• HESI Fundamentals 09/14/2026
Exit Exam
HESI Fundamentals Exit Exam V1, V2 & V3 RN &
PN Fundamentals Test Bank 2026/2027 |
Complete Questions & Answers with Rationales
| Verified Nursing Practice Questions | NGN
Clinical Judgment Review | Graded A+ HESI Exit
Exam Prep
A client in a long-term care facility reports to the nurse, "I have not had a bowel movement in 2 days." What is
the nurse's first action?
A.
Instruct the caregiver to offer a glass of warm prune juice at mealtimes.
B.
Notify the health care provider and request a prescription for a large-volume enema.
P 1
, • HESI Fundamentals 09/14/2026
Exit Exam
C.
Assess the client's medical record to determine the client's normal bowel pattern.
D.
Instruct the caregiver to increase the client's fluids to five 8-ounce glasses per day. –
Correct Answer :C
Rationale: This client may not routinely have a daily bowel movement, so the nurse should first assess this
client's normal bowel habits before attempting any intervention. Options A, B, or D may then be implemented, if
warranted.
The postoperative client states to the nurse, "When I had surgery last year I got constipated. It was miserable.
What can I do to avoid constipation after this surgery this time?" (Select all that apply.)
A.
"Drink approximately 3000 mL of non-caffeinated fluid per day."
B.
"I will make sure that you get out of bed an walk for 10 minutes, six times per day."
C.
"I will administer your pain medication even if you do not have any pain."
D.
"I will ask your healthcare provider for a prescription of docusate."
E.
"When you are on a regular diet, make sure you order plenty of fruits and vegetables."
F.
"When you are resting in bed, make sure you are flat on your back." –
Correct Answer :A, B, D, E
Rationale: Pain medication can be constipating, and should only be taken when needed. When in bed, use
gravity to help move the contents of the bowel by sitting upright. The remaining selections are correct. When
postoperative, it may take up to 48 hours after a general diet is started to have a bowel movement.
P 2
, • HESI Fundamentals 09/14/2026
Exit Exam
The nurse is preparing to administer 0.32 mL of medication subcutaneously. What supplies will the nurse need to
deliver the medication? (Select all that apply.)
A.
A 1 mL syringe
B.
A 3 mL syringe
C.
Alcohol prep pads
D.
Sterile gloves
E.
A 24-gauge ¾″ needle
F.
A 20-gauge 1″ needle –
Correct Answer :A, C, E
Rationale: The best syringe is a 1 mL syringe as it is marked in 100ths; 3 mL syringes are marked off in 10ths.
Clean, not sterile gloves are needed. For sub-q, the 3/4″ needle is sufficient and less painful for the client.
When taking a client's blood pressure, the nurse is unable to distinguish the point at which the first sound was
heard. Which is the best action for the nurse to take?
A.
Deflate the cuff completely and immediately reattempt the reading.
B.
Reinflate the cuff completely and leave it inflated for 90 to 110 seconds before taking the second reading.
C.
Deflate the cuff to zero and wait 30 to 60 seconds before reattempting the reading.
P 3
, • HESI Fundamentals 09/14/2026
Exit Exam
D.
Document the exact level visualized on the sphygmomanometer where the first fluctuation was seen.
- Correct Answer :C
Rationale: Deflating the cuff for 30 to 60 seconds allows blood flow to return to the extremity so that an
accurate reading can be obtained on that extremity a second time. Option A could result in a falsely high
reading. Option B reduces circulation, causes pain, and could alter the reading. Option D is not an accurate
method of assessing blood pressure.
The nurse is called to the waiting room of a pediatric clinic. The frantic mother states, "I think my 4-month-old
baby is choking!" What steps will the nurse take? (Select all that apply.)
A.
Compress the chest once between the nipples with two fingers.
B.
Note any obstruction or absence of breathing.
C.
Deliver five backslaps between the shoulder blades.
D.
Place the infant over the nurse's arm.
E.
Perform a blind finger sweep. - Correct Answer :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.
Which fluid will the nurse select to administer with the prescribed blood transfusion?
A.
5% Dextrose and water
B.
P 4
Exit Exam
HESI Fundamentals Exit Exam V1, V2 & V3 RN &
PN Fundamentals Test Bank 2026/2027 |
Complete Questions & Answers with Rationales
| Verified Nursing Practice Questions | NGN
Clinical Judgment Review | Graded A+ HESI Exit
Exam Prep
A client in a long-term care facility reports to the nurse, "I have not had a bowel movement in 2 days." What is
the nurse's first action?
A.
Instruct the caregiver to offer a glass of warm prune juice at mealtimes.
B.
Notify the health care provider and request a prescription for a large-volume enema.
P 1
, • HESI Fundamentals 09/14/2026
Exit Exam
C.
Assess the client's medical record to determine the client's normal bowel pattern.
D.
Instruct the caregiver to increase the client's fluids to five 8-ounce glasses per day. –
Correct Answer :C
Rationale: This client may not routinely have a daily bowel movement, so the nurse should first assess this
client's normal bowel habits before attempting any intervention. Options A, B, or D may then be implemented, if
warranted.
The postoperative client states to the nurse, "When I had surgery last year I got constipated. It was miserable.
What can I do to avoid constipation after this surgery this time?" (Select all that apply.)
A.
"Drink approximately 3000 mL of non-caffeinated fluid per day."
B.
"I will make sure that you get out of bed an walk for 10 minutes, six times per day."
C.
"I will administer your pain medication even if you do not have any pain."
D.
"I will ask your healthcare provider for a prescription of docusate."
E.
"When you are on a regular diet, make sure you order plenty of fruits and vegetables."
F.
"When you are resting in bed, make sure you are flat on your back." –
Correct Answer :A, B, D, E
Rationale: Pain medication can be constipating, and should only be taken when needed. When in bed, use
gravity to help move the contents of the bowel by sitting upright. The remaining selections are correct. When
postoperative, it may take up to 48 hours after a general diet is started to have a bowel movement.
P 2
, • HESI Fundamentals 09/14/2026
Exit Exam
The nurse is preparing to administer 0.32 mL of medication subcutaneously. What supplies will the nurse need to
deliver the medication? (Select all that apply.)
A.
A 1 mL syringe
B.
A 3 mL syringe
C.
Alcohol prep pads
D.
Sterile gloves
E.
A 24-gauge ¾″ needle
F.
A 20-gauge 1″ needle –
Correct Answer :A, C, E
Rationale: The best syringe is a 1 mL syringe as it is marked in 100ths; 3 mL syringes are marked off in 10ths.
Clean, not sterile gloves are needed. For sub-q, the 3/4″ needle is sufficient and less painful for the client.
When taking a client's blood pressure, the nurse is unable to distinguish the point at which the first sound was
heard. Which is the best action for the nurse to take?
A.
Deflate the cuff completely and immediately reattempt the reading.
B.
Reinflate the cuff completely and leave it inflated for 90 to 110 seconds before taking the second reading.
C.
Deflate the cuff to zero and wait 30 to 60 seconds before reattempting the reading.
P 3
, • HESI Fundamentals 09/14/2026
Exit Exam
D.
Document the exact level visualized on the sphygmomanometer where the first fluctuation was seen.
- Correct Answer :C
Rationale: Deflating the cuff for 30 to 60 seconds allows blood flow to return to the extremity so that an
accurate reading can be obtained on that extremity a second time. Option A could result in a falsely high
reading. Option B reduces circulation, causes pain, and could alter the reading. Option D is not an accurate
method of assessing blood pressure.
The nurse is called to the waiting room of a pediatric clinic. The frantic mother states, "I think my 4-month-old
baby is choking!" What steps will the nurse take? (Select all that apply.)
A.
Compress the chest once between the nipples with two fingers.
B.
Note any obstruction or absence of breathing.
C.
Deliver five backslaps between the shoulder blades.
D.
Place the infant over the nurse's arm.
E.
Perform a blind finger sweep. - Correct Answer :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.
Which fluid will the nurse select to administer with the prescribed blood transfusion?
A.
5% Dextrose and water
B.
P 4
