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 Rationale: The fingers are placed at the same
frantic mother states, "I think my 4- location on an infant as chest compressions for
month-old baby is choking!" What CPR; however, the nurse must deliver five chest
steps will the nurse take? (Select all thrusts, after the five back slaps. Blind sweeps are
that apply.) not used as this action may push the object
A. deeper into the throat. The remaining steps are
Compress the chest once between 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 Rationale: Normal saline solution is the only
blood 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 B
bed to a chair, which procedure is Rationale: Option B describes the correct
best 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
bed and assist the client in moving the bed, with the back of the chair toward the
to the chair. head of the bed. Clients should never be lifted
B. under the axillae; this could damage nerves and
With the nurse's feet spread apart strain the nurse's back. The client should be
and knees aligned with the client's instructed to use the arms of the chair and should
knees, stand and pivot the client never place his or her arms around the nurse's
into the chair. neck; this places undue stress on the nurse's neck
C. and back and increases 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
output record from the items listed? oz) + 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
procedure requires the nurse to site for auscultation when the blood pressure cuff
intervene with the UAP's approach? is applied around the thigh. The nurse should
A. intervene with the UAP who has applied the cuff
The cuff wraps around the girth of on the lower leg. Option A ensures an accurate
the leg. assessment, and option C provides the best
B. access to the artery. Systolic pressure in the
The UAP auscultates the popliteal popliteal artery is usually 10 to 40 mm Hg higher
pulse with the cuff on the lower leg. than in the 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
difficult to awaken in the morning that may not be conducive to the establishment
for school. Which assessment data of bedtime rituals that promote sleep. Option A
should the nurse obtain in response often causes daytime fatigue rather than
to the mother's concern? resistance to going to sleep. Option B is unlikely
A. to provide useful data. The nurse cannot
The occurrence of any episodes of determine option C.
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 Rationale: The fingers are placed at the same
frantic mother states, "I think my 4- location on an infant as chest compressions for
month-old baby is choking!" What CPR; however, the nurse must deliver five chest
steps will the nurse take? (Select all thrusts, after the five back slaps. Blind sweeps are
that apply.) not used as this action may push the object
A. deeper into the throat. The remaining steps are
Compress the chest once between 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 Rationale: Normal saline solution is the only
blood 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 B
bed to a chair, which procedure is Rationale: Option B describes the correct
best 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
bed and assist the client in moving the bed, with the back of the chair toward the
to the chair. head of the bed. Clients should never be lifted
B. under the axillae; this could damage nerves and
With the nurse's feet spread apart strain the nurse's back. The client should be
and knees aligned with the client's instructed to use the arms of the chair and should
knees, stand and pivot the client never place his or her arms around the nurse's
into the chair. neck; this places undue stress on the nurse's neck
C. and back and increases 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
output record from the items listed? oz) + 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
procedure requires the nurse to site for auscultation when the blood pressure cuff
intervene with the UAP's approach? is applied around the thigh. The nurse should
A. intervene with the UAP who has applied the cuff
The cuff wraps around the girth of on the lower leg. Option A ensures an accurate
the leg. assessment, and option C provides the best
B. access to the artery. Systolic pressure in the
The UAP auscultates the popliteal popliteal artery is usually 10 to 40 mm Hg higher
pulse with the cuff on the lower leg. than in the 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
difficult to awaken in the morning that may not be conducive to the establishment
for school. Which assessment data of bedtime rituals that promote sleep. Option A
should the nurse obtain in response often causes daytime fatigue rather than
to the mother's concern? resistance to going to sleep. Option B is unlikely
A. to provide useful data. The nurse cannot
The occurrence of any episodes of determine option C.
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
