HESI RN FUNDAMENTALS EXIT Exam
Latest 2026 Questions and Answers
How many mL will the nurse document on the client's intake and
output record from the items listed? _____ mL
1200 mL water
4 ounce container of gelatin
8 ounces of orange juice
355 mL can of soda1 cup of soup
Answer: 2155
Rationale: 1200 + 240 (8 oz) + 240 (1 cup) + 120 (4 oz) + 355 = 2155
To get the 2025/2026 package deal email
package deal contains two 2025
Test banks, assignments, and actual exit exam. Copy the link below to
get access to the full bank
https://kuriam.gumroad.com/l/syruun
By utilizing the package deal, candidates benefit from a 97% likelihood
of passing the examination—an outcome we confidently stand behind.
The nurse observes a UAP taking a client's blood pressure in the lower
extremity. Which observation of this procedure requires the nurse to
intervene with the UAP's approach?
A.
The cuff wraps around the girth of the leg.
B.
,The UAP auscultates the popliteal pulse with the cuff on the lower leg.
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.
B
Rationale: When obtaining the blood pressure in the lower extremities,
the popliteal pulse is the site for auscultation when the blood pressure
cuff is applied around the thigh. The nurse should intervene with the
UAP who has applied the cuff on the lower leg. Option A ensures an
accurate assessment, and option C provides the best access to the
artery. Systolic pressure in the popliteal artery is usually 10 to 40 mm Hg
higher than in the brachial artery.
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.
The nurse manager of a skilled nursing (chronic care) unit is instructing
UAPs on ways to prevent complications of immobility. Which action
should be included in this instruction?
A.
Perform range-of-motion exercises to prevent contractures.
Latest 2026 Questions and Answers
How many mL will the nurse document on the client's intake and
output record from the items listed? _____ mL
1200 mL water
4 ounce container of gelatin
8 ounces of orange juice
355 mL can of soda1 cup of soup
Answer: 2155
Rationale: 1200 + 240 (8 oz) + 240 (1 cup) + 120 (4 oz) + 355 = 2155
To get the 2025/2026 package deal email
package deal contains two 2025
Test banks, assignments, and actual exit exam. Copy the link below to
get access to the full bank
https://kuriam.gumroad.com/l/syruun
By utilizing the package deal, candidates benefit from a 97% likelihood
of passing the examination—an outcome we confidently stand behind.
The nurse observes a UAP taking a client's blood pressure in the lower
extremity. Which observation of this procedure requires the nurse to
intervene with the UAP's approach?
A.
The cuff wraps around the girth of the leg.
B.
,The UAP auscultates the popliteal pulse with the cuff on the lower leg.
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.
B
Rationale: When obtaining the blood pressure in the lower extremities,
the popliteal pulse is the site for auscultation when the blood pressure
cuff is applied around the thigh. The nurse should intervene with the
UAP who has applied the cuff on the lower leg. Option A ensures an
accurate assessment, and option C provides the best access to the
artery. Systolic pressure in the popliteal artery is usually 10 to 40 mm Hg
higher than in the brachial artery.
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.
The nurse manager of a skilled nursing (chronic care) unit is instructing
UAPs on ways to prevent complications of immobility. Which action
should be included in this instruction?
A.
Perform range-of-motion exercises to prevent contractures.
