HESI RN FUNDAMENTALS EXIT
EXAM 2026/2027 WITH 125
QUESTIONS AND EXPERT-
VERIFIED CORRECT ANSWERS |
ALREADY GRADED A+ |
GUARANTEED SUCCESS
Ten minutes after signing an operative permit for a fractured hip, an older client
states, "The aliens will be coming to get me soon!" and falls asleep. Which action
should the nurse take next?
A.
Make the client comfortable and allow the client to sleep.
B.
Assess the client's neurologic status.
C.
Notify the surgeon about the comment.
D.
,Ask the client's family to co-sign the operative permit. - ANSWER-B
Rationale: This statement may indicate that the client is confused. Informed
consent must be provided by a mentally competent individual, so the nurse should
further assess the client's neurologic status to be sure that the client understands
and can legally provide consent for surgery. Option A does not provide sufficient
follow-up. If the nurse determines that the client is confused, the surgeon must be
notified and permission obtained from the next of kin.
When turning an immobile bedridden client without assistance, which action by
the nurse best ensures client safety?
A.
Securely grasp the client's arm and leg.
B.
Put bed rails up on the side of bed opposite from the nurse.
C.
Correctly position and use a turn sheet.
D.
Lower the head of the client's bed slowly. - ANSWER-B
Rationale: Because the nurse can only stand on one side of the bed, bed rails
should be up on the opposite side to ensure that the client does not fall out of bed.
Option A can cause client injury to the skin or joint. Options C and D are useful
techniques while turning a client but have less priority in terms of safety than use
of the bed rails.
A community hospital is opening a mental health services department. Which
document should the nurse use to develop the unit's nursing guidelines?
A.
Americans with Disabilities Act of 1990
B.
,ANA Code of Ethics with Interpretative Statements
C.
ANA's Scope and Standards of Nursing Practice
D.
Patient's Bill of Rights of 1990 - ANSWER-C
Rationale: The ANA Scope of Standards of Practice for Psychiatric-Mental Health
Nursing serves to direct the philosophy and standards of psychiatric nursing
practice. Options A and D define the client's rights. Option B provides ethical
guidelines for nursing.
The nurse is preparing to initiate parenteral nutrition (PN) for a client. What
actions will the nurse consider when administering PN? (Select all that apply.)
A.
Remove the PN from the refrigerator 30 minutes before infusing.
B.
Have a second nurse double check the PN before connecting the solution.
C.
Have a second IV line in place for administering IV medications.
D.
Assure the infusion time for the PN does not exceed 24 hours.
E.
Tell the client a feeling of being full should occur with PN.
F.
Return amber and cloudy solutions of PN to the pharmacy. - ANSWER-A, D, F
Rationale: There are no issues with antibody incompatibility with PN, so there is
no need to double check the PN, or start a second IV line. PN is administered
through the venous system and does not satiate the client. The remaining selections
are true about the administration of PN.
, The nurse is preparing to insert an IV, and cap off the IV with an intermittent
infusion devise for an 80-year-old who is prescribed IV antibiotics every 8 hours.
The client is taking po fluids well. What supplies will the nurse take into the room
for this procedure? (Select all that apply.)
A.
A 16 gauge IV catheter
B.
Normal saline in a 10 mL syringe
C.
Clear plastic sterile bandage
D.
Skin preparation antiseptic swab
E.
1000 mL bag of normal saline - ANSWER-B, C, D
Rationale: Items not needed to insert an IV for intermittent antibiotic therapy for an
80-year-old are a 16 gauge intracath; the intracath is too large. Large bore
intracaths are for rapid infusions. A small bag of NS, e.g. 250 mL, will be needed
to flush the line. The remaining items are needed to start an IV.
The nurse is instructing a client with cholecystitis regarding diet choices. Which
meal best meets the dietary needs of this client?
A.
Steak, baked beans, and a salad
B.
Broiled fish, green beans, and an apple
C.
Pork chops, macaroni and cheese, and grapes
EXAM 2026/2027 WITH 125
QUESTIONS AND EXPERT-
VERIFIED CORRECT ANSWERS |
ALREADY GRADED A+ |
GUARANTEED SUCCESS
Ten minutes after signing an operative permit for a fractured hip, an older client
states, "The aliens will be coming to get me soon!" and falls asleep. Which action
should the nurse take next?
A.
Make the client comfortable and allow the client to sleep.
B.
Assess the client's neurologic status.
C.
Notify the surgeon about the comment.
D.
,Ask the client's family to co-sign the operative permit. - ANSWER-B
Rationale: This statement may indicate that the client is confused. Informed
consent must be provided by a mentally competent individual, so the nurse should
further assess the client's neurologic status to be sure that the client understands
and can legally provide consent for surgery. Option A does not provide sufficient
follow-up. If the nurse determines that the client is confused, the surgeon must be
notified and permission obtained from the next of kin.
When turning an immobile bedridden client without assistance, which action by
the nurse best ensures client safety?
A.
Securely grasp the client's arm and leg.
B.
Put bed rails up on the side of bed opposite from the nurse.
C.
Correctly position and use a turn sheet.
D.
Lower the head of the client's bed slowly. - ANSWER-B
Rationale: Because the nurse can only stand on one side of the bed, bed rails
should be up on the opposite side to ensure that the client does not fall out of bed.
Option A can cause client injury to the skin or joint. Options C and D are useful
techniques while turning a client but have less priority in terms of safety than use
of the bed rails.
A community hospital is opening a mental health services department. Which
document should the nurse use to develop the unit's nursing guidelines?
A.
Americans with Disabilities Act of 1990
B.
,ANA Code of Ethics with Interpretative Statements
C.
ANA's Scope and Standards of Nursing Practice
D.
Patient's Bill of Rights of 1990 - ANSWER-C
Rationale: The ANA Scope of Standards of Practice for Psychiatric-Mental Health
Nursing serves to direct the philosophy and standards of psychiatric nursing
practice. Options A and D define the client's rights. Option B provides ethical
guidelines for nursing.
The nurse is preparing to initiate parenteral nutrition (PN) for a client. What
actions will the nurse consider when administering PN? (Select all that apply.)
A.
Remove the PN from the refrigerator 30 minutes before infusing.
B.
Have a second nurse double check the PN before connecting the solution.
C.
Have a second IV line in place for administering IV medications.
D.
Assure the infusion time for the PN does not exceed 24 hours.
E.
Tell the client a feeling of being full should occur with PN.
F.
Return amber and cloudy solutions of PN to the pharmacy. - ANSWER-A, D, F
Rationale: There are no issues with antibody incompatibility with PN, so there is
no need to double check the PN, or start a second IV line. PN is administered
through the venous system and does not satiate the client. The remaining selections
are true about the administration of PN.
, The nurse is preparing to insert an IV, and cap off the IV with an intermittent
infusion devise for an 80-year-old who is prescribed IV antibiotics every 8 hours.
The client is taking po fluids well. What supplies will the nurse take into the room
for this procedure? (Select all that apply.)
A.
A 16 gauge IV catheter
B.
Normal saline in a 10 mL syringe
C.
Clear plastic sterile bandage
D.
Skin preparation antiseptic swab
E.
1000 mL bag of normal saline - ANSWER-B, C, D
Rationale: Items not needed to insert an IV for intermittent antibiotic therapy for an
80-year-old are a 16 gauge intracath; the intracath is too large. Large bore
intracaths are for rapid infusions. A small bag of NS, e.g. 250 mL, will be needed
to flush the line. The remaining items are needed to start an IV.
The nurse is instructing a client with cholecystitis regarding diet choices. Which
meal best meets the dietary needs of this client?
A.
Steak, baked beans, and a salad
B.
Broiled fish, green beans, and an apple
C.
Pork chops, macaroni and cheese, and grapes
