HESI RN FUNDAMENTALS EXIT EXAM
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HESI FUNDAMENTALS 2026
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C C
Terms in this set (127)
,The nurse transcribes the postoperative D
prescriptions for a client who returns to the unit Rationale: Medications prescribed preoperatively must be renewed
following surgery and postoperatively, so the nurse should contact the health care provider if
notes that an antihypertensive medication that the
was prescribed preoperatively is not listed. antihypertensive medication is not included in the postoperative
Which action should the nurse take? prescriptions. The pharmacist does not prescribe medications or renew
A. prescriptions. The nurse must have a current prescription before
Consult with the pharmacist about the need to administering any medications.
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.
Which fluid will the nurse select to administer B
with the prescribed blood transfusion? Rationale: Normal saline solution is the only solution that is compatible with
A. blood.
5% Dextrose and
water B.
Normal
saline C.
Lactated Ringers
solution D.
5% Dextrose and lactated ringers
,When assisting a client from the bed to a chair, B
which procedure is best for the nurse to follow? Rationale: Option B describes the correct positioning of the nurse and
A. affords the nurse a wide base of support while stabilizing the client's
Place the chair parallel to the bed, with its back knees when assisting to a standing position. The chair should be
toward the head of the bed and assist the client placed at a 45-degree angle to the bed, with the back of the chair
in moving to the chair. toward the head of the bed. Clients should never be
B. lifted under the axillae; this could damage nerves and strain the
With the nurse's feet spread apart and knees nurse's back. The client should be instructed to use the arms of the
aligned with the client's knees, stand and pivot the chair and should never place his or her arms around the nurse's neck;
client into the chair. C. this places undue stress on the nurse's neck
Assist the client to a standing position by gently and back and increases the risk for a fall.
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.
, The nurse is called to the waiting room of a B, C, D
pediatric
Rationale: The fingers are placed at the same location on an infant as chest
clinic. The frantic mother states, "I think my 4-
compressions for CPR; however, the nurse must deliver five chest thrusts,
month-old baby is choking!" What steps will the
after the five back slaps. Blind sweeps are not used as this action may
nurse take? (Select all that apply.)
push the object
A.
deeper into the throat. The remaining steps are correct.
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.
Place the infant over the nurse's
arm. E.
Perform a blind finger sweep.
How many mL will the nurse document on the Answer: 2155
client's
Rationale: 1200 + 240 (8 oz) + 240 (1 cup) + 120 (4 oz) + 355 = 2155
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