HESI-
RN Fundamentals Actual Exam/ Updated 2024-
t t t t t
2025/ Latest Practice Questions with
t t t t t
CorrectVerifiedAnswers. t t
Whichtfluidtwilltthetnursetselectttotadministertwithtthetprescribedtbloodttransfusion?
A. 5%tDextrosetandtwater
B. Normaltsaline
C. LactatedtRingerstsolution
D. 5%tDextrosetandtlactatedtringerst-tANSWERt-tB
Rationale:tNormaltsalinetsolutiontistthetonlytsolutiontthattistcompatibletwithtblood.
HowtmanytmLtwilltthetnursetdocumenttontthetclient'stintaketandtoutputtrecordtfromtthetitemstlisted?
mLt 120
0tmLtwater
4touncetcontainertoftgelatint8
ouncestoftorangetjuice
t
355tmLtcantoftsoda1tcuptoftsoupt-tANSWERt-tAnswer:t2155
Rationale:t1200t+t240t(8toz)t+t240t(1tcup)t+t120t(4toz)t+t355t=t2155
ThetnursetobservestatUAPttakingtatclient'stbloodtpressuretintthetlowertextremity.tWhichtobservationtoftthistp
roceduretrequirestthetnursettotintervenetwithtthetUAP'stapproach?
A. Thetcufftwrapstaroundtthetgirthtoftthetleg.
B. ThetUAPtauscultatestthetpoplitealtpulsetwithtthetcufftontthetlowertleg.
C. Thetclienttistplacedtintatpronetposition.
D. Thetsystolictreadingtist20tmmtHgthighertthantthetbloodtpressuretintthetclient'starm.t-tANSWERt-tB
,pg.t1
,Rationale:tWhentobtainingtthetbloodtpressuretintthetlowertextremities,tthetpoplitealtpulsetistthetsitetfortausc
ultationtwhentthetbloodtpressuretcufftistappliedtaroundtthetthigh.tThetnursetshouldtintervenetwith
thetUAPtwhothastappliedtthetcufftontthetlowertleg.tOptiontAtensurestantaccuratetassessment,tandtoptiontCtp
rovidestthetbesttaccessttotthetartery.tSystolictpressuretintthetpoplitealtarterytistusuallyt10ttot40tmmtHgthigh
ertthantintthetbrachialtartery.
Thetnursetidentifiestatpotentialtfortinfectiontintatclienttwithtpartial-thicknesst(second-
degree)tandtfullthicknesst(third-
degree)tburns.tWhattactionthastthethighesttprioritytintdecreasingtthetclient'strisktoftinfection?
A. Administrationtoftplasmatexpanders
B. Usetoftcarefulthandwashingttechnique
C. Applicationtoftattopicaltantibacterialtcream
D. Limitingtvisitorsttotthetclienttwithtburnst- ANSWERt-tB
Rationale:tCarefulthandwashingttechniquetistthetsingletmostteffectivetinterventiontfortthetpreventiontoftcon
taminationttotalltclients.tOptiontAtreversestthethypovolemiatthattinitiallytaccompaniestburnttraumatbuttistn
ottrelatedttotdecreasingtthetproliferationtoftinfectivetorganisms.tOptionstCtandtDtare
recommendedtbytvarioustburntcenterstastpossibletwaysttotreducetthetchancetoftinfection.tOptiontBtistatprov
enttechniquettotpreventtinfection.
Thetnursetassessestat2-year-
oldtwhotistadmittedtfortdehydrationtandtfindstthattthetperipheraltIVtratetbytgravitythastslowed,teventthought
thetvenoustaccesstsitetisthealthy.tWhattshouldtthetnursetdotnext?
A. Applytatwarmtcompresstproximalttotthetsite.
B. ChecktfortkinkstintthettubingtandtraisetthetIVtpole.
C. Adjusttthettapetthattstabilizestthetneedle.
D. Flushtwithtnormaltsalinetandtrecounttthetdroptrate.t- ANSWERt-tB
Rationale:tThetnursetshouldtfirsttchecktthettubingtandtheighttoftthetbagtontthetIVtpole,twhichtaretcommontf
actorstthattmaytslowtthetrate.tGravitytinfusiontratestaretinfluencedtbytthetheighttoftthetbag,ttubingtclamptcl
osuretortkinks,tneedletsizetortposition,tfluidtviscosity,tclienttbloodtpressuret(cryingtintthetpediatrictclient),tan
dtinfiltration.tVenospasmtcantslowtthetratetandtoftentrespondsttotwarmthtovertthetvessel,tbuttthetnursetsh
ouldtfirsttadjusttthetIVtpoletheight.tThetnursetmaytneedttotadjusttthetstabilizingttapetontatpositionaltneedlet
ortflushtthetvenoustaccesstwithtnormaltsaline,tbuttlesstinvasivetactionstshouldtbetimplementedtfirst.
pg.t2
t
, Thetnursetmanagertoftatskilledtnursingt(chronictcare)tunittistinstructingtUAPstontwaysttotpreventtcomplication
stoftimmobility.tWhichtactiontshouldtbetincludedtintthistinstruction?
A. Performtrange-of-motiontexercisesttotpreventtcontractures.
B. Decreasetthetclient'stfluidtintakettotpreventtdiarrhea.
C. Massagetthetclient'stlegsttotreducetembolismtoccurrence.
D. Turntthetclienttfromtsidettotbackteverytshift.t-tANSWERt-tA
Rationale:tPerformingtrange-of-
motiontexercisestistbeneficialtintreducingtcontracturestaroundtjoints.tOptionstB,tC,tandtDtaretalltpotentiallytha
rmfultpracticestthattplacetthetimmobiletclienttattrisktoftcomplications.
Thetnursetadministeredt10tmgtoftdiazepamttotthetpreoperativetclient.tWhattstepstwilltthetnursettaketnext?t(
Selecttalltthattapply.)
A. Placetthetclienttintthetbedtnextttotthetnurse'ststation.
B. Instructtthetclienttnotttotgettouttoftbed.
C. Placetthetcalltbelltwithintthetclient'streach.
D. Placetthetsidetrailstup,taccordingttotinstitutionaltpolicy.
E. Assisttthetclientttotthetbathroomt-tANSWERt-tB,tC,tD
Rationale:tDiazepamtistatcommontpreoperativetmedication.tClosetobservationtbytplacingtthetclienttclosettot
thetnurse'ststationtistnottnecessary.tThetmedicationthastatsedativeteffecttandtthetclienttshouldtnottgettouttof
tbed,teventwithtassistance.tThetremainingtselectionstaretcorrect.
Atterminallytilltclientttellstthetnurse,t"Itamtsottiredtandtintsotmuchtpain!tPleasethelptmettotdie."tWhichtistthet
besttresponsetfortthetnursettotprovide?
A. Administertthetprescribedtmaximumtdosetoftpaintmedication.
B. Talktwithtthetclienttabouttthoughtstandtfeelingstabouttdeath.
C. Collaboratetwithtthethealthtcaretprovidertabouttinitiatingtantidepressantttherapy.
D. Refertthetclientttotthetethicstcommitteetofthertlocalthealthtcaretfacility.t-tANSWERt-tB
Rationale:tThetnursetshouldtfirsttassesstthetclient'stfeelingstabouttdeathtandtdeterminetthetextentttotwhichtt
histstatementtexpressestthetclient'sttruetfeelings.tThetclienttmaytneedtadditionaltpain
management,tbuttfurthertassessmenttistneededtbeforetimplementingtoptiontA.tOptionstCtandtDtaretbot
htprematuretinterventionstandtshouldtnottbetimplementedtuntiltfurthertassessmenttistobtained.
pg.t3
t
RN Fundamentals Actual Exam/ Updated 2024-
t t t t t
2025/ Latest Practice Questions with
t t t t t
CorrectVerifiedAnswers. t t
Whichtfluidtwilltthetnursetselectttotadministertwithtthetprescribedtbloodttransfusion?
A. 5%tDextrosetandtwater
B. Normaltsaline
C. LactatedtRingerstsolution
D. 5%tDextrosetandtlactatedtringerst-tANSWERt-tB
Rationale:tNormaltsalinetsolutiontistthetonlytsolutiontthattistcompatibletwithtblood.
HowtmanytmLtwilltthetnursetdocumenttontthetclient'stintaketandtoutputtrecordtfromtthetitemstlisted?
mLt 120
0tmLtwater
4touncetcontainertoftgelatint8
ouncestoftorangetjuice
t
355tmLtcantoftsoda1tcuptoftsoupt-tANSWERt-tAnswer:t2155
Rationale:t1200t+t240t(8toz)t+t240t(1tcup)t+t120t(4toz)t+t355t=t2155
ThetnursetobservestatUAPttakingtatclient'stbloodtpressuretintthetlowertextremity.tWhichtobservationtoftthistp
roceduretrequirestthetnursettotintervenetwithtthetUAP'stapproach?
A. Thetcufftwrapstaroundtthetgirthtoftthetleg.
B. ThetUAPtauscultatestthetpoplitealtpulsetwithtthetcufftontthetlowertleg.
C. Thetclienttistplacedtintatpronetposition.
D. Thetsystolictreadingtist20tmmtHgthighertthantthetbloodtpressuretintthetclient'starm.t-tANSWERt-tB
,pg.t1
,Rationale:tWhentobtainingtthetbloodtpressuretintthetlowertextremities,tthetpoplitealtpulsetistthetsitetfortausc
ultationtwhentthetbloodtpressuretcufftistappliedtaroundtthetthigh.tThetnursetshouldtintervenetwith
thetUAPtwhothastappliedtthetcufftontthetlowertleg.tOptiontAtensurestantaccuratetassessment,tandtoptiontCtp
rovidestthetbesttaccessttotthetartery.tSystolictpressuretintthetpoplitealtarterytistusuallyt10ttot40tmmtHgthigh
ertthantintthetbrachialtartery.
Thetnursetidentifiestatpotentialtfortinfectiontintatclienttwithtpartial-thicknesst(second-
degree)tandtfullthicknesst(third-
degree)tburns.tWhattactionthastthethighesttprioritytintdecreasingtthetclient'strisktoftinfection?
A. Administrationtoftplasmatexpanders
B. Usetoftcarefulthandwashingttechnique
C. Applicationtoftattopicaltantibacterialtcream
D. Limitingtvisitorsttotthetclienttwithtburnst- ANSWERt-tB
Rationale:tCarefulthandwashingttechniquetistthetsingletmostteffectivetinterventiontfortthetpreventiontoftcon
taminationttotalltclients.tOptiontAtreversestthethypovolemiatthattinitiallytaccompaniestburnttraumatbuttistn
ottrelatedttotdecreasingtthetproliferationtoftinfectivetorganisms.tOptionstCtandtDtare
recommendedtbytvarioustburntcenterstastpossibletwaysttotreducetthetchancetoftinfection.tOptiontBtistatprov
enttechniquettotpreventtinfection.
Thetnursetassessestat2-year-
oldtwhotistadmittedtfortdehydrationtandtfindstthattthetperipheraltIVtratetbytgravitythastslowed,teventthought
thetvenoustaccesstsitetisthealthy.tWhattshouldtthetnursetdotnext?
A. Applytatwarmtcompresstproximalttotthetsite.
B. ChecktfortkinkstintthettubingtandtraisetthetIVtpole.
C. Adjusttthettapetthattstabilizestthetneedle.
D. Flushtwithtnormaltsalinetandtrecounttthetdroptrate.t- ANSWERt-tB
Rationale:tThetnursetshouldtfirsttchecktthettubingtandtheighttoftthetbagtontthetIVtpole,twhichtaretcommontf
actorstthattmaytslowtthetrate.tGravitytinfusiontratestaretinfluencedtbytthetheighttoftthetbag,ttubingtclamptcl
osuretortkinks,tneedletsizetortposition,tfluidtviscosity,tclienttbloodtpressuret(cryingtintthetpediatrictclient),tan
dtinfiltration.tVenospasmtcantslowtthetratetandtoftentrespondsttotwarmthtovertthetvessel,tbuttthetnursetsh
ouldtfirsttadjusttthetIVtpoletheight.tThetnursetmaytneedttotadjusttthetstabilizingttapetontatpositionaltneedlet
ortflushtthetvenoustaccesstwithtnormaltsaline,tbuttlesstinvasivetactionstshouldtbetimplementedtfirst.
pg.t2
t
, Thetnursetmanagertoftatskilledtnursingt(chronictcare)tunittistinstructingtUAPstontwaysttotpreventtcomplication
stoftimmobility.tWhichtactiontshouldtbetincludedtintthistinstruction?
A. Performtrange-of-motiontexercisesttotpreventtcontractures.
B. Decreasetthetclient'stfluidtintakettotpreventtdiarrhea.
C. Massagetthetclient'stlegsttotreducetembolismtoccurrence.
D. Turntthetclienttfromtsidettotbackteverytshift.t-tANSWERt-tA
Rationale:tPerformingtrange-of-
motiontexercisestistbeneficialtintreducingtcontracturestaroundtjoints.tOptionstB,tC,tandtDtaretalltpotentiallytha
rmfultpracticestthattplacetthetimmobiletclienttattrisktoftcomplications.
Thetnursetadministeredt10tmgtoftdiazepamttotthetpreoperativetclient.tWhattstepstwilltthetnursettaketnext?t(
Selecttalltthattapply.)
A. Placetthetclienttintthetbedtnextttotthetnurse'ststation.
B. Instructtthetclienttnotttotgettouttoftbed.
C. Placetthetcalltbelltwithintthetclient'streach.
D. Placetthetsidetrailstup,taccordingttotinstitutionaltpolicy.
E. Assisttthetclientttotthetbathroomt-tANSWERt-tB,tC,tD
Rationale:tDiazepamtistatcommontpreoperativetmedication.tClosetobservationtbytplacingtthetclienttclosettot
thetnurse'ststationtistnottnecessary.tThetmedicationthastatsedativeteffecttandtthetclienttshouldtnottgettouttof
tbed,teventwithtassistance.tThetremainingtselectionstaretcorrect.
Atterminallytilltclientttellstthetnurse,t"Itamtsottiredtandtintsotmuchtpain!tPleasethelptmettotdie."tWhichtistthet
besttresponsetfortthetnursettotprovide?
A. Administertthetprescribedtmaximumtdosetoftpaintmedication.
B. Talktwithtthetclienttabouttthoughtstandtfeelingstabouttdeath.
C. Collaboratetwithtthethealthtcaretprovidertabouttinitiatingtantidepressantttherapy.
D. Refertthetclientttotthetethicstcommitteetofthertlocalthealthtcaretfacility.t-tANSWERt-tB
Rationale:tThetnursetshouldtfirsttassesstthetclient'stfeelingstabouttdeathtandtdeterminetthetextentttotwhichtt
histstatementtexpressestthetclient'sttruetfeelings.tThetclienttmaytneedtadditionaltpain
management,tbuttfurthertassessmenttistneededtbeforetimplementingtoptiontA.tOptionstCtandtDtaretbot
htprematuretinterventionstandtshouldtnottbetimplementedtuntiltfurthertassessmenttistobtained.
pg.t3
t
