HESI RN FUNDAMENTALS EXIT EXAM LATEST
2025-2026 ACTUAL EXAM 100 QUESTIONS AND
CORRECT ANSWERS WITH RATIOANLES
(VERIFIED ANSWERS)
Save
Terms in this set (125)
The nurse is called to the waiting B, C, D
room of a pediatric clinic. The frantic Rationale: The fingers are placed at the same
mother states, "I think my 4-month- location on an infant as chest compressions for
old baby is choking!" What steps will CPR; however, the nurse must deliver five chest
the nurse take? (Select all that apply.) thrusts, after the five back slaps. Blind sweeps are
A. not used as this action may push the object deeper
Compress the chest once between into the throat. The remaining steps are correct.
the nipples with two fingers.
B.
Note any obstruction or absence of
breathing.
C.
Deliver five backslaps between the
shoulder blades.
D.
Place the infant over the nurse's arm.
E.
Perform a blind finger sweep.
,Which fluid will the nurse select to B
administer with the prescribed blood Rationale: Normal saline solution is the only
transfusion? solution that is compatible with blood.
A.
5% Dextrose and water
B.
Normal saline
C.
Lactated Ringers solution
D.
5% Dextrose and lactated ringers
When assisting a client from the bed B
to a chair, which procedure is best Rationale: Option B describes the correct
for the nurse to follow? positioning of the nurse and affords the nurse a
A. wide base of support while stabilizing the client's
Place the chair parallel to the bed, knees when assisting to a standing position. The
with its back toward the head of the chair should be placed at a 45-degree angle to the
bed and assist the client in moving to bed, with the back of the chair toward the head of
the chair. the bed. Clients should never be lifted under the
B. axillae; this could damage nerves and strain the
With the nurse's feet spread apart nurse's back. The client should be instructed to use
and knees aligned with the client's the arms of the chair and should never place his or
knees, stand and pivot the client into her arms around the nurse's neck; this places undue
the chair. stress on the nurse's neck and back and increases
C. the risk for a fall.
Assist the client to a standing
position by gently lifting upward,
underneath the axillae.
D.
Stand beside the client, place the
client's arms around the nurse's neck,
and gently move the client to the
chair.
,How many mL will the nurse Answer: 2155
document on the client's intake and Rationale: 1200 + 240 (8 oz) + 240 (1 cup) + 120 (4 oz)
output record from the items listed? + 355 = 2155
_____ mL
1200 mL water
4 ounce container of gelatin
8 ounces of orange juice
355 mL can of soda1 cup of soup
The nurse observes a UAP taking a B
client's blood pressure in the lower Rationale: When obtaining the blood pressure in
extremity. Which observation of this the lower extremities, the popliteal pulse is the site
procedure requires the nurse to for auscultation when the blood pressure cuff is
intervene with the UAP's approach? applied around the thigh. The nurse should
A. intervene with the UAP who has applied the cuff on
The cuff wraps around the girth of the lower leg. Option A ensures an accurate
the leg. assessment, and option C provides the best access
B. to the artery. Systolic pressure in the popliteal
The UAP auscultates the popliteal artery is usually 10 to 40 mm Hg higher than in the
pulse with the cuff on the lower leg. brachial artery.
C.
The client is placed in a prone
position.
D.
The systolic reading is 20 mm Hg
higher than the blood pressure in the
client's arm.
, During a clinic visit, the mother of a D
7-year-old reports to the nurse that Rationale: School-age children often resist
her child is often awake until bedtime. The nurse should begin by assessing the
midnight playing and is then very environment of the home to determine factors that
difficult to awaken in the morning for may not be conducive to the establishment of
school. Which assessment data bedtime rituals that promote sleep. Option A often
should the nurse obtain in response causes daytime fatigue rather than resistance to
to the mother's concern? going to sleep. Option B is unlikely to provide
A. useful data. The nurse cannot determine option C.
The occurrence of any episodes of
sleep apnea
B.
The child's blood pressure, pulse,
and respirations
C.
Length of rapid eye movement
(REM) sleep that the child is
experiencing
D.
Description of the family's home
environment
2025-2026 ACTUAL EXAM 100 QUESTIONS AND
CORRECT ANSWERS WITH RATIOANLES
(VERIFIED ANSWERS)
Save
Terms in this set (125)
The nurse is called to the waiting B, C, D
room of a pediatric clinic. The frantic Rationale: The fingers are placed at the same
mother states, "I think my 4-month- location on an infant as chest compressions for
old baby is choking!" What steps will CPR; however, the nurse must deliver five chest
the nurse take? (Select all that apply.) thrusts, after the five back slaps. Blind sweeps are
A. not used as this action may push the object deeper
Compress the chest once between into the throat. The remaining steps are correct.
the nipples with two fingers.
B.
Note any obstruction or absence of
breathing.
C.
Deliver five backslaps between the
shoulder blades.
D.
Place the infant over the nurse's arm.
E.
Perform a blind finger sweep.
,Which fluid will the nurse select to B
administer with the prescribed blood Rationale: Normal saline solution is the only
transfusion? solution that is compatible with blood.
A.
5% Dextrose and water
B.
Normal saline
C.
Lactated Ringers solution
D.
5% Dextrose and lactated ringers
When assisting a client from the bed B
to a chair, which procedure is best Rationale: Option B describes the correct
for the nurse to follow? positioning of the nurse and affords the nurse a
A. wide base of support while stabilizing the client's
Place the chair parallel to the bed, knees when assisting to a standing position. The
with its back toward the head of the chair should be placed at a 45-degree angle to the
bed and assist the client in moving to bed, with the back of the chair toward the head of
the chair. the bed. Clients should never be lifted under the
B. axillae; this could damage nerves and strain the
With the nurse's feet spread apart nurse's back. The client should be instructed to use
and knees aligned with the client's the arms of the chair and should never place his or
knees, stand and pivot the client into her arms around the nurse's neck; this places undue
the chair. stress on the nurse's neck and back and increases
C. the risk for a fall.
Assist the client to a standing
position by gently lifting upward,
underneath the axillae.
D.
Stand beside the client, place the
client's arms around the nurse's neck,
and gently move the client to the
chair.
,How many mL will the nurse Answer: 2155
document on the client's intake and Rationale: 1200 + 240 (8 oz) + 240 (1 cup) + 120 (4 oz)
output record from the items listed? + 355 = 2155
_____ mL
1200 mL water
4 ounce container of gelatin
8 ounces of orange juice
355 mL can of soda1 cup of soup
The nurse observes a UAP taking a B
client's blood pressure in the lower Rationale: When obtaining the blood pressure in
extremity. Which observation of this the lower extremities, the popliteal pulse is the site
procedure requires the nurse to for auscultation when the blood pressure cuff is
intervene with the UAP's approach? applied around the thigh. The nurse should
A. intervene with the UAP who has applied the cuff on
The cuff wraps around the girth of the lower leg. Option A ensures an accurate
the leg. assessment, and option C provides the best access
B. to the artery. Systolic pressure in the popliteal
The UAP auscultates the popliteal artery is usually 10 to 40 mm Hg higher than in the
pulse with the cuff on the lower leg. brachial artery.
C.
The client is placed in a prone
position.
D.
The systolic reading is 20 mm Hg
higher than the blood pressure in the
client's arm.
, During a clinic visit, the mother of a D
7-year-old reports to the nurse that Rationale: School-age children often resist
her child is often awake until bedtime. The nurse should begin by assessing the
midnight playing and is then very environment of the home to determine factors that
difficult to awaken in the morning for may not be conducive to the establishment of
school. Which assessment data bedtime rituals that promote sleep. Option A often
should the nurse obtain in response causes daytime fatigue rather than resistance to
to the mother's concern? going to sleep. Option B is unlikely to provide
A. useful data. The nurse cannot determine option C.
The occurrence of any episodes of
sleep apnea
B.
The child's blood pressure, pulse,
and respirations
C.
Length of rapid eye movement
(REM) sleep that the child is
experiencing
D.
Description of the family's home
environment
