,NUR210 Transition to Practice Capstone HESI
RN Exit Exam Study Guide & 150 Practice
Questions Fortis College 2026/2027
1. The RN is assigned to care for four clients. Which client should the RN assess first?
A. A client with COPD who has an oxygen saturation of 92% on 2 L nasal cannula
B. A client with heart failure who reports increased shortness of breath and has new bibasilar
crackles
C. A client who is 2 days postoperative and requesting pain medication for incisional pain
D. A client with diabetes who has a blood glucose of 180 mg/dL and is asymptomatic
Correct Answer: B. A client with heart failure who reports increased shortness of breath and has
new bibasilar crackles
Rationale: The client with heart failure who has new bibasilar crackles and increased shortness
of breath is showing signs of acute decompensation (pulmonary edema) requiring immediate
assessment and intervention. The client with COPD has an acceptable SpO₂ for COPD. The
postoperative client and the asymptomatic diabetic client are stable.
2. A charge nurse is delegating tasks to team members. Which task is appropriate to delegate to
the UAP?
,A. Performing a sterile dressing change on a surgical incision
B. Obtaining vital signs on a stable postoperative client
C. Administering oral pain medication to a client
D. Assessing a newly admitted client's pain level
Correct Answer: B. Obtaining vital signs on a stable postoperative client
Rationale: Obtaining vital signs on stable clients is within the UAP's scope of practice. Sterile
dressing changes, medication administration, and assessment are RN responsibilities.
3. A nurse is caring for a client who refuses a prescribed blood transfusion. The client is alert
and oriented. Which action should the nurse take?
A. Administer the transfusion despite the refusal
B. Respect the client's decision and document the refusal
C. Ask the family to convince the client to accept the transfusion
D. Notify the healthcare provider and proceed with the transfusion
Correct Answer: B. Respect the client's decision and document the refusal
, Rationale: A competent adult has the right to refuse any treatment. The nurse must respect the
client's autonomy, document the refusal, and notify the healthcare provider.
4. A nurse is reviewing a medication order that is not legible. Which statement best reflects
assertive communication?
A. "I cannot give this medication as it is written. I have no idea what you mean."
B. "Would you please clarify what you have written so I am sure I am reading it correctly?"
C. "I am having difficulty reading your handwriting. It would save me time if you would be more
careful."
D. "Please print in the future so I do not have to spend extra time attempting to read your
writing."
Correct Answer: B. "Would you please clarify what you have written so I am sure I am reading it
correctly?"
Rationale: Assertive communication expresses needs clearly and respectfully without blaming or
criticizing. Option B directly addresses the issue and requests clarification professionally.
RN Exit Exam Study Guide & 150 Practice
Questions Fortis College 2026/2027
1. The RN is assigned to care for four clients. Which client should the RN assess first?
A. A client with COPD who has an oxygen saturation of 92% on 2 L nasal cannula
B. A client with heart failure who reports increased shortness of breath and has new bibasilar
crackles
C. A client who is 2 days postoperative and requesting pain medication for incisional pain
D. A client with diabetes who has a blood glucose of 180 mg/dL and is asymptomatic
Correct Answer: B. A client with heart failure who reports increased shortness of breath and has
new bibasilar crackles
Rationale: The client with heart failure who has new bibasilar crackles and increased shortness
of breath is showing signs of acute decompensation (pulmonary edema) requiring immediate
assessment and intervention. The client with COPD has an acceptable SpO₂ for COPD. The
postoperative client and the asymptomatic diabetic client are stable.
2. A charge nurse is delegating tasks to team members. Which task is appropriate to delegate to
the UAP?
,A. Performing a sterile dressing change on a surgical incision
B. Obtaining vital signs on a stable postoperative client
C. Administering oral pain medication to a client
D. Assessing a newly admitted client's pain level
Correct Answer: B. Obtaining vital signs on a stable postoperative client
Rationale: Obtaining vital signs on stable clients is within the UAP's scope of practice. Sterile
dressing changes, medication administration, and assessment are RN responsibilities.
3. A nurse is caring for a client who refuses a prescribed blood transfusion. The client is alert
and oriented. Which action should the nurse take?
A. Administer the transfusion despite the refusal
B. Respect the client's decision and document the refusal
C. Ask the family to convince the client to accept the transfusion
D. Notify the healthcare provider and proceed with the transfusion
Correct Answer: B. Respect the client's decision and document the refusal
, Rationale: A competent adult has the right to refuse any treatment. The nurse must respect the
client's autonomy, document the refusal, and notify the healthcare provider.
4. A nurse is reviewing a medication order that is not legible. Which statement best reflects
assertive communication?
A. "I cannot give this medication as it is written. I have no idea what you mean."
B. "Would you please clarify what you have written so I am sure I am reading it correctly?"
C. "I am having difficulty reading your handwriting. It would save me time if you would be more
careful."
D. "Please print in the future so I do not have to spend extra time attempting to read your
writing."
Correct Answer: B. "Would you please clarify what you have written so I am sure I am reading it
correctly?"
Rationale: Assertive communication expresses needs clearly and respectfully without blaming or
criticizing. Option B directly addresses the issue and requests clarification professionally.
