HESI RN FUNDAMENTALS EXIT EXAM
REVIEW 2026-2027 COMPREHENSIVE
PRACTICE QUESTIONS AND DETAILED
RATIONALES LATEST!!!
A terminally ill client tells the nurse, "I am so tired and in so much pain! Please
help me to die." Which is the best response for the nurse to provide?
A.
Administer the prescribed maximum dose of pain medication.
B.
Talk with the client about thoughts and feelings about death.
C.
Collaborate with the health care provider about initiating antidepressant therapy.
D.
Refer the client to the ethics committee of her local health care facility.
B
Rationale: The nurse should first assess the client's feelings about death and
determine the extent to which this statement expresses the client's true feelings.
The client may need additional pain management, but further assessment is needed
before implementing option A. Options C and D are both premature interventions
and should not be implemented until further assessment is obtained.
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.
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.
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.
B, C, D
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
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.
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.
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 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
REVIEW 2026-2027 COMPREHENSIVE
PRACTICE QUESTIONS AND DETAILED
RATIONALES LATEST!!!
A terminally ill client tells the nurse, "I am so tired and in so much pain! Please
help me to die." Which is the best response for the nurse to provide?
A.
Administer the prescribed maximum dose of pain medication.
B.
Talk with the client about thoughts and feelings about death.
C.
Collaborate with the health care provider about initiating antidepressant therapy.
D.
Refer the client to the ethics committee of her local health care facility.
B
Rationale: The nurse should first assess the client's feelings about death and
determine the extent to which this statement expresses the client's true feelings.
The client may need additional pain management, but further assessment is needed
before implementing option A. Options C and D are both premature interventions
and should not be implemented until further assessment is obtained.
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.
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.
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.
B, C, D
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
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.
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.
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 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
