HESI RN Fundamentals Exit Exam
2025/2026 – Real 75 Questions with
Verified Correct Answers and
Rationales
Question 1
A client with a new colostomy is being taught stoma care. Which statement by the client
indicates understanding?
A. “I’ll change the pouch every day.”
B. “I’ll clean the stoma with alcohol swabs.”
C. “I’ll check the skin around the stoma regularly.”
D. “I’ll avoid emptying the pouch until it’s full.”
C. “I’ll check the skin around the stoma regularly.”
Rationale: Regular skin assessment prevents irritation or breakdown around the stoma, a
priority in colostomy care. Alcohol is harsh, daily pouch changes may not be needed, and
delaying emptying risks leakage.
Question 2
A nurse is preparing to administer a medication via intramuscular (IM) injection. What is the
first step?
A. Select a 22-gauge needle.
B. Verify the medication order.
C. Clean the injection site.
D. Aspirate for blood return.
B. Verify the medication order.
Rationale: Verifying the order ensures the correct medication, dose, and client, adhering to
the “five rights” of medication administration and preventing errors.
Question 3
,A client with heart failure is prescribed furosemide. Which finding indicates the medication is
effective?
A. Decreased blood pressure
B. Increased urine output
C. Weight gain of 1 kg
D. Elevated potassium levels
B. Increased urine output
Rationale: Furosemide, a loop diuretic, promotes fluid excretion, reducing fluid overload in
heart failure, evidenced by increased urine output.
Question 4
A nurse is assisting a client with ambulation after surgery. What is the priority action?
A. Encourage rapid walking to build strength.
B. Ensure the client uses a walker correctly.
C. Allow the client to ambulate independently.
D. Limit ambulation to 5 minutes.
B. Ensure the client uses a walker correctly.
Rationale: Proper use of assistive devices prevents falls, a critical safety concern post-
surgery, prioritizing client safety over speed or independence.
Question 5
A client with diabetes has a blood glucose level of 250 mg/dL. What is the nurse’s priority
action?
A. Administer insulin as prescribed.
B. Encourage oral fluid intake.
C. Check for ketone levels.
D. Provide a high-carbohydrate snack.
A. Administer insulin as prescribed.
Rationale: Hyperglycemia requires insulin to lower blood glucose levels, addressing the
immediate issue per the provider’s order.
Question 6
, A nurse is applying a dressing to a stage 2 pressure ulcer. Which type of dressing is most
appropriate?
A. Dry gauze
B. Hydrocolloid dressing
C. Transparent film
D. Wet-to-dry dressing
B. Hydrocolloid dressing
Rationale: Hydrocolloid dressings maintain a moist environment, promoting healing in
stage 2 pressure ulcers with partial-thickness loss.
Question 7
A client is receiving oxygen at 2 L/min via nasal cannula. What should the nurse monitor?
A. Oxygen saturation levels
B. Blood glucose levels
C. Urine output
D. Bowel sounds
A. Oxygen saturation levels
Rationale: Monitoring oxygen saturation ensures the therapy is effective in maintaining
adequate oxygenation.
Question 8
A nurse is teaching a client about warfarin therapy. Which statement indicates a need for further
teaching?
A. “I’ll avoid green leafy vegetables.”
B. “I’ll report any unusual bleeding.”
C. “I’ll take the medication at the same time daily.”
D. “I’ll stop the medication if I feel better.”
D. “I’ll stop the medication if I feel better.”
Rationale: Warfarin requires consistent dosing to maintain therapeutic anticoagulation;
stopping abruptly increases clotting risk.
Question 9
2025/2026 – Real 75 Questions with
Verified Correct Answers and
Rationales
Question 1
A client with a new colostomy is being taught stoma care. Which statement by the client
indicates understanding?
A. “I’ll change the pouch every day.”
B. “I’ll clean the stoma with alcohol swabs.”
C. “I’ll check the skin around the stoma regularly.”
D. “I’ll avoid emptying the pouch until it’s full.”
C. “I’ll check the skin around the stoma regularly.”
Rationale: Regular skin assessment prevents irritation or breakdown around the stoma, a
priority in colostomy care. Alcohol is harsh, daily pouch changes may not be needed, and
delaying emptying risks leakage.
Question 2
A nurse is preparing to administer a medication via intramuscular (IM) injection. What is the
first step?
A. Select a 22-gauge needle.
B. Verify the medication order.
C. Clean the injection site.
D. Aspirate for blood return.
B. Verify the medication order.
Rationale: Verifying the order ensures the correct medication, dose, and client, adhering to
the “five rights” of medication administration and preventing errors.
Question 3
,A client with heart failure is prescribed furosemide. Which finding indicates the medication is
effective?
A. Decreased blood pressure
B. Increased urine output
C. Weight gain of 1 kg
D. Elevated potassium levels
B. Increased urine output
Rationale: Furosemide, a loop diuretic, promotes fluid excretion, reducing fluid overload in
heart failure, evidenced by increased urine output.
Question 4
A nurse is assisting a client with ambulation after surgery. What is the priority action?
A. Encourage rapid walking to build strength.
B. Ensure the client uses a walker correctly.
C. Allow the client to ambulate independently.
D. Limit ambulation to 5 minutes.
B. Ensure the client uses a walker correctly.
Rationale: Proper use of assistive devices prevents falls, a critical safety concern post-
surgery, prioritizing client safety over speed or independence.
Question 5
A client with diabetes has a blood glucose level of 250 mg/dL. What is the nurse’s priority
action?
A. Administer insulin as prescribed.
B. Encourage oral fluid intake.
C. Check for ketone levels.
D. Provide a high-carbohydrate snack.
A. Administer insulin as prescribed.
Rationale: Hyperglycemia requires insulin to lower blood glucose levels, addressing the
immediate issue per the provider’s order.
Question 6
, A nurse is applying a dressing to a stage 2 pressure ulcer. Which type of dressing is most
appropriate?
A. Dry gauze
B. Hydrocolloid dressing
C. Transparent film
D. Wet-to-dry dressing
B. Hydrocolloid dressing
Rationale: Hydrocolloid dressings maintain a moist environment, promoting healing in
stage 2 pressure ulcers with partial-thickness loss.
Question 7
A client is receiving oxygen at 2 L/min via nasal cannula. What should the nurse monitor?
A. Oxygen saturation levels
B. Blood glucose levels
C. Urine output
D. Bowel sounds
A. Oxygen saturation levels
Rationale: Monitoring oxygen saturation ensures the therapy is effective in maintaining
adequate oxygenation.
Question 8
A nurse is teaching a client about warfarin therapy. Which statement indicates a need for further
teaching?
A. “I’ll avoid green leafy vegetables.”
B. “I’ll report any unusual bleeding.”
C. “I’ll take the medication at the same time daily.”
D. “I’ll stop the medication if I feel better.”
D. “I’ll stop the medication if I feel better.”
Rationale: Warfarin requires consistent dosing to maintain therapeutic anticoagulation;
stopping abruptly increases clotting risk.
Question 9
