HESI RN FUNDAMENTALS EXIT EXAM
PRACTICE QUESTIONS 2026/2027
(ACTUAL EXAM) WITH CORRECT
DETAILED ANSWERS || ALREADY GRADED
A+ RECENT VERSION
What should the nurse monitor for a client with a nasogastric tube to suction? -
ANSWER Sodium levels for hyponatremia.
What is the best response to a client about their daily schedule in rehabilitation? -
ANSWER We can try our best to work around your schedule.
What should the nurse do if a catheter does not show urine after insertion? -
ANSWER Leave the catheter in place and reattempt with another catheter.
What is the leading cause of death in the teen years? - ANSWER Accidents.
What should the nurse encourage regarding seatbelt use for teens? -
ANSWER Seatbelt use must be encouraged at all times.
What is the rationale for asking the client's spouse to leave during a bed change? -
ANSWER The spouse does not need to leave the room.
, What is the nurse's response if a client expresses concern about handling a cancer
diagnosis? - ANSWER The family can provide the consent required in this
situation.
What is the priority nursing action if a postoperative client's respiratory rate
increases? - ANSWER Encourage the client to increase ambulation in the room.
What should the nurse do if a client has pain causing tachypnea? -
ANSWER Determine if pain is causing the client's tachypnea.
What is the nurse's action if the first catheter inserted is in the vagina? -
ANSWER Leave the first catheter in place to help locate the meatus.
What should the nurse do after a needle stick incident? - ANSWER Select
another sterile needle.
What time should the nurse draw the aPTT test for a client receiving heparin? -
ANSWER 7:00 am.
What is the best response to a client who has a routine that fits around their sleep-
wake cycle? - ANSWER We can try our best to work around your schedule.
What information will guide the nurse's response regarding consent for treatment?
- ANSWER Today's courts are unlikely to accept paternalistic medical practice.
, What is the risk of not using a seatbelt while driving? - ANSWER Increased
risk of accidents.
What should the nurse do if a client has not voided for 8 hours post-surgery? -
ANSWER Notify the health care provider of a possible obstruction.
What is the rationale for the nurse to encourage ambulation in a postoperative
client? - ANSWER To prevent further oxygen desaturation.
What is the implication of rolling contaminated gloves inside-out? -
ANSWER Affects the mode of transmission in the chain of infection.
What should the nurse do if a client states they never use their seatbelt? -
ANSWER Encourage seatbelt use for safety.
What should the nurse do if a client has an increased respiratory rate post-surgery?
- ANSWER Encourage the client to increase ambulation.
What is the nurse's response if a client is concerned about their ability to handle a
cancer diagnosis? - ANSWER The family can provide the consent required.
What is the priority nursing action for a client with an increased respiratory rate? -
ANSWER Encourage the client to increase ambulation.
What is the best response to a client's concern about their treatment plan? -
ANSWER We can try our best to work around your schedule.
, What should the nurse do if a client expresses concern about their cancer
diagnosis? - ANSWER The family can provide the consent required.
What is the priority nursing action for a postoperative client with tachypnea? -
ANSWER Determine if pain is causing the client's tachypnea.
What should the nurse do if a client's vital signs indicate hypotension and
tachycardia post-surgery? - ANSWER Call the health care provider, administer
oxygen by re-breather mask, observe for restlessness/confusion, and observe the
abdominal bandage.
What findings support the evaluation of an infiltrated IV catheter? -
ANSWER The area around the insertion site is swollen, there is bruising below
the insertion site, the insertion site is cool to the touch, the client complains of
burning pain at the site, and blood is noted in the IV tubing when the IV bag is
lowered.
What is the next action for a nurse when there is less than 50 mL left in an IV bag
after a prescribed infusion? - ANSWER Auscultate the client's lungs.
What change in pharmacokinetic properties occurs when a medication is changed
from PO to IV administration? - ANSWER The onset of action of the drug will
occur more rapidly, resulting in a more rapid effect.
What steps should the nurse take when administering ear drops to an adult client?
- ANSWER Place the client in a side-lying position and pull the auricle upward
and outward.
PRACTICE QUESTIONS 2026/2027
(ACTUAL EXAM) WITH CORRECT
DETAILED ANSWERS || ALREADY GRADED
A+ RECENT VERSION
What should the nurse monitor for a client with a nasogastric tube to suction? -
ANSWER Sodium levels for hyponatremia.
What is the best response to a client about their daily schedule in rehabilitation? -
ANSWER We can try our best to work around your schedule.
What should the nurse do if a catheter does not show urine after insertion? -
ANSWER Leave the catheter in place and reattempt with another catheter.
What is the leading cause of death in the teen years? - ANSWER Accidents.
What should the nurse encourage regarding seatbelt use for teens? -
ANSWER Seatbelt use must be encouraged at all times.
What is the rationale for asking the client's spouse to leave during a bed change? -
ANSWER The spouse does not need to leave the room.
, What is the nurse's response if a client expresses concern about handling a cancer
diagnosis? - ANSWER The family can provide the consent required in this
situation.
What is the priority nursing action if a postoperative client's respiratory rate
increases? - ANSWER Encourage the client to increase ambulation in the room.
What should the nurse do if a client has pain causing tachypnea? -
ANSWER Determine if pain is causing the client's tachypnea.
What is the nurse's action if the first catheter inserted is in the vagina? -
ANSWER Leave the first catheter in place to help locate the meatus.
What should the nurse do after a needle stick incident? - ANSWER Select
another sterile needle.
What time should the nurse draw the aPTT test for a client receiving heparin? -
ANSWER 7:00 am.
What is the best response to a client who has a routine that fits around their sleep-
wake cycle? - ANSWER We can try our best to work around your schedule.
What information will guide the nurse's response regarding consent for treatment?
- ANSWER Today's courts are unlikely to accept paternalistic medical practice.
, What is the risk of not using a seatbelt while driving? - ANSWER Increased
risk of accidents.
What should the nurse do if a client has not voided for 8 hours post-surgery? -
ANSWER Notify the health care provider of a possible obstruction.
What is the rationale for the nurse to encourage ambulation in a postoperative
client? - ANSWER To prevent further oxygen desaturation.
What is the implication of rolling contaminated gloves inside-out? -
ANSWER Affects the mode of transmission in the chain of infection.
What should the nurse do if a client states they never use their seatbelt? -
ANSWER Encourage seatbelt use for safety.
What should the nurse do if a client has an increased respiratory rate post-surgery?
- ANSWER Encourage the client to increase ambulation.
What is the nurse's response if a client is concerned about their ability to handle a
cancer diagnosis? - ANSWER The family can provide the consent required.
What is the priority nursing action for a client with an increased respiratory rate? -
ANSWER Encourage the client to increase ambulation.
What is the best response to a client's concern about their treatment plan? -
ANSWER We can try our best to work around your schedule.
, What should the nurse do if a client expresses concern about their cancer
diagnosis? - ANSWER The family can provide the consent required.
What is the priority nursing action for a postoperative client with tachypnea? -
ANSWER Determine if pain is causing the client's tachypnea.
What should the nurse do if a client's vital signs indicate hypotension and
tachycardia post-surgery? - ANSWER Call the health care provider, administer
oxygen by re-breather mask, observe for restlessness/confusion, and observe the
abdominal bandage.
What findings support the evaluation of an infiltrated IV catheter? -
ANSWER The area around the insertion site is swollen, there is bruising below
the insertion site, the insertion site is cool to the touch, the client complains of
burning pain at the site, and blood is noted in the IV tubing when the IV bag is
lowered.
What is the next action for a nurse when there is less than 50 mL left in an IV bag
after a prescribed infusion? - ANSWER Auscultate the client's lungs.
What change in pharmacokinetic properties occurs when a medication is changed
from PO to IV administration? - ANSWER The onset of action of the drug will
occur more rapidly, resulting in a more rapid effect.
What steps should the nurse take when administering ear drops to an adult client?
- ANSWER Place the client in a side-lying position and pull the auricle upward
and outward.
