HESI RN FUNDAMENTALS EXIT EXAM · 100+ (2026/27) EXAM Q&A | VERIFIED SO… EXAM
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
HESI RN FUNDAMENTALS
EXIT EXAM
100+ (2026/27) Exam Q&A | Verified Solutions with Rationales | Grade
A+
Verified Answers Exam Ready With Rationales 100 Questions
DOCUMENT OVERVIEW
This document, "HESI RN FUNDAMENTALS EXIT EXAM," presents 100 questions with their correct answers and detailed
explanations, covering core fundamentals of nursing practice. Topics range from pediatric emergencies and
medication administration to post-operative care, client education, and dietary management. Students can effectively
use this resource to study, review concepts, and deepen their understanding of essential nursing principles by
analyzing the provided questions and their comprehensive rationales.
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 100
A nurse in a pediatric clinic is alerted by a parent stating, "My 4-month-old infant is suddenly unable to
breathe and appears to be gagging!" Which immediate action should the nurse prioritize?
A) Place the infant supine on a firm surface and administer chest compressions.
B) Gently insert a finger into the infant's mouth to sweep for the obstruction.
C) Assess for the presence of breathing and any visible obstruction.
D) Administer five firm back blows between the infant's scapulae.
CORRECT ANSWER
C) Assess for the presence of breathing and any visible obstruction.
Page 1
, RATIONALE
Assessing for breathing and visible obstruction is the crucial first step to determine the severity of the airway
compromise and guide subsequent interventions for a potentially choking infant.
Q2 QUESTION 2 OF 100
A nurse is preparing to administer a unit of packed red blood cells. When initiating the transfusion, which
intravenous solutions are compatible for use with infusion of blood products? (Select all that apply.)
A) 0.45% Sodium Chloride
B) 5% Dextrose in Water
C) 0.9% Sodium Chloride
D) Lactated Ringer's Solution
E) 5% Dextrose in 0.9% Sodium Chloride
CORRECT ANSWER
C) 0.9% Sodium Chloride
RATIONALE
Only isotonic 0.9% Sodium Chloride is compatible with blood transfusions as other solutions can cause hemolysis or
agglutination of the red blood cells.
Q3 QUESTION 3 OF 100
A nurse is assisting a postoperative client, who is ambulating for the first time 24 hours after abdominal
surgery, to stand. The client reports feeling unsteady. Which action demonstrates the BEST application of safe
body mechanics and client support?
A) Instruct the client to place their hands on the nurse's shoulders while the nurse stands behind them.
B) Position the chair 15 cm (6 inches) from the bed, facing it directly, and have the client pivot towards it.
C) Spread feet shoulder-width apart, bend knees and hips, and place hands on the client's mid-back to assist
upward.
D) Grasp the client's forearms firmly and pull the client directly upwards to a standing position.
CORRECT ANSWER
C) Spread feet shoulder-width apart, bend knees and hips, and place hands on the client's mid-back to assist
upward.
Page 2
, RATIONALE
Spreading feet provides a wide base of support, and bending at the knees and hips aligns with the client's center of
gravity, minimizing strain on the nurse's back and maximizing stable assistance to the client.
Q4 QUESTION 4 OF 100
The nurse is assigned to a client admitted with dehydration. The nurse is reviewing the client's intake from the
past shift, noting 1200 mL of water, a 4-ounce container of gelatin, 8 ounces of orange juice, a 355 mL can of
soda, and 1 cup of soup. To accurately document the client's total oral intake, how many mL should the nurse
record on the intake and output record?
A) 1555 mL
B) 1715 mL
C) 2155 mL
D) 2510 mL
CORRECT ANSWER
C) 2155 mL
RATIONALE
The nurse must convert all fluid volumes to milliliters and sum them, recognizing that 4 ounces equals approximately
120 mL and 1 cup equals approximately 240 mL. This ensures accurate fluid balance assessment for the dehydrated
client.
Q5 QUESTION 5 OF 100
A newly hired nurse is assisting a client with a prescription for bilateral lower extremity blood pressure
measurements. The nurse observes an unlicensed assistive person (UAP) applying a blood pressure cuff to the
client's calf and inflating it to 200 mm Hg. Which actions by the nurse are indicated? (Select all that apply.)
A) Instruct the UAP to deflate the cuff and reapply it higher on the thigh.
B) Document the procedure as performed by the UAP.
C) Explain to the UAP that the cuff should be placed over the popliteal artery.
Page 3
, D) Obtain the client's blood pressure in the upper extremities for comparison.
E) Assess the client for signs of peripheral vasoconstriction or injury.
CORRECT ANSWER
A) Instruct the UAP to deflate the cuff and reapply it higher on the thigh.
C) Explain to the UAP that the cuff should be placed over the popliteal artery.
E) Assess the client for signs of peripheral vasoconstriction or injury.
RATIONALE
The blood pressure cuff should be placed over the popliteal artery in the thigh, not the calf, to ensure accurate
readings and avoid injury. Comparing with upper extremity pressures is standard practice, and assessing for
complications is vital after improper application.
Q6 QUESTION 6 OF 100
A nurse is assessing a 7-year-old child brought to a pediatric clinic by their parent due to chronic difficulty
with a consistent bedtime and morning wake-up schedule. The parent states the child frequently plays until
past midnight and then struggles to rise for school. Which initial nursing actions are most appropriate for this
situation? (Select all that apply.)
A) Inquire about the child's television and screen time habits before bed.
B) Administer a dose of melatonin to regulate the child's sleep cycle.
C) Assess for signs and symptoms suggestive of pediatric sleep apnea.
D) Review the family's typical evening routine and home environment.
E) Obtain the child's vital signs for baseline comparison.
F) Discuss the potential benefits of a consistent sleep diary with the parent.
CORRECT ANSWER
A) Inquire about the child's television and screen time habits before bed.
D) Review the family's typical evening routine and home environment.
F) Discuss the potential benefits of a consistent sleep diary with the parent.
RATIONALE
The nurse should first explore environmental and behavioral factors influencing the child's sleep, such as screen time,
family routines, and implementing a sleep diary, before considering further medical interventions or assessments.
Q7 QUESTION 7 OF 100
Page 4
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
HESI RN FUNDAMENTALS
EXIT EXAM
100+ (2026/27) Exam Q&A | Verified Solutions with Rationales | Grade
A+
Verified Answers Exam Ready With Rationales 100 Questions
DOCUMENT OVERVIEW
This document, "HESI RN FUNDAMENTALS EXIT EXAM," presents 100 questions with their correct answers and detailed
explanations, covering core fundamentals of nursing practice. Topics range from pediatric emergencies and
medication administration to post-operative care, client education, and dietary management. Students can effectively
use this resource to study, review concepts, and deepen their understanding of essential nursing principles by
analyzing the provided questions and their comprehensive rationales.
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 100
A nurse in a pediatric clinic is alerted by a parent stating, "My 4-month-old infant is suddenly unable to
breathe and appears to be gagging!" Which immediate action should the nurse prioritize?
A) Place the infant supine on a firm surface and administer chest compressions.
B) Gently insert a finger into the infant's mouth to sweep for the obstruction.
C) Assess for the presence of breathing and any visible obstruction.
D) Administer five firm back blows between the infant's scapulae.
CORRECT ANSWER
C) Assess for the presence of breathing and any visible obstruction.
Page 1
, RATIONALE
Assessing for breathing and visible obstruction is the crucial first step to determine the severity of the airway
compromise and guide subsequent interventions for a potentially choking infant.
Q2 QUESTION 2 OF 100
A nurse is preparing to administer a unit of packed red blood cells. When initiating the transfusion, which
intravenous solutions are compatible for use with infusion of blood products? (Select all that apply.)
A) 0.45% Sodium Chloride
B) 5% Dextrose in Water
C) 0.9% Sodium Chloride
D) Lactated Ringer's Solution
E) 5% Dextrose in 0.9% Sodium Chloride
CORRECT ANSWER
C) 0.9% Sodium Chloride
RATIONALE
Only isotonic 0.9% Sodium Chloride is compatible with blood transfusions as other solutions can cause hemolysis or
agglutination of the red blood cells.
Q3 QUESTION 3 OF 100
A nurse is assisting a postoperative client, who is ambulating for the first time 24 hours after abdominal
surgery, to stand. The client reports feeling unsteady. Which action demonstrates the BEST application of safe
body mechanics and client support?
A) Instruct the client to place their hands on the nurse's shoulders while the nurse stands behind them.
B) Position the chair 15 cm (6 inches) from the bed, facing it directly, and have the client pivot towards it.
C) Spread feet shoulder-width apart, bend knees and hips, and place hands on the client's mid-back to assist
upward.
D) Grasp the client's forearms firmly and pull the client directly upwards to a standing position.
CORRECT ANSWER
C) Spread feet shoulder-width apart, bend knees and hips, and place hands on the client's mid-back to assist
upward.
Page 2
, RATIONALE
Spreading feet provides a wide base of support, and bending at the knees and hips aligns with the client's center of
gravity, minimizing strain on the nurse's back and maximizing stable assistance to the client.
Q4 QUESTION 4 OF 100
The nurse is assigned to a client admitted with dehydration. The nurse is reviewing the client's intake from the
past shift, noting 1200 mL of water, a 4-ounce container of gelatin, 8 ounces of orange juice, a 355 mL can of
soda, and 1 cup of soup. To accurately document the client's total oral intake, how many mL should the nurse
record on the intake and output record?
A) 1555 mL
B) 1715 mL
C) 2155 mL
D) 2510 mL
CORRECT ANSWER
C) 2155 mL
RATIONALE
The nurse must convert all fluid volumes to milliliters and sum them, recognizing that 4 ounces equals approximately
120 mL and 1 cup equals approximately 240 mL. This ensures accurate fluid balance assessment for the dehydrated
client.
Q5 QUESTION 5 OF 100
A newly hired nurse is assisting a client with a prescription for bilateral lower extremity blood pressure
measurements. The nurse observes an unlicensed assistive person (UAP) applying a blood pressure cuff to the
client's calf and inflating it to 200 mm Hg. Which actions by the nurse are indicated? (Select all that apply.)
A) Instruct the UAP to deflate the cuff and reapply it higher on the thigh.
B) Document the procedure as performed by the UAP.
C) Explain to the UAP that the cuff should be placed over the popliteal artery.
Page 3
, D) Obtain the client's blood pressure in the upper extremities for comparison.
E) Assess the client for signs of peripheral vasoconstriction or injury.
CORRECT ANSWER
A) Instruct the UAP to deflate the cuff and reapply it higher on the thigh.
C) Explain to the UAP that the cuff should be placed over the popliteal artery.
E) Assess the client for signs of peripheral vasoconstriction or injury.
RATIONALE
The blood pressure cuff should be placed over the popliteal artery in the thigh, not the calf, to ensure accurate
readings and avoid injury. Comparing with upper extremity pressures is standard practice, and assessing for
complications is vital after improper application.
Q6 QUESTION 6 OF 100
A nurse is assessing a 7-year-old child brought to a pediatric clinic by their parent due to chronic difficulty
with a consistent bedtime and morning wake-up schedule. The parent states the child frequently plays until
past midnight and then struggles to rise for school. Which initial nursing actions are most appropriate for this
situation? (Select all that apply.)
A) Inquire about the child's television and screen time habits before bed.
B) Administer a dose of melatonin to regulate the child's sleep cycle.
C) Assess for signs and symptoms suggestive of pediatric sleep apnea.
D) Review the family's typical evening routine and home environment.
E) Obtain the child's vital signs for baseline comparison.
F) Discuss the potential benefits of a consistent sleep diary with the parent.
CORRECT ANSWER
A) Inquire about the child's television and screen time habits before bed.
D) Review the family's typical evening routine and home environment.
F) Discuss the potential benefits of a consistent sleep diary with the parent.
RATIONALE
The nurse should first explore environmental and behavioral factors influencing the child's sleep, such as screen time,
family routines, and implementing a sleep diary, before considering further medical interventions or assessments.
Q7 QUESTION 7 OF 100
Page 4
