HESI RN FUNDAMENTALS EXIT EXAM 2
LATEST 2026-2027 ACTUAL EXAM QUESTIONS
AND CORRECT ANSWERS WITH RATIOANLES
(VERIFIED ANSWERS)
A client is diagnosed with a spontaneous pneumothorax necessitating
the insertion of a chest
tube. What is the best explanation for the nurse to provide this client?
A) "The tube will drain fluid from your chest."
B) "The tube will remove excess air from your chest."
C) "The tube controls the amount of air that enters your chest."
D) "The tube will seal the hole in your lung." - Correct AnswerB) "The
tube will remove excess air from your chest."
The nurse is reviewing laboratory results on a client with acute renal
failure. Which one of
the following should be reported immediately?
A) Blood urea nitrogen 50 mg/dl
B) Hemoglobin of 10.3 mg/dl
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,C) Venous blood pH 7.30
D) Serum potassium 6 mEq/L - Correct AnswerD) Serum potassium 6
mEq/L
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 AnswerC) Dyspnea
The nurse is performing a physical assessment on a client who just had
an endotracheal tube
inserted. Which finding would call for immediate action by the nurse?
A) Breath sounds can be heard bilaterally
B) Mist is visible in the T-Piece
C) Pulse oximetry of 88
D) Client is unable to speak - Correct AnswerC) Pulse oximetry of 88
A nurse checks a client who is on a volume-cycled ventilator. Which
finding indicates that
the client may need suctioning?
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,A) Drowsiness
B) Complaint of nausea
C) Pulse rate of 92
D) Restlessness - Correct AnswerD) Restlessness
During the evaluation phase for a client, the nurse should focus on
A) All finding of physical and psychosocial stressors of the client and in
the family
B) The client's status, progress toward goal achievement, and ongoing
re-evaluation
C) Setting short and long-term goals to insure continuity of care from
hospital to home
D) Select interventions that are measurable and achievable within
selected time frames - Correct AnswerB) The client's status, progress
toward goal achievement, and ongoing re-evaluation
The school nurse suspects that a third grade child might have Attention
Deficit
Hyperactivity Disorder. Prior to referring the child for further evaluation,
the nurse
should
A) Observe the child's behavior on at least 2 occasions
B) Consult with the teacher about how to control impulsivity
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, C) Compile a history of behavior patterns and developmental
accomplishments
D) Compare the child's behavior with classic signs and symptoms -
Correct AnswerC) Compile a history of behavior patterns and
developmental accomplishments
Which of the actions suggested to the RN by the PN during a planning
conference for a
10 month-old infant admitted 2 hours ago with bacterial meningitis
would be acceptable to add
to the plan of care?
A) Measure head circumference
B) Place in airborne isolation
C) Provide passive range of motion
D) Provide an over-the-crib protective top - Correct AnswerA) Measure
head circumference
A client is admitted with a diagnosis of hepatitis B. In reviewing the
initial laboratory
results, the nurse would expect to find elevation in which of the
following values?
A) Blood urea nitrogen
B) Acid phosphatase
C) Bilirubin
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LATEST 2026-2027 ACTUAL EXAM QUESTIONS
AND CORRECT ANSWERS WITH RATIOANLES
(VERIFIED ANSWERS)
A client is diagnosed with a spontaneous pneumothorax necessitating
the insertion of a chest
tube. What is the best explanation for the nurse to provide this client?
A) "The tube will drain fluid from your chest."
B) "The tube will remove excess air from your chest."
C) "The tube controls the amount of air that enters your chest."
D) "The tube will seal the hole in your lung." - Correct AnswerB) "The
tube will remove excess air from your chest."
The nurse is reviewing laboratory results on a client with acute renal
failure. Which one of
the following should be reported immediately?
A) Blood urea nitrogen 50 mg/dl
B) Hemoglobin of 10.3 mg/dl
Page 1 of 224
,C) Venous blood pH 7.30
D) Serum potassium 6 mEq/L - Correct AnswerD) Serum potassium 6
mEq/L
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 AnswerC) Dyspnea
The nurse is performing a physical assessment on a client who just had
an endotracheal tube
inserted. Which finding would call for immediate action by the nurse?
A) Breath sounds can be heard bilaterally
B) Mist is visible in the T-Piece
C) Pulse oximetry of 88
D) Client is unable to speak - Correct AnswerC) Pulse oximetry of 88
A nurse checks a client who is on a volume-cycled ventilator. Which
finding indicates that
the client may need suctioning?
Page 2 of 224
,A) Drowsiness
B) Complaint of nausea
C) Pulse rate of 92
D) Restlessness - Correct AnswerD) Restlessness
During the evaluation phase for a client, the nurse should focus on
A) All finding of physical and psychosocial stressors of the client and in
the family
B) The client's status, progress toward goal achievement, and ongoing
re-evaluation
C) Setting short and long-term goals to insure continuity of care from
hospital to home
D) Select interventions that are measurable and achievable within
selected time frames - Correct AnswerB) The client's status, progress
toward goal achievement, and ongoing re-evaluation
The school nurse suspects that a third grade child might have Attention
Deficit
Hyperactivity Disorder. Prior to referring the child for further evaluation,
the nurse
should
A) Observe the child's behavior on at least 2 occasions
B) Consult with the teacher about how to control impulsivity
Page 3 of 224
, C) Compile a history of behavior patterns and developmental
accomplishments
D) Compare the child's behavior with classic signs and symptoms -
Correct AnswerC) Compile a history of behavior patterns and
developmental accomplishments
Which of the actions suggested to the RN by the PN during a planning
conference for a
10 month-old infant admitted 2 hours ago with bacterial meningitis
would be acceptable to add
to the plan of care?
A) Measure head circumference
B) Place in airborne isolation
C) Provide passive range of motion
D) Provide an over-the-crib protective top - Correct AnswerA) Measure
head circumference
A client is admitted with a diagnosis of hepatitis B. In reviewing the
initial laboratory
results, the nurse would expect to find elevation in which of the
following values?
A) Blood urea nitrogen
B) Acid phosphatase
C) Bilirubin
Page 4 of 224
