HESI RN
Hesi Rn Fundamentals Exit Exam Latest 2025-2026 Actual
Exam 100 Questions And Correct Answers With Rationales
(Verified Answers) | 100% Guarantee Pass
Hesi Rn Fundamentals Exit Exam
Which description should the nurse report to the health care provider
as soon as possible?
A.
C.
,D.
Soft light brown stool twice a day
C
Rationale: To reduce the risk of venous thrombosis, the nurse should instruct the
client in measures that promote venous return, such as dorsiflexion and plantar
flexion. Options A, B, and D are helpful to prevent other complications of immobility
but are less effective in preventing venous thrombus formation than option C.
A
Rationale: Black sticky stool (melena) is a sign of gastrointestinal bleeding and
should be reported to the health care provider promptly. Option C indicates
constipation, which is a lesser priority. Options B and D are variations of
normal.
C
Rationale: Cranberry juice maintains urinary tract health by reducing the adherence
of Escherichia coli bacteria to cells within the bladder. Options A, B, and D have not
been shown to be as effective as cranberry juice in preventing UTIs.
A
Rationale: Obtaining a subjective estimate of the pain experience by asking the
client to rate his pain helps the nurse determine which pain medication should be
administered and also provides a baseline for evaluating the effectiveness of the
medication. Medicating for pain should not be delayed so that it can be used as a
sleep medication. Option C is judgmental. Option D should be used as an adjunct to
pain medication, not instead of medication.
, 2 of 125
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.
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."
B, D, E
Rationale:It is the surgeon's responsibility to review the procedure with the client
until the client has no further questions. The nurse can verify the review by the
surgeon and ask if the client has any further questions. If the client has questions,
, the nurse must call in the surgeon. When the nurse signs the consent form, the nurse
is witnessing the signature only.
B, C, D
Rationale: The fingers are placed at the same location on an infant as chest
compressions for CPR; however, the nurse must deliver five chest thrusts, after the
five back slaps. Blind sweeps are not used as this action may push the object
deeper into the throat. The remaining steps are correct.
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.
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
Hesi Rn Fundamentals Exit Exam Latest 2025-2026 Actual
Exam 100 Questions And Correct Answers With Rationales
(Verified Answers) | 100% Guarantee Pass
Hesi Rn Fundamentals Exit Exam
Which description should the nurse report to the health care provider
as soon as possible?
A.
C.
,D.
Soft light brown stool twice a day
C
Rationale: To reduce the risk of venous thrombosis, the nurse should instruct the
client in measures that promote venous return, such as dorsiflexion and plantar
flexion. Options A, B, and D are helpful to prevent other complications of immobility
but are less effective in preventing venous thrombus formation than option C.
A
Rationale: Black sticky stool (melena) is a sign of gastrointestinal bleeding and
should be reported to the health care provider promptly. Option C indicates
constipation, which is a lesser priority. Options B and D are variations of
normal.
C
Rationale: Cranberry juice maintains urinary tract health by reducing the adherence
of Escherichia coli bacteria to cells within the bladder. Options A, B, and D have not
been shown to be as effective as cranberry juice in preventing UTIs.
A
Rationale: Obtaining a subjective estimate of the pain experience by asking the
client to rate his pain helps the nurse determine which pain medication should be
administered and also provides a baseline for evaluating the effectiveness of the
medication. Medicating for pain should not be delayed so that it can be used as a
sleep medication. Option C is judgmental. Option D should be used as an adjunct to
pain medication, not instead of medication.
, 2 of 125
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.
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."
B, D, E
Rationale:It is the surgeon's responsibility to review the procedure with the client
until the client has no further questions. The nurse can verify the review by the
surgeon and ask if the client has any further questions. If the client has questions,
, the nurse must call in the surgeon. When the nurse signs the consent form, the nurse
is witnessing the signature only.
B, C, D
Rationale: The fingers are placed at the same location on an infant as chest
compressions for CPR; however, the nurse must deliver five chest thrusts, after the
five back slaps. Blind sweeps are not used as this action may push the object
deeper into the throat. The remaining steps are correct.
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.
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
