1|Page
HESI RN FUNDAMENTALS EXIT EXAM LATEST 2026-
2027 ACTUAL EXAM
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?
A.
Consult with the pharmacist about the need to continue the
medication.
B.
Administer the antihypertensive medication as prescribed
preoperatively.
C.
Withhold the medication until the client is fully alert and vital signs are
stable.
D.
Contact the health care provider to renew the prescription for the
medication. ......ANSWER......D
Rationale: Medications prescribed preoperatively must be renewed
postoperatively, so the nurse should contact the health care provider
if the antihypertensive medication is not included in the postoperative
prescriptions. The pharmacist does not prescribe medications or
renew prescriptions. The nurse must have a current prescription
before administering any medications.
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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 ......ANSWER......B
Rationale: Normal saline solution is the only solution that is
compatible with blood.
When assisting a client from the bed to a chair, which procedure is best
for the nurse to follow?
A.
Place the chair parallel to the bed, with its back toward the head of the
bed and assist the client in moving to the chair.
B.
With the nurse's feet spread apart and knees aligned with the client's
knees, stand and pivot the client into the chair.
C.
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Assist the client to a standing position by gently lifting upward,
underneath the axillae.
D.
Stand beside the client, place the client's arms around the nurse's neck,
and gently move the client to the chair. ......ANSWER......B
Rationale: Option B describes the correct positioning of the nurse and
affords the nurse a wide base of support while stabilizing the client's
knees when assisting to a standing position. The chair should be
placed at a 45-degree angle to the bed, with the back of the chair
toward the head of the bed. Clients should never be lifted under the
axillae; this could damage nerves and strain the nurse's back. The
client should be instructed to use the arms of the chair and should
never place his or her arms around the nurse's neck; this places undue
stress on the nurse's neck and back and increases the risk for a fall.
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.
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Place the infant over the nurse's arm.
E.
Perform a blind finger sweep. ......ANSWER......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.
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......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?
A.
The cuff wraps around the girth of the leg.
B.
The UAP auscultates the popliteal pulse with the cuff on the lower leg.
pg. 4
HESI RN FUNDAMENTALS EXIT EXAM LATEST 2026-
2027 ACTUAL EXAM
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?
A.
Consult with the pharmacist about the need to continue the
medication.
B.
Administer the antihypertensive medication as prescribed
preoperatively.
C.
Withhold the medication until the client is fully alert and vital signs are
stable.
D.
Contact the health care provider to renew the prescription for the
medication. ......ANSWER......D
Rationale: Medications prescribed preoperatively must be renewed
postoperatively, so the nurse should contact the health care provider
if the antihypertensive medication is not included in the postoperative
prescriptions. The pharmacist does not prescribe medications or
renew prescriptions. The nurse must have a current prescription
before administering any medications.
pg. 1
,2|Page
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 ......ANSWER......B
Rationale: Normal saline solution is the only solution that is
compatible with blood.
When assisting a client from the bed to a chair, which procedure is best
for the nurse to follow?
A.
Place the chair parallel to the bed, with its back toward the head of the
bed and assist the client in moving to the chair.
B.
With the nurse's feet spread apart and knees aligned with the client's
knees, stand and pivot the client into the chair.
C.
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,3|Page
Assist the client to a standing position by gently lifting upward,
underneath the axillae.
D.
Stand beside the client, place the client's arms around the nurse's neck,
and gently move the client to the chair. ......ANSWER......B
Rationale: Option B describes the correct positioning of the nurse and
affords the nurse a wide base of support while stabilizing the client's
knees when assisting to a standing position. The chair should be
placed at a 45-degree angle to the bed, with the back of the chair
toward the head of the bed. Clients should never be lifted under the
axillae; this could damage nerves and strain the nurse's back. The
client should be instructed to use the arms of the chair and should
never place his or her arms around the nurse's neck; this places undue
stress on the nurse's neck and back and increases the risk for a fall.
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.
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, 4|Page
Place the infant over the nurse's arm.
E.
Perform a blind finger sweep. ......ANSWER......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.
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......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?
A.
The cuff wraps around the girth of the leg.
B.
The UAP auscultates the popliteal pulse with the cuff on the lower leg.
pg. 4
