This Exam contains:
100% Guarantee Pass.
2025\2026 update
Multiple-Choice questions.
Each Question Includes The Correct answers
>contains 55 questions and answers with
rationales
HESI Fundamentals Exit Exam
Version 1 (V1) Graded A+
QUESTIONS AND Answers ALL 100%
VERIFIED
1) A policy requiring the removal of acrylic nails by all nursing personnel was
implemented 6 months ago. Which assessment measure best determines if the intended
outcome of the policy isbeing achieved?
a. Number of staff induced injury
b. Client satisfaction survey
c. Health care-associated infection rate.
d. Rate of needle-stick injuries by nurse.
Acrylic nails are known to carry loads of bacteria and
,increase the risk of healthcare-associated infections.
Therefore, by banning the wearing of acrylic nails, you would
expect the prevalence of healthcare-associated infections to
decrease. Acrylic nails have nothing to do with staff induced
injuries, needle-stick injuries, or patient satisfaction scores.
2) Which assessment data would provide the most accurate determination of proper
placement ofa nasogastric tube?
A) Aspirating gastric contents to assure a pH value of 4 or less.
This is a method used to determine proper placement of NG
tubing, but not the most accurate.
B) Hearing air pass in the stomach after injecting air into the tubing.
This is a method used to determine proper placement of NG
tubing, but not the most accurate.
C) Examining a chest x-ray obtained after the tubing was inserted.
After placing an NG-tube, the placement of the tube is
confirmed via x-ray since it is the most accurate way to
ensure the tube has not been placed in the lungs, which
would pose an aspiration risk.
D) Checking the remaining length of tubing to ensure that the correct length was
inserted.This is not an indicator of proper placement. You could very well be in a
lung.
3) The father of an 11-year-old client reports to the nurse that the client has been
“wetting thebed” since the passing of his mother and is concerned. Which action is most
important for thenurse to enact?
A. Reassure the father that it is normal for a pre-teen to wet the bed during puberty
B. Inform the father that nocturnal emissions are abnormal and his son is developmentally
,delayed
C. Inform the father that it is most important to let the son know that nocturnal
emissions arenormal after trauma
D. Refer the father and the client to a psychologist
It is common for adolescents to regress in their biological
progression after experiencing a severe trauma, like losing a
parent, sibling, or friend. While uncomfortable for the
adolescent and parent, it is nothing to be concerned for.
Often times, as the patient grieves or comes to terms with
the trauma, the nocturnal emissions will cease.
4) The nurse explains to an older adult male the procedure for collecting a 24-hour
urine specimen for creatinine clearance. Which action is most important for the nurse
to include intheir care plan for the shift?
, A. Assess the client for confusion and reteach the procedure
B. Check the urine for color and texture
C. Empty the urinal contents into the 24-hour collection container
D. Discard the contents of the urinal
An “older adult male” in the question may imply that the
patient may have an altered mental status or be demented.
While suggesting, it is not directly stated, therefore (A) is
inappropriate.
(B) is incorrect because the lab will be assessing the
collection specimen after the test is complete. (C) is correct
because the nurse should first discard the first specimen,
then begin to collect and record the time the first urine
specimen was collected. It is important to have strict
documentation for output, and to collect every urine
specimen within that 24 hour period, otherwise the test must
be restarted. (D) defeats the purpose of the 24-hour urine
collection test.
5) A 54-year-old male client and his wife were informed this morning that he has
terminalcancer. Which nursing intervention is likely to most beneficial?
A. Ask her how she would like to participate in the client’s care.
B. Provide the wife with information about hospice
C. Encourage the wife to visit after painful treatments are completed
D. Refer her to support group for family members of those dying of cancer
While the client’s wife may be grieving and need support, the
priority for the client and client’s wife is to make sure the
wife feels comfortable participating in the client’s care, if at
100% Guarantee Pass.
2025\2026 update
Multiple-Choice questions.
Each Question Includes The Correct answers
>contains 55 questions and answers with
rationales
HESI Fundamentals Exit Exam
Version 1 (V1) Graded A+
QUESTIONS AND Answers ALL 100%
VERIFIED
1) A policy requiring the removal of acrylic nails by all nursing personnel was
implemented 6 months ago. Which assessment measure best determines if the intended
outcome of the policy isbeing achieved?
a. Number of staff induced injury
b. Client satisfaction survey
c. Health care-associated infection rate.
d. Rate of needle-stick injuries by nurse.
Acrylic nails are known to carry loads of bacteria and
,increase the risk of healthcare-associated infections.
Therefore, by banning the wearing of acrylic nails, you would
expect the prevalence of healthcare-associated infections to
decrease. Acrylic nails have nothing to do with staff induced
injuries, needle-stick injuries, or patient satisfaction scores.
2) Which assessment data would provide the most accurate determination of proper
placement ofa nasogastric tube?
A) Aspirating gastric contents to assure a pH value of 4 or less.
This is a method used to determine proper placement of NG
tubing, but not the most accurate.
B) Hearing air pass in the stomach after injecting air into the tubing.
This is a method used to determine proper placement of NG
tubing, but not the most accurate.
C) Examining a chest x-ray obtained after the tubing was inserted.
After placing an NG-tube, the placement of the tube is
confirmed via x-ray since it is the most accurate way to
ensure the tube has not been placed in the lungs, which
would pose an aspiration risk.
D) Checking the remaining length of tubing to ensure that the correct length was
inserted.This is not an indicator of proper placement. You could very well be in a
lung.
3) The father of an 11-year-old client reports to the nurse that the client has been
“wetting thebed” since the passing of his mother and is concerned. Which action is most
important for thenurse to enact?
A. Reassure the father that it is normal for a pre-teen to wet the bed during puberty
B. Inform the father that nocturnal emissions are abnormal and his son is developmentally
,delayed
C. Inform the father that it is most important to let the son know that nocturnal
emissions arenormal after trauma
D. Refer the father and the client to a psychologist
It is common for adolescents to regress in their biological
progression after experiencing a severe trauma, like losing a
parent, sibling, or friend. While uncomfortable for the
adolescent and parent, it is nothing to be concerned for.
Often times, as the patient grieves or comes to terms with
the trauma, the nocturnal emissions will cease.
4) The nurse explains to an older adult male the procedure for collecting a 24-hour
urine specimen for creatinine clearance. Which action is most important for the nurse
to include intheir care plan for the shift?
, A. Assess the client for confusion and reteach the procedure
B. Check the urine for color and texture
C. Empty the urinal contents into the 24-hour collection container
D. Discard the contents of the urinal
An “older adult male” in the question may imply that the
patient may have an altered mental status or be demented.
While suggesting, it is not directly stated, therefore (A) is
inappropriate.
(B) is incorrect because the lab will be assessing the
collection specimen after the test is complete. (C) is correct
because the nurse should first discard the first specimen,
then begin to collect and record the time the first urine
specimen was collected. It is important to have strict
documentation for output, and to collect every urine
specimen within that 24 hour period, otherwise the test must
be restarted. (D) defeats the purpose of the 24-hour urine
collection test.
5) A 54-year-old male client and his wife were informed this morning that he has
terminalcancer. Which nursing intervention is likely to most beneficial?
A. Ask her how she would like to participate in the client’s care.
B. Provide the wife with information about hospice
C. Encourage the wife to visit after painful treatments are completed
D. Refer her to support group for family members of those dying of cancer
While the client’s wife may be grieving and need support, the
priority for the client and client’s wife is to make sure the
wife feels comfortable participating in the client’s care, if at
