• HESI Fundamentals 09/14/2026
Exit Exam
HESI Fundamentals Exit Exam 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
The nurse is orienting a new graduate to the reporting regulations often seen in the emergency department.
Which clients will the nurse need to report to the nurse manager/supervisor to alert the proper authorities?
(Select all that apply.)
A.
A 7-year-old who states, "I get beat up by my parents all the time." The child has bruising on the back in various
stages of healing.
B.
P 1
, • HESI Fundamentals 09/14/2026
Exit Exam
An 88-year-old who states, "My child lives 5 minutes away no longer stops to visit. My days are long and lonely."
C.
A 40-year-old who states, "I was in an argument with my sibling and the next thing I knew I was shot in the
shoulder."
D.
An 18-year-old who states, "Once I turned 18 my parents demanded I leave their home. I was no longer
welcomed there."
E.
A 30-year-old who states, "The brawl was worth the stab wound I got. My family has never liked that family. It is
just that way." –
Correct Answer :A, C, E
Rationale: Nurses are mandatory reporters and must notify in the event of child and elder abuse, domestic
violence, animal bites, gun shot and stab wounds, assault, and homicides
In the middle of running a resuscitation for a cardiac arrest the LPN states to the nurse, "What can I do for your
other patients?" The nurse says to the LPN, "Go ahead and start that blood on the client in 434B. It is primed and
ready to go. You have seen me do it a million times. You can do it." What is the LPN's best response?
A.
"No way am I starting the blood on that client!"
B.
"I am going to tell the manager you asked me to start blood."
C.
"Sure, no problem. I can do that. I have done it before."
D.
"I can take over compressions so you can start the blood." - Correct Answer :D
Rationale: The LPN needs to remain professional, and stating "No way ...." is an unprofessional response. Telling
the manager may be appropriate, but it does nothing to help the situation of needing to start blood and
resuscitate a client. Blood administration is the responsibility of the RN. The LPN can perform compressions.
P 2
, • HESI Fundamentals 09/14/2026
Exit Exam
The nurse is preparing an older client for discharge. Which method is best for the nurse to use when evaluating
the client's ability to perform a dressing change at home?
A.
Determine how the client feels about changing the dressing.
B.
Ask the client to describe the procedure in writing.
C.
Seek a family member's evaluation of the client's ability to change the dressing.
D.
Observe the client change the dressing unassisted. - Correct Answer :D
Rationale: Observing the client directly will allow the nurse to determine if mastery of the skill has been obtained
and provide an opportunity to affirm the skill. Option A may be therapeutic but will not provide an opportunity to
evaluate the client's ability to perform the procedure. Option B may be threatening to an older client and will not
determine his ability. Option C is not as effective as direct observation by the nurse.
The nurse is talking with the spouse of a client admitted to the long-term care center. The client has end-stage
renal cancer and is admitted for palliative care while awaiting hospice placement. The client often moans and
groans, but is otherwise non-communicative and somnolent. What will the nurse include in the spouse's
teaching regarding the care of the client? (Select all that apply.)
A.
Repositioning every 2 hours
B.
Round-the-clock pain medication administration
C.
Assessment for skin breakdown
D.
Back rubs three times a day
E.
Bathing twice a day - Correct Answer :A, B, C, D
P 3
, • HESI Fundamentals 09/14/2026
Exit Exam
Rationale: The nurse must cleanse soiled areas to remove any irritants; a bath twice a day can dry out the skin.
The goal of palliative care is to make the client comfortable, and not treat the cause of the condition. The client
will be on bed rest because of the client's debilitated condition. Skin breakdown is a nursing concern. Measures
to prevent skin breakdown should be included in this client's plan of care.
The goal is for the client to take in 1500 calories/day administered through by a feeding tube. The concentration
of the feeding is 1.5 calories/mL. How many mL per hour will the nurse need to set the infusion pump to deliver
the feeding over 18 hours? _____ Enter a whole number. - Correct Answer :56
The nurse is administering the 0900 medications to a client who was admitted during the night. Which client
statement indicates that the nurse should further assess the medication order?
A.
"At home I take my pills at 8:00 am."
B.
"It costs a lot of money to buy all of these pills."
C.
"I get so tired of taking pills every day."
D.
"This is a new pill I have never taken before." - Correct Answer :D
Rationale: The client's recognition of a "new" pill requires further assessment to verify that the medication is
correct, if it is a new prescription or a different manufacturer, or if the client needs further instruction. The time
difference may not be as significant in terms of its effect, but this should be explained. Although comments
about cost should be considered when developing a discharge plan, option D is a higher priority. The client's
feelings C should be acknowledged, but observation of the five rights of medication administration is most
essential.
During evacuation of a group of clients from a medical unit because of a fire, the nurse observes an ambulatory
client walking alone toward the stairway at the end of the hall. Which action should the nurse take?
A.
Assign an unlicensed assistive personnel to transport the client via a wheelchair.
B.
Remind the client to walk carefully down the stairs until reaching a lower floor.
P 4
Exit Exam
HESI Fundamentals Exit Exam 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
The nurse is orienting a new graduate to the reporting regulations often seen in the emergency department.
Which clients will the nurse need to report to the nurse manager/supervisor to alert the proper authorities?
(Select all that apply.)
A.
A 7-year-old who states, "I get beat up by my parents all the time." The child has bruising on the back in various
stages of healing.
B.
P 1
, • HESI Fundamentals 09/14/2026
Exit Exam
An 88-year-old who states, "My child lives 5 minutes away no longer stops to visit. My days are long and lonely."
C.
A 40-year-old who states, "I was in an argument with my sibling and the next thing I knew I was shot in the
shoulder."
D.
An 18-year-old who states, "Once I turned 18 my parents demanded I leave their home. I was no longer
welcomed there."
E.
A 30-year-old who states, "The brawl was worth the stab wound I got. My family has never liked that family. It is
just that way." –
Correct Answer :A, C, E
Rationale: Nurses are mandatory reporters and must notify in the event of child and elder abuse, domestic
violence, animal bites, gun shot and stab wounds, assault, and homicides
In the middle of running a resuscitation for a cardiac arrest the LPN states to the nurse, "What can I do for your
other patients?" The nurse says to the LPN, "Go ahead and start that blood on the client in 434B. It is primed and
ready to go. You have seen me do it a million times. You can do it." What is the LPN's best response?
A.
"No way am I starting the blood on that client!"
B.
"I am going to tell the manager you asked me to start blood."
C.
"Sure, no problem. I can do that. I have done it before."
D.
"I can take over compressions so you can start the blood." - Correct Answer :D
Rationale: The LPN needs to remain professional, and stating "No way ...." is an unprofessional response. Telling
the manager may be appropriate, but it does nothing to help the situation of needing to start blood and
resuscitate a client. Blood administration is the responsibility of the RN. The LPN can perform compressions.
P 2
, • HESI Fundamentals 09/14/2026
Exit Exam
The nurse is preparing an older client for discharge. Which method is best for the nurse to use when evaluating
the client's ability to perform a dressing change at home?
A.
Determine how the client feels about changing the dressing.
B.
Ask the client to describe the procedure in writing.
C.
Seek a family member's evaluation of the client's ability to change the dressing.
D.
Observe the client change the dressing unassisted. - Correct Answer :D
Rationale: Observing the client directly will allow the nurse to determine if mastery of the skill has been obtained
and provide an opportunity to affirm the skill. Option A may be therapeutic but will not provide an opportunity to
evaluate the client's ability to perform the procedure. Option B may be threatening to an older client and will not
determine his ability. Option C is not as effective as direct observation by the nurse.
The nurse is talking with the spouse of a client admitted to the long-term care center. The client has end-stage
renal cancer and is admitted for palliative care while awaiting hospice placement. The client often moans and
groans, but is otherwise non-communicative and somnolent. What will the nurse include in the spouse's
teaching regarding the care of the client? (Select all that apply.)
A.
Repositioning every 2 hours
B.
Round-the-clock pain medication administration
C.
Assessment for skin breakdown
D.
Back rubs three times a day
E.
Bathing twice a day - Correct Answer :A, B, C, D
P 3
, • HESI Fundamentals 09/14/2026
Exit Exam
Rationale: The nurse must cleanse soiled areas to remove any irritants; a bath twice a day can dry out the skin.
The goal of palliative care is to make the client comfortable, and not treat the cause of the condition. The client
will be on bed rest because of the client's debilitated condition. Skin breakdown is a nursing concern. Measures
to prevent skin breakdown should be included in this client's plan of care.
The goal is for the client to take in 1500 calories/day administered through by a feeding tube. The concentration
of the feeding is 1.5 calories/mL. How many mL per hour will the nurse need to set the infusion pump to deliver
the feeding over 18 hours? _____ Enter a whole number. - Correct Answer :56
The nurse is administering the 0900 medications to a client who was admitted during the night. Which client
statement indicates that the nurse should further assess the medication order?
A.
"At home I take my pills at 8:00 am."
B.
"It costs a lot of money to buy all of these pills."
C.
"I get so tired of taking pills every day."
D.
"This is a new pill I have never taken before." - Correct Answer :D
Rationale: The client's recognition of a "new" pill requires further assessment to verify that the medication is
correct, if it is a new prescription or a different manufacturer, or if the client needs further instruction. The time
difference may not be as significant in terms of its effect, but this should be explained. Although comments
about cost should be considered when developing a discharge plan, option D is a higher priority. The client's
feelings C should be acknowledged, but observation of the five rights of medication administration is most
essential.
During evacuation of a group of clients from a medical unit because of a fire, the nurse observes an ambulatory
client walking alone toward the stairway at the end of the hall. Which action should the nurse take?
A.
Assign an unlicensed assistive personnel to transport the client via a wheelchair.
B.
Remind the client to walk carefully down the stairs until reaching a lower floor.
P 4
