RN HESI FUNDAMENTALS EXIT FINAL
EXAM PREP 2026/2027 QUESTIONS AND
ANSWERS
1. A nurse is caring for a client who has a prescription for a clear liquid diet. Which of the
following food items should the nurse offer the client?
A. Vanilla pudding
B. Cream of mushroom soup
C. Orange juice with pulp
D. Apple juice
Answer: D
Conceptual Explanation: Clear liquid diets include fluids that are transparent and liquid
at room temperature, such as apple juice, broth, and gelatin. Orange juice with pulp,
pudding, and cream soups are considered full liquids.
2. A nurse is assessing a client’s radial pulse and determines that the rhythm is irregular.
Which of the following actions should the nurse take?
A. Notify the provider immediately
,B. Check the pulse on the opposite wrist
C. Assess the apical pulse for 1 full minute
D. Document the finding as a normal variation
Answer: C
Conceptual Explanation: If a peripheral pulse is irregular, the nurse should assess the
apical pulse for a full 60 seconds to determine the actual heart rate and rhythm.
3. A client is scheduled for a surgical procedure. The nurse is responsible for ensuring that the
informed consent is signed. Which of the following is the nurse’s primary role in this process?
A. Witnessing the client’s signature on the consent form
B. Ensuring the client understands the procedure
C. Explaining the risks and benefits of the surgery
D. Discussing alternative treatment options
Answer: A
Conceptual Explanation: The nurse’s role in informed consent is to witness the signature,
ensure the client is competent to sign, and verify that the provider provided the necessary
information.
4. A nurse is caring for a client who has a prescription for wrist restraints. Which of the
following actions should the nurse take?
A. Tie the restraints to the side rails of the bed
, B. Check the client’s circulation every 2 hours
C. Remove the restraints every 4 hours for range-of-motion exercises
D. Ensure that two fingers can be inserted under the restraint
Answer: D
Conceptual Explanation: The nurse should ensure the restraint is not too tight by
checking that two fingers fit underneath. Restraints should be tied to the bed frame, not
side rails, and assessed every 15-30 minutes, with ROM every 2 hours.
5. A nurse is providing discharge teaching to a client with a new prescription for home
oxygen. Which of the following instructions should the nurse include?
A. Apply petroleum jelly to the nares if they become dry
B. Wear synthetic fabrics like polyester while using oxygen
C. Keep the oxygen tank at least 10 feet away from open flames
D. Ensure the oxygen tubing is at least 10 feet long
Answer: C
Conceptual Explanation: Oxygen is combustible. Patients must keep tanks away from heat
sources and flames. Petroleum jelly is oil-based and flammable; water-based lubricants
should be used. Synthetic fabrics can cause static sparks.
EXAM PREP 2026/2027 QUESTIONS AND
ANSWERS
1. A nurse is caring for a client who has a prescription for a clear liquid diet. Which of the
following food items should the nurse offer the client?
A. Vanilla pudding
B. Cream of mushroom soup
C. Orange juice with pulp
D. Apple juice
Answer: D
Conceptual Explanation: Clear liquid diets include fluids that are transparent and liquid
at room temperature, such as apple juice, broth, and gelatin. Orange juice with pulp,
pudding, and cream soups are considered full liquids.
2. A nurse is assessing a client’s radial pulse and determines that the rhythm is irregular.
Which of the following actions should the nurse take?
A. Notify the provider immediately
,B. Check the pulse on the opposite wrist
C. Assess the apical pulse for 1 full minute
D. Document the finding as a normal variation
Answer: C
Conceptual Explanation: If a peripheral pulse is irregular, the nurse should assess the
apical pulse for a full 60 seconds to determine the actual heart rate and rhythm.
3. A client is scheduled for a surgical procedure. The nurse is responsible for ensuring that the
informed consent is signed. Which of the following is the nurse’s primary role in this process?
A. Witnessing the client’s signature on the consent form
B. Ensuring the client understands the procedure
C. Explaining the risks and benefits of the surgery
D. Discussing alternative treatment options
Answer: A
Conceptual Explanation: The nurse’s role in informed consent is to witness the signature,
ensure the client is competent to sign, and verify that the provider provided the necessary
information.
4. A nurse is caring for a client who has a prescription for wrist restraints. Which of the
following actions should the nurse take?
A. Tie the restraints to the side rails of the bed
, B. Check the client’s circulation every 2 hours
C. Remove the restraints every 4 hours for range-of-motion exercises
D. Ensure that two fingers can be inserted under the restraint
Answer: D
Conceptual Explanation: The nurse should ensure the restraint is not too tight by
checking that two fingers fit underneath. Restraints should be tied to the bed frame, not
side rails, and assessed every 15-30 minutes, with ROM every 2 hours.
5. A nurse is providing discharge teaching to a client with a new prescription for home
oxygen. Which of the following instructions should the nurse include?
A. Apply petroleum jelly to the nares if they become dry
B. Wear synthetic fabrics like polyester while using oxygen
C. Keep the oxygen tank at least 10 feet away from open flames
D. Ensure the oxygen tubing is at least 10 feet long
Answer: C
Conceptual Explanation: Oxygen is combustible. Patients must keep tanks away from heat
sources and flames. Petroleum jelly is oil-based and flammable; water-based lubricants
should be used. Synthetic fabrics can cause static sparks.
