HESI RN FUNDAMENTALS EXIT EXAM LATEST 2024-2025 ACTUAL EXAM 100
QUESTIONS AND CORRECT ANSWERS WITH RATIOANLES (VERIFIED ANSWERS)
1. The nurse selects the best site for insertion of an IV catheter in the client's right
arm. Which documentation should the nurse use to identify placement of the IV
access?
A. Left brachial vein
B. Right cephalic vein
C. Dorsal side of the right wrist
D. Right upper extremity
Answer: “B - Right cephalic vein.”
2. The nurse is preparing to initiate parenteral nutrition (PN) for a client. What
actions will the nurse consider when administering PN? (Select all that apply.)
A. Remove the PN from the refrigerator 30 minutes before infusing.
B. Have a second nurse double check the PN before connecting the solution.
C. Have a second IV line in place for administering IV medications.
D. Assure the infusion time for the PN does not exceed 24 hours.
E. Tell the client a feeling of being full should occur with PN.
F. Return amber and cloudy solutions of PN to the pharmacy.
Answer: “A – Remove the PN from the refrigerator 30 minutes before infusing.
D – Assure the infusion time for the PN does not exceed 24 hours.
F – Return amber and cloudy solutions of PN to the pharmacy.”
3. The nurse is making an initial daily assessment at 0715 and notes 550 mL of LR
running at 75 mL an hour. At what time, in military time, will the nurse hang
the next bag of IV fluid? _____.
Answer: = 1435
60 min × 0.33333 = 19.99min = 20 min + 0715
4. The nurse administered 10 mg of diazepam to the preoperative client. What
steps will the nurse take next? (Select all that apply.)
A. Place the client in the bed next to the nurse's station.
B. Instruct the client not to get out of bed.
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, C. Place the call bell within the client's reach.
D. Place the side rails up, according to institutional policy.
E. Assist the client to the bathroom
Answer: “B – Instruct the client not to get out of bed.
C – Place the call bell within the client's reach.
D – Place the side rails up, according to institutional policy.”
5. The nurse is aware that malnutrition is a common problem among clients served
by a community health clinic for the homeless. Which laboratory value is the
most reliable indicator of chronic protein malnutrition?
A. Low serum albumin level
B. Low serum transferrin level
C. High hemoglobin level
D. High cholesterol level
Answer: “A - Low serum albumin level.”
6. The nurse plans to administer diazepam, 4 mg IV push, to a client with severe
anxiety. How many milliliters should the nurse administer? _____ mL (Round
to the nearest tenth.)
** 10mg/2mL
Answer: = 0.8mL
(1mL × 4mg)/5mg = 0.8mL
7. The spouse is at the bedside of the client who just died. The hospice nurse states
to the spouse, "I know your children want to come over and say goodbye before
we call the funeral home. Just let me know when you are ready for me to
prepare the body." What steps will the nurse include in the postmortem care?
(Select all that apply.)
A. Remove the existing Foley catheter.
B. Wash the genitalia only.
C. Close the client's eyes.
D. Remove soiled padding under the client.
E. Place a dressing over the abdominal scar.
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QUESTIONS AND CORRECT ANSWERS WITH RATIOANLES (VERIFIED ANSWERS)
1. The nurse selects the best site for insertion of an IV catheter in the client's right
arm. Which documentation should the nurse use to identify placement of the IV
access?
A. Left brachial vein
B. Right cephalic vein
C. Dorsal side of the right wrist
D. Right upper extremity
Answer: “B - Right cephalic vein.”
2. The nurse is preparing to initiate parenteral nutrition (PN) for a client. What
actions will the nurse consider when administering PN? (Select all that apply.)
A. Remove the PN from the refrigerator 30 minutes before infusing.
B. Have a second nurse double check the PN before connecting the solution.
C. Have a second IV line in place for administering IV medications.
D. Assure the infusion time for the PN does not exceed 24 hours.
E. Tell the client a feeling of being full should occur with PN.
F. Return amber and cloudy solutions of PN to the pharmacy.
Answer: “A – Remove the PN from the refrigerator 30 minutes before infusing.
D – Assure the infusion time for the PN does not exceed 24 hours.
F – Return amber and cloudy solutions of PN to the pharmacy.”
3. The nurse is making an initial daily assessment at 0715 and notes 550 mL of LR
running at 75 mL an hour. At what time, in military time, will the nurse hang
the next bag of IV fluid? _____.
Answer: = 1435
60 min × 0.33333 = 19.99min = 20 min + 0715
4. The nurse administered 10 mg of diazepam to the preoperative client. What
steps will the nurse take next? (Select all that apply.)
A. Place the client in the bed next to the nurse's station.
B. Instruct the client not to get out of bed.
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, C. Place the call bell within the client's reach.
D. Place the side rails up, according to institutional policy.
E. Assist the client to the bathroom
Answer: “B – Instruct the client not to get out of bed.
C – Place the call bell within the client's reach.
D – Place the side rails up, according to institutional policy.”
5. The nurse is aware that malnutrition is a common problem among clients served
by a community health clinic for the homeless. Which laboratory value is the
most reliable indicator of chronic protein malnutrition?
A. Low serum albumin level
B. Low serum transferrin level
C. High hemoglobin level
D. High cholesterol level
Answer: “A - Low serum albumin level.”
6. The nurse plans to administer diazepam, 4 mg IV push, to a client with severe
anxiety. How many milliliters should the nurse administer? _____ mL (Round
to the nearest tenth.)
** 10mg/2mL
Answer: = 0.8mL
(1mL × 4mg)/5mg = 0.8mL
7. The spouse is at the bedside of the client who just died. The hospice nurse states
to the spouse, "I know your children want to come over and say goodbye before
we call the funeral home. Just let me know when you are ready for me to
prepare the body." What steps will the nurse include in the postmortem care?
(Select all that apply.)
A. Remove the existing Foley catheter.
B. Wash the genitalia only.
C. Close the client's eyes.
D. Remove soiled padding under the client.
E. Place a dressing over the abdominal scar.
Page | 2
