Hondros Exit November 2026

Free preview · Original latest version

Sample questions from Hondros Exit November 2026

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.During morning rounds on a surgical unit, a 61-year-old client reports feeling increasingly weak. Refer to the client's chart. Which action has the highest priority?

   • A.Recheck the hemoglobin at the next scheduled collection.
   • B.Administer the prescribed oral analgesic.
   • C.Activate the rapid response team and remain with the client.
   • D.Assist the client to a chair to improve ventilation.

   Rationale: The falling BP, rising HR, increasing bloody drainage, and hemoglobin decrease indicate hemorrhage with shock requiring immediate escalation. Oral analgesia does not address impaired perfusion, and waiting for another scheduled laboratory collection delays treatment. Moving this unstable client to a chair risks collapse. Prioritize rescue when trends indicate acute deterioration.

2. 2.On a rehabilitation unit, a 45-year-old client recovering from a stroke is medically stable and has an established transfer plan. Which task is appropriate for the RN to delegate to experienced unlicensed assistive personnel?

   • A.Assist the client to the chair using the established transfer technique.
   • B.Evaluate whether the transfer plan remains effective.
   • C.Assess new dizziness occurring during transfers.
   • D.Teach the client how to use a new transfer board.

   Rationale: Assistance with an established transfer technique is a routine task appropriate for trained assistive personnel. Evaluating the plan and assessing new dizziness require nursing judgment. Initial teaching about a new device also remains the licensed nurse's responsibility. Delegate predictable tasks while retaining assessment and evaluation.

3. 3.At shift handoff, a 72-year-old medical unit client has a newly resulted chemistry panel. Refer to the client's chart. Which actions should the RN take? Select all that apply.

   • A.Prepare to administer prescribed IV calcium gluconate.
   • B.Delegate interpretation of the repeat ECG to assistive personnel.
   • C.Place the client on continuous cardiac monitoring.
   • D.Administer the scheduled potassium supplement.
   • E.Notify the provider immediately of the potassium result and ECG changes.

   Rationale: Potassium 6.4 mEq/L with new peaked T waves requires cardiac monitoring and immediate provider notification. Preparing prescribed IV calcium is appropriate because it stabilizes the myocardium during severe hyperkalemia. The potassium supplement must be withheld because it could worsen the elevation. ECG interpretation requires licensed clinical judgment and cannot be delegated to assistive personnel.

4. 4.Before an elective procedure in an ambulatory surgery center, a 33-year-old client says, 'I signed the consent, but I still do not understand why I need this operation.' No sedative has been administered. What should the RN do next?

   • A.Proceed because the signed form establishes informed consent.
   • B.Ask the client's partner to authorize the procedure.
   • C.Explain the surgical risks and obtain another signature.
   • D.Notify the procedural provider that additional explanation is needed.

   Answer and rationale are in the full material.

5. 5.Following discharge planning rounds, a 54-year-old client with heart failure says, 'I cannot afford my prescriptions or transportation to follow-up.' Which referral best addresses these barriers?

   • A.Speech-language pathology
   • B.Social work or case management
   • C.Infection prevention
   • D.Respiratory therapy

   Answer and rationale are in the full material.