use knowledge of the subject to help you with the process of elimination. Think about the definition of each item in the options. Note the relationship of the words <least possible harm= in the question and the definition
of nonmaleficence. Review the principles of health care ethics if you had difficulty with this question.
Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment Integrated
C. Autonomy
D. Justice
Awarded 1.0 points out of 1.0 possible points.
2. Which action by the nurse represents the ethical principle of beneficence? ID: 18630149735
A. The nurse administers an immunization to a child even though it may cause discomfort. Correct
Rationale: Beneficence is taking action to help others. Although administration of a child’s immunization might cause discomfort, the benefits of protection from disease outweigh the temporary discomfort. Fidelity is keeping promises made to
clients, families, and other health care professionals. Autonomy is a person’s independence. Respecting another’s autonomy means that you are agreeing to respect that person’s right to determine his or her course of action. Justice
refers to fairness and equity, including fair allocation of resources, such as nursing care for all clients.
Test-Taking Strategy: Focus on the subject, beneficence. Recalling that beneficence refers to taking action to help others will direct you to the correct option. Review the principles of health care ethics if you had
difficulty with this question.
Cognitive Ability: Applying
B. The nurse follows a plan of care designed to relieve pain in a client with cancer. Incorrect
C. The nurse provides equal amounts of care to all assigned clients on the basis of illness acuity.
D. The nurse upholds a client’s decision to refuse chemotherapy for lung cancer.
Awarded 0.0 points out of 1.0 possible points.
3. The nursing instructor asks a student to name an example of false imprisonment. Which situation reflects a violation of this client right? ID: 18630149791
A. Performing a procedure without consent
B. Threatening to give a client a medication against his or her will
C. Observing the provision of care to the client without the client’s permission D.
Telling the client that he or she may not leave the hospital Correct
Rationale: Telling a client that he or she may not leave the hospital constitutes false imprisonment. Performing a procedure without consent is an example of battery. Threatening to give a client a medication against his or her will is assault.
Invasion of privacy takes place with unreasonable intrusion into an individual’s private affairs. Observing the provision of care to a client without the client’s permission is an example of invasion of privacy.
Test-Taking Strategy: Focus on the subject, an example of false imprisonment. Note the relationship of the subject and the words in the correct option. If you had difficulty with this question, review the concept of false imprisonment.
Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment
,Awarded 1.0 points out of 1.0 possible points.
,
, lOMoAR cPSD| 19500986
4. A nurse and a nursing assistant enter a client’s room to provide care and find the client lying on the floor. Which action should the nurse take first?
ID: 18630149739
A. Ask the nursing assistant to complete an incident report B.
Check the client s level of consciousness and vital signs Correct
Rationale: When a client sustains a fall, the nurse must first assess the client. The nurse should check the client’s level of consciousness and vital signs and look for any bruises or injuries sustained in the fall. If the nurse determines that the
client has not sustained any injuries and that it is safe to move the client, the nurse should ask the nursing assistant to assist in getting the client into bed. The nurse should then contact the health care provider and file an incident report.
Test-Taking Strategy: Note the strategic word <first.= Use the steps of the nursing process to answer the question. The correct option is the only one that addresses assessment. Remember to always assess the client first if a client
sustains a fall. Review client injuries and procedures for filing incident reports if you had difficulty with this question.
Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment Integrated
C. Contact the unit secretary on the intercom and ask that the client’s health care provider be called
D. Ask the nursing assistant to assist in getting the client back to bed
Awarded 1.0 points out of 1.0 possible points.
5. Which action exemplifies the use of evidence-based practice in the delivery of client care? ID: 18630150587
A. Advising a client to agree to the treatment recommended by her health care provider
B. Taking a rectal temperature from a client for whom bleeding precautions have been instituted C.
Donning sterile gloves to change an abdominal wound dressing Correct
Rationale: Evidence-based practice is an approach to client care in which the nurse integrates the client’s preferences, clinical expertise, and the best research evidence to deliver quality care. Donning sterile gloves to change an abdominal
wound dressing reflects evidence-based practice because it prevents the entrance of harmful bacteria into the wound. The remaining options do not reflect evidence-based practice. Taking an herbal substance could be harmful to some
clients. It is nontherapeutic for a nurse to advise a client to agree to a treatment. Because of the risk of injury to the rectal mucosa, rectal temperature-taking is avoided in the client for whom bleeding precautions have been instituted.
Test-Taking Strategy: Read each option carefully, focusing on the subject, evidence-based practice. Recall the definition of evidence-based practice and note the words <sterile gloves= in the correct option. Review the situations that reflect
evidence-based practice if you had difficulty with this question.
Cognitive Ability: Understanding
D. Encouraging a client to take an herbal substance to treat his insomnia
Awarded 1.0 points out of 1.0 possible points.
6. The nurse is working with the registered nurse who has accepted a new position as case manager in a hospital. The nurse realizes which responsibilities are part of the registered nurse’s new role? Select all that apply.
ID: 18630149783
A. Prescribing treatments specific to the client s needs
B. Establishing a safe and cost-effective plan of care with the client Correct
C. Evaluating and updating the plan of care as needed Correct
D. Coordinating consultations and referrals to facilitate discharge Correct
E. Assessing the client s needs for home supplies and equipment Correct
Rationale: A case manager is a nurse who assumes responsibility for coordinating the client’s care from the point of admission through, and after, discharge. Specific responsibilities of the case manager include establishing a safe and cost-effective
plan of care with the client, coordinating consultations and referrals, and facilitating discharge; initiating a plan of nursing care, care map, or clinical pathway as appropriate to guide care and evaluating and updating the plan of care as needed;
ensuring that the plan of care is tailored to the client’s needs, taking into account the client’s diagnosis, self-care ability, and prescribed treatments; assessing the client’s need for equipment such as oxygen or wound care supplies and exploring
available resources to provide the client with these supplies; providing resources that will assist the client in maintaining independence as much as possible; and providing the client with information on discharge procedures and the plan of
care. The nurse does not prescribe treatments.
Test-Taking Strategy: Focus on the subject, the responsibilities of the case manager. Note the word <prescribing= in the incorrect option. It is not within the role of the nurse to prescribe. Review the responsibilities of the case manager if you have
difficulty with this question.
Cognitive Ability: Understanding
Client Needs: Safe and Effective Care Environment Integrated
7. The nurse manager of a quality improvement program asks a nurse in the neurological unit to conduct a retrospective audit. Which action should the auditing nurse plan to perform in this type of audit? ID: 18630149723
A. Checking the crash cart to ensure that all needed supplies are readily available should an emergency arise
B. Checking the documentation written by a new nursing graduate on her assigned clients at the end of the shift
C. Reviewing neurological assessment checklists for all clients on the unit to ensure that these assessments are being conducted as prescribed D.
Obtaining the assigned medical record from the hospital’s medical record room to review documentation made during a client’s hospital stay Correct
2/30
Rationale: Quality improvement, also known as performance improvement, is focused on processes or systems that significantly contribute to client safety and effective client care outcomes. Criteria are used to assess outcomes of care
