HESI RN FUNDAMENTALS EXIT EXAM LATEST 2026 ACTUAL
EXAM 100 QUESTIONS AND CORRECT ANSWERS WITH
RATIOANLES (VERIFIED ANSWERS)
During a clinic visit, the mother of a 7-year-old reports to the nurse that her
child is often awake until midnight playing and is then very difficult to awaken
in the morning for school. Which assessment data should the nurse obtain in
response to the mother's concern?
A.
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
D
Rationale: School-age children often resist bedtime. The nurse should begin by
assessing the environment of the home to determine factors that may not be
conducive to the establishment of bedtime rituals that promote sleep.
Option A often causes
daytime fatigue rather than resistance to going to sleep. Option B is unlikely
to provide useful data. The nurse cannot determine option C.
,The nurse identifies a potential for infection in a client with partial-thickness
(second- degree) and full-thickness (third-degree) burns. What action has the
highest priority in decreasing the client's risk of infection?
A.
Administration of plasma
expanders B.
Use of careful handwashing
technique C.
Application of a topical antibacterial
cream D.
Limiting visitors to the client with burns
B
Rationale: Careful handwashing technique is the single most effective
intervention for the prevention of contamination to all clients. Option A
reverses the hypovolemia that initially accompanies burn trauma but is not
related to decreasing the proliferation of infective organisms. Options C
and D are recommended by various burn centers as
possible ways to reduce the chance of infection. Option B is a proven
technique to prevent infection.
,The nurse assesses a 2-year-old who is admitted for dehydration and finds that the
peripheral IV rate by gravity has slowed, even though the venous access site is
healthy. What should the nurse do next?
A.
Apply a warm compress proximal to the
site. B.
Check for kinks in the tubing and raise the IV
pole. C.
Adjust the tape that stabilizes the
needle. D.
Flush with normal saline and recount the drop rate.
B
Rationale: The nurse should first check the tubing and height of the bag on
the IV pole, which are common factors that may slow the rate. Gravity
infusion rates are influenced by the height of the bag, tubing clamp closure
or kinks, needle size or position, fluid viscosity, client blood pressure (crying
in the pediatric client), and infiltration.
Venospasm can slow the rate and often responds to warmth over the vessel, but the
nurse should first adjust the IV pole height. The nurse may need to adjust the
stabilizing tape on a positional needle or flush the venous access with
normal saline, but less invasive actions should be implemented first.
, 3/8/26, 11:32 PM …
The nurse is called to the waiting room of a pediatric clinic. The frantic mother
states, "I think my 4-month-old baby is choking!" What steps will the nurse
take? (Select all that apply.)
A.
Compress the chest once between 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.
B, C, D
Rationale: The fingers are placed at the same location on an infant as chest
compressions for CPR; however, the nurse must deliver five chest thrusts,
after the five back slaps. Blind sweeps are not used as this action may push
the object deeper into the throat. The remaining steps are correct.
Which fluid will the nurse select to administer with the prescribed blood
transfusion? A.
5% Dextrose and
water B.
Normal
saline C.
Lactated Ringers
solution D.
5% Dextrose and lactated ringers
B
Rationale: Normal saline solution is the only solution that is compatible with blood.
… 2/114
EXAM 100 QUESTIONS AND CORRECT ANSWERS WITH
RATIOANLES (VERIFIED ANSWERS)
During a clinic visit, the mother of a 7-year-old reports to the nurse that her
child is often awake until midnight playing and is then very difficult to awaken
in the morning for school. Which assessment data should the nurse obtain in
response to the mother's concern?
A.
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
D
Rationale: School-age children often resist bedtime. The nurse should begin by
assessing the environment of the home to determine factors that may not be
conducive to the establishment of bedtime rituals that promote sleep.
Option A often causes
daytime fatigue rather than resistance to going to sleep. Option B is unlikely
to provide useful data. The nurse cannot determine option C.
,The nurse identifies a potential for infection in a client with partial-thickness
(second- degree) and full-thickness (third-degree) burns. What action has the
highest priority in decreasing the client's risk of infection?
A.
Administration of plasma
expanders B.
Use of careful handwashing
technique C.
Application of a topical antibacterial
cream D.
Limiting visitors to the client with burns
B
Rationale: Careful handwashing technique is the single most effective
intervention for the prevention of contamination to all clients. Option A
reverses the hypovolemia that initially accompanies burn trauma but is not
related to decreasing the proliferation of infective organisms. Options C
and D are recommended by various burn centers as
possible ways to reduce the chance of infection. Option B is a proven
technique to prevent infection.
,The nurse assesses a 2-year-old who is admitted for dehydration and finds that the
peripheral IV rate by gravity has slowed, even though the venous access site is
healthy. What should the nurse do next?
A.
Apply a warm compress proximal to the
site. B.
Check for kinks in the tubing and raise the IV
pole. C.
Adjust the tape that stabilizes the
needle. D.
Flush with normal saline and recount the drop rate.
B
Rationale: The nurse should first check the tubing and height of the bag on
the IV pole, which are common factors that may slow the rate. Gravity
infusion rates are influenced by the height of the bag, tubing clamp closure
or kinks, needle size or position, fluid viscosity, client blood pressure (crying
in the pediatric client), and infiltration.
Venospasm can slow the rate and often responds to warmth over the vessel, but the
nurse should first adjust the IV pole height. The nurse may need to adjust the
stabilizing tape on a positional needle or flush the venous access with
normal saline, but less invasive actions should be implemented first.
, 3/8/26, 11:32 PM …
The nurse is called to the waiting room of a pediatric clinic. The frantic mother
states, "I think my 4-month-old baby is choking!" What steps will the nurse
take? (Select all that apply.)
A.
Compress the chest once between 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.
B, C, D
Rationale: The fingers are placed at the same location on an infant as chest
compressions for CPR; however, the nurse must deliver five chest thrusts,
after the five back slaps. Blind sweeps are not used as this action may push
the object deeper into the throat. The remaining steps are correct.
Which fluid will the nurse select to administer with the prescribed blood
transfusion? A.
5% Dextrose and
water B.
Normal
saline C.
Lactated Ringers
solution D.
5% Dextrose and lactated ringers
B
Rationale: Normal saline solution is the only solution that is compatible with blood.
… 2/114
