1
Herzing University HESI RN 2026/2027 Exit
Exam Actual Exam | 100% Accurate
Solutions with Detailed Rationales | Pass
Guaranteed - A+ Graded
Safe and Effective Care Environment – Management of Care (25 Questions)
Q1
A nurse is caring for a patient who has a living will refusing life-sustaining treatment. The patient
develops respiratory failure and the family demands intubation. Which of the following actions
should the nurse take?
• A. Intubate the patient to satisfy family wishes
• B. Refuse to care for the patient
• C. Advocate for the patient's wishes as documented in the living will [CORRECT]
• D. Transfer the patient to another unit
Correct Answer: C
Rationale: The patient's living will represents their autonomous wishes. The nurse should
advocate for the patient's wishes. Option A violates patient autonomy. Option B abandons care.
Option D is unnecessary.
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive Level: Analysis
Q2
A nurse is delegating tasks to an assistive personnel (AP). Which of the following tasks should
the nurse delegate to the AP?
• A. Assessing a patient's wound for signs of infection
• B. Teaching a patient how to use an incentive spirometer
• C. Ambulating a patient who is post-operative day 1 [CORRECT]
• D. Administering oral medications to a stable patient
,2
Correct Answer: C
Rationale: Ambulating a stable post-operative patient is within the AP's scope of practice.
Options A (assessment) and B (teaching) require nursing judgment and cannot be delegated.
Option D (medication administration) requires licensed personnel.
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive Level: Application
Q3
A nurse is prioritizing care for four patients. Which patient should the nurse assess FIRST?
• A. A patient with a blood glucose of 220 mg/dL
• B. A patient with a heart rate of 110 bpm
• C. A patient with a blood pressure of 88/50 mmHg [CORRECT]
• D. A patient with a temperature of 100.4°F (38°C)
Correct Answer: C
Rationale: Hypotension (88/50 mmHg) is the most urgent finding, as it may indicate shock or
hypoperfusion. Options A, B, and D are less urgent.
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive Level: Analysis
Q4
A nurse is preparing to discharge a patient with heart failure. Which of the following instructions
should the nurse include?
• A. "Weigh yourself once a week."
• B. "Limit fluid intake to 1,500 mL per day." [CORRECT]
• C. "Increase sodium intake to prevent hyponatremia."
• D. "Skip your diuretic if you feel dizzy."
Correct Answer: B
Rationale: Fluid restriction (typically 1,500-2,000 mL/day) is a key instruction for heart failure
management. Option A is insufficient. Option C is contraindicated. Option D is unsafe.
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive Level: Application
,3
Q5
A nurse is reviewing a patient's advance directive. Which of the following statements by the
patient indicates understanding of the document?
• A. "This document allows my family to make all my healthcare decisions."
• B. "This document ensures I will receive all possible life-sustaining treatments."
• C. "This document outlines my wishes for medical care if I cannot speak for myself."
[CORRECT]
• D. "This document is only valid if I am terminally ill."
Correct Answer: C
Rationale: An advance directive outlines the patient's wishes for medical care if they become
incapacitated. Option A is incorrect, as the patient's wishes take precedence. Option B is
incorrect, as it may include refusal of treatments. Option D is incorrect, as it applies to all
incapacitating conditions, not just terminal illness.
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive Level: Comprehension
Q6
A nurse is caring for a patient with a new diagnosis of diabetes. Which of the following actions
should the nurse take to ensure continuity of care?
• A. Provide all diabetes education before discharge
• B. Schedule a follow-up appointment with a diabetes educator [CORRECT]
• C. Teach the patient to monitor blood glucose once a week
• D. Advise the patient to avoid all carbohydrates
Correct Answer: B
Rationale: Scheduling follow-up with a diabetes educator ensures continuity of care and
comprehensive education. Option A is unrealistic. Option C is insufficient. Option D is incorrect
dietary advice.
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive Level: Application
Q7
, 4
A nurse is assigned to care for a patient with MRSA. Which of the following precautions should
the nurse implement?
• A. Droplet precautions
• B. Contact precautions [CORRECT]
• C. Airborne precautions
• D. Standard precautions only
Correct Answer: B
Rationale: MRSA requires contact precautions to prevent transmission via direct or indirect
contact. Options A, C, and D are incorrect for MRSA.
Client Need: Safe and Effective Care Environment – Safety and Infection Control
Cognitive Level: Application
Q8
A nurse is preparing to administer a medication to a patient with a latex allergy. Which of the
following actions should the nurse take?
• A. Use latex-free gloves and equipment [CORRECT]
• B. Administer the medication with standard gloves
• C. Pre-medicate the patient with diphenhydramine
• D. Avoid all oral medications
Correct Answer: A
Rationale: Latex-free gloves and equipment must be used to prevent allergic reactions. Option B
risks exposure. Option C is not a substitute for avoiding latex. Option D is unrelated.
Client Need: Safe and Effective Care Environment – Safety and Infection Control
Cognitive Level: Application
Q9
A nurse is caring for a patient with tuberculosis. Which of the following precautions should the
nurse implement?
• A. Contact precautions
• B. Droplet precautions
• C. Airborne precautions [CORRECT]
Herzing University HESI RN 2026/2027 Exit
Exam Actual Exam | 100% Accurate
Solutions with Detailed Rationales | Pass
Guaranteed - A+ Graded
Safe and Effective Care Environment – Management of Care (25 Questions)
Q1
A nurse is caring for a patient who has a living will refusing life-sustaining treatment. The patient
develops respiratory failure and the family demands intubation. Which of the following actions
should the nurse take?
• A. Intubate the patient to satisfy family wishes
• B. Refuse to care for the patient
• C. Advocate for the patient's wishes as documented in the living will [CORRECT]
• D. Transfer the patient to another unit
Correct Answer: C
Rationale: The patient's living will represents their autonomous wishes. The nurse should
advocate for the patient's wishes. Option A violates patient autonomy. Option B abandons care.
Option D is unnecessary.
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive Level: Analysis
Q2
A nurse is delegating tasks to an assistive personnel (AP). Which of the following tasks should
the nurse delegate to the AP?
• A. Assessing a patient's wound for signs of infection
• B. Teaching a patient how to use an incentive spirometer
• C. Ambulating a patient who is post-operative day 1 [CORRECT]
• D. Administering oral medications to a stable patient
,2
Correct Answer: C
Rationale: Ambulating a stable post-operative patient is within the AP's scope of practice.
Options A (assessment) and B (teaching) require nursing judgment and cannot be delegated.
Option D (medication administration) requires licensed personnel.
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive Level: Application
Q3
A nurse is prioritizing care for four patients. Which patient should the nurse assess FIRST?
• A. A patient with a blood glucose of 220 mg/dL
• B. A patient with a heart rate of 110 bpm
• C. A patient with a blood pressure of 88/50 mmHg [CORRECT]
• D. A patient with a temperature of 100.4°F (38°C)
Correct Answer: C
Rationale: Hypotension (88/50 mmHg) is the most urgent finding, as it may indicate shock or
hypoperfusion. Options A, B, and D are less urgent.
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive Level: Analysis
Q4
A nurse is preparing to discharge a patient with heart failure. Which of the following instructions
should the nurse include?
• A. "Weigh yourself once a week."
• B. "Limit fluid intake to 1,500 mL per day." [CORRECT]
• C. "Increase sodium intake to prevent hyponatremia."
• D. "Skip your diuretic if you feel dizzy."
Correct Answer: B
Rationale: Fluid restriction (typically 1,500-2,000 mL/day) is a key instruction for heart failure
management. Option A is insufficient. Option C is contraindicated. Option D is unsafe.
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive Level: Application
,3
Q5
A nurse is reviewing a patient's advance directive. Which of the following statements by the
patient indicates understanding of the document?
• A. "This document allows my family to make all my healthcare decisions."
• B. "This document ensures I will receive all possible life-sustaining treatments."
• C. "This document outlines my wishes for medical care if I cannot speak for myself."
[CORRECT]
• D. "This document is only valid if I am terminally ill."
Correct Answer: C
Rationale: An advance directive outlines the patient's wishes for medical care if they become
incapacitated. Option A is incorrect, as the patient's wishes take precedence. Option B is
incorrect, as it may include refusal of treatments. Option D is incorrect, as it applies to all
incapacitating conditions, not just terminal illness.
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive Level: Comprehension
Q6
A nurse is caring for a patient with a new diagnosis of diabetes. Which of the following actions
should the nurse take to ensure continuity of care?
• A. Provide all diabetes education before discharge
• B. Schedule a follow-up appointment with a diabetes educator [CORRECT]
• C. Teach the patient to monitor blood glucose once a week
• D. Advise the patient to avoid all carbohydrates
Correct Answer: B
Rationale: Scheduling follow-up with a diabetes educator ensures continuity of care and
comprehensive education. Option A is unrealistic. Option C is insufficient. Option D is incorrect
dietary advice.
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive Level: Application
Q7
, 4
A nurse is assigned to care for a patient with MRSA. Which of the following precautions should
the nurse implement?
• A. Droplet precautions
• B. Contact precautions [CORRECT]
• C. Airborne precautions
• D. Standard precautions only
Correct Answer: B
Rationale: MRSA requires contact precautions to prevent transmission via direct or indirect
contact. Options A, C, and D are incorrect for MRSA.
Client Need: Safe and Effective Care Environment – Safety and Infection Control
Cognitive Level: Application
Q8
A nurse is preparing to administer a medication to a patient with a latex allergy. Which of the
following actions should the nurse take?
• A. Use latex-free gloves and equipment [CORRECT]
• B. Administer the medication with standard gloves
• C. Pre-medicate the patient with diphenhydramine
• D. Avoid all oral medications
Correct Answer: A
Rationale: Latex-free gloves and equipment must be used to prevent allergic reactions. Option B
risks exposure. Option C is not a substitute for avoiding latex. Option D is unrelated.
Client Need: Safe and Effective Care Environment – Safety and Infection Control
Cognitive Level: Application
Q9
A nurse is caring for a patient with tuberculosis. Which of the following precautions should the
nurse implement?
• A. Contact precautions
• B. Droplet precautions
• C. Airborne precautions [CORRECT]
