Fortis HESI Exit Exams (NEW 2025/ 2026 Updates
BUNDLED TOGETHER PACKAGE WITH
SOLUTIONS) | Questions & Answers| Grade A|
100% Correct (Verified
Prior to obtaining a trapeze bar for a pt with limited mobility, which
pt assessment is most important for the nurse to obtain? - __100%
correct answer as upper body muscle strength
While the nurse is assessing an older pt fall risk, the pt reports
living at home alone and never falling. Which action should the
nurse take? - __100% correct answer as Continue to obtain pt
data needed to complete the fall risk survey
The nurse is feeding an older adult who was admitted with
aspiration pneumonia. The pt is weak and begins coughing while
attempting to drink through a straw. Which intervention should the
nurse implement? - __100% correct answer as Teach
coughing and deep breathing exercises
The nurse is teaching the pt about home care after surgery for an
ileal conduit placement. When reviewing the information, which
statement should the nurse recognize as needing additional
education? - __100% correct answer as Empty the pouch
when it is half full.
,A pt presses the call bell and requests pain medication for a
severe headache. To assess the quality of the pt. Pain, which
approach should the nurse use? - __100% correct answer as
Ask the patient to describe the pain
The nurse is wearing personal protective equipment while caring
for a pt. When exiting the room, which PPE should be removed
first? - __100% correct answer as Gloves
An older pt is brought to the ED with a sudden onset of confusion
that occurred after experiencing a fall at home. The daughter, who
has power of attorney, has brought the client's prescriptions.
Which information should the nurse provide first when reporting to
the healthcare provider using SBAR communication? - __100%
correct answer as Increasing confusion of the pt.
A pt tells the nurse about working out with a personal trainer and
swimming three times a week in an effort to lose weight and sleep
better. The pt states that it still is taking hours to fall asleep at
night. Which action should the nurse implement? - __100%
correct answer as Ask the pt for a description of the exercise
schedule that is being followed
2 days prior to discharge from the rehab facility, the nurse is
teaching a pt who is recovering from Guillain-Barre syndrome
about home. Which actions should the nurse include when
providing discharge teaching to the pt and spouse? SATA -
__100% correct answer as -review safe transfer strategies
-develop a nutritional plan
-help identify community support
,The nurse implements a tertiary prevention program for type 2
diabetes in a rural health clinic. Which outcome indicates that the
program was effective? - __100% correct answer as pt who
develop disease complications promptly received rehabilitation
The nurse has received funding to design a health promotion
project for African American women who are at risk for developing
breast cancer. Which resource is most important in designing this
program? - __100% correct answer as participation of
community leaders in planning the program
A pt with multiple injuries is being treated in the burn trauma unit
just hours after the injuries occurred. The healthcare provider
instructs the nurse to avoid auto contamination when performing
dressing changes. Which intervention is most important for the
nurse to implement? - __100% correct answer as use gown,
mask, and gloves with dressing changes
A pt is recovering in the critical care unit following a cardiac cath.
IV nitro and heparin are infusing. The pt is sedated but responds
to instructions. After changing positions, the pt complains of pain
at the right groin insertion site. What action should the nurse
implement? - __100% correct answer as Stimulate the pt to
take deep breaths
A 12 week gestation is admitted to the antepartum unit with a dx
of hyperemesis gravidarum. Which action is most important for
the nurse to implement? - __100% correct answer as initiate
prescribed IV fluids
A pt with dyspnea is being admitted to the medical unit. To best
prepare for the pt arrival, the nurse should ensure that the pt bed
, is in which position? - __100% correct answer as Picture with
the bed sitting up
A pt who is scheduled for a bronchoscopy in the morning is
anxious and asking the nurse numerous questions about the
procedure. In preparing the pt for the procedure, which
intervention has the highest priority? - __100% correct answer
as Instruct pt to write down questions
While caring for a pt post operative dressing, the nurse observes
purulent drainage at the wound. Before reporting this finding to
the provider, the nurse should review which of the pt lab values? -
__100% correct answer as culture for sensitive organisms
A pt with a lower respiratory tract infection receives a prescription
for ciprofloxacin 500mg PO every 12hrs. When the client requests
an afternoon snack, which dietary choice should the nurse
provide? - __100% correct answer as Cinnamon apple sauce
An older male reporting abd pain is admitted from a facility. It has
been 7 days since his last BM and his abd is distended, and he
just vomited 150ml of dark brown emesis. In what order should
the nurse implement these interventions? - __100% correct
answer as Send emesis to lab
Elevate HOB
complete focused assessment
offers PRN pain meds
A patient who recently received a prescription for ramelteon to
treat sleep deprivation reports experiencing several side effects
since taking the med. Which side effect should the nurse report to
the healthcare provider? - __100% correct answer as
Somnambulism
BUNDLED TOGETHER PACKAGE WITH
SOLUTIONS) | Questions & Answers| Grade A|
100% Correct (Verified
Prior to obtaining a trapeze bar for a pt with limited mobility, which
pt assessment is most important for the nurse to obtain? - __100%
correct answer as upper body muscle strength
While the nurse is assessing an older pt fall risk, the pt reports
living at home alone and never falling. Which action should the
nurse take? - __100% correct answer as Continue to obtain pt
data needed to complete the fall risk survey
The nurse is feeding an older adult who was admitted with
aspiration pneumonia. The pt is weak and begins coughing while
attempting to drink through a straw. Which intervention should the
nurse implement? - __100% correct answer as Teach
coughing and deep breathing exercises
The nurse is teaching the pt about home care after surgery for an
ileal conduit placement. When reviewing the information, which
statement should the nurse recognize as needing additional
education? - __100% correct answer as Empty the pouch
when it is half full.
,A pt presses the call bell and requests pain medication for a
severe headache. To assess the quality of the pt. Pain, which
approach should the nurse use? - __100% correct answer as
Ask the patient to describe the pain
The nurse is wearing personal protective equipment while caring
for a pt. When exiting the room, which PPE should be removed
first? - __100% correct answer as Gloves
An older pt is brought to the ED with a sudden onset of confusion
that occurred after experiencing a fall at home. The daughter, who
has power of attorney, has brought the client's prescriptions.
Which information should the nurse provide first when reporting to
the healthcare provider using SBAR communication? - __100%
correct answer as Increasing confusion of the pt.
A pt tells the nurse about working out with a personal trainer and
swimming three times a week in an effort to lose weight and sleep
better. The pt states that it still is taking hours to fall asleep at
night. Which action should the nurse implement? - __100%
correct answer as Ask the pt for a description of the exercise
schedule that is being followed
2 days prior to discharge from the rehab facility, the nurse is
teaching a pt who is recovering from Guillain-Barre syndrome
about home. Which actions should the nurse include when
providing discharge teaching to the pt and spouse? SATA -
__100% correct answer as -review safe transfer strategies
-develop a nutritional plan
-help identify community support
,The nurse implements a tertiary prevention program for type 2
diabetes in a rural health clinic. Which outcome indicates that the
program was effective? - __100% correct answer as pt who
develop disease complications promptly received rehabilitation
The nurse has received funding to design a health promotion
project for African American women who are at risk for developing
breast cancer. Which resource is most important in designing this
program? - __100% correct answer as participation of
community leaders in planning the program
A pt with multiple injuries is being treated in the burn trauma unit
just hours after the injuries occurred. The healthcare provider
instructs the nurse to avoid auto contamination when performing
dressing changes. Which intervention is most important for the
nurse to implement? - __100% correct answer as use gown,
mask, and gloves with dressing changes
A pt is recovering in the critical care unit following a cardiac cath.
IV nitro and heparin are infusing. The pt is sedated but responds
to instructions. After changing positions, the pt complains of pain
at the right groin insertion site. What action should the nurse
implement? - __100% correct answer as Stimulate the pt to
take deep breaths
A 12 week gestation is admitted to the antepartum unit with a dx
of hyperemesis gravidarum. Which action is most important for
the nurse to implement? - __100% correct answer as initiate
prescribed IV fluids
A pt with dyspnea is being admitted to the medical unit. To best
prepare for the pt arrival, the nurse should ensure that the pt bed
, is in which position? - __100% correct answer as Picture with
the bed sitting up
A pt who is scheduled for a bronchoscopy in the morning is
anxious and asking the nurse numerous questions about the
procedure. In preparing the pt for the procedure, which
intervention has the highest priority? - __100% correct answer
as Instruct pt to write down questions
While caring for a pt post operative dressing, the nurse observes
purulent drainage at the wound. Before reporting this finding to
the provider, the nurse should review which of the pt lab values? -
__100% correct answer as culture for sensitive organisms
A pt with a lower respiratory tract infection receives a prescription
for ciprofloxacin 500mg PO every 12hrs. When the client requests
an afternoon snack, which dietary choice should the nurse
provide? - __100% correct answer as Cinnamon apple sauce
An older male reporting abd pain is admitted from a facility. It has
been 7 days since his last BM and his abd is distended, and he
just vomited 150ml of dark brown emesis. In what order should
the nurse implement these interventions? - __100% correct
answer as Send emesis to lab
Elevate HOB
complete focused assessment
offers PRN pain meds
A patient who recently received a prescription for ramelteon to
treat sleep deprivation reports experiencing several side effects
since taking the med. Which side effect should the nurse report to
the healthcare provider? - __100% correct answer as
Somnambulism
