NUR 1141 HESI RN FUNDAMENTALS EXIT EXAM LATEST
2025-2026 ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS
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.)
Note any obstruction or absence of breathing.
Deliver five backslaps between the shoulder blades.
Place the infant over the nurse's arm.
Which fluid will the nurse select to administer with the prescribed blood transfusion?
Normal saline
When assisting a client from the bed to a chair, which procedure is best for the nurse to
follow?
With the nurse's feet spread apart and knees aligned with the client's knees, stand and
pivot the client into the chair.
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
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?
The UAP auscultates the popliteal pulse with the cuff on the lower leg.
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?
Description of the family's home environment
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?
Use of careful handwashing technique
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?
Check for kinks in the tubing and raise the IV pole.
,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?
Perform range-of-motion exercises to prevent contractures.
The nurse administered 10 mg of diazepam to the preoperative client. What steps will
the nurse take next? (Select all that apply.)
Instruct the client not to get out of bed.
Place the call bell within the client's reach.
Place the side rails up, according to institutional policy.
A terminally ill client tells the nurse, "I am so tired and in so much pain! Please help me
to die." Which is the best response for the nurse to provide?
Talk with the client about thoughts and feelings about death.
A nurse stops at a motor vehicle collision site to render aid until the emergency
personnel arrive and applies pressure to a groin wound that is bleeding profusely. Later
the client has to have the leg amputated and sues the nurse for malpractice. Which
statement reflects the likely outcome for the nurse?
There will be no judgment against the nurse, whose actions are protected under the
Good Samaritan Act.
, An older client who had abdominal surgery 3 days earlier was given a barbiturate for
sleep and is now requesting to go to the bathroom. What is the priority nursing action for
this client?
Assist the client to walk to the bathroom and do not leave the client alone.
The nurse is planning care for a client with an indwelling urinary catheter. Which nursing
action has the highest priority?
Assist the client with daily cleansing
When bathing an uncircumcised boy older than 3 years, which action should the nurse
take?
Retract the foreskin gently to cleanse the penis.
A nurse is assigned to care for a close friend in the hospital setting. Which action should
the nurse take first when given the assignment?
Explain the relationship to the charge nurse and ask for reassignment.
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?
Right cephalic vein
The Nurse Transcribes The Postoperative Prescriptions For A Client Who Returns To
The Unit Following Surgery And Notes That An Antihypertensive Medication That Was
Prescribed Preoperatively Is Not Listed. Which Action Should The Nurse Take?
Contact The Health Care Provider To Renew The Prescription For The Medication.
2025-2026 ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS
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.)
Note any obstruction or absence of breathing.
Deliver five backslaps between the shoulder blades.
Place the infant over the nurse's arm.
Which fluid will the nurse select to administer with the prescribed blood transfusion?
Normal saline
When assisting a client from the bed to a chair, which procedure is best for the nurse to
follow?
With the nurse's feet spread apart and knees aligned with the client's knees, stand and
pivot the client into the chair.
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
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?
The UAP auscultates the popliteal pulse with the cuff on the lower leg.
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?
Description of the family's home environment
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?
Use of careful handwashing technique
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?
Check for kinks in the tubing and raise the IV pole.
,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?
Perform range-of-motion exercises to prevent contractures.
The nurse administered 10 mg of diazepam to the preoperative client. What steps will
the nurse take next? (Select all that apply.)
Instruct the client not to get out of bed.
Place the call bell within the client's reach.
Place the side rails up, according to institutional policy.
A terminally ill client tells the nurse, "I am so tired and in so much pain! Please help me
to die." Which is the best response for the nurse to provide?
Talk with the client about thoughts and feelings about death.
A nurse stops at a motor vehicle collision site to render aid until the emergency
personnel arrive and applies pressure to a groin wound that is bleeding profusely. Later
the client has to have the leg amputated and sues the nurse for malpractice. Which
statement reflects the likely outcome for the nurse?
There will be no judgment against the nurse, whose actions are protected under the
Good Samaritan Act.
, An older client who had abdominal surgery 3 days earlier was given a barbiturate for
sleep and is now requesting to go to the bathroom. What is the priority nursing action for
this client?
Assist the client to walk to the bathroom and do not leave the client alone.
The nurse is planning care for a client with an indwelling urinary catheter. Which nursing
action has the highest priority?
Assist the client with daily cleansing
When bathing an uncircumcised boy older than 3 years, which action should the nurse
take?
Retract the foreskin gently to cleanse the penis.
A nurse is assigned to care for a close friend in the hospital setting. Which action should
the nurse take first when given the assignment?
Explain the relationship to the charge nurse and ask for reassignment.
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?
Right cephalic vein
The Nurse Transcribes The Postoperative Prescriptions For A Client Who Returns To
The Unit Following Surgery And Notes That An Antihypertensive Medication That Was
Prescribed Preoperatively Is Not Listed. Which Action Should The Nurse Take?
Contact The Health Care Provider To Renew The Prescription For The Medication.
