HESI FUNDAMENTALS EXIT EXAM
V1, V2 & V3 RN & PN
FUNDAMENTALS TEST BANK –
LATEST 2026 UPDATE COMPLETE
QUESTIONS WITH CORRECT
VERIFIED ANSWERS GRADED A+
,An elderly client with a fractured left hip is on strict bedrest. Which nursing
measure is essential to the client's nursing care?
A. Massage any reddened areas for at least five minutes.
B. Encourage active range of motion exercises on extremities.
C. Position the client laterally, prone, and dorsally in sequence.
D. Gently lift the client when moving into a desired position.
RATIONALE : - To avoid shearing forces when repositioning, the client should
be lifted gently across a surface (D). Reddened areas should not be massaged
(A) since this may increase the damage to already traumatized skin. To
control pain and muscle spasms, active range of motion (B) may be limited on
the affected leg. The position described in (C) is contraindicated for a client
with a fractured left hip.
CORRECT ANSWER : D
The nurse is administering medications through a nasogastric tube (NGT)
which is connected to suction. After ensuring correct tube placement, what
action should the nurse take next?
A. Clamp the tube for 20 minutes.
B. Flush the tube with water.
,C. Administer the medications as prescribed.
D. Crush the tablets and dissolve in sterile water.
RATIONALE : - The NGT should be flushed before, after and in between each
medication administered
(B). Once all medications are administered, the NGT should be clamped for 20
minutes (A). (C and D) may be implemented only after the tubing has been
flushed.
CORRECT ANSWER : B
A client who is in hospice care complains of increasing amounts of pain. The
healthcare provider prescribes an analgesic every four hours as needed.
Which action should the nurse implement?
A. Give an around-the-clock schedule for administration of analgesics.
B. Administer analgesic medication as needed when the pain is severe.
C. Provide medication to keep the client sedated and unaware of stimuli.
D. Offer a medication-free period so that the client can do daily activities.
RATIONALE : - The most effective management of pain is achieved using an
around-the-clock schedule that provides analgesic medications on a regular
basis (A) and in a timely manner. Analgesics
, are less effective if pain persists until it is severe, so an analgesic
medication should be administered before the client's pain peaks (B).
Providing comfort is a priority for the client who is dying, but sedation that
impairs the client's ability to interact and experience the time before life
ends should be minimized (C). Offering a medication-free period allows the
serum drug level to fall, which is not an effective method to manage chronic
pain (D). CORRECT ANSWER : A
When assessing a client with wrist restraints, the nurse observes that the
fingers on the right hand are blue. What action should the nurse implement
first? A. Loosen the right wrist restraint.
B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial pulse.
RATIONALE : - The priority nursing action is to restore circulation by
loosening the restraint (A), because blue fingers (cyanosis) indicates
decreased circulation. (C and D) are also important nursing interventions,
but do not have the priority of (A). Pulse oximetry (B) measures the
saturation of hemoglobin with oxygen and is not indicated in situations
where the cyanosis is related to mechanical compression (the restraints).
V1, V2 & V3 RN & PN
FUNDAMENTALS TEST BANK –
LATEST 2026 UPDATE COMPLETE
QUESTIONS WITH CORRECT
VERIFIED ANSWERS GRADED A+
,An elderly client with a fractured left hip is on strict bedrest. Which nursing
measure is essential to the client's nursing care?
A. Massage any reddened areas for at least five minutes.
B. Encourage active range of motion exercises on extremities.
C. Position the client laterally, prone, and dorsally in sequence.
D. Gently lift the client when moving into a desired position.
RATIONALE : - To avoid shearing forces when repositioning, the client should
be lifted gently across a surface (D). Reddened areas should not be massaged
(A) since this may increase the damage to already traumatized skin. To
control pain and muscle spasms, active range of motion (B) may be limited on
the affected leg. The position described in (C) is contraindicated for a client
with a fractured left hip.
CORRECT ANSWER : D
The nurse is administering medications through a nasogastric tube (NGT)
which is connected to suction. After ensuring correct tube placement, what
action should the nurse take next?
A. Clamp the tube for 20 minutes.
B. Flush the tube with water.
,C. Administer the medications as prescribed.
D. Crush the tablets and dissolve in sterile water.
RATIONALE : - The NGT should be flushed before, after and in between each
medication administered
(B). Once all medications are administered, the NGT should be clamped for 20
minutes (A). (C and D) may be implemented only after the tubing has been
flushed.
CORRECT ANSWER : B
A client who is in hospice care complains of increasing amounts of pain. The
healthcare provider prescribes an analgesic every four hours as needed.
Which action should the nurse implement?
A. Give an around-the-clock schedule for administration of analgesics.
B. Administer analgesic medication as needed when the pain is severe.
C. Provide medication to keep the client sedated and unaware of stimuli.
D. Offer a medication-free period so that the client can do daily activities.
RATIONALE : - The most effective management of pain is achieved using an
around-the-clock schedule that provides analgesic medications on a regular
basis (A) and in a timely manner. Analgesics
, are less effective if pain persists until it is severe, so an analgesic
medication should be administered before the client's pain peaks (B).
Providing comfort is a priority for the client who is dying, but sedation that
impairs the client's ability to interact and experience the time before life
ends should be minimized (C). Offering a medication-free period allows the
serum drug level to fall, which is not an effective method to manage chronic
pain (D). CORRECT ANSWER : A
When assessing a client with wrist restraints, the nurse observes that the
fingers on the right hand are blue. What action should the nurse implement
first? A. Loosen the right wrist restraint.
B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial pulse.
RATIONALE : - The priority nursing action is to restore circulation by
loosening the restraint (A), because blue fingers (cyanosis) indicates
decreased circulation. (C and D) are also important nursing interventions,
but do not have the priority of (A). Pulse oximetry (B) measures the
saturation of hemoglobin with oxygen and is not indicated in situations
where the cyanosis is related to mechanical compression (the restraints).
