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HESI RN Fundamentals Exit Exam
Questions And Answers 2026
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 - correct-answer - 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
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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. -
correct-answer - D
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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.
Palpate the client's bladder for distention. - correct-answer - A
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Rationale: The amount and appearance of the client's urine output is within
normal limits, so the nurse should record the output, but no additional action is
needed.
The client states to the nurse, "This medication makes my mouth so dry." What
are the nurse's suggestions to quench the client's thirst? (Select all that apply.)
A.
Drink 2, 8 ounce glasses of lemon-lime soda every day.
B.
Infuse your water with fresh citrus fruits to quench your thirst.
C.
Freeze strawberries and water together in popsicle mold.
D.
Add ginger ale to your daily glass of juice every day.
E.
Keep a few pieces of hard candy with you to suck on. - correct-answer - B, C, E
Rationale: Sodas do not tend to be thirst quenching because of the amount of
sugar in them that draws fluid into the GI system. Citrus infused water quenches
HESI RN Fundamentals Exit Exam
Questions And Answers 2026
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 - correct-answer - 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
,2|Page
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. -
correct-answer - D
,3|Page
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.
Palpate the client's bladder for distention. - correct-answer - A
, 4|Page
Rationale: The amount and appearance of the client's urine output is within
normal limits, so the nurse should record the output, but no additional action is
needed.
The client states to the nurse, "This medication makes my mouth so dry." What
are the nurse's suggestions to quench the client's thirst? (Select all that apply.)
A.
Drink 2, 8 ounce glasses of lemon-lime soda every day.
B.
Infuse your water with fresh citrus fruits to quench your thirst.
C.
Freeze strawberries and water together in popsicle mold.
D.
Add ginger ale to your daily glass of juice every day.
E.
Keep a few pieces of hard candy with you to suck on. - correct-answer - B, C, E
Rationale: Sodas do not tend to be thirst quenching because of the amount of
sugar in them that draws fluid into the GI system. Citrus infused water quenches
