HESI RN FUNDAMENTALS EXIT EXAM LATEST 2025-2026 ACTUAL EXAM
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1. The nurse transcribes the postopera- D
tive prescriptions for a client who re- Rationale: Medications prescribed preopera-
turns to the unit following surgery and tively must be renewed postoperatively, so the
notes that an antihypertensive medica- nurse should contact the health care provider if
tion that was prescribed preoperatively the antihypertensive medication is not included
is not listed. Which action should the in the postoperative prescriptions. The pharma-
nurse take? cist does not prescribe medications or renew
A. prescriptions. The nurse must have a current
Consult with the pharmacist about the prescription before administering any medica-
need to continue the medication. tions.
B.
Administer the antihypertensive med-
ication 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 re-
new the prescription for the medica-
tion.
2. Which fluid will the nurse select to B
administer with the prescribed blood Rationale: Normal saline solution is the only so-
transfusion? lution that is compatible with blood.
A.
5% Dextrose and water
B.
Normal saline
C.
Lactated Ringers solution
D.
5% Dextrose and lactated ringers
, HESI RN FUNDAMENTALS EXIT EXAM LATEST 2025-2026 ACTUAL EXAM
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3. When assisting a client from the bed to B
a chair, which procedure is best for the Rationale: Option B describes the correct po-
nurse to follow? sitioning of the nurse and affords the nurse a
A. wide base of support while stabilizing the client's
Place the chair parallel to the bed, with knees when assisting to a standing position. The
its back toward the head of the bed and chair should be placed at a 45-degree angle to
assist the client in moving to the chair. the bed, with the back of the chair toward the
B. head of the bed. Clients should never be lifted
With the nurse's feet spread apart and under the axillae; this could damage nerves and
knees aligned with the client's knees, strain the nurse's back. The client should be in-
stand and pivot the client into the structed to use the arms of the chair and should
chair. never place his or her arms around the nurse's
C. neck; this places undue stress on the nurse's
Assist the client to a standing position neck and back and increases the risk for a fall.
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.
4. The nurse is called to the waiting room B, C, D
of a pediatric clinic. The frantic mother Rationale: The fingers are placed at the same
states, "I think my 4-month-old baby location on an infant as chest compressions for
is choking!" What steps will the nurse CPR; however, the nurse must deliver five chest
take? (Select all that apply.) thrusts, after the five back slaps. Blind sweeps
A. are not used as this action may push the object
Compress the chest once between the deeper into the throat. The remaining steps are
nipples with two fingers. correct.
B.
Note any obstruction or absence of
, HESI RN FUNDAMENTALS EXIT EXAM LATEST 2025-2026 ACTUAL EXAM
Study online at https://quizlet.com/_hnki44
breathing.
C.
Deliver five backslaps between the
shoulder blades.
D.
Place the infant over the nurse's arm.
E.
Perform a blind finger sweep.
5. How many mL will the nurse document Answer: 2155
on the client's intake and output record Rationale: 1200 + 240 (8 oz) + 240 (1 cup) + 120
from the items listed? _____ mL (4 oz) + 355 = 2155
1200 mL water
4 ounce container of gelatin
8 ounces of orange juice
355 mL can of soda1 cup of soup
6. The nurse observes a UAP taking a B
client's blood pressure in the lower ex- Rationale: When obtaining the blood pressure
tremity. Which observation of this pro- in the lower extremities, the popliteal pulse is
cedure requires the nurse to intervene the site for auscultation when the blood pres-
with the UAP's approach? sure cuff is applied around the thigh. The nurse
A. should intervene with the UAP who has applied
The cuff wraps around the girth of the the cuff on the lower leg. Option A ensures an
leg. accurate assessment, and option C provides the
B. best access to the artery. Systolic pressure in the
The UAP auscultates the popliteal pulse popliteal artery is usually 10 to 40 mm Hg higher
with the cuff on the lower leg. than in the brachial artery.
C.
The client is placed in a prone position.
D.
The systolic reading is 20 mm Hg higher
, HESI RN FUNDAMENTALS EXIT EXAM LATEST 2025-2026 ACTUAL EXAM
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than the blood pressure in the client's
arm.
7. During a clinic visit, the mother of a D
7-year-old reports to the nurse that her Rationale: School-age children often resist bed-
child is often awake until midnight play- time. The nurse should begin by assessing the
ing and is then very difficult to awaken environment of the home to determine factors
in the morning for school. Which as- that may not be conducive to the establishment
sessment data should the nurse obtain of bedtime rituals that promote sleep. Option A
in response to the mother's concern? often causes daytime fatigue rather than resis-
A. tance to going to sleep. Option B is unlikely to
The occurrence of any episodes of provide useful data. The nurse cannot determine
sleep apnea option C.
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 envi-
ronment
8. The nurse identifies a potential for in- B
fection in a client with partial-thick- Rationale: Careful handwashing technique is the
ness (second-degree) and full-thick- single most effective intervention for the pre-
ness (third-degree) burns. What action vention of contamination to all clients. Option A
has the highest priority in decreasing reverses the hypovolemia that initially accompa-
the client's risk of infection? nies burn trauma but is not related to decreas-
A. ing the proliferation of infective organisms. Op-
Administration of plasma expanders tions C and D are recommended by various burn
B. centers as possible ways to reduce the chance
Study online at https://quizlet.com/_hnki44
1. The nurse transcribes the postopera- D
tive prescriptions for a client who re- Rationale: Medications prescribed preopera-
turns to the unit following surgery and tively must be renewed postoperatively, so the
notes that an antihypertensive medica- nurse should contact the health care provider if
tion that was prescribed preoperatively the antihypertensive medication is not included
is not listed. Which action should the in the postoperative prescriptions. The pharma-
nurse take? cist does not prescribe medications or renew
A. prescriptions. The nurse must have a current
Consult with the pharmacist about the prescription before administering any medica-
need to continue the medication. tions.
B.
Administer the antihypertensive med-
ication 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 re-
new the prescription for the medica-
tion.
2. Which fluid will the nurse select to B
administer with the prescribed blood Rationale: Normal saline solution is the only so-
transfusion? lution that is compatible with blood.
A.
5% Dextrose and water
B.
Normal saline
C.
Lactated Ringers solution
D.
5% Dextrose and lactated ringers
, HESI RN FUNDAMENTALS EXIT EXAM LATEST 2025-2026 ACTUAL EXAM
Study online at https://quizlet.com/_hnki44
3. When assisting a client from the bed to B
a chair, which procedure is best for the Rationale: Option B describes the correct po-
nurse to follow? sitioning of the nurse and affords the nurse a
A. wide base of support while stabilizing the client's
Place the chair parallel to the bed, with knees when assisting to a standing position. The
its back toward the head of the bed and chair should be placed at a 45-degree angle to
assist the client in moving to the chair. the bed, with the back of the chair toward the
B. head of the bed. Clients should never be lifted
With the nurse's feet spread apart and under the axillae; this could damage nerves and
knees aligned with the client's knees, strain the nurse's back. The client should be in-
stand and pivot the client into the structed to use the arms of the chair and should
chair. never place his or her arms around the nurse's
C. neck; this places undue stress on the nurse's
Assist the client to a standing position neck and back and increases the risk for a fall.
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.
4. The nurse is called to the waiting room B, C, D
of a pediatric clinic. The frantic mother Rationale: The fingers are placed at the same
states, "I think my 4-month-old baby location on an infant as chest compressions for
is choking!" What steps will the nurse CPR; however, the nurse must deliver five chest
take? (Select all that apply.) thrusts, after the five back slaps. Blind sweeps
A. are not used as this action may push the object
Compress the chest once between the deeper into the throat. The remaining steps are
nipples with two fingers. correct.
B.
Note any obstruction or absence of
, HESI RN FUNDAMENTALS EXIT EXAM LATEST 2025-2026 ACTUAL EXAM
Study online at https://quizlet.com/_hnki44
breathing.
C.
Deliver five backslaps between the
shoulder blades.
D.
Place the infant over the nurse's arm.
E.
Perform a blind finger sweep.
5. How many mL will the nurse document Answer: 2155
on the client's intake and output record Rationale: 1200 + 240 (8 oz) + 240 (1 cup) + 120
from the items listed? _____ mL (4 oz) + 355 = 2155
1200 mL water
4 ounce container of gelatin
8 ounces of orange juice
355 mL can of soda1 cup of soup
6. The nurse observes a UAP taking a B
client's blood pressure in the lower ex- Rationale: When obtaining the blood pressure
tremity. Which observation of this pro- in the lower extremities, the popliteal pulse is
cedure requires the nurse to intervene the site for auscultation when the blood pres-
with the UAP's approach? sure cuff is applied around the thigh. The nurse
A. should intervene with the UAP who has applied
The cuff wraps around the girth of the the cuff on the lower leg. Option A ensures an
leg. accurate assessment, and option C provides the
B. best access to the artery. Systolic pressure in the
The UAP auscultates the popliteal pulse popliteal artery is usually 10 to 40 mm Hg higher
with the cuff on the lower leg. than in the brachial artery.
C.
The client is placed in a prone position.
D.
The systolic reading is 20 mm Hg higher
, HESI RN FUNDAMENTALS EXIT EXAM LATEST 2025-2026 ACTUAL EXAM
Study online at https://quizlet.com/_hnki44
than the blood pressure in the client's
arm.
7. During a clinic visit, the mother of a D
7-year-old reports to the nurse that her Rationale: School-age children often resist bed-
child is often awake until midnight play- time. The nurse should begin by assessing the
ing and is then very difficult to awaken environment of the home to determine factors
in the morning for school. Which as- that may not be conducive to the establishment
sessment data should the nurse obtain of bedtime rituals that promote sleep. Option A
in response to the mother's concern? often causes daytime fatigue rather than resis-
A. tance to going to sleep. Option B is unlikely to
The occurrence of any episodes of provide useful data. The nurse cannot determine
sleep apnea option C.
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 envi-
ronment
8. The nurse identifies a potential for in- B
fection in a client with partial-thick- Rationale: Careful handwashing technique is the
ness (second-degree) and full-thick- single most effective intervention for the pre-
ness (third-degree) burns. What action vention of contamination to all clients. Option A
has the highest priority in decreasing reverses the hypovolemia that initially accompa-
the client's risk of infection? nies burn trauma but is not related to decreas-
A. ing the proliferation of infective organisms. Op-
Administration of plasma expanders tions C and D are recommended by various burn
B. centers as possible ways to reduce the chance
