HESI Fundamentals Exit Exam 2026–2027 | Versions 1, 2
& 3 | RN & PN Test Bank | 300 Q&A with Answers &
Rationales
,HESI FUNDAMENTALS EXIT EXAM — VERSION 1
Question 1
An older adult client with a fractured left hip is on strict bedrest. Which nursing intervention is
most appropriate when repositioning the client?
A. Massage reddened areas for 5 minutes.
B. Encourage active range-of-motion exercises of the affected extremity.
C. Position the client prone with the affected leg extended.
D. Gently lift the client when moving into a desired position.
Answer: D
Rationale: Lifting rather than dragging the client reduces friction and shearing forces that can
damage the skin. Reddened areas should not be massaged, and movement of a fractured
extremity must be performed carefully according to the prescribed precautions.
Question 2
A nurse is administering medication through a nasogastric tube connected to continuous
suction. After verifying tube placement, what should the nurse do next?
A. Immediately reconnect the tube to suction.
B. Clamp the tube before administering the medication.
C. Flush the tube with sterile water and reconnect suction.
D. Increase the suction pressure during medication administration.
Answer: B
Rationale: The tube should be clamped during medication administration to prevent the
medication from being immediately removed by suction. The tube is generally kept clamped for
the prescribed period afterward to allow absorption.
,Question 3
A nurse is caring for a client who is at high risk for falls. Which intervention is most appropriate?
A. Keep all four side rails raised at all times.
B. Keep the client's room dark at night.
C. Place the call light within the client's reach.
D. Encourage the client to walk without assistance to improve independence.
Answer: C
Rationale: The call light should be readily accessible so the client can request assistance. Four
side rails may constitute a restraint, and adequate lighting and assistance with mobility are
important fall-prevention measures.
Question 4
Which action should the nurse take when removing personal protective equipment (PPE)?
A. Remove the mask first.
B. Remove the gown last.
C. Remove the most contaminated PPE first.
D. Remove the gloves after leaving the client's room.
Answer: C
Rationale: PPE should be removed in a manner that prevents contamination. Gloves are usually
among the most contaminated items and are removed carefully before touching clean surfaces.
Question 5
A client reports dizziness when getting out of bed. What should the nurse do first?
, A. Tell the client to walk slowly.
B. Assist the client back to a safe sitting or lying position.
C. Obtain a prescription for an antihypertensive medication.
D. Encourage the client to stand until the dizziness resolves.
Answer: B
Rationale: Safety is the priority. The client should be assisted to a safe position to prevent a fall.
Orthostatic vital signs can then be assessed as appropriate.
Question 6
The nurse is preparing to administer an oral medication. Which action is essential?
A. Ask another client to identify the medication.
B. Leave the medication at the bedside.
C. Compare the medication label with the medication administration record.
D. Administer the medication before checking the client's identity.
Answer: C
Rationale: Medication administration requires verification against the medication
administration record and appropriate identification of the client.
Question 7
A client has difficulty swallowing pills. Which action should the nurse take?
A. Crush every medication and mix it with food.
B. Tell the client to swallow the pill without water.
C. Determine whether the medication can safely be crushed.
D. Substitute a different medication without notifying the provider.
Answer: C
& 3 | RN & PN Test Bank | 300 Q&A with Answers &
Rationales
,HESI FUNDAMENTALS EXIT EXAM — VERSION 1
Question 1
An older adult client with a fractured left hip is on strict bedrest. Which nursing intervention is
most appropriate when repositioning the client?
A. Massage reddened areas for 5 minutes.
B. Encourage active range-of-motion exercises of the affected extremity.
C. Position the client prone with the affected leg extended.
D. Gently lift the client when moving into a desired position.
Answer: D
Rationale: Lifting rather than dragging the client reduces friction and shearing forces that can
damage the skin. Reddened areas should not be massaged, and movement of a fractured
extremity must be performed carefully according to the prescribed precautions.
Question 2
A nurse is administering medication through a nasogastric tube connected to continuous
suction. After verifying tube placement, what should the nurse do next?
A. Immediately reconnect the tube to suction.
B. Clamp the tube before administering the medication.
C. Flush the tube with sterile water and reconnect suction.
D. Increase the suction pressure during medication administration.
Answer: B
Rationale: The tube should be clamped during medication administration to prevent the
medication from being immediately removed by suction. The tube is generally kept clamped for
the prescribed period afterward to allow absorption.
,Question 3
A nurse is caring for a client who is at high risk for falls. Which intervention is most appropriate?
A. Keep all four side rails raised at all times.
B. Keep the client's room dark at night.
C. Place the call light within the client's reach.
D. Encourage the client to walk without assistance to improve independence.
Answer: C
Rationale: The call light should be readily accessible so the client can request assistance. Four
side rails may constitute a restraint, and adequate lighting and assistance with mobility are
important fall-prevention measures.
Question 4
Which action should the nurse take when removing personal protective equipment (PPE)?
A. Remove the mask first.
B. Remove the gown last.
C. Remove the most contaminated PPE first.
D. Remove the gloves after leaving the client's room.
Answer: C
Rationale: PPE should be removed in a manner that prevents contamination. Gloves are usually
among the most contaminated items and are removed carefully before touching clean surfaces.
Question 5
A client reports dizziness when getting out of bed. What should the nurse do first?
, A. Tell the client to walk slowly.
B. Assist the client back to a safe sitting or lying position.
C. Obtain a prescription for an antihypertensive medication.
D. Encourage the client to stand until the dizziness resolves.
Answer: B
Rationale: Safety is the priority. The client should be assisted to a safe position to prevent a fall.
Orthostatic vital signs can then be assessed as appropriate.
Question 6
The nurse is preparing to administer an oral medication. Which action is essential?
A. Ask another client to identify the medication.
B. Leave the medication at the bedside.
C. Compare the medication label with the medication administration record.
D. Administer the medication before checking the client's identity.
Answer: C
Rationale: Medication administration requires verification against the medication
administration record and appropriate identification of the client.
Question 7
A client has difficulty swallowing pills. Which action should the nurse take?
A. Crush every medication and mix it with food.
B. Tell the client to swallow the pill without water.
C. Determine whether the medication can safely be crushed.
D. Substitute a different medication without notifying the provider.
Answer: C
