Fortis HESI Exit Exam Transition to Practice-Capstone
Actual 2026/2027 with Detailed Rationales | 100%
Verified | Pass Guaranteed – A+ Graded
SECTION 1: MANAGEMENT OF CARE (Q1–Q15)
Q1: A nurse is delegating tasks to unlicensed assistive personnel (UAP). Which task
is appropriate to delegate?
A. Administering oral medications to a stable patient
B. Assessing a postoperative patient's incision
C. Ambulating a stable patient who has been cleared for activity
D. Developing a nursing care plan for a newly admitted patient
Correct Answer: C
Rationale: Correct because ambulating a stable patient is within the scope of UAP
practice; assessment, care planning, and medication administration require the
clinical judgment of a licensed nurse.
Q2: A nurse is prioritizing care for four patients. Which patient should the nurse
assess first?
A. A patient requesting a PRN sleep medication
B. A patient with a blood pressure of 148/92 mmHg who is asymptomatic
C. A patient with a respiratory rate of 8 breaths/min and decreased level of
consciousness
D. A patient who needs discharge teaching
Correct Answer: C
Rationale: Correct because a respiratory rate of 8 breaths/min with altered mental
status indicates life-threatening respiratory depression or hypoxia, requiring
immediate assessment and intervention per the ABC priority framework.
Q3: A nurse observes a colleague documenting vital signs that were not actually
obtained. What is the nurse's most appropriate action?
A. Ignore the behavior to avoid conflict
B. Confront the colleague in the nurses' station
C. Report the incident to the nurse manager following institutional policy and chain
of command
D. Document the observation in the patient's medical record
Correct Answer: C
,Rationale: Correct because falsification of documentation is a serious breach of
professional ethics and patient safety; the nurse must follow institutional policy and
the chain of command to report the incident.
Q4: A patient with a new diagnosis of diabetes refuses to learn insulin
administration, stating, "I can't do this." Which nursing action demonstrates client
advocacy?
A. Telling the patient they must learn or they will die
B. Arranging for the diabetes educator to return when the patient is ready and
exploring barriers to learning
C. Discharging the patient without education
D. Having the family learn the technique instead
Correct Answer: C
Rationale: Correct because client advocacy involves respecting patient autonomy
while addressing barriers to learning, facilitating access to education at the
appropriate time, and supporting informed decision-making.
Q5: A nurse is supervising a newly licensed nurse who is performing a sterile
dressing change. The nurse observes the new nurse touch the sterile field with a
non-sterile glove. What is the appropriate action?
A. Allow the procedure to continue to avoid embarrassing the new nurse
B. Stop the procedure, explain the breach in sterile technique, and have the new
nurse start over with new supplies
C. Complete the procedure yourself without explanation
D. Document that the procedure was performed correctly
Correct Answer: C
Rationale: Correct because maintaining sterile technique is essential for preventing
infection; the supervising nurse must intervene immediately, use the error as a
teaching opportunity, and ensure the procedure is restarted with sterile supplies.
Q6: Which nursing action demonstrates the ethical principle of nonmaleficence?
A. Providing pain medication as prescribed
B. Ensuring a patient receives informed consent before surgery
C. Double-checking a high-risk medication dosage before administration to prevent
harm
D. Treating all patients equally regardless of background
Correct Answer: C
, Rationale: Correct because nonmaleficence is the duty to do no harm; verifying a
high-risk medication dosage prevents potential adverse events and protects the
patient from iatrogenic injury.
Q7: A nurse is caring for a patient who has assigned durable power of attorney for
healthcare to their adult child. The patient is now unconscious and the adult child
requests discontinuation of life-sustaining treatment. What is the nurse's appropriate
action?
A. Refuse the request and continue all treatment
B. Honor the request immediately without verification
C. Verify the documentation of the healthcare proxy, notify the physician, and ensure
the request aligns with the patient's documented wishes
D. Contact the hospital ethics committee to override the family's decision
Correct Answer: C
Rationale: Correct because the nurse must verify the legal authority of the healthcare
proxy, ensure the decision aligns with the patient's advance directives, and facilitate
communication between the proxy and the healthcare team.
Q8: A nurse is leading a team during a code blue. Which leadership style is most
appropriate during this emergency?
A. Democratic leadership with group consensus
B. Laissez-faire leadership allowing team members to decide roles
C. Directive (authoritative) leadership with clear, concise communication and role
assignment
D. Passive leadership observing without intervention
Correct Answer: C
Rationale: Correct because emergency resuscitation requires rapid, coordinated
action; directive leadership with clear role assignment and closed-loop
communication ensures efficient teamwork and optimal patient outcomes.
Q9: A nurse is reviewing assignments for the shift. Which factor is most important
when making patient assignments?
A. Staff preference for specific patients
B. Patient acuity and staff competency matched to patient needs
C. Assigning the same nurse to the same patients every day
D. Assigning patients based on room proximity only
Correct Answer: C
Actual 2026/2027 with Detailed Rationales | 100%
Verified | Pass Guaranteed – A+ Graded
SECTION 1: MANAGEMENT OF CARE (Q1–Q15)
Q1: A nurse is delegating tasks to unlicensed assistive personnel (UAP). Which task
is appropriate to delegate?
A. Administering oral medications to a stable patient
B. Assessing a postoperative patient's incision
C. Ambulating a stable patient who has been cleared for activity
D. Developing a nursing care plan for a newly admitted patient
Correct Answer: C
Rationale: Correct because ambulating a stable patient is within the scope of UAP
practice; assessment, care planning, and medication administration require the
clinical judgment of a licensed nurse.
Q2: A nurse is prioritizing care for four patients. Which patient should the nurse
assess first?
A. A patient requesting a PRN sleep medication
B. A patient with a blood pressure of 148/92 mmHg who is asymptomatic
C. A patient with a respiratory rate of 8 breaths/min and decreased level of
consciousness
D. A patient who needs discharge teaching
Correct Answer: C
Rationale: Correct because a respiratory rate of 8 breaths/min with altered mental
status indicates life-threatening respiratory depression or hypoxia, requiring
immediate assessment and intervention per the ABC priority framework.
Q3: A nurse observes a colleague documenting vital signs that were not actually
obtained. What is the nurse's most appropriate action?
A. Ignore the behavior to avoid conflict
B. Confront the colleague in the nurses' station
C. Report the incident to the nurse manager following institutional policy and chain
of command
D. Document the observation in the patient's medical record
Correct Answer: C
,Rationale: Correct because falsification of documentation is a serious breach of
professional ethics and patient safety; the nurse must follow institutional policy and
the chain of command to report the incident.
Q4: A patient with a new diagnosis of diabetes refuses to learn insulin
administration, stating, "I can't do this." Which nursing action demonstrates client
advocacy?
A. Telling the patient they must learn or they will die
B. Arranging for the diabetes educator to return when the patient is ready and
exploring barriers to learning
C. Discharging the patient without education
D. Having the family learn the technique instead
Correct Answer: C
Rationale: Correct because client advocacy involves respecting patient autonomy
while addressing barriers to learning, facilitating access to education at the
appropriate time, and supporting informed decision-making.
Q5: A nurse is supervising a newly licensed nurse who is performing a sterile
dressing change. The nurse observes the new nurse touch the sterile field with a
non-sterile glove. What is the appropriate action?
A. Allow the procedure to continue to avoid embarrassing the new nurse
B. Stop the procedure, explain the breach in sterile technique, and have the new
nurse start over with new supplies
C. Complete the procedure yourself without explanation
D. Document that the procedure was performed correctly
Correct Answer: C
Rationale: Correct because maintaining sterile technique is essential for preventing
infection; the supervising nurse must intervene immediately, use the error as a
teaching opportunity, and ensure the procedure is restarted with sterile supplies.
Q6: Which nursing action demonstrates the ethical principle of nonmaleficence?
A. Providing pain medication as prescribed
B. Ensuring a patient receives informed consent before surgery
C. Double-checking a high-risk medication dosage before administration to prevent
harm
D. Treating all patients equally regardless of background
Correct Answer: C
, Rationale: Correct because nonmaleficence is the duty to do no harm; verifying a
high-risk medication dosage prevents potential adverse events and protects the
patient from iatrogenic injury.
Q7: A nurse is caring for a patient who has assigned durable power of attorney for
healthcare to their adult child. The patient is now unconscious and the adult child
requests discontinuation of life-sustaining treatment. What is the nurse's appropriate
action?
A. Refuse the request and continue all treatment
B. Honor the request immediately without verification
C. Verify the documentation of the healthcare proxy, notify the physician, and ensure
the request aligns with the patient's documented wishes
D. Contact the hospital ethics committee to override the family's decision
Correct Answer: C
Rationale: Correct because the nurse must verify the legal authority of the healthcare
proxy, ensure the decision aligns with the patient's advance directives, and facilitate
communication between the proxy and the healthcare team.
Q8: A nurse is leading a team during a code blue. Which leadership style is most
appropriate during this emergency?
A. Democratic leadership with group consensus
B. Laissez-faire leadership allowing team members to decide roles
C. Directive (authoritative) leadership with clear, concise communication and role
assignment
D. Passive leadership observing without intervention
Correct Answer: C
Rationale: Correct because emergency resuscitation requires rapid, coordinated
action; directive leadership with clear role assignment and closed-loop
communication ensures efficient teamwork and optimal patient outcomes.
Q9: A nurse is reviewing assignments for the shift. Which factor is most important
when making patient assignments?
A. Staff preference for specific patients
B. Patient acuity and staff competency matched to patient needs
C. Assigning the same nurse to the same patients every day
D. Assigning patients based on room proximity only
Correct Answer: C
