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HESI RN Fundamentals Exit Exam Prep 2026: Practice Questions & Answers with Rationales

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Pass Your HESI RN Fundamentals Exit Exam with This Comprehensive Practice Question Bank! This document is the ultimate study guide for the HESI RN Fundamentals Exit Exam. It contains a focused collection of practice questions and verified correct answers with detailed rationales, covering all essential topics for the testing cycle. This resource is designed to help you master the key concepts and pass your exam on the first attempt. Key Topics Covered: Safety & Emergency Procedures: Choking interventions (infant/child), fire safety/evacuation, falls prevention, seizure precautions, and disaster triage. Medication Administration: Dosage calculations, IV therapy, blood transfusions, parenteral nutrition, enteral feedings, and medication rights. Nursing Process & Documentation: Assessment, planning, implementation, evaluation, and proper charting/documentation standards. Patient Positioning & Mobility: Transfer techniques, positioning for procedures, fall prevention, and use of assistive devices. Wound Care & Infection Control: Sterile technique, wound assessment, dressing changes, pressure ulcer prevention, and standard/contact precautions. Fluid & Electrolyte Balance: I&O monitoring, IV fluid compatibility, electrolyte imbalances (hyponatremia, hyperkalemia), and signs of dehydration/overload. Legal & Ethical Issues: Informed consent, advance directives, confidentiality (HIPAA), mandated reporting, Good Samaritan laws, and client rights. Perioperative & Postoperative Care: Preoperative assessment, surgical consent, post-op complications (thrombus, atelectasis), pain management, and wound healing. Nutrition & Elimination: Therapeutic diets, enteral feeding, bowel/bladder management, and dietary modifications. Psychosocial & Communication: Therapeutic communication, grief/end-of-life care, cultural/religious considerations, and crisis intervention. Exam-Ready Format: Featuring clear, direct questions, their corresponding correct answers, and detailed rationales, this resource allows you to test your knowledge, understand the reasoning behind each answer, and review critical nursing concepts efficiently. Perfect for last-minute cramming or structured study sessions to ensure you are fully prepared for your HESI exit exam.

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HESI RN FUNDAMENTALS EXIT EXAM
– LATEST 2026–2027 ACTUAL EXAM |
QUESTIONS & CORRECT ANSWERS
WITH RATIONALES | VERIFIED
ANSWERS | A+ GRADED | GUARANTEED
PASS

The nurse is called to the waiting room of a pediatric
clinic. The frantic mother states, "I think my 4-
month-old baby is choking!" What steps will the
nurse take? (Select all that apply.)
A.
Compress the chest once between the nipples with
two fingers.
B.
Note any obstruction or absence of breathing.
C.
Deliver five backslaps between the shoulder blades.
D.
Place the infant over the nurse's arm.
E.
Perform a blind finger sweep. - correct answer - B,
C, D

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Rationale: The fingers are placed at the same
location on an infant as chest compressions for CPR;
however, the nurse must deliver five chest thrusts,
after the five back slaps. Blind sweeps are not used
as this action may push the object deeper into the
throat. The remaining steps are correct.

Which fluid will the nurse select to administer with
the prescribed blood transfusion?
A.
5% Dextrose and water
B.
Normal saline
C.
Lactated Ringers solution
D.
5% Dextrose and lactated ringers - correct answer -
B
Rationale: Normal saline solution is the only
solution that is compatible with blood.

When assisting a client from the bed to a chair,
which procedure is best for the nurse to follow?
A.

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Place the chair parallel to the bed, with its back
toward the head of the bed and assist the client in
moving to the chair.
B.
With the nurse's feet spread apart and knees aligned
with the client's knees, stand and pivot the client into
the chair.
C.
Assist the client to a standing position by gently
lifting upward, underneath the axillae.
D.
Stand beside the client, place the client's arms
around the nurse's neck, and gently move the client
to the chair. - correct answer - B
Rationale: Option B describes the correct
positioning of the nurse and affords the nurse a wide
base of support while stabilizing the client's knees
when assisting to a standing position. The chair
should be placed at a 45-degree angle to the bed,
with the back of the chair toward the head of the
bed. Clients should never be lifted under the axillae;
this could damage nerves and strain the nurse's back.
The client should be instructed to use the arms of the
chair and should never place his or her arms around
the nurse's neck; this places undue stress on the

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nurse's neck and back and increases the risk for a
fall.

How many mL will the nurse document on the
client's intake and output record from the items
listed? mL
1200 mL water
4 ounce container of gelatin
8 ounces of orange juice
355 mL can of soda1 cup of soup - correct answer -
Answer: 2155
Rationale: 1200 + 240 (8 oz) + 240 (1 cup) + 120 (4
oz) + 355 = 2155

The nurse observes a UAP taking a client's blood
pressure in the lower extremity. Which observation
of this procedure requires the nurse to intervene with
the UAP's approach?
A.
The cuff wraps around the girth of the leg.
B.
The UAP auscultates the popliteal pulse with the
cuff on the lower leg.
C.
The client is placed in a prone position.

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