HESI RN FUNDAMENTALS EXIT EXAM NEWEST 2025-
2026 COMPLETE 130 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
✅ Key Features
130 real exam-based questions with verified correct answers.
Detailed rationales/explanations included for every answer.
Newest 2025–2026 edition – BRAND NEW!!
Verified accuracy and graded A+ quality.
Comprehensive coverage of fundamentals of nursing, patient safety,
communication, and clinical decision-making.
🎯 Who This Resource Is For
RN students preparing for the HESI Fundamentals Exit Exam.
Learners aiming to build strong nursing foundations and NCLEX
readiness.
Nursing instructors and tutors seeking a dependable prep resource.
Candidates who want exam-style practice with rationales for deeper
understanding
The nurse is preparing to administer a bolus tube feeding. What steps must the nurse include prior to
administering the feeding? (Select all that apply.) A.Aspirate the stomach contents.
B.Assess bowel sounds.
C.Position the client in semi-Fowler's position.
D.Irrigate the lumen after the contents are replaced.
E.Warm the feeding to room temperature.
F.Assess the pH of the stomach contents. - answer-A, B, E, F
,Rationale: The client needs to be in high Fowler's position to decrease the risk of aspiration. Irrigation of
the lumen is only necessary if there is an obstruction. The contents were replaced, so there is no
suspicion of obstruction. The remaining steps are correct.
Ten minutes after signing an operative permit for a fractured hip, an older client states, "The aliens will
be coming to get me soon!" and falls asleep. Which action should the nurse take next? A.Make the
client comfortable and allow the client to sleep.
B.Assess the client's neurologic status.
C.Notify the surgeon about the comment.
D.Ask the client's family to co-sign the operative permit. - answer-B
Rationale: This statement may indicate that the client is confused. Informed consent must be provided
by a mentally competent individual, so the nurse should further assess the client's neurologic status to
be sure that the client understands and can legally provide consent for surgery. Option A does not
provide sufficient follow-up. If the nurse determines that the client is confused, the surgeon must be
notified and permission obtained from the next of kin.
When turning an immobile bedridden client without assistance, which action by the nurse best ensures
client safety?
A.Securely grasp the client's arm and leg.
B.Put bed rails up on the side of bed opposite from the nurse.
C.Correctly position and use a turn sheet.
D.Lower the head of the client's bed slowly. - answer-B
Rationale: Because the nurse can only stand on one side of the bed, bed rails should be up on the
opposite side to ensure that the client does not fall out of bed. Option A can cause client injury to the
skin or joint. Options C and D are useful techniques while turning a client but have less priority in terms
of safety than use of the bed rails.
A community hospital is opening a mental health services department. Which document should the
nurse use to develop the unit's nursing guidelines?
A.Americans with Disabilities Act of 1990
B.ANA Code of Ethics with Interpretative Statements
C.ANA's Scope and Standards of Nursing Practice
D.Patient's Bill of Rights of 1990 - answer-C
,C.
Rationale: The ANA Scope of Standards of Practice for Psychiatric-Mental Health Nursing serves to direct
the philosophy and standards of psychiatric nursing practice. Options A and D define the client's rights.
Option B provides ethical guidelines for nursing.
The nurse is preparing to initiate parenteral nutrition (PN) for a client. What actions will the nurse
consider when administering PN? (Select all that apply.)
A.Remove the PN from the refrigerator 30 minutes before infusing.
B.Have a second nurse double check the PN before connecting the solution.
Have a second IV line in place for administering IV medications.
D.Assure the infusion time for the PN does not exceed 24 hours.
E.Tell the client a feeling of being full should occur with PN.
F.Return amber and cloudy solutions of PN to the pharmacy. - answer-A, D, F
Rationale: There are no issues with antibody incompatibility with PN, so there is no need to double
check the PN, or start a second IV line. PN is administered through the venous system and does not
satiate the client. The remaining selections are true about the administration of PN.
The nurse is preparing to insert an IV, and cap off the IV with an intermittent infusion devise for an
80year-old who is prescribed IV antibiotics every 8 hours. The client is taking po fluids well. What
supplies will the nurse take into the room for this procedure? (Select all that apply.)
A.A 16 gauge IV catheter
B.Normal saline in a 10 mL syringe
C.Clear plastic sterile bandage
D.Skin preparation antiseptic swab
E.1000 mL bag of normal saline - answer-B, C, D
Rationale: Items not needed to insert an IV for intermittent antibiotic therapy for an 80-year-old are a
16 gauge intracath; the intracath is too large. Large bore intracaths are for rapid infusions. A small bag
of NS, e.g. 250 mL, will be needed to flush the line. The remaining items are needed to start an IV.
The nurse is instructing a client with cholecystitis regarding diet choices. Which meal best meets the
dietary needs of this client?
A.Steak, baked beans, and a salad
B.Broiled fish, green beans, and an apple
, C.Pork chops, macaroni and cheese, and grapes
D.Avocado salad, milk, and angel food cake - answer-B
Rationale: Clients with cholecystitis (inflammation of the gallbladder) should follow a low-fat diet, such
as option B. Option A is a high-protein diet, and options C and D contain high-fat foods, which are
contraindicated for this client.
A 65-year-old client who attends an adult daycare program and is wheelchair mobile has redness in the
sacral area. Which instruction is most important for the nurse to provide?
A."Take a vitamin supplement tablet once a day."
B."Change positions in the chair frequently"
C."Increase daily intake of water or other oral fluids."
D."Purchase a newer model wheelchair." - answer-B
Rationale: The most important teaching is to change positions frequently because pressure is the most
significant factor related to the development of pressure ulcers. Increased vitamin and fluid intake may
also be beneficial and promote healing and reduce further risk. Option D is an intervention of last resort
because this will be very expensive for the client.
Which nonverbal action should the nurse implement to demonstrate active listening? A.
Sit facing the client.
B.
Cross arms and legs.
C.
Avoid eye contact.
D.
Lean back in the chair. - answer-A
Rationale: Active listening is conveyed using attentive verbal and nonverbal communication techniques.
To facilitate therapeutic communication and attentiveness, the nurse should sit facing the client, which
lets the client know that the nurse is there to listen. Active listening skills include postures that are open
to the client, such as keeping the arms open and relaxed, not option B, and leaning toward the client,
not option D. To communicate involvement and willingness to listen to the client, eye contact should be
established and maintained.
2026 COMPLETE 130 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
✅ Key Features
130 real exam-based questions with verified correct answers.
Detailed rationales/explanations included for every answer.
Newest 2025–2026 edition – BRAND NEW!!
Verified accuracy and graded A+ quality.
Comprehensive coverage of fundamentals of nursing, patient safety,
communication, and clinical decision-making.
🎯 Who This Resource Is For
RN students preparing for the HESI Fundamentals Exit Exam.
Learners aiming to build strong nursing foundations and NCLEX
readiness.
Nursing instructors and tutors seeking a dependable prep resource.
Candidates who want exam-style practice with rationales for deeper
understanding
The nurse is preparing to administer a bolus tube feeding. What steps must the nurse include prior to
administering the feeding? (Select all that apply.) A.Aspirate the stomach contents.
B.Assess bowel sounds.
C.Position the client in semi-Fowler's position.
D.Irrigate the lumen after the contents are replaced.
E.Warm the feeding to room temperature.
F.Assess the pH of the stomach contents. - answer-A, B, E, F
,Rationale: The client needs to be in high Fowler's position to decrease the risk of aspiration. Irrigation of
the lumen is only necessary if there is an obstruction. The contents were replaced, so there is no
suspicion of obstruction. The remaining steps are correct.
Ten minutes after signing an operative permit for a fractured hip, an older client states, "The aliens will
be coming to get me soon!" and falls asleep. Which action should the nurse take next? A.Make the
client comfortable and allow the client to sleep.
B.Assess the client's neurologic status.
C.Notify the surgeon about the comment.
D.Ask the client's family to co-sign the operative permit. - answer-B
Rationale: This statement may indicate that the client is confused. Informed consent must be provided
by a mentally competent individual, so the nurse should further assess the client's neurologic status to
be sure that the client understands and can legally provide consent for surgery. Option A does not
provide sufficient follow-up. If the nurse determines that the client is confused, the surgeon must be
notified and permission obtained from the next of kin.
When turning an immobile bedridden client without assistance, which action by the nurse best ensures
client safety?
A.Securely grasp the client's arm and leg.
B.Put bed rails up on the side of bed opposite from the nurse.
C.Correctly position and use a turn sheet.
D.Lower the head of the client's bed slowly. - answer-B
Rationale: Because the nurse can only stand on one side of the bed, bed rails should be up on the
opposite side to ensure that the client does not fall out of bed. Option A can cause client injury to the
skin or joint. Options C and D are useful techniques while turning a client but have less priority in terms
of safety than use of the bed rails.
A community hospital is opening a mental health services department. Which document should the
nurse use to develop the unit's nursing guidelines?
A.Americans with Disabilities Act of 1990
B.ANA Code of Ethics with Interpretative Statements
C.ANA's Scope and Standards of Nursing Practice
D.Patient's Bill of Rights of 1990 - answer-C
,C.
Rationale: The ANA Scope of Standards of Practice for Psychiatric-Mental Health Nursing serves to direct
the philosophy and standards of psychiatric nursing practice. Options A and D define the client's rights.
Option B provides ethical guidelines for nursing.
The nurse is preparing to initiate parenteral nutrition (PN) for a client. What actions will the nurse
consider when administering PN? (Select all that apply.)
A.Remove the PN from the refrigerator 30 minutes before infusing.
B.Have a second nurse double check the PN before connecting the solution.
Have a second IV line in place for administering IV medications.
D.Assure the infusion time for the PN does not exceed 24 hours.
E.Tell the client a feeling of being full should occur with PN.
F.Return amber and cloudy solutions of PN to the pharmacy. - answer-A, D, F
Rationale: There are no issues with antibody incompatibility with PN, so there is no need to double
check the PN, or start a second IV line. PN is administered through the venous system and does not
satiate the client. The remaining selections are true about the administration of PN.
The nurse is preparing to insert an IV, and cap off the IV with an intermittent infusion devise for an
80year-old who is prescribed IV antibiotics every 8 hours. The client is taking po fluids well. What
supplies will the nurse take into the room for this procedure? (Select all that apply.)
A.A 16 gauge IV catheter
B.Normal saline in a 10 mL syringe
C.Clear plastic sterile bandage
D.Skin preparation antiseptic swab
E.1000 mL bag of normal saline - answer-B, C, D
Rationale: Items not needed to insert an IV for intermittent antibiotic therapy for an 80-year-old are a
16 gauge intracath; the intracath is too large. Large bore intracaths are for rapid infusions. A small bag
of NS, e.g. 250 mL, will be needed to flush the line. The remaining items are needed to start an IV.
The nurse is instructing a client with cholecystitis regarding diet choices. Which meal best meets the
dietary needs of this client?
A.Steak, baked beans, and a salad
B.Broiled fish, green beans, and an apple
, C.Pork chops, macaroni and cheese, and grapes
D.Avocado salad, milk, and angel food cake - answer-B
Rationale: Clients with cholecystitis (inflammation of the gallbladder) should follow a low-fat diet, such
as option B. Option A is a high-protein diet, and options C and D contain high-fat foods, which are
contraindicated for this client.
A 65-year-old client who attends an adult daycare program and is wheelchair mobile has redness in the
sacral area. Which instruction is most important for the nurse to provide?
A."Take a vitamin supplement tablet once a day."
B."Change positions in the chair frequently"
C."Increase daily intake of water or other oral fluids."
D."Purchase a newer model wheelchair." - answer-B
Rationale: The most important teaching is to change positions frequently because pressure is the most
significant factor related to the development of pressure ulcers. Increased vitamin and fluid intake may
also be beneficial and promote healing and reduce further risk. Option D is an intervention of last resort
because this will be very expensive for the client.
Which nonverbal action should the nurse implement to demonstrate active listening? A.
Sit facing the client.
B.
Cross arms and legs.
C.
Avoid eye contact.
D.
Lean back in the chair. - answer-A
Rationale: Active listening is conveyed using attentive verbal and nonverbal communication techniques.
To facilitate therapeutic communication and attentiveness, the nurse should sit facing the client, which
lets the client know that the nurse is there to listen. Active listening skills include postures that are open
to the client, such as keeping the arms open and relaxed, not option B, and leaning toward the client,
not option D. To communicate involvement and willingness to listen to the client, eye contact should be
established and maintained.
