THE HESI RN FUNDAMENTALS EXIT EXAM
LATEST
2025-2026 ACTUAL QUESTIONS AND
CORRECT ANSWERS WITH RATIOANLES
(VERIFIED ANSWERS).
When bathing an uncircumcised boy older than 3 years, which action
should the nurse take?
A.
Remind the child to clean his genital area.
B.
Defer perineal care because of the child's age.
,C.
Retract the foreskin gently to cleanse the penis.
D.
Ask the parents why the child is not circumcised. - <<SOLUTIONS>>C
Rationale: The foreskin (prepuce) of the penis should be gently
retracted to cleanse all areas that could harbor bacteria. The child's
cognitive development may not be at the level at which option A
would be effective. Perineal care needs to be provided daily
regardless of the client's age. Option D is not indicated and may be
perceived as intrusive.
A nurse is assigned to care for a close friend in the hospital setting.
Which action should the nurse take first when given the assignment?
A.
Notify the friend that all medical information will be kept
confidential. B.
Explain the relationship to the charge nurse and ask for
reassignment.
C.
Approach the client and ask if the assignment is uncomfortable.
D.
Accept the assignment but protect the client's confidentiality. -
<<SOLUTIONS>>B
Rationale: Caring for a close friend can violate boundaries for nurses
and should be avoided when possible (B). If the assignment is
,unavoidable (there are no other nurses to care for the client) then C,
A, and D should be addressed.
The nurse selects the best site for insertion of an IV catheter in the
client's right arm. Which documentation should the nurse use to
identify placement of the IV access? A.
Left brachial vein
B.
Right cephalic vein
C.
Dorsal side of the right wrist
D.
Right upper extremity - <<SOLUTIONS>>B
Rationale: The cephalic vein is large and superficial and identifies the
anatomic name of the vein that is accessed, which should be
included in the documentation. The basilic vein of the arm is used for
IV access, not the brachial vein, which is too deep to be accessed for
IV infusion. Although veins on the dorsal side of the right wrist are
visible, they are fragile and using them would be painful, so they are
not recommended for IV access. Option D is not specific enough for
documenting the location of the IV access.
The nurse transcribes the postoperative prescriptions for a client
who returns to the unit following surgery and notes that an
antihypertensive medication that was prescribed preoperatively is
not listed. Which action should the nurse take? A.
, Consult with the pharmacist about the need to continue the
medication.
B.
Administer the antihypertensive medication as prescribed
preoperatively.
C.
Withhold the medication until the client is fully alert and vital signs
are stable. D.
Contact the health care provider to renew the prescription for the
medication. - <<SOLUTIONS>>D
Rationale: Medications prescribed preoperatively must be renewed
postoperatively, so the nurse should contact the health care provider
if the antihypertensive medication is not included in the
postoperative prescriptions. The pharmacist does not prescribe
medications or renew prescriptions. The nurse must have a current
prescription before administering any medications.
When emptying 350 mL of pale yellow urine from a client's urinal,
the nurse notes that this is the first time the client has voided in 4
hours. Which action should the nurse take next? A.
Record the amount on the client's fluid output record.
B.
Encourage the client to increase oral fluid intake.
C.
Notify the health care provider of the findings.
D.
LATEST
2025-2026 ACTUAL QUESTIONS AND
CORRECT ANSWERS WITH RATIOANLES
(VERIFIED ANSWERS).
When bathing an uncircumcised boy older than 3 years, which action
should the nurse take?
A.
Remind the child to clean his genital area.
B.
Defer perineal care because of the child's age.
,C.
Retract the foreskin gently to cleanse the penis.
D.
Ask the parents why the child is not circumcised. - <<SOLUTIONS>>C
Rationale: The foreskin (prepuce) of the penis should be gently
retracted to cleanse all areas that could harbor bacteria. The child's
cognitive development may not be at the level at which option A
would be effective. Perineal care needs to be provided daily
regardless of the client's age. Option D is not indicated and may be
perceived as intrusive.
A nurse is assigned to care for a close friend in the hospital setting.
Which action should the nurse take first when given the assignment?
A.
Notify the friend that all medical information will be kept
confidential. B.
Explain the relationship to the charge nurse and ask for
reassignment.
C.
Approach the client and ask if the assignment is uncomfortable.
D.
Accept the assignment but protect the client's confidentiality. -
<<SOLUTIONS>>B
Rationale: Caring for a close friend can violate boundaries for nurses
and should be avoided when possible (B). If the assignment is
,unavoidable (there are no other nurses to care for the client) then C,
A, and D should be addressed.
The nurse selects the best site for insertion of an IV catheter in the
client's right arm. Which documentation should the nurse use to
identify placement of the IV access? A.
Left brachial vein
B.
Right cephalic vein
C.
Dorsal side of the right wrist
D.
Right upper extremity - <<SOLUTIONS>>B
Rationale: The cephalic vein is large and superficial and identifies the
anatomic name of the vein that is accessed, which should be
included in the documentation. The basilic vein of the arm is used for
IV access, not the brachial vein, which is too deep to be accessed for
IV infusion. Although veins on the dorsal side of the right wrist are
visible, they are fragile and using them would be painful, so they are
not recommended for IV access. Option D is not specific enough for
documenting the location of the IV access.
The nurse transcribes the postoperative prescriptions for a client
who returns to the unit following surgery and notes that an
antihypertensive medication that was prescribed preoperatively is
not listed. Which action should the nurse take? A.
, Consult with the pharmacist about the need to continue the
medication.
B.
Administer the antihypertensive medication as prescribed
preoperatively.
C.
Withhold the medication until the client is fully alert and vital signs
are stable. D.
Contact the health care provider to renew the prescription for the
medication. - <<SOLUTIONS>>D
Rationale: Medications prescribed preoperatively must be renewed
postoperatively, so the nurse should contact the health care provider
if the antihypertensive medication is not included in the
postoperative prescriptions. The pharmacist does not prescribe
medications or renew prescriptions. The nurse must have a current
prescription before administering any medications.
When emptying 350 mL of pale yellow urine from a client's urinal,
the nurse notes that this is the first time the client has voided in 4
hours. Which action should the nurse take next? A.
Record the amount on the client's fluid output record.
B.
Encourage the client to increase oral fluid intake.
C.
Notify the health care provider of the findings.
D.
