HESI RN FUNDAMENTALS STUDY GUID
x x x x
E 2024- x
2025 /HESI EXIT QUESTIONS 2024-
x x x x
2025 ACTUAL EXAM STUDY GUIDE WIT
x x x x x
H 150 REAL EXAM QUESTIONS AND CO
x x x x x x
The nurse is called to the RRECT
x x x waiting room of aANSWERS
x x x pediatric clinic. The frantic mother states, "I thi
x x xx x x x x x x x x
nkxmyx4-month-
oldxbabyxisxchoking!"xWhatxstepsxwillxthexnursextake?x(Selectxallxthatxapply.)
A.
Compressxthexchestxoncexbetweenxthexnipplesxwithxtwoxfingers.
xB.
Notexanyxobstructionxorxabsencexofxbreathing.
xC.
Deliverxfivexbackslapsxbetweenxthexshoulderxblades.
xD.
Placexthexinfantxoverxthexnurse'sxarm.
xE.
Performxaxblindxfingerxsweep.x–xanswerxB,xC,xD
Rationale:xThexfingersxarexplacedxatxthexsamexlocationxonxanxinfantxasxchestxcompr
essionsxforxCPR;xhowever,xthexnursexmustxdeliverxfivexchestxthrusts,xafterxthexfivex
backxslaps.xBlindxsweepsxarexnotxusedxasxthisxactionxmayxpushxthexobjectxdeeperxi
ntoxthexthroat.xThexremainingxstepsxarexcorrect.
Whichxfluidxwillxthexnursexselectxtoxadministerxwithxthexprescribedxbloodxtransfusion?xA.
5%xDextrosexandxwater
xB.
Normalxsaline
xC.
LactatedxRingersxsolution
xD.
5%xDextrosexandxlactatedxringersx–xanswerxB
Rationale:xNormalxsalinexsolutionxisxthexonlyxsolutionxthatxisxcompatiblexwithxblood.
Whenxassistingxaxclientxfromxthexbedxtoxaxchair,xwhichxprocedurexisxbestxforxthexnursextoxfollow?
A.
Placexthexchairxparallelxtoxthexbed,xwithxitsxbackxtowardxthexheadxofxthexbedxandxassistxthex
clientxinxmovingxtoxthexchair.
,xB.
Withxthexnurse'sxfeetxspreadxapartxandxkneesxalignedxwithxthexclient'sxknees,xstandxandxpiv
otxthexclientxintoxthexchair.
xC.
Assistxthexclientxtoxaxstandingxpositionxbyxgentlyxliftingxupward,xunderneathxthexaxillae.
xD.
Standxbesidexthexclient,xplacexthexclient'sxarmsxaroundxthexnurse'sxneck,xandxgentlyxmovex
thexclientxtoxthexchair.x–xanswerxB
Rationale:xOptionxBxdescribesxthexcorrectxpositioningxofxthexnursexandxaffordsxthex
nursexaxwidexbasexofxsupportxwhilexstabilizingxthexclient'sxkneesxwhenxassistingxto
xaxstandingxposition.xThexchairxshouldxbexplacedxatxax45-
degreexanglextoxthexbed,xwithxthexbackxofxthexchairxtowardxthexheadxofxthexbed.xClie
ntsxshouldxneverxbexliftedxunderxthexaxillae;xthisxcouldxdamagexnervesxandxstrainxt
hexnurse'sxback.xThexclientxshouldxbexinstructedxtoxusexthexarmsxofxthexchairxandxs
houldxneverxplacexhisxorxherxarmsxaroundxthexnurse'sxneck;xthisxplacesxunduexstre
ssxonxthexnurse'sxneckxandxbackxandxincreasesxthexriskxforxaxfall.
HowxmanyxmLxwillxthexnursexdocumentxonxthexclient'sxintakexandxoutputxrecordxfromxthexit
emsxlisted? mL
1200xmLxwater
4xouncexcontainerxofxgelatinx
8xouncesxofxorangexjuice
355xmLxcanxofxsoda1xcupxofxsoupx-xAnswer:x2155
Rationale:x1200x+x240x(8xoz)x+x240x(1xcup)x+x120x(4xoz)x+x355x=x2155
ThexnursexobservesxaxUAPxtakingxaxclient'sxbloodxpressurexinxthexlowerxextremity.xWhichx
observationxofxthisxprocedurexrequiresxthexnursextoxintervenexwithxthexUAP'sxapproach?
A.
Thexcuffxwrapsxaroundxthexgirthxofxthexleg.
xB.
ThexUAPxauscultatesxthexpoplitealxpulsexwithxthexcuffxonxthexlowerxleg.
xC.
Thexclientxisxplacedxinxaxpronexposition.
xD.
Thexsystolicxreadingxisx20xmmxHgxhigherxthanxthexbloodxpressurexinxthexclient'sxarm.x–
xanswerxB
Rationale:xWhenxobtainingxthexbloodxpressurexinxthexlowerxextremities,xthexpopliteal
xpulsexisxthexsitexforxauscultationxwhenxthexbloodxpressurexcuffxisxappliedxaroundxth
exthigh.xThexnursexshouldxintervenexwithxthexUAPxwhoxhasxappliedxthexcuffxonxthexl
owerxleg.xOptionxAxensuresxanxaccuratexassessment,xandxoptionxCxprovidesxthexbe
stxaccessxtoxthexartery.xSystolicxpressurexinxthexpoplitealxarteryxisxusuallyx10xtox40x
mmxHgxhigherxthanxinxthexbrachialxartery.
Duringxaxclinicxvisit,xthexmotherxofxax7-year-
oldxreportsxtoxthexnursexthatxherxchildxisxoftenxawakexuntilxmidnightxplayingxandxisxthenxveryxdiffi
cultxtoxawakenxinxthexmorningxfor
,school.xWhichxassessmentxdataxshouldxthexnursexobtainxinxresponsextoxthexmother'sxconcern?
A.
Thexoccurrencexofxanyxepisodesxofxsleepxapnea
xB.
Thexchild'sxbloodxpressure,xpulse,xandxrespirations
xC.
Lengthxofxrapidxeyexmovementx(REM)xsleepxthatxthexchildxisxexperiencing
xD.
Descriptionxofxthexfamily'sxhomexenvironmentx–xanswerxD
Rationale:xSchool-
agexchildrenxoftenxresistxbedtime.xThexnursexshouldxbeginxbyxassessingxthexenviro
nmentxofxthexhomextoxdeterminexfactorsxthatxmayxnotxbexconducivextoxthexestablis
hmentxofxbedtimexritualsxthatxpromotexsleep.xOptionxAxoftenxcausesxdaytimexfatigu
exratherxthanxresistancextoxgoingxtoxsleep.xOptionxBxisxunlikelyxtoxprovidexusefulxda
ta.xThexnursexcannotxdeterminexoptionxC.
Thexnursexidentifiesxaxpotentialxforxinfectionxinxaxclientxwithxpartial-thicknessx(second-
xdegree)xandxfull-thicknessx(third-
degree)xburns.xWhatxactionxhasxthexhighestxpriorityxinxdecreasingxthexclient'sxriskxofxinfection?
A.
Administrationxofxplasmaxexpanders
xB.
Usexofxcarefulxhandwashingxtechnique
xC.
Applicationxofxaxtopicalxantibacterialxcream
xD.
Limitingxvisitorsxtoxthexclientxwithxburnsx–xanswerxB
Rationale:xCarefulxhandwashingxtechniquexisxthexsinglexmostxeffectivexinterventionxf
orxthexpreventionxofxcontaminationxtoxallxclients.xOptionxAxreversesxthexhypovolemi
axthatxinitiallyxaccompaniesxburnxtraumaxbutxisxnotxrelatedxtoxdecreasingxthexprolife
rationxofxinfectivexorganisms.xOptionsxCxandxDxarexrecommendedxbyxvariousxburnxc
entersxasxpossiblexwaysxtoxreducexthexchancexofxinfection.xOptionxBxisxaxprovenxtec
hniquextoxpreventxinfection.
Thexnursexassessesxax2-year-
oldxwhoxisxadmittedxforxdehydrationxandxfindsxthatxthexperipheralxIVxratexbyxgravityxhasxslowed,x
evenxthoughxthexvenousxaccessxsitexisxhealthy.xWhatxshouldxthexnursexdoxnext?
A.
Applyxaxwarmxcompressxproximalxtoxthexsite.
xB.
CheckxforxkinksxinxthextubingxandxraisexthexIVxpole.
xC.
Adjustxthextapexthatxstabilizesxthexneedle.
xD.
Flushxwithxnormalxsalinexandxrecountxthexdropxrate.x–xanswerxB
, Rationale:xThexnursexshouldxfirstxcheckxthextubingxandxheightxofxthexbagxonxthexIVxpole,x
whichxarexcommonxfactorsxthatxmayxslowxthexrate.xGravityxinfusionxratesxarexinfluence
dxbyxthexheightxofxthexbag,xtubingxclampxclosurexorxkinks,xneedlexsizexorxposition,xfluidx
viscosity,xclientxbloodxpressurex(cryingxinxthexpediatricxclient),xandxinfiltration.xVenosp
asmxcanxslowxthexratexandxoftenxrespondsxtoxwarmthxoverxthexvessel,xbutxthexnursexsh
ouldxfirstxadjustxthexIVxpolexheight.xThexnursexmayxneedxtoxadjustxthexstabilizingxtapexo
nxaxpositionalxneedlexorxflushxthexvenousxaccessxwithxnormalxsaline,xbutxlessxinvasivex
actionsxshouldxbeximplementedxfirst.
Thexnursexmanagerxofxaxskilledxnursingx(chronicxcare)xunitxisxinstructingxUAPsxonxwaysxtox
preventxcomplicationsxofximmobility.xWhichxactionxshouldxbexincludedxinxthisxinstruction?
A.
Performxrange-of-motionxexercisesxtoxpreventxcontractures.
xB.
Decreasexthexclient'sxfluidxintakextoxpreventxdiarrhea.
xC.
Massagexthexclient'sxlegsxtoxreducexembolismxoccurrence.
xD.
Turnxthexclientxfromxsidextoxbackxeveryxshift.x–xanswerxA
Rationale:xPerformingxrange-of-
motionxexercisesxisxbeneficialxinxreducingxcontracturesxaroundxjoints.xOptionsxB,x
C,xandxDxarexallxpotentiallyxharmfulxpracticesxthatxplacextheximmobilexclientxatxriskx
ofxcomplications.
Thexnursexadministeredx10xmgxofxdiazepamxtoxthexpreoperativexclient.xWhatxstepsxwillxthex
nursextakexnext?x(Selectxallxthatxapply.)
A.
Placexthexclientxinxthexbedxnextxtoxthexnurse'sxstation.
xB.
Instructxthexclientxnotxtoxgetxoutxofxbed.
xC.
Placexthexcallxbellxwithinxthexclient'sxreach.
xD.
Placexthexsidexrailsxup,xaccordingxtoxinstitutionalxpolicy.
xE.
Assistxthexclientxtoxthexbathroomx–xanswerxB,xC,xD
Rationale:xDiazepamxisxaxcommonxpreoperativexmedication.xClosexobservationxbyxp
lacingxthexclientxclosextoxthexnurse'sxstationxisxnotxnecessary.xThexmedicationxhasx
axsedativexeffectxandxthexclientxshouldxnotxgetxoutxofxbed,xevenxwithxassistance.xTh
exremainingxselectionsxarexcorrect.
Axterminallyxillxclientxtellsxthexnurse,x"Ixamxsoxtiredxandxinxsoxmuchxpain!xPleasexhelpxmextox
die."xWhichxisxthexbestxresponsexforxthexnursextoxprovide?
A.
Administerxthexprescribedxmaximumxdosexofxpainxmedication.
xB.
x x x x
E 2024- x
2025 /HESI EXIT QUESTIONS 2024-
x x x x
2025 ACTUAL EXAM STUDY GUIDE WIT
x x x x x
H 150 REAL EXAM QUESTIONS AND CO
x x x x x x
The nurse is called to the RRECT
x x x waiting room of aANSWERS
x x x pediatric clinic. The frantic mother states, "I thi
x x xx x x x x x x x x
nkxmyx4-month-
oldxbabyxisxchoking!"xWhatxstepsxwillxthexnursextake?x(Selectxallxthatxapply.)
A.
Compressxthexchestxoncexbetweenxthexnipplesxwithxtwoxfingers.
xB.
Notexanyxobstructionxorxabsencexofxbreathing.
xC.
Deliverxfivexbackslapsxbetweenxthexshoulderxblades.
xD.
Placexthexinfantxoverxthexnurse'sxarm.
xE.
Performxaxblindxfingerxsweep.x–xanswerxB,xC,xD
Rationale:xThexfingersxarexplacedxatxthexsamexlocationxonxanxinfantxasxchestxcompr
essionsxforxCPR;xhowever,xthexnursexmustxdeliverxfivexchestxthrusts,xafterxthexfivex
backxslaps.xBlindxsweepsxarexnotxusedxasxthisxactionxmayxpushxthexobjectxdeeperxi
ntoxthexthroat.xThexremainingxstepsxarexcorrect.
Whichxfluidxwillxthexnursexselectxtoxadministerxwithxthexprescribedxbloodxtransfusion?xA.
5%xDextrosexandxwater
xB.
Normalxsaline
xC.
LactatedxRingersxsolution
xD.
5%xDextrosexandxlactatedxringersx–xanswerxB
Rationale:xNormalxsalinexsolutionxisxthexonlyxsolutionxthatxisxcompatiblexwithxblood.
Whenxassistingxaxclientxfromxthexbedxtoxaxchair,xwhichxprocedurexisxbestxforxthexnursextoxfollow?
A.
Placexthexchairxparallelxtoxthexbed,xwithxitsxbackxtowardxthexheadxofxthexbedxandxassistxthex
clientxinxmovingxtoxthexchair.
,xB.
Withxthexnurse'sxfeetxspreadxapartxandxkneesxalignedxwithxthexclient'sxknees,xstandxandxpiv
otxthexclientxintoxthexchair.
xC.
Assistxthexclientxtoxaxstandingxpositionxbyxgentlyxliftingxupward,xunderneathxthexaxillae.
xD.
Standxbesidexthexclient,xplacexthexclient'sxarmsxaroundxthexnurse'sxneck,xandxgentlyxmovex
thexclientxtoxthexchair.x–xanswerxB
Rationale:xOptionxBxdescribesxthexcorrectxpositioningxofxthexnursexandxaffordsxthex
nursexaxwidexbasexofxsupportxwhilexstabilizingxthexclient'sxkneesxwhenxassistingxto
xaxstandingxposition.xThexchairxshouldxbexplacedxatxax45-
degreexanglextoxthexbed,xwithxthexbackxofxthexchairxtowardxthexheadxofxthexbed.xClie
ntsxshouldxneverxbexliftedxunderxthexaxillae;xthisxcouldxdamagexnervesxandxstrainxt
hexnurse'sxback.xThexclientxshouldxbexinstructedxtoxusexthexarmsxofxthexchairxandxs
houldxneverxplacexhisxorxherxarmsxaroundxthexnurse'sxneck;xthisxplacesxunduexstre
ssxonxthexnurse'sxneckxandxbackxandxincreasesxthexriskxforxaxfall.
HowxmanyxmLxwillxthexnursexdocumentxonxthexclient'sxintakexandxoutputxrecordxfromxthexit
emsxlisted? mL
1200xmLxwater
4xouncexcontainerxofxgelatinx
8xouncesxofxorangexjuice
355xmLxcanxofxsoda1xcupxofxsoupx-xAnswer:x2155
Rationale:x1200x+x240x(8xoz)x+x240x(1xcup)x+x120x(4xoz)x+x355x=x2155
ThexnursexobservesxaxUAPxtakingxaxclient'sxbloodxpressurexinxthexlowerxextremity.xWhichx
observationxofxthisxprocedurexrequiresxthexnursextoxintervenexwithxthexUAP'sxapproach?
A.
Thexcuffxwrapsxaroundxthexgirthxofxthexleg.
xB.
ThexUAPxauscultatesxthexpoplitealxpulsexwithxthexcuffxonxthexlowerxleg.
xC.
Thexclientxisxplacedxinxaxpronexposition.
xD.
Thexsystolicxreadingxisx20xmmxHgxhigherxthanxthexbloodxpressurexinxthexclient'sxarm.x–
xanswerxB
Rationale:xWhenxobtainingxthexbloodxpressurexinxthexlowerxextremities,xthexpopliteal
xpulsexisxthexsitexforxauscultationxwhenxthexbloodxpressurexcuffxisxappliedxaroundxth
exthigh.xThexnursexshouldxintervenexwithxthexUAPxwhoxhasxappliedxthexcuffxonxthexl
owerxleg.xOptionxAxensuresxanxaccuratexassessment,xandxoptionxCxprovidesxthexbe
stxaccessxtoxthexartery.xSystolicxpressurexinxthexpoplitealxarteryxisxusuallyx10xtox40x
mmxHgxhigherxthanxinxthexbrachialxartery.
Duringxaxclinicxvisit,xthexmotherxofxax7-year-
oldxreportsxtoxthexnursexthatxherxchildxisxoftenxawakexuntilxmidnightxplayingxandxisxthenxveryxdiffi
cultxtoxawakenxinxthexmorningxfor
,school.xWhichxassessmentxdataxshouldxthexnursexobtainxinxresponsextoxthexmother'sxconcern?
A.
Thexoccurrencexofxanyxepisodesxofxsleepxapnea
xB.
Thexchild'sxbloodxpressure,xpulse,xandxrespirations
xC.
Lengthxofxrapidxeyexmovementx(REM)xsleepxthatxthexchildxisxexperiencing
xD.
Descriptionxofxthexfamily'sxhomexenvironmentx–xanswerxD
Rationale:xSchool-
agexchildrenxoftenxresistxbedtime.xThexnursexshouldxbeginxbyxassessingxthexenviro
nmentxofxthexhomextoxdeterminexfactorsxthatxmayxnotxbexconducivextoxthexestablis
hmentxofxbedtimexritualsxthatxpromotexsleep.xOptionxAxoftenxcausesxdaytimexfatigu
exratherxthanxresistancextoxgoingxtoxsleep.xOptionxBxisxunlikelyxtoxprovidexusefulxda
ta.xThexnursexcannotxdeterminexoptionxC.
Thexnursexidentifiesxaxpotentialxforxinfectionxinxaxclientxwithxpartial-thicknessx(second-
xdegree)xandxfull-thicknessx(third-
degree)xburns.xWhatxactionxhasxthexhighestxpriorityxinxdecreasingxthexclient'sxriskxofxinfection?
A.
Administrationxofxplasmaxexpanders
xB.
Usexofxcarefulxhandwashingxtechnique
xC.
Applicationxofxaxtopicalxantibacterialxcream
xD.
Limitingxvisitorsxtoxthexclientxwithxburnsx–xanswerxB
Rationale:xCarefulxhandwashingxtechniquexisxthexsinglexmostxeffectivexinterventionxf
orxthexpreventionxofxcontaminationxtoxallxclients.xOptionxAxreversesxthexhypovolemi
axthatxinitiallyxaccompaniesxburnxtraumaxbutxisxnotxrelatedxtoxdecreasingxthexprolife
rationxofxinfectivexorganisms.xOptionsxCxandxDxarexrecommendedxbyxvariousxburnxc
entersxasxpossiblexwaysxtoxreducexthexchancexofxinfection.xOptionxBxisxaxprovenxtec
hniquextoxpreventxinfection.
Thexnursexassessesxax2-year-
oldxwhoxisxadmittedxforxdehydrationxandxfindsxthatxthexperipheralxIVxratexbyxgravityxhasxslowed,x
evenxthoughxthexvenousxaccessxsitexisxhealthy.xWhatxshouldxthexnursexdoxnext?
A.
Applyxaxwarmxcompressxproximalxtoxthexsite.
xB.
CheckxforxkinksxinxthextubingxandxraisexthexIVxpole.
xC.
Adjustxthextapexthatxstabilizesxthexneedle.
xD.
Flushxwithxnormalxsalinexandxrecountxthexdropxrate.x–xanswerxB
, Rationale:xThexnursexshouldxfirstxcheckxthextubingxandxheightxofxthexbagxonxthexIVxpole,x
whichxarexcommonxfactorsxthatxmayxslowxthexrate.xGravityxinfusionxratesxarexinfluence
dxbyxthexheightxofxthexbag,xtubingxclampxclosurexorxkinks,xneedlexsizexorxposition,xfluidx
viscosity,xclientxbloodxpressurex(cryingxinxthexpediatricxclient),xandxinfiltration.xVenosp
asmxcanxslowxthexratexandxoftenxrespondsxtoxwarmthxoverxthexvessel,xbutxthexnursexsh
ouldxfirstxadjustxthexIVxpolexheight.xThexnursexmayxneedxtoxadjustxthexstabilizingxtapexo
nxaxpositionalxneedlexorxflushxthexvenousxaccessxwithxnormalxsaline,xbutxlessxinvasivex
actionsxshouldxbeximplementedxfirst.
Thexnursexmanagerxofxaxskilledxnursingx(chronicxcare)xunitxisxinstructingxUAPsxonxwaysxtox
preventxcomplicationsxofximmobility.xWhichxactionxshouldxbexincludedxinxthisxinstruction?
A.
Performxrange-of-motionxexercisesxtoxpreventxcontractures.
xB.
Decreasexthexclient'sxfluidxintakextoxpreventxdiarrhea.
xC.
Massagexthexclient'sxlegsxtoxreducexembolismxoccurrence.
xD.
Turnxthexclientxfromxsidextoxbackxeveryxshift.x–xanswerxA
Rationale:xPerformingxrange-of-
motionxexercisesxisxbeneficialxinxreducingxcontracturesxaroundxjoints.xOptionsxB,x
C,xandxDxarexallxpotentiallyxharmfulxpracticesxthatxplacextheximmobilexclientxatxriskx
ofxcomplications.
Thexnursexadministeredx10xmgxofxdiazepamxtoxthexpreoperativexclient.xWhatxstepsxwillxthex
nursextakexnext?x(Selectxallxthatxapply.)
A.
Placexthexclientxinxthexbedxnextxtoxthexnurse'sxstation.
xB.
Instructxthexclientxnotxtoxgetxoutxofxbed.
xC.
Placexthexcallxbellxwithinxthexclient'sxreach.
xD.
Placexthexsidexrailsxup,xaccordingxtoxinstitutionalxpolicy.
xE.
Assistxthexclientxtoxthexbathroomx–xanswerxB,xC,xD
Rationale:xDiazepamxisxaxcommonxpreoperativexmedication.xClosexobservationxbyxp
lacingxthexclientxclosextoxthexnurse'sxstationxisxnotxnecessary.xThexmedicationxhasx
axsedativexeffectxandxthexclientxshouldxnotxgetxoutxofxbed,xevenxwithxassistance.xTh
exremainingxselectionsxarexcorrect.
Axterminallyxillxclientxtellsxthexnurse,x"Ixamxsoxtiredxandxinxsoxmuchxpain!xPleasexhelpxmextox
die."xWhichxisxthexbestxresponsexforxthexnursextoxprovide?
A.
Administerxthexprescribedxmaximumxdosexofxpainxmedication.
xB.
