NUR 210 HESI RN Exit Exam 2026/2027 |
Questions with Verified Answers & Detailed
Rationales | Fortis College | Already Graded
A+
Section 1: Management of Care (Questions 1-20)
1. A nurse is caring for a client who has a new diagnosis of diabetes mellitus. Which
of the following actions demonstrates the nurse's role in client advocacy?
A) Providing the client with educational materials about diabetes
B) Ensuring the client's dietary preferences are respected
C) Administering insulin as prescribed
D) Documenting the client's blood glucose levels
Correct Answer: B
Rationale: Advocacy involves speaking up for and protecting the client's rights and
preferences. Ensuring the client's dietary preferences are respected is an example of
advocacy. Providing education, administering medications, and documenting are also
nursing roles but are not specifically advocacy .
, 2. A nurse is caring for a client who has an advance directive. Which of the following
statements by the nurse indicates an understanding of the advance directive?
A) "The advance directive must be followed regardless of the client's current wishes."
B) "The advance directive is a legal document that guides care if the client cannot speak."
C) "The advance directive can only be created by a lawyer."
D) "The advance directive overrides the client's current verbal wishes."
Correct Answer: B
Rationale: An advance directive is a legal document that guides medical care if the client
becomes unable to make decisions. It does not override current verbal wishes if the client is
still capable of making decisions. It does not need to be created by a lawyer .
3. A nurse is preparing a client for discharge. Which of the following is the nurse's
priority action?
A) Provide written discharge instructions
B) Ensure the client understands the discharge plan
C) Call the client's pharmacy to order medications
D) Schedule a follow-up appointment
Correct Answer: B
, Rationale: Ensuring the client understands the discharge plan is the priority. The teach-back
method should be used to confirm understanding. Written instructions, medication orders,
and follow-up appointments are important but secondary to ensuring comprehension .
4. During shift report, the charge nurse receives notice of several problems. Which
problem should the charge nurse address first?
A) The census report has not been completed
B) A client's wife has asked to speak with the charge nurse
C) One staff member has not reported to work
D) A bucket of water was spilled in the hallway
Correct Answer: D
Rationale: A bucket of water spilled in the hallway creates an immediate fall risk for clients
and staff. This is a safety hazard that must be addressed first to prevent injury. The other
issues are important but not immediate safety threats .
5. The charge nurse in an extended care facility is organizing unit activities for the
day. Which action may be safely delegated to the practical nurse (PN)?
A) Measure the client's body weight each morning
B) Establish blood pressure parameters for client monitoring
C) Evaluate a staff member providing wound care
D) Evaluate client teaching through return demonstration
, Correct Answer: A
Rationale: Measuring body weight is a routine, non-invasive task that falls within the scope
of practice for a practical nurse (PN). Establishing parameters, evaluating staff, and
evaluating client teaching require RN-level education, judgment, and supervision .
6. The nurse is caring for a client undergoing the placement of a central venous
catheter line. Which of the following would require the nurse's immediate attention?
A) Pallor
B) Increased temperature
C) Dyspnea
D) Involuntary muscle spasms
Correct Answer: C
Rationale: Dyspnea (shortness of breath) is a potential sign of a pneumothorax, which is a
complication of central line placement. This requires immediate attention. Pallor, increased
temperature, and involuntary muscle spasms are also important but are not as immediately
life-threatening .
7. Which of these clients who call the community health clinic would the nurse ask to
come in that day to be seen by the health care provider?
A) "I started my period and now my urine has turned bright red."
Questions with Verified Answers & Detailed
Rationales | Fortis College | Already Graded
A+
Section 1: Management of Care (Questions 1-20)
1. A nurse is caring for a client who has a new diagnosis of diabetes mellitus. Which
of the following actions demonstrates the nurse's role in client advocacy?
A) Providing the client with educational materials about diabetes
B) Ensuring the client's dietary preferences are respected
C) Administering insulin as prescribed
D) Documenting the client's blood glucose levels
Correct Answer: B
Rationale: Advocacy involves speaking up for and protecting the client's rights and
preferences. Ensuring the client's dietary preferences are respected is an example of
advocacy. Providing education, administering medications, and documenting are also
nursing roles but are not specifically advocacy .
, 2. A nurse is caring for a client who has an advance directive. Which of the following
statements by the nurse indicates an understanding of the advance directive?
A) "The advance directive must be followed regardless of the client's current wishes."
B) "The advance directive is a legal document that guides care if the client cannot speak."
C) "The advance directive can only be created by a lawyer."
D) "The advance directive overrides the client's current verbal wishes."
Correct Answer: B
Rationale: An advance directive is a legal document that guides medical care if the client
becomes unable to make decisions. It does not override current verbal wishes if the client is
still capable of making decisions. It does not need to be created by a lawyer .
3. A nurse is preparing a client for discharge. Which of the following is the nurse's
priority action?
A) Provide written discharge instructions
B) Ensure the client understands the discharge plan
C) Call the client's pharmacy to order medications
D) Schedule a follow-up appointment
Correct Answer: B
, Rationale: Ensuring the client understands the discharge plan is the priority. The teach-back
method should be used to confirm understanding. Written instructions, medication orders,
and follow-up appointments are important but secondary to ensuring comprehension .
4. During shift report, the charge nurse receives notice of several problems. Which
problem should the charge nurse address first?
A) The census report has not been completed
B) A client's wife has asked to speak with the charge nurse
C) One staff member has not reported to work
D) A bucket of water was spilled in the hallway
Correct Answer: D
Rationale: A bucket of water spilled in the hallway creates an immediate fall risk for clients
and staff. This is a safety hazard that must be addressed first to prevent injury. The other
issues are important but not immediate safety threats .
5. The charge nurse in an extended care facility is organizing unit activities for the
day. Which action may be safely delegated to the practical nurse (PN)?
A) Measure the client's body weight each morning
B) Establish blood pressure parameters for client monitoring
C) Evaluate a staff member providing wound care
D) Evaluate client teaching through return demonstration
, Correct Answer: A
Rationale: Measuring body weight is a routine, non-invasive task that falls within the scope
of practice for a practical nurse (PN). Establishing parameters, evaluating staff, and
evaluating client teaching require RN-level education, judgment, and supervision .
6. The nurse is caring for a client undergoing the placement of a central venous
catheter line. Which of the following would require the nurse's immediate attention?
A) Pallor
B) Increased temperature
C) Dyspnea
D) Involuntary muscle spasms
Correct Answer: C
Rationale: Dyspnea (shortness of breath) is a potential sign of a pneumothorax, which is a
complication of central line placement. This requires immediate attention. Pallor, increased
temperature, and involuntary muscle spasms are also important but are not as immediately
life-threatening .
7. Which of these clients who call the community health clinic would the nurse ask to
come in that day to be seen by the health care provider?
A) "I started my period and now my urine has turned bright red."
