HESI RN EXIT EXAM 6 2026 FULL SOLVED
QUESTIONS ANSWERS COMPREHENSIVE
CLINICAL JUDGMENT REVIEW SHEET
◉ A nurse stops at a motor vehicle collision site to render aid until
the emergency personnel arrive and applies pressure to a groin
wound that is bleeding profusely. Later the client has to have the leg
amputated and sues the nurse for malpractice. Which statement
reflects the likely outcome for the nurse?
A.
The Patient's Bill of Rights protects clients from malicious intents, so
the nurse could lose the case.
B.
The lawsuit may be settled out of court, but the nurse's license is
likely to be revoked.
C.
There will be no judgment against the nurse, whose actions are
protected under the Good Samaritan Act.
D.
The client will win because the four elements of negligence (duty,
breach, causation, and damages) can be proved.
Answer: C
,Rationale: The Good Samaritan Act protects health care
professionals who practice in good faith and provide reasonable care
from malpractice claims, regardless of the client outcome. Although
the Patient's Bill of Rights protects clients, this nurse is protected by
the Good Samaritan Act. The state Board of Nursing has no reason to
revoke a registered nurse's license unless there was evidence that
actions taken in the emergency were not done in good faith or that
reasonable care was not provided. All four elements of malpractice
were not shown.
◉ An older client who had abdominal surgery 3 days earlier was
given a barbiturate for sleep and is now requesting to go to the
bathroom. What is the priority nursing action for this client?
A.
Assist the client to walk to the bathroom and do not leave the client
alone.
B.
Request that the UAP assist the client onto a bedpan.
C.
Ask if the client needs to have a bowel movement or void.
D.
Assess the client's bladder to determine if the client needs to
urinate.
Answer: A
,Rationale: Barbiturates cause central nervous system (CNS)
depression, and individuals taking these medications are at greater
risk for falls. The nurse should assist the client to the bathroom. A
bedpan is not necessary as long as safety is ensured. Whether the
client needs to void or have a bowel movement, option C is
irrelevant in terms of meeting this client's safety needs. There is no
indication that this client cannot voice her or his needs, so
assessment of the bladder is not needed.
◉ The nurse is planning care for a client with an indwelling urinary
catheter. Which nursing action has the highest priority?
A.
Assist the client with daily cleansing.
B.
Tell the client that incontinence happens with aging.
C.
Offer 200 mL of fluid every 2 hours while awake.
D.
Take the client's temperature every 4 hours.
Answer: D
Rationale: Indwelling urinary catheters are a major source of
infection. Option A is a problem that may develop from having an
indwelling catheter. Option B may or may not be true for the client.
Option C is not affected by an indwelling catheter.
, ◉ When bathing an uncircumcised boy older than 3 years, which
action should the nurse take?
A.
Remind the child to clean his genital area.
B.
Defer perineal care because of the child's age.
C.
Retract the foreskin gently to cleanse the penis.
D.
Ask the parents why the child is not circumcised.
Answer: C
Rationale: The foreskin (prepuce) of the penis should be gently
retracted to cleanse all areas that could harbor bacteria. The child's
cognitive development may not be at the level at which option A
would be effective. Perineal care needs to be provided daily
regardless of the client's age. Option D is not indicated and may be
perceived as intrusive.
◉ A nurse is assigned to care for a close friend in the hospital
setting. Which action should the nurse take first when given the
assignment?
A.
Notify the friend that all medical information will be kept
confidential.
QUESTIONS ANSWERS COMPREHENSIVE
CLINICAL JUDGMENT REVIEW SHEET
◉ A nurse stops at a motor vehicle collision site to render aid until
the emergency personnel arrive and applies pressure to a groin
wound that is bleeding profusely. Later the client has to have the leg
amputated and sues the nurse for malpractice. Which statement
reflects the likely outcome for the nurse?
A.
The Patient's Bill of Rights protects clients from malicious intents, so
the nurse could lose the case.
B.
The lawsuit may be settled out of court, but the nurse's license is
likely to be revoked.
C.
There will be no judgment against the nurse, whose actions are
protected under the Good Samaritan Act.
D.
The client will win because the four elements of negligence (duty,
breach, causation, and damages) can be proved.
Answer: C
,Rationale: The Good Samaritan Act protects health care
professionals who practice in good faith and provide reasonable care
from malpractice claims, regardless of the client outcome. Although
the Patient's Bill of Rights protects clients, this nurse is protected by
the Good Samaritan Act. The state Board of Nursing has no reason to
revoke a registered nurse's license unless there was evidence that
actions taken in the emergency were not done in good faith or that
reasonable care was not provided. All four elements of malpractice
were not shown.
◉ An older client who had abdominal surgery 3 days earlier was
given a barbiturate for sleep and is now requesting to go to the
bathroom. What is the priority nursing action for this client?
A.
Assist the client to walk to the bathroom and do not leave the client
alone.
B.
Request that the UAP assist the client onto a bedpan.
C.
Ask if the client needs to have a bowel movement or void.
D.
Assess the client's bladder to determine if the client needs to
urinate.
Answer: A
,Rationale: Barbiturates cause central nervous system (CNS)
depression, and individuals taking these medications are at greater
risk for falls. The nurse should assist the client to the bathroom. A
bedpan is not necessary as long as safety is ensured. Whether the
client needs to void or have a bowel movement, option C is
irrelevant in terms of meeting this client's safety needs. There is no
indication that this client cannot voice her or his needs, so
assessment of the bladder is not needed.
◉ The nurse is planning care for a client with an indwelling urinary
catheter. Which nursing action has the highest priority?
A.
Assist the client with daily cleansing.
B.
Tell the client that incontinence happens with aging.
C.
Offer 200 mL of fluid every 2 hours while awake.
D.
Take the client's temperature every 4 hours.
Answer: D
Rationale: Indwelling urinary catheters are a major source of
infection. Option A is a problem that may develop from having an
indwelling catheter. Option B may or may not be true for the client.
Option C is not affected by an indwelling catheter.
, ◉ When bathing an uncircumcised boy older than 3 years, which
action should the nurse take?
A.
Remind the child to clean his genital area.
B.
Defer perineal care because of the child's age.
C.
Retract the foreskin gently to cleanse the penis.
D.
Ask the parents why the child is not circumcised.
Answer: C
Rationale: The foreskin (prepuce) of the penis should be gently
retracted to cleanse all areas that could harbor bacteria. The child's
cognitive development may not be at the level at which option A
would be effective. Perineal care needs to be provided daily
regardless of the client's age. Option D is not indicated and may be
perceived as intrusive.
◉ A nurse is assigned to care for a close friend in the hospital
setting. Which action should the nurse take first when given the
assignment?
A.
Notify the friend that all medical information will be kept
confidential.
