HESI Fundamentals 08/26/2026
Exit Exam
HESI Fundamentals Exit Exam 3 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
After a needle stick occurs while removing the cap from a sterile needle, which action should the nurse
take next?
A.
Complete an incident report.
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Exit Exam
B.
Select another sterile needle.
C.
Disinfect the needle with an alcohol swab.
D.
Notify the supervisor of the department immediately. –
Correct Answer :B
Rationale:
After a needle stick, the needle is considered used, so the nurse should discard it and select another
needle. Because the needle was sterile when the nurse was stuck and the needle was not in contact
with any other person's body fluids, the nurse does not need to complete an incident report or notify
the occupational health nurse. Disinfecting a needle with an alcohol swab is not in accordance with
standards for safe practice and infection control.
An 89-year-old client is admitted to the rehabilitation unit after a hip fracture. When reviewing the
client's pre-fracture routine the client states, "I usually get up around 0800 and have breakfast by
0900; I say my daily prayers between 1000 and 1030. I like lunch around 1300; then a nap from 1400 to
1600. I generally eat supper around 1900." What is the nurse's best response to the client's schedule?
A.
"We can try our best to work around your schedule."
B.
"Your physical therapy is scheduled for 1500 to 1600."
C.
"You will have to get your own supper if you want to eat that late."
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Exit Exam
D.
"Is there any way you could say your prayers between 1230 and 1300?"
- Correct Answer :D
Rationale:
The elderly have a routine that generally fits around their sleep-wake cycle, or their circadian rhythm.
The flexibility is around prayer time, since it is during the wake time. If the rehabilitation therapy can be
scheduled in the am, that is generally the time when they have more energy. Trying the best, does not
place the client's sleep-wake schedule as a priority. While supper on the rehab unit may be before
1900, arrangements can be made to deliver a tray later, or keep a tray warm
The nurse determines that a postoperative client's respiratory rate has increased from 18 to 24
breaths/min. Based on this assessment finding, what is the priority nursing action?
A.
Encourage the client to increase ambulation in the room.
B.
Offer the client a high-carbohydrate snack for energy.
C.
Force fluids to thin the client's pulmonary secretions.
D.
Determine if pain is causing the client's tachypnea. –
Correct Answer :D
Rationale:
Pain, anxiety, and increasing fluid accumulation in the lungs can cause tachypnea (increased
respiratory rate). Encouraging the client to increase ambulation when the respiratory rate is rising
above normal limits puts the client at risk for further oxygen desaturation. Option B can increase the
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Exit Exam
client's carbon metabolism, so an alternative source of energy, such as Pulmocare liquid supplement,
should be offered instead. Option C could increase respiratory congestion in a client with a poorly
functioning cardiopulmonary system, placing the client at risk of fluid overload
Urinary catheterization is prescribed for a postoperative female client who has been unable to void for
8 hours. The nurse inserts the catheter, but no urine is seen in the tubing. Which action will the nurse
take next?
A.
Clamp the catheter and recheck it in 60 minutes.
B.
Pull the catheter back 3 inches and redirect upward.
C.
Leave the catheter in place and reattempt with another catheter.
D.
Notify the health care provider of a possible obstruction. –
Correct Answer :C
Rationale:
It is likely that the first catheter is in the vagina, rather than the bladder. Leaving the first catheter in
place will help locate the meatus when attempting the second catheterization. The client should have
at least 240 mL of urine after 8 hours. Option A does not resolve the problem. Option B will not
change the location of the catheter unless it is completely removed, in which case a new catheter
must be used. There is no evidence of a urinary tract obstruction if the catheter could be easily
inserted.
Which serum laboratory value should the nurse monitor carefully for a client who has a nasogastric
(NG) tube to suction for the past week?
A.
P a g e 4 | 179
Exit Exam
HESI Fundamentals Exit Exam 3 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
After a needle stick occurs while removing the cap from a sterile needle, which action should the nurse
take next?
A.
Complete an incident report.
P a g e 1 | 179
, HESI Fundamentals 08/26/2026
Exit Exam
B.
Select another sterile needle.
C.
Disinfect the needle with an alcohol swab.
D.
Notify the supervisor of the department immediately. –
Correct Answer :B
Rationale:
After a needle stick, the needle is considered used, so the nurse should discard it and select another
needle. Because the needle was sterile when the nurse was stuck and the needle was not in contact
with any other person's body fluids, the nurse does not need to complete an incident report or notify
the occupational health nurse. Disinfecting a needle with an alcohol swab is not in accordance with
standards for safe practice and infection control.
An 89-year-old client is admitted to the rehabilitation unit after a hip fracture. When reviewing the
client's pre-fracture routine the client states, "I usually get up around 0800 and have breakfast by
0900; I say my daily prayers between 1000 and 1030. I like lunch around 1300; then a nap from 1400 to
1600. I generally eat supper around 1900." What is the nurse's best response to the client's schedule?
A.
"We can try our best to work around your schedule."
B.
"Your physical therapy is scheduled for 1500 to 1600."
C.
"You will have to get your own supper if you want to eat that late."
P a g e 2 | 179
, HESI Fundamentals 08/26/2026
Exit Exam
D.
"Is there any way you could say your prayers between 1230 and 1300?"
- Correct Answer :D
Rationale:
The elderly have a routine that generally fits around their sleep-wake cycle, or their circadian rhythm.
The flexibility is around prayer time, since it is during the wake time. If the rehabilitation therapy can be
scheduled in the am, that is generally the time when they have more energy. Trying the best, does not
place the client's sleep-wake schedule as a priority. While supper on the rehab unit may be before
1900, arrangements can be made to deliver a tray later, or keep a tray warm
The nurse determines that a postoperative client's respiratory rate has increased from 18 to 24
breaths/min. Based on this assessment finding, what is the priority nursing action?
A.
Encourage the client to increase ambulation in the room.
B.
Offer the client a high-carbohydrate snack for energy.
C.
Force fluids to thin the client's pulmonary secretions.
D.
Determine if pain is causing the client's tachypnea. –
Correct Answer :D
Rationale:
Pain, anxiety, and increasing fluid accumulation in the lungs can cause tachypnea (increased
respiratory rate). Encouraging the client to increase ambulation when the respiratory rate is rising
above normal limits puts the client at risk for further oxygen desaturation. Option B can increase the
P a g e 3 | 179
, HESI Fundamentals 08/26/2026
Exit Exam
client's carbon metabolism, so an alternative source of energy, such as Pulmocare liquid supplement,
should be offered instead. Option C could increase respiratory congestion in a client with a poorly
functioning cardiopulmonary system, placing the client at risk of fluid overload
Urinary catheterization is prescribed for a postoperative female client who has been unable to void for
8 hours. The nurse inserts the catheter, but no urine is seen in the tubing. Which action will the nurse
take next?
A.
Clamp the catheter and recheck it in 60 minutes.
B.
Pull the catheter back 3 inches and redirect upward.
C.
Leave the catheter in place and reattempt with another catheter.
D.
Notify the health care provider of a possible obstruction. –
Correct Answer :C
Rationale:
It is likely that the first catheter is in the vagina, rather than the bladder. Leaving the first catheter in
place will help locate the meatus when attempting the second catheterization. The client should have
at least 240 mL of urine after 8 hours. Option A does not resolve the problem. Option B will not
change the location of the catheter unless it is completely removed, in which case a new catheter
must be used. There is no evidence of a urinary tract obstruction if the catheter could be easily
inserted.
Which serum laboratory value should the nurse monitor carefully for a client who has a nasogastric
(NG) tube to suction for the past week?
A.
P a g e 4 | 179
