HESI RN FUNDAMENTALS EXIT EXAM
ACTUAL QUESTIONS AND CORRECT
ANSWERS (GRADE A+)
UPDATED 2026/2027
Thefnursefisfcalledftofthefwaitingfroomfoffafpediatricfclinic.fTheffranticfmotherfstates,f"Ifthinkfmyf4-month-
oldfbabyfisfchoking!"fWhatfstepsfwillfthefnurseftake?f(Selectfallfthatfapply.)
A.
Compressfthefchestfoncefbetweenfthefnipplesfwithftwoffingers.
f B.
Notefanyfobstructionforfabsencefoffbreathing.
f C.
Deliverffivefbackslapsfbetweenfthefshoulderfblades.
f D.
Placefthefinfantfoverfthefnurse'sfarm.
f E.
Performfafblindffingerfsweep.f-fCORRECTfANSWER-B,fC,fD
Rationale:fTheffingersfarefplacedfatfthefsameflocationfonfanfinfantfasfchestfcompressionsfforfCPR;fhowever,f
thefnursefmustfdeliverffivefchestfthrusts,fafterftheffivefbackfslaps.fBlindfsweepsfarefnotfusedfasfthisfactionfm
ayfpushfthefobjectfdeeperfintofthefthroat.fThefremainingfstepsfarefcorrect.
Whichffluidfwillfthefnursefselectftofadministerfwithfthefprescribedfbloodftransfusion?
A.
5%fDextrosefandfwater
f B.
Normalfsaline
f C.
LactatedfRingersfsolution
f D.
,5%fDextrosefandflactatedfringersf-fCORRECTfANSWER-Bf
Rationale:fNormalfsalinefsolutionfisfthefonlyfsolutionfthatfisfcompatiblefwithfblood.
Whenfassistingfafclientffromfthefbedftofafchair,fwhichfprocedurefisfbestfforfthefnurseftoffollow?
A.
Placefthefchairfparallelftofthefbed,fwithfitsfbackftowardfthefheadfoffthefbedfandfassistfthefclientfinfmovingftof
thefchair.
f B.
Withfthefnurse'sffeetfspreadfapartfandfkneesfalignedfwithfthefclient'sfknees,fstandfandfpivotfthefclientfintoft
hefchair.
f C.
Assistfthefclientftofafstandingfpositionfbyfgentlyfliftingfupward,funderneathfthefaxillae.
f D.
Standfbesidefthefclient,fplacefthefclient'sfarmsfaroundfthefnurse'sfneck,fandfgentlyfmovefthefclientftofthefch
air.f-fCORRECTfANSWER-B
Rationale:fOptionfBfdescribesfthefcorrectfpositioningfoffthefnursefandfaffordsfthefnursefafwidefbasefoffsupp
ortfwhilefstabilizingfthefclient'sfkneesfwhenfassistingftofafstandingfposition.fThefchairfshouldfbefplacedfatfaf4
5-
degreefangleftofthefbed,fwithfthefbackfoffthefchairftowardfthefheadfoffthefbed.fClientsfshouldfneverfbeflifted
funderfthefaxillae;fthisfcouldfdamagefnervesfandfstrainfthefnurse'sfback.fThefclientfshouldfbefinstructedftofu
sefthefarmsfoffthefchairfandfshouldfneverfplacefhisforfherfarmsfaroundfthefnurse'sfneck;fthisfplacesfunduefst
ressfonfthefnurse'sfneckfandfbackfandfincreasesfthefriskfforfaffall.
HowfmanyfmLfwillfthefnursefdocumentfonfthefclient'sfintakefandfoutputfrecordffromfthefitemsflisted?f____
_fmL
1200fmLfwater
4founcefcontainerfoffgelatin
8founcesfofforangefjuice
355fmLfcanfoffsoda1fcupfoffsoupf-fCORRECTfANSWER-Answer:f2155
Rationale:f1200f+f240f(8foz)f+f240f(1fcup)f+f120f(4foz)f+f355f=f2155
ThefnursefobservesfafUAPftakingfafclient'sfbloodfpressurefinftheflowerfextremity.fWhichfobservationfoffthisf
procedurefrequiresfthefnurseftofintervenefwithfthefUAP'sfapproach?
,A.
Thefcufffwrapsfaroundfthefgirthfoffthefleg.
f B.
ThefUAPfauscultatesfthefpoplitealfpulsefwithfthefcufffonftheflowerfleg.
f C.
Thefclientfisfplacedfinfafpronefposition.
f D.
Thefsystolicfreadingfisf20fmmfHgfhigherfthanfthefbloodfpressurefinfthefclient'sfarm.f-fCORRECTfANSWER-B
Rationale:fWhenfobtainingfthefbloodfpressurefinftheflowerfextremities,fthefpoplitealfpulsefisfthefsitefforfaus
cultationfwhenfthefbloodfpressurefcufffisfappliedfaroundfthefthigh.fThefnursefshouldfintervenefwithfthefUA
Pfwhofhasfappliedfthefcufffonftheflowerfleg.fOptionfAfensuresfanfaccuratefassessment,fandfoptionfCfprovide
sfthefbestfaccessftofthefartery.fSystolicfpressurefinfthefpoplitealfarteryfisfusuallyf10ftof40fmmfHgfhigherfthanfi
nfthefbrachialfartery.
Duringfafclinicfvisit,fthefmotherfoffaf7-year-
oldfreportsftofthefnursefthatfherfchildfisfoftenfawakefuntilfmidnightfplayingfandfisfthenfveryfdifficultftofawak
enfinfthefmorningfforfschool.fWhichfassessmentfdatafshouldfthefnursefobtainfinfresponseftofthefmother'sfco
ncern?
A.
Thefoccurrencefoffanyfepisodesfoffsleepfapnea
f B.
Thefchild'sfbloodfpressure,fpulse,fandfrespirations
f C.
Lengthfoffrapidfeyefmovementf(REM)fsleepfthatfthefchildfisfexperiencing
f D.
Descriptionfofftheffamily'sfhomefenvironmentf-fCORRECTfANSWER-D
Rationale:fSchool-
agefchildrenfoftenfresistfbedtime.fThefnursefshouldfbeginfbyfassessingfthefenvironmentfoffthefhomeftofdet
ermineffactorsfthatfmayfnotfbefconduciveftofthefestablishmentfoffbedtimefritualsfthatfpromotefsleep.fOptio
nfAfoftenfcausesfdaytimeffatiguefratherfthanfresistanceftofgoingftofsleep.fOptionfBfisfunlikelyftofprovidefusef
ulfdata.fThefnursefcannotfdeterminefoptionfC.
, Thefnursefidentifiesfafpotentialfforfinfectionfinfafclientfwithfpartial-thicknessf(second-degree)fandffull-
thicknessf(third-
degree)fburns.fWhatfactionfhasfthefhighestfpriorityfinfdecreasingfthefclient'sfriskfoffinfection?
A.
Administrationfoffplasmafexpanders
f B.
Usefoffcarefulfhandwashingftechnique
f C.
Applicationfoffaftopicalfantibacterialfcream
f D.
Limitingfvisitorsftofthefclientfwithfburnsf-fCORRECTfANSWER-B
Rationale:fCarefulfhandwashingftechniquefisfthefsinglefmostfeffectivefinterventionfforfthefpreventionfoffco
ntaminationftofallfclients.fOptionfAfreversesfthefhypovolemiafthatfinitiallyfaccompaniesfburnftraumafbutfisf
notfrelatedftofdecreasingfthefproliferationfoffinfectiveforganisms.fOptionsfCfandfDfarefrecommendedfbyfvar
iousfburnfcentersfasfpossiblefwaysftofreducefthefchancefoffinfection.fOptionfBfisfafprovenftechniqueftofprev
entfinfection.
Thefnursefassessesfaf2-year-
oldfwhofisfadmittedfforfdehydrationfandffindsfthatfthefperipheralfIVfratefbyfgravityfhasfslowed,fevenfthough
fthefvenousfaccessfsitefisfhealthy.fWhatfshouldfthefnursefdofnext?
A.
Applyfafwarmfcompressfproximalftofthefsite.
f B.
CheckfforfkinksfinftheftubingfandfraisefthefIVfpole.
f C.
Adjustftheftapefthatfstabilizesfthefneedle.
f D.
Flushfwithfnormalfsalinefandfrecountfthefdropfrate.f-fCORRECTfANSWER-B
Rationale:fThefnursefshouldffirstfcheckftheftubingfandfheightfoffthefbagfonfthefIVfpole,fwhichfarefcommonffa
ctorsfthatfmayfslowfthefrate.fGravityfinfusionfratesfarefinfluencedfbyfthefheightfoffthefbag,ftubingfclampfclos
ureforfkinks,fneedlefsizeforfposition,ffluidfviscosity,fclientfbloodfpressuref(cryingfinfthefpediatricfclient),fandfi
nfiltration.fVenospasmfcanfslowfthefratefandfoftenfrespondsftofwarmthfoverfthefvessel,fbutfthefnursefshoul
ACTUAL QUESTIONS AND CORRECT
ANSWERS (GRADE A+)
UPDATED 2026/2027
Thefnursefisfcalledftofthefwaitingfroomfoffafpediatricfclinic.fTheffranticfmotherfstates,f"Ifthinkfmyf4-month-
oldfbabyfisfchoking!"fWhatfstepsfwillfthefnurseftake?f(Selectfallfthatfapply.)
A.
Compressfthefchestfoncefbetweenfthefnipplesfwithftwoffingers.
f B.
Notefanyfobstructionforfabsencefoffbreathing.
f C.
Deliverffivefbackslapsfbetweenfthefshoulderfblades.
f D.
Placefthefinfantfoverfthefnurse'sfarm.
f E.
Performfafblindffingerfsweep.f-fCORRECTfANSWER-B,fC,fD
Rationale:fTheffingersfarefplacedfatfthefsameflocationfonfanfinfantfasfchestfcompressionsfforfCPR;fhowever,f
thefnursefmustfdeliverffivefchestfthrusts,fafterftheffivefbackfslaps.fBlindfsweepsfarefnotfusedfasfthisfactionfm
ayfpushfthefobjectfdeeperfintofthefthroat.fThefremainingfstepsfarefcorrect.
Whichffluidfwillfthefnursefselectftofadministerfwithfthefprescribedfbloodftransfusion?
A.
5%fDextrosefandfwater
f B.
Normalfsaline
f C.
LactatedfRingersfsolution
f D.
,5%fDextrosefandflactatedfringersf-fCORRECTfANSWER-Bf
Rationale:fNormalfsalinefsolutionfisfthefonlyfsolutionfthatfisfcompatiblefwithfblood.
Whenfassistingfafclientffromfthefbedftofafchair,fwhichfprocedurefisfbestfforfthefnurseftoffollow?
A.
Placefthefchairfparallelftofthefbed,fwithfitsfbackftowardfthefheadfoffthefbedfandfassistfthefclientfinfmovingftof
thefchair.
f B.
Withfthefnurse'sffeetfspreadfapartfandfkneesfalignedfwithfthefclient'sfknees,fstandfandfpivotfthefclientfintoft
hefchair.
f C.
Assistfthefclientftofafstandingfpositionfbyfgentlyfliftingfupward,funderneathfthefaxillae.
f D.
Standfbesidefthefclient,fplacefthefclient'sfarmsfaroundfthefnurse'sfneck,fandfgentlyfmovefthefclientftofthefch
air.f-fCORRECTfANSWER-B
Rationale:fOptionfBfdescribesfthefcorrectfpositioningfoffthefnursefandfaffordsfthefnursefafwidefbasefoffsupp
ortfwhilefstabilizingfthefclient'sfkneesfwhenfassistingftofafstandingfposition.fThefchairfshouldfbefplacedfatfaf4
5-
degreefangleftofthefbed,fwithfthefbackfoffthefchairftowardfthefheadfoffthefbed.fClientsfshouldfneverfbeflifted
funderfthefaxillae;fthisfcouldfdamagefnervesfandfstrainfthefnurse'sfback.fThefclientfshouldfbefinstructedftofu
sefthefarmsfoffthefchairfandfshouldfneverfplacefhisforfherfarmsfaroundfthefnurse'sfneck;fthisfplacesfunduefst
ressfonfthefnurse'sfneckfandfbackfandfincreasesfthefriskfforfaffall.
HowfmanyfmLfwillfthefnursefdocumentfonfthefclient'sfintakefandfoutputfrecordffromfthefitemsflisted?f____
_fmL
1200fmLfwater
4founcefcontainerfoffgelatin
8founcesfofforangefjuice
355fmLfcanfoffsoda1fcupfoffsoupf-fCORRECTfANSWER-Answer:f2155
Rationale:f1200f+f240f(8foz)f+f240f(1fcup)f+f120f(4foz)f+f355f=f2155
ThefnursefobservesfafUAPftakingfafclient'sfbloodfpressurefinftheflowerfextremity.fWhichfobservationfoffthisf
procedurefrequiresfthefnurseftofintervenefwithfthefUAP'sfapproach?
,A.
Thefcufffwrapsfaroundfthefgirthfoffthefleg.
f B.
ThefUAPfauscultatesfthefpoplitealfpulsefwithfthefcufffonftheflowerfleg.
f C.
Thefclientfisfplacedfinfafpronefposition.
f D.
Thefsystolicfreadingfisf20fmmfHgfhigherfthanfthefbloodfpressurefinfthefclient'sfarm.f-fCORRECTfANSWER-B
Rationale:fWhenfobtainingfthefbloodfpressurefinftheflowerfextremities,fthefpoplitealfpulsefisfthefsitefforfaus
cultationfwhenfthefbloodfpressurefcufffisfappliedfaroundfthefthigh.fThefnursefshouldfintervenefwithfthefUA
Pfwhofhasfappliedfthefcufffonftheflowerfleg.fOptionfAfensuresfanfaccuratefassessment,fandfoptionfCfprovide
sfthefbestfaccessftofthefartery.fSystolicfpressurefinfthefpoplitealfarteryfisfusuallyf10ftof40fmmfHgfhigherfthanfi
nfthefbrachialfartery.
Duringfafclinicfvisit,fthefmotherfoffaf7-year-
oldfreportsftofthefnursefthatfherfchildfisfoftenfawakefuntilfmidnightfplayingfandfisfthenfveryfdifficultftofawak
enfinfthefmorningfforfschool.fWhichfassessmentfdatafshouldfthefnursefobtainfinfresponseftofthefmother'sfco
ncern?
A.
Thefoccurrencefoffanyfepisodesfoffsleepfapnea
f B.
Thefchild'sfbloodfpressure,fpulse,fandfrespirations
f C.
Lengthfoffrapidfeyefmovementf(REM)fsleepfthatfthefchildfisfexperiencing
f D.
Descriptionfofftheffamily'sfhomefenvironmentf-fCORRECTfANSWER-D
Rationale:fSchool-
agefchildrenfoftenfresistfbedtime.fThefnursefshouldfbeginfbyfassessingfthefenvironmentfoffthefhomeftofdet
ermineffactorsfthatfmayfnotfbefconduciveftofthefestablishmentfoffbedtimefritualsfthatfpromotefsleep.fOptio
nfAfoftenfcausesfdaytimeffatiguefratherfthanfresistanceftofgoingftofsleep.fOptionfBfisfunlikelyftofprovidefusef
ulfdata.fThefnursefcannotfdeterminefoptionfC.
, Thefnursefidentifiesfafpotentialfforfinfectionfinfafclientfwithfpartial-thicknessf(second-degree)fandffull-
thicknessf(third-
degree)fburns.fWhatfactionfhasfthefhighestfpriorityfinfdecreasingfthefclient'sfriskfoffinfection?
A.
Administrationfoffplasmafexpanders
f B.
Usefoffcarefulfhandwashingftechnique
f C.
Applicationfoffaftopicalfantibacterialfcream
f D.
Limitingfvisitorsftofthefclientfwithfburnsf-fCORRECTfANSWER-B
Rationale:fCarefulfhandwashingftechniquefisfthefsinglefmostfeffectivefinterventionfforfthefpreventionfoffco
ntaminationftofallfclients.fOptionfAfreversesfthefhypovolemiafthatfinitiallyfaccompaniesfburnftraumafbutfisf
notfrelatedftofdecreasingfthefproliferationfoffinfectiveforganisms.fOptionsfCfandfDfarefrecommendedfbyfvar
iousfburnfcentersfasfpossiblefwaysftofreducefthefchancefoffinfection.fOptionfBfisfafprovenftechniqueftofprev
entfinfection.
Thefnursefassessesfaf2-year-
oldfwhofisfadmittedfforfdehydrationfandffindsfthatfthefperipheralfIVfratefbyfgravityfhasfslowed,fevenfthough
fthefvenousfaccessfsitefisfhealthy.fWhatfshouldfthefnursefdofnext?
A.
Applyfafwarmfcompressfproximalftofthefsite.
f B.
CheckfforfkinksfinftheftubingfandfraisefthefIVfpole.
f C.
Adjustftheftapefthatfstabilizesfthefneedle.
f D.
Flushfwithfnormalfsalinefandfrecountfthefdropfrate.f-fCORRECTfANSWER-B
Rationale:fThefnursefshouldffirstfcheckftheftubingfandfheightfoffthefbagfonfthefIVfpole,fwhichfarefcommonffa
ctorsfthatfmayfslowfthefrate.fGravityfinfusionfratesfarefinfluencedfbyfthefheightfoffthefbag,ftubingfclampfclos
ureforfkinks,fneedlefsizeforfposition,ffluidfviscosity,fclientfbloodfpressuref(cryingfinfthefpediatricfclient),fandfi
nfiltration.fVenospasmfcanfslowfthefratefandfoftenfrespondsftofwarmthfoverfthefvessel,fbutfthefnursefshoul
