Exit Exam
HESI Fundamentals Exit Exam 1 V1, V2 & V3 RN
& PN Fundamentals Test Bank 2026/2027 |
Complete Questions & Answers with
Rationales | Verified Nursing Practice
Questions | NGN Clinical Judgment Review |
Graded A+ HESI Exit Exam Prep
A nurse is reviewing studies to answer a clinical question as part of an evidence-based practice project.
The study design determines the level of evidence. Place each methodology in order from the most
reliable to the least reliable.
Correct
1.
P a g e 1 | 129
, HESI Fundamentals 08/26/2026
Exit Exam
Meta-analysis
2.
Randomized controlled trial
3.
Expert opinion based on scientific principles
4.
Cohort study
5.
Controlled trial without randomization –
Correct Answer :Meta-analysis is a synthesis of evidence from associated randomized controlled
trials. Meta-analysis is more reliable than a randomized controlled trial. Randomized controlled trials
are studies where subjects randomly are assigned to a treatment or control group. A randomized
control trial is more reliable than a controlled trial without randomization. Controlled trials without
randomization are studies in which subjects are assigned nonrandomly to a treatment or control
group. A controlled trial without randomization is more reliable than a cohort study. Cohort studies
observe a group to determine the development of an outcome. Expert opinion based on principles is
not based on actual evidence; it is relied on when there is no evidence from research.
Topics
client expresses concern about being exposed to radiation therapy because it can cause cancer. What
should the nurse emphasize when informing the client about exposure to radiation?
P a g e 2 | 129
, HESI Fundamentals 08/26/2026
Exit Exam
1
The dosage is kept at a minimum.
2
Only a small part of the body is irradiated.
3
The client's physical condition is not a risk factor.
4
Nutritional environment of the affected cells is a risk factor. –
Correct Answer :Current radiation therapy accurately targets malignant lesions with pinpoint
precision, minimizing the detrimental effects of radiation to healthy tissue. The dose is not as
significant as the extent of tissue being irradiated. When radiation therapy is prescribed, the health
care provider takes into consideration the ability of the client to tolerate the therapy, determining that
the benefit outweighs the risk. Nutritional environment of the affected cells does not influence
radiation's effect.
The triage nurse in the emergency department receives four clients simultaneously. Which of the
clients should the nurse determine can be treated last?
1
Multipara in active labor
2
Middle-aged woman with substernal chest pain
3
Older adult male with a partially amputated finger
4
Adolescent boy with an oxygen saturation of 91% -
P a g e 3 | 129
, HESI Fundamentals 08/26/2026
Exit Exam
Correct Answer :3
Although a client with a partially amputated finger needs control of bleeding, the injury is not life
threatening and the client can wait for care. A woman in active labor should be assessed immediately
because birth may be imminent. A woman with chest pain may be experiencing a life-threatening
illness and should be assessed immediately. An adolescent with significant hypoxia may be
experiencing a life-threatening illness and should be assessed immediately.
Health promotion efforts with the chronically ill client should include interventions related to primary
prevention. What should this include?
1
Encouraging daily physical exercise
2
Performing yearly physical examinations
3
Providing hypertension screening programs
4
Teaching a person with diabetes how to prevent complications –
Correct Answer :1
Primary prevention activities are directed toward promoting healthful lifestyles and increasing the level
of well-being. Performing yearly physical examinations is a secondary prevention. Emphasis is on early
detection of disease, prompt intervention, and health maintenance for those experiencing health
problems. Providing hypertension screening programs is a secondary prevention. Emphasis is on early
detection of disease, prompt intervention, and health maintenance for those experiencing health
problems. Teaching a person with diabetes how to prevent complications is a tertiary prevention.
Emphasis is on rehabilitating individuals and restoring them to an optimum level of functioning.
P a g e 4 | 129