HESI RN FUNDAMENTALS EXIT EXAM 1 LATEST
2026-2027 ACTUAL EXAM QUESTIONS AND
CORRECT ANSWERS WITH RATIOANLES
(VERIFIED ANSWERS)
The charge nurse, along with another RN and a practical nurse (PN) is
caring for clients on a medical/surgical unit. Which nursing action
should be assigned to the PN?
A. Assist a client to look at the colostomy stoma for the first time.
B. Access a central venous catheter via an implanted port.
C. Develop a teaching plan for a client with rheumatoid arthritis.
D. Administer a bolus tube feeding through a gastrostomy tube. -
Correct AnswerD. Administer a bolus tube feeding through a
gastrostomy tube.
Administration of a bolus tube feeding through a gastrostomy tube is a
skill that can be safely performed by the PN.
Page 1 of 162
,A 6-year-old boy says he does not like the food at the hospital. A review
of the child's intake reveals that he has eaten very little for the past 2
days. The nurse formulates a nursing problem of, "Imbalanced nutrition,
less than body requirements." Which action should the nurse
implement?
A. Select nutritious foods on the menu for the child.
B. Provide the child with any snack foods between meals.
C. Encourage family members to bring foods from home.
D. Arrange the child's meal tray with generous portions of food. -
Correct AnswerC. Encourage family members to bring foods from home.
Encouraging the parents to bring familiar foods from home that the
child likes should increase the child's likelihood to eat.
A young adult female is brought to the emergency room by family
members who report that she ingested a large quantity of
acetaminophen. The nurse should prepare for which treatment to be
implemented?
A. IV administration of Narcan.
B. Syrup of ipecac per nasogastric tube.
C. Acetylcysteine 140 mg/kg.
D. Gastric lavage with normal saline. - Correct AnswerC. Acetylcysteine
140 mg/kg.
Page 2 of 162
,Acetylcysteine is the antidote for acetaminophen poisoning and is the
treatment of choice for an overdose.
The unlicensed assistive personnel (UAP) informs the nurse that a client
whose heart rhythm has been stable is now exhibiting a rapid, irregular
pulse. Which action should the nurse implement first?
A. Document the change in pulse rate on the graphics sheet.
B. Review the client's medical history for cardiac problems.
C. Reassess the rate and characteristics of the client's pulse.
D. Ask the UAP to recheck the client's pulse in thirty minutes. - Correct
AnswerC. Reassess the rate and characteristics of the client's pulse.
A change in heart rate or rhythm reflects a change in physiologic
homeostasis that may be potentially life-threatening, so it is most
important to immediately reassess the client's pulse rate and
characteristics. After reassessing the client, the nurse should document
the findings, review the client's medical record for related history, and
determine further needed intervention, such as rechecking the client's
vital signs.
A client with chronic kidney disease (CKD) and severe anemia refuses
blood transfusions. The healthcare provider prescribes epoetin alfa.
Which action should the nurse explain to the client about the
medication's therapeutic response?
Page 3 of 162
, A. Accelerates neutrophil production, maturation, and activation.
B. Activates the immune system with development of T and B cells and
natural killer cells.
C. Stimulates erythropoiesis in the bone marrow to increase circulating
erythrocytes.
D. Increases production and maturation of granulocytes and
macrophages. - Correct AnswerC. Stimulates erythropoiesis in the bone
marrow to increase circulating erythrocytes.
Epoetin alfa is a biological response modifier that is used to stimulate
the formation of red blood cells.
A young adult female client comes to the health clinic to confirm a
positive home pregnancy test. After determining the client's last
menstrual period (LMP) as February 14, what expected date of birth
(EDB) should the nurse calculate?
January 7.
October 17.
November 21.
December 11. - Correct AnswerNovember 21.
Naegele's rule for the calculation of EDB is determined by adding 7 days
to the first day of the LMP and then subtracting 3 months.
Page 4 of 162
2026-2027 ACTUAL EXAM QUESTIONS AND
CORRECT ANSWERS WITH RATIOANLES
(VERIFIED ANSWERS)
The charge nurse, along with another RN and a practical nurse (PN) is
caring for clients on a medical/surgical unit. Which nursing action
should be assigned to the PN?
A. Assist a client to look at the colostomy stoma for the first time.
B. Access a central venous catheter via an implanted port.
C. Develop a teaching plan for a client with rheumatoid arthritis.
D. Administer a bolus tube feeding through a gastrostomy tube. -
Correct AnswerD. Administer a bolus tube feeding through a
gastrostomy tube.
Administration of a bolus tube feeding through a gastrostomy tube is a
skill that can be safely performed by the PN.
Page 1 of 162
,A 6-year-old boy says he does not like the food at the hospital. A review
of the child's intake reveals that he has eaten very little for the past 2
days. The nurse formulates a nursing problem of, "Imbalanced nutrition,
less than body requirements." Which action should the nurse
implement?
A. Select nutritious foods on the menu for the child.
B. Provide the child with any snack foods between meals.
C. Encourage family members to bring foods from home.
D. Arrange the child's meal tray with generous portions of food. -
Correct AnswerC. Encourage family members to bring foods from home.
Encouraging the parents to bring familiar foods from home that the
child likes should increase the child's likelihood to eat.
A young adult female is brought to the emergency room by family
members who report that she ingested a large quantity of
acetaminophen. The nurse should prepare for which treatment to be
implemented?
A. IV administration of Narcan.
B. Syrup of ipecac per nasogastric tube.
C. Acetylcysteine 140 mg/kg.
D. Gastric lavage with normal saline. - Correct AnswerC. Acetylcysteine
140 mg/kg.
Page 2 of 162
,Acetylcysteine is the antidote for acetaminophen poisoning and is the
treatment of choice for an overdose.
The unlicensed assistive personnel (UAP) informs the nurse that a client
whose heart rhythm has been stable is now exhibiting a rapid, irregular
pulse. Which action should the nurse implement first?
A. Document the change in pulse rate on the graphics sheet.
B. Review the client's medical history for cardiac problems.
C. Reassess the rate and characteristics of the client's pulse.
D. Ask the UAP to recheck the client's pulse in thirty minutes. - Correct
AnswerC. Reassess the rate and characteristics of the client's pulse.
A change in heart rate or rhythm reflects a change in physiologic
homeostasis that may be potentially life-threatening, so it is most
important to immediately reassess the client's pulse rate and
characteristics. After reassessing the client, the nurse should document
the findings, review the client's medical record for related history, and
determine further needed intervention, such as rechecking the client's
vital signs.
A client with chronic kidney disease (CKD) and severe anemia refuses
blood transfusions. The healthcare provider prescribes epoetin alfa.
Which action should the nurse explain to the client about the
medication's therapeutic response?
Page 3 of 162
, A. Accelerates neutrophil production, maturation, and activation.
B. Activates the immune system with development of T and B cells and
natural killer cells.
C. Stimulates erythropoiesis in the bone marrow to increase circulating
erythrocytes.
D. Increases production and maturation of granulocytes and
macrophages. - Correct AnswerC. Stimulates erythropoiesis in the bone
marrow to increase circulating erythrocytes.
Epoetin alfa is a biological response modifier that is used to stimulate
the formation of red blood cells.
A young adult female client comes to the health clinic to confirm a
positive home pregnancy test. After determining the client's last
menstrual period (LMP) as February 14, what expected date of birth
(EDB) should the nurse calculate?
January 7.
October 17.
November 21.
December 11. - Correct AnswerNovember 21.
Naegele's rule for the calculation of EDB is determined by adding 7 days
to the first day of the LMP and then subtracting 3 months.
Page 4 of 162
