• 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 who is 5' 5" tall and weighs 200 pounds is scheduled for surgery the next day. What question is most
important for the nurse to include during the preoperative assessment?
A) What is your daily calorie consumption?
B) What vitamin and mineral supplements do you take?
C) Do you feel that you are overweight?
P 1
, • HESI Fundamentals 09/14/2026
Exit Exam
D) Will a clear liquid diet be okay after surgery?
- Correct Answer :A) What is your daily calorie consumption?
Vitamin and mineral supplements (B) may impact medications used during the operative period. (A and C) are
appropriate questions for long-term dietary counseling. The nature of the surgery and anesthesia will determine
the need for a clear liquid diet (D), rather than the client's preference
The nurse is performing nasotracheal suctioning. After suctioning the client's trachea for fifteen seconds, large
amounts of thick yellow secretions return. What action should the nurse implement next?
A) Encourage the client to cough to help loosen secretions.
B) Advise the client to increase the intake of oral fluids.
C) Rotate the suction catheter to obtain any remaining secretions.
D) Re-oxygenate the client before attempting to suction again.
- Correct Answer :D) Re-oxygenate the client before attempting to suction again
Suctioning should not be continued for longer than ten to fifteen seconds, since the client's oxygenation is
compromised during this time (D). (A, B, and C) may be performed after the client is re-oxygenated and
additional suctioning is performed.
A hospitalized male client is receiving nasogastric tube feedings via a small-bore tube and a continuous pump
infusion. He reports that he had a bad bout of severe coughing a few minutes ago, but feels fine now. What
action is best for the nurse to take?
A) Record the coughing incident. No further action is required at this time.
B) Stop the feeding, explain to the family why it is being stopped, and notify the healthcare provider.
C) After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from the tube.
D) Inject 30 ml of air into the tube while auscultating the epigastrium for gurgling.
P 2
, • HESI Fundamentals 09/14/2026
Exit Exam
- Correct Answer :C) After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from the tube
Coughing, vomiting, and suctioning can precipitate displacement of the tip of the small bore feeding tube
upward into the esophagus, placing the client at increased risk for aspiration. Checking the sample of fluid
withdrawn from the tube (after clearing the tube with 30 ml of air) for acidic (stomach) or alkaline (intestine)
values is a more sensitive method for these tubes, and the nurse should assess tube placement in this way prior
to taking any other action (C). (A and B) are not indicated. The auscultating method (D) has been found to be
unreliable for small-bore feeding tubes.
A female client with a nasogastric tube attached to low suction states that she is nauseated. The nurse assesses
that there has been no drainage through the nasogastric tube in the last two hours. What action should the
nurse take first?
A) Irrigate the nasogastric tube with sterile normal saline.
B) Reposition the client on her side.
C) Advance the nasogastric tube an additional five centimeters.
D) Administer an intravenous antiemetic prescribed for PRN use. –
Correct Answer :B) Reposition the client on her side
The immediate priority is to determine if the tube is functioning correctly, which would then relieve the client's
nausea. The least invasive intervention, (B), should be attempted first, followed by (A and C), unless either of
these interventions is contraindicated. If these measures are unsuccessful, the client may require an antiemetic
(D).
The UAPs working on a chronic neuro unit ask the nurse to help them determine the safest way to transfer an
elderly client with left-sided weakness from the bed to the chair. What method describes the correct transfer
procedure for this client?
A) Place the chair at a right angle to the bed on the client's left side before moving.
B) Assist the client to a standing position, then place the right hand on the armrest.
P 3
, • HESI Fundamentals 09/14/2026
Exit Exam
C) Have the client place the left foot next to the chair and pivot to the left before sitting.
D) Move the chair parallel to the right side of the bed, and stand the client on the right foot
- Correct Answer :D) Move the chair parallel to the right side of the bed, and stand the client on the right foot
(D) uses the client's stronger side, the right side, for weight-bearing during the transfer, and is the safest
approach to take. (A, B, and C) are unsafe methods of transfer and include the use of poor body mechanics by
the caregiver.
When conducting an admission assessment, the nurse should ask the client about the use of complimentary
healing practices. Which statement is accurate regarding the use of these practices?
A) Complimentary healing practices interfere with the efficacy of the medical model of treatment.
B) Conventional medications are likely to interact with folk remedies and cause adverse effects.
C) Many complimentary healing practices can be used in conjunction with conventional practices.
D) Conventional medical practices will ultimately replace the use of complimentary healing practices. –
Correct Answer :C) Many complimentary healing practices can be used in conjunction with conventional
practices
Conventional approaches to health care can be depersonalizing and often fail to take into consideration all
aspects of an individual, including body, mind, and spirit. Often complimentary healing practices can be used in
conjunction with conventional medical practices (C), rather than interfering (A) with conventional practices,
causing adverse effects (B), or replacing conventional medical care (D).
After completing an assessment and determining that a client has a problem, which action should the nurse
perform next?
A) Determine the etiology of the problem.
B) Prioritize nursing care interventions.
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 who is 5' 5" tall and weighs 200 pounds is scheduled for surgery the next day. What question is most
important for the nurse to include during the preoperative assessment?
A) What is your daily calorie consumption?
B) What vitamin and mineral supplements do you take?
C) Do you feel that you are overweight?
P 1
, • HESI Fundamentals 09/14/2026
Exit Exam
D) Will a clear liquid diet be okay after surgery?
- Correct Answer :A) What is your daily calorie consumption?
Vitamin and mineral supplements (B) may impact medications used during the operative period. (A and C) are
appropriate questions for long-term dietary counseling. The nature of the surgery and anesthesia will determine
the need for a clear liquid diet (D), rather than the client's preference
The nurse is performing nasotracheal suctioning. After suctioning the client's trachea for fifteen seconds, large
amounts of thick yellow secretions return. What action should the nurse implement next?
A) Encourage the client to cough to help loosen secretions.
B) Advise the client to increase the intake of oral fluids.
C) Rotate the suction catheter to obtain any remaining secretions.
D) Re-oxygenate the client before attempting to suction again.
- Correct Answer :D) Re-oxygenate the client before attempting to suction again
Suctioning should not be continued for longer than ten to fifteen seconds, since the client's oxygenation is
compromised during this time (D). (A, B, and C) may be performed after the client is re-oxygenated and
additional suctioning is performed.
A hospitalized male client is receiving nasogastric tube feedings via a small-bore tube and a continuous pump
infusion. He reports that he had a bad bout of severe coughing a few minutes ago, but feels fine now. What
action is best for the nurse to take?
A) Record the coughing incident. No further action is required at this time.
B) Stop the feeding, explain to the family why it is being stopped, and notify the healthcare provider.
C) After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from the tube.
D) Inject 30 ml of air into the tube while auscultating the epigastrium for gurgling.
P 2
, • HESI Fundamentals 09/14/2026
Exit Exam
- Correct Answer :C) After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from the tube
Coughing, vomiting, and suctioning can precipitate displacement of the tip of the small bore feeding tube
upward into the esophagus, placing the client at increased risk for aspiration. Checking the sample of fluid
withdrawn from the tube (after clearing the tube with 30 ml of air) for acidic (stomach) or alkaline (intestine)
values is a more sensitive method for these tubes, and the nurse should assess tube placement in this way prior
to taking any other action (C). (A and B) are not indicated. The auscultating method (D) has been found to be
unreliable for small-bore feeding tubes.
A female client with a nasogastric tube attached to low suction states that she is nauseated. The nurse assesses
that there has been no drainage through the nasogastric tube in the last two hours. What action should the
nurse take first?
A) Irrigate the nasogastric tube with sterile normal saline.
B) Reposition the client on her side.
C) Advance the nasogastric tube an additional five centimeters.
D) Administer an intravenous antiemetic prescribed for PRN use. –
Correct Answer :B) Reposition the client on her side
The immediate priority is to determine if the tube is functioning correctly, which would then relieve the client's
nausea. The least invasive intervention, (B), should be attempted first, followed by (A and C), unless either of
these interventions is contraindicated. If these measures are unsuccessful, the client may require an antiemetic
(D).
The UAPs working on a chronic neuro unit ask the nurse to help them determine the safest way to transfer an
elderly client with left-sided weakness from the bed to the chair. What method describes the correct transfer
procedure for this client?
A) Place the chair at a right angle to the bed on the client's left side before moving.
B) Assist the client to a standing position, then place the right hand on the armrest.
P 3
, • HESI Fundamentals 09/14/2026
Exit Exam
C) Have the client place the left foot next to the chair and pivot to the left before sitting.
D) Move the chair parallel to the right side of the bed, and stand the client on the right foot
- Correct Answer :D) Move the chair parallel to the right side of the bed, and stand the client on the right foot
(D) uses the client's stronger side, the right side, for weight-bearing during the transfer, and is the safest
approach to take. (A, B, and C) are unsafe methods of transfer and include the use of poor body mechanics by
the caregiver.
When conducting an admission assessment, the nurse should ask the client about the use of complimentary
healing practices. Which statement is accurate regarding the use of these practices?
A) Complimentary healing practices interfere with the efficacy of the medical model of treatment.
B) Conventional medications are likely to interact with folk remedies and cause adverse effects.
C) Many complimentary healing practices can be used in conjunction with conventional practices.
D) Conventional medical practices will ultimately replace the use of complimentary healing practices. –
Correct Answer :C) Many complimentary healing practices can be used in conjunction with conventional
practices
Conventional approaches to health care can be depersonalizing and often fail to take into consideration all
aspects of an individual, including body, mind, and spirit. Often complimentary healing practices can be used in
conjunction with conventional medical practices (C), rather than interfering (A) with conventional practices,
causing adverse effects (B), or replacing conventional medical care (D).
After completing an assessment and determining that a client has a problem, which action should the nurse
perform next?
A) Determine the etiology of the problem.
B) Prioritize nursing care interventions.
P 4
