HESI RN FUNDAMENTALS EXIT EXAM 2024 / FUNDAMENTALS RN HESI
h h h h h h h h h h
XIT 2024 ACTUAL EXAM ALL QUESTIONS AND CORRECT DETAILED AN
h h h h h h h h h
SWERS
Studyhonlinehathhttps://quizlet.com/_g141su
1. The nurse is called to the waiting room of a pedi-
h h h h h h h h h h B, C, D h h
hatric clinic. The frantic mother states, "I think my 4
h h h h h h h h h Rationale: The fin- h h
-month- hgers are placed at th h h h h
old baby is choking!" What steps will the nurse tak
h h h h h h h h h e same location on a
h h h h
e? (Select all that apply.)
h h h h n infant as chest co
h h h h
A. mpressions for CPR h h
Compress the chest once between the nipples with h h h h h h h ; however,
h
htwo fingers. h the nurse must deliv-
h h h
B. her five chest thrusts,
h h h h
Note any obstruction or absence of breathing. C.
h h h h h h h after the five back sla h h h h
Deliver five backslaps between the shoulder blade
h h h h h h ps. Blind sweeps areh h h h
s. not used as this actio
h h h h
D. n may push the object
h h h h h
Place the infant over the nurse's arm. E
h h h h h h h deeper into the throat. h h h h
. The remaining steps h h h
Perform a blind finger sweep. h h h h are correct. h
2. Which fluid will the nurse select to administer with t
h h h h h h h h h B
he prescribed blood transfusion?
h h h Rationale: Normal sal h h
A. ine solution is the only
h h h h
5% Dextrose and water
h h h h hsolution that h
B. is compatible with bl
h h h
Normal saline h h ood.
C.
Lactated Ringers solution D h h h
.
5% Dextrose and lactated ringers
h h h h
3. When assisting a client from the bed to a chair, w
h h h h h h h h h h B
hich procedure is best for the nurse to follow? A.
h h h h h h h h h Rationale: Option B d h h h
Place the chair parallel to the bed, with its back tow
h h h h h h h h h h escribes the cor- h h
ard the head of the bed and assist the client in movi
h h h h h h h h h h h rect positioning of the
h h h h h
ng to the chair.
h h h nurse and affords the h h h h
B. nurse a wide base h h h
With the nurse's feet spread apart and knees align
h h h h h h h h of support while sta-
h h h
ed with the client's knees, stand and pivot the client
h h h h h h h h h h bilizing the client's kn
h h h h
into the chair.
h h ees when assisting to h h h h
a standing posi-
h h
1h/h79
, HESI RN FUNDAMENTALS EXIT EXAM 2024 / FUNDAMENTALS RN HESI
h h h h h h h h h h
XIT 2024 ACTUAL EXAM ALL QUESTIONS AND CORRECT DETAILED AN
h h h h h h h h h
SWERS
Studyhonlinehathhttps://quizlet.com/_g141su
C. tion. The chair should h h h h
Assist the client to a standing position by gently lift
h h h h h h h h h be placed at a 45-de-
h h h h
ing upward, underneath the axillae.
h h h h hgree angle to the bed, h h h h h
D. with the back of the ch h h h h h
Stand beside the client, place the client's arms aro
h h h h h h h h air toward the head of
h h h h h
und the nurse's neck, and gently move the client to
h h h h h h h h h the bed. Clients shoul
h h h
hthe chair. h d never be lift-
h h h
hed under the axil-
h h h
hlae; this could dam- h h h
hage nerves and strain h h h h
the nurse's back. The
h h h h
client should be in- h h h
hstructed to use the ar h h h h
ms of the chair and sh
h h h h h
ould never place his o h h h h
r her arms around the
h h h h h
nurse's neck; this pla h h h
ces un- h
hdue stress on the nur h h h h
se's neck and back an h h h h
d increases the risk fo
h h h h
r a fall.
h h
4. How many mL will the nurse document on the cli
h h h h h h h h h Answer: 2155 h
ent's intake and output record from the items list
h h h h h h h h Rationale: 1200 + h h
ed? h mL 240 (8 oz) + 240 (1 h h h h h
1200 mL water h h cup) + 120 (4 oz) + h h h h h
4 ounce container of gelatin 8
h h h h h 355 = 2155 h h
ounces of orange juice
h h h h
355 mL can of soda1 cup of soup
h h h h h h h
5. The nurse observes a UAP taking a client's blood p
h h h h h h h h h B
ressure in the lower extremity.Which observation of
h h h h h h h Rationale: When ob- h h
hthis procedure requires the nurse to intervene wit
h h h h h h h htaining the blood pres h h h
h the UAP's approach?
h h h sure in the low- h h h
A. her extremities, the po
h h h
The cuff wraps around the girth of the leg. B.
h h h h h h h h h pliteal pulse is the site h h h h h
for auscultation
h
2h/h79
, HESI RN FUNDAMENTALS EXIT EXAM 2024 / FUNDAMENTALS RN HESI
h h h h h h h h h h
XIT 2024 ACTUAL EXAM ALL QUESTIONS AND CORRECT DETAILED AN
h h h h h h h h h
SWERS
Studyhonlinehathhttps://quizlet.com/_g141su
The UAP auscultates the popliteal pulse with the c
h h h h h h h h when the blood pres- h h h
uff on the lower leg.
h h h h hsure cuff is applied ar h h h h
C. ound the thigh. The nu h h h h
The client is placed in a prone position. D
h h h h h h h h rse should inter- h h
. hvene with the UAP w h h h h
The systolic reading is 20 mm Hg higher than the bl
h h h h h h h h h h ho has applied the cuf
h h h h
ood pressure in the client's arm.
h h h h h f on the lower
h h h
leg. Option A ensures h h h h
an accurate assess-
h h
hment, and option C pr h h h h
ovides the best ac- h h h
hcess to the artery. h h h
Systolic pressure in t h h h
he popliteal artery is u
h h h h
sually 10 to 40 mm Hg h h h h h
hhigher than in the bra h h h h
chial artery. h
6. During a clinic visit, the mother of a 7-year-
h h h h h h h h D
old reports to the nurse that her child is often awa
h h h h h h h h h h Rationale:
ke until midnight playing and is then very difficult t
h h h h h h h h h School-
o awaken in the morning for school. Which assess
h h h h h h h h age children often res h h h
- ist bedtime. The nurs
h h h
hment data should the nurse obtain in response to t
h h h h h h h h h e should begin by ass
h h h h
he mother's concern?
h h essing the environme h h
A. nt of the home to dete
h h h h h
The occurrence of any episodes of sleep apnea
h h h h h h h h rmine factors that ma h h h
B. y not be conducive to
h h h h h
The child's blood pressure, pulse, and respirations
h h h h h h h the establishment ofh h h
C. bedtime rituals that pr h h h
Length of rapid eye movement (REM) sleep that the
h h h h h h h h omote sleep. h
hchild is experiencing h h Option A often h h
D. causes daytime fatigu h h
Description of the family's home environment h h h h h e rather than resistan
h h h
ce to going to sleep. O
h h h h h
ption B is unlikely to p h h h h h
rovide
3h/h79
, HESI RN FUNDAMENTALS EXIT EXAM 2024 / FUNDAMENTALS RN HESI
h h h h h h h h h h
XIT 2024 ACTUAL EXAM ALL QUESTIONS AND CORRECT DETAILED AN
h h h h h h h h h
SWERS
Studyhonlinehathhttps://quizlet.com/_g141su
useful data. The nurs h h h
e cannot determine o
h h h
ption C. h
7. The nurse identifies a potential for infection in a cl
h h h h h h h h h B
ient with partial-thickness (second-
h h h Rationale: Careful h h h
degree) and full-thickness (third- h h h andwashing tech- h
degree) burns. What action has the highest priorit
h h h h h h h hnique is the single m h h h h
y in decreasing the client's risk of infection?
h h h h h h h ost effective inter-
h h
A. hvention for the pre- h h h
Administration of plasma expanders B. h h h h hvention of contami- h h
Use of careful handwashing technique C.
h h h h h hnation to all clients. h h h h
Application of a topical antibacterial cream D h h h h h h Option A reverses th h h h
. e hypovolemia that in
h h h
Limiting visitors to the client with burns
h h h h h h itially accompanies b
h h
urn trauma but is not
h h h h h
related to de- h h
hcreasing the prolifer- h h
hation of infective or- h h h
hganisms. Options C h h h
and D are recom-h h h
hmended by various b h h h
urn centers as pos-
h h h
hsible ways to reduce
h h h h
the chance of infec-
h h h
htion. Option B is a pr
h h h h h
oven technique to prh h h
8. The nurse assesses a 2-year-
h h h h
event infection. h
old who is admitted for dehydration and finds that
h h h h h h h h h
the peripheral IV rate by gravity has slowed, even t
h h h h h h h h h B
hough the ve- h h Rationale: The nurse h h h
hnous access site is healthy.What should the nurse
h h h h h h h h h should first check the h h h h
do next?h tubing and height of t h h h h
A. he bag on the
h h h
Apply a warm compress proximal to the site. B.
h h h h h h h h IV pole, which are co
h h h h
Check for kinks in the tubing and raise the IV pole.
h h h h h h h h h h mmon factors that ma h h h
y slow the rate.
h h h
Gravity infusion rates h h
4h/h79
h h h h h h h h h h
XIT 2024 ACTUAL EXAM ALL QUESTIONS AND CORRECT DETAILED AN
h h h h h h h h h
SWERS
Studyhonlinehathhttps://quizlet.com/_g141su
1. The nurse is called to the waiting room of a pedi-
h h h h h h h h h h B, C, D h h
hatric clinic. The frantic mother states, "I think my 4
h h h h h h h h h Rationale: The fin- h h
-month- hgers are placed at th h h h h
old baby is choking!" What steps will the nurse tak
h h h h h h h h h e same location on a
h h h h
e? (Select all that apply.)
h h h h n infant as chest co
h h h h
A. mpressions for CPR h h
Compress the chest once between the nipples with h h h h h h h ; however,
h
htwo fingers. h the nurse must deliv-
h h h
B. her five chest thrusts,
h h h h
Note any obstruction or absence of breathing. C.
h h h h h h h after the five back sla h h h h
Deliver five backslaps between the shoulder blade
h h h h h h ps. Blind sweeps areh h h h
s. not used as this actio
h h h h
D. n may push the object
h h h h h
Place the infant over the nurse's arm. E
h h h h h h h deeper into the throat. h h h h
. The remaining steps h h h
Perform a blind finger sweep. h h h h are correct. h
2. Which fluid will the nurse select to administer with t
h h h h h h h h h B
he prescribed blood transfusion?
h h h Rationale: Normal sal h h
A. ine solution is the only
h h h h
5% Dextrose and water
h h h h hsolution that h
B. is compatible with bl
h h h
Normal saline h h ood.
C.
Lactated Ringers solution D h h h
.
5% Dextrose and lactated ringers
h h h h
3. When assisting a client from the bed to a chair, w
h h h h h h h h h h B
hich procedure is best for the nurse to follow? A.
h h h h h h h h h Rationale: Option B d h h h
Place the chair parallel to the bed, with its back tow
h h h h h h h h h h escribes the cor- h h
ard the head of the bed and assist the client in movi
h h h h h h h h h h h rect positioning of the
h h h h h
ng to the chair.
h h h nurse and affords the h h h h
B. nurse a wide base h h h
With the nurse's feet spread apart and knees align
h h h h h h h h of support while sta-
h h h
ed with the client's knees, stand and pivot the client
h h h h h h h h h h bilizing the client's kn
h h h h
into the chair.
h h ees when assisting to h h h h
a standing posi-
h h
1h/h79
, HESI RN FUNDAMENTALS EXIT EXAM 2024 / FUNDAMENTALS RN HESI
h h h h h h h h h h
XIT 2024 ACTUAL EXAM ALL QUESTIONS AND CORRECT DETAILED AN
h h h h h h h h h
SWERS
Studyhonlinehathhttps://quizlet.com/_g141su
C. tion. The chair should h h h h
Assist the client to a standing position by gently lift
h h h h h h h h h be placed at a 45-de-
h h h h
ing upward, underneath the axillae.
h h h h hgree angle to the bed, h h h h h
D. with the back of the ch h h h h h
Stand beside the client, place the client's arms aro
h h h h h h h h air toward the head of
h h h h h
und the nurse's neck, and gently move the client to
h h h h h h h h h the bed. Clients shoul
h h h
hthe chair. h d never be lift-
h h h
hed under the axil-
h h h
hlae; this could dam- h h h
hage nerves and strain h h h h
the nurse's back. The
h h h h
client should be in- h h h
hstructed to use the ar h h h h
ms of the chair and sh
h h h h h
ould never place his o h h h h
r her arms around the
h h h h h
nurse's neck; this pla h h h
ces un- h
hdue stress on the nur h h h h
se's neck and back an h h h h
d increases the risk fo
h h h h
r a fall.
h h
4. How many mL will the nurse document on the cli
h h h h h h h h h Answer: 2155 h
ent's intake and output record from the items list
h h h h h h h h Rationale: 1200 + h h
ed? h mL 240 (8 oz) + 240 (1 h h h h h
1200 mL water h h cup) + 120 (4 oz) + h h h h h
4 ounce container of gelatin 8
h h h h h 355 = 2155 h h
ounces of orange juice
h h h h
355 mL can of soda1 cup of soup
h h h h h h h
5. The nurse observes a UAP taking a client's blood p
h h h h h h h h h B
ressure in the lower extremity.Which observation of
h h h h h h h Rationale: When ob- h h
hthis procedure requires the nurse to intervene wit
h h h h h h h htaining the blood pres h h h
h the UAP's approach?
h h h sure in the low- h h h
A. her extremities, the po
h h h
The cuff wraps around the girth of the leg. B.
h h h h h h h h h pliteal pulse is the site h h h h h
for auscultation
h
2h/h79
, HESI RN FUNDAMENTALS EXIT EXAM 2024 / FUNDAMENTALS RN HESI
h h h h h h h h h h
XIT 2024 ACTUAL EXAM ALL QUESTIONS AND CORRECT DETAILED AN
h h h h h h h h h
SWERS
Studyhonlinehathhttps://quizlet.com/_g141su
The UAP auscultates the popliteal pulse with the c
h h h h h h h h when the blood pres- h h h
uff on the lower leg.
h h h h hsure cuff is applied ar h h h h
C. ound the thigh. The nu h h h h
The client is placed in a prone position. D
h h h h h h h h rse should inter- h h
. hvene with the UAP w h h h h
The systolic reading is 20 mm Hg higher than the bl
h h h h h h h h h h ho has applied the cuf
h h h h
ood pressure in the client's arm.
h h h h h f on the lower
h h h
leg. Option A ensures h h h h
an accurate assess-
h h
hment, and option C pr h h h h
ovides the best ac- h h h
hcess to the artery. h h h
Systolic pressure in t h h h
he popliteal artery is u
h h h h
sually 10 to 40 mm Hg h h h h h
hhigher than in the bra h h h h
chial artery. h
6. During a clinic visit, the mother of a 7-year-
h h h h h h h h D
old reports to the nurse that her child is often awa
h h h h h h h h h h Rationale:
ke until midnight playing and is then very difficult t
h h h h h h h h h School-
o awaken in the morning for school. Which assess
h h h h h h h h age children often res h h h
- ist bedtime. The nurs
h h h
hment data should the nurse obtain in response to t
h h h h h h h h h e should begin by ass
h h h h
he mother's concern?
h h essing the environme h h
A. nt of the home to dete
h h h h h
The occurrence of any episodes of sleep apnea
h h h h h h h h rmine factors that ma h h h
B. y not be conducive to
h h h h h
The child's blood pressure, pulse, and respirations
h h h h h h h the establishment ofh h h
C. bedtime rituals that pr h h h
Length of rapid eye movement (REM) sleep that the
h h h h h h h h omote sleep. h
hchild is experiencing h h Option A often h h
D. causes daytime fatigu h h
Description of the family's home environment h h h h h e rather than resistan
h h h
ce to going to sleep. O
h h h h h
ption B is unlikely to p h h h h h
rovide
3h/h79
, HESI RN FUNDAMENTALS EXIT EXAM 2024 / FUNDAMENTALS RN HESI
h h h h h h h h h h
XIT 2024 ACTUAL EXAM ALL QUESTIONS AND CORRECT DETAILED AN
h h h h h h h h h
SWERS
Studyhonlinehathhttps://quizlet.com/_g141su
useful data. The nurs h h h
e cannot determine o
h h h
ption C. h
7. The nurse identifies a potential for infection in a cl
h h h h h h h h h B
ient with partial-thickness (second-
h h h Rationale: Careful h h h
degree) and full-thickness (third- h h h andwashing tech- h
degree) burns. What action has the highest priorit
h h h h h h h hnique is the single m h h h h
y in decreasing the client's risk of infection?
h h h h h h h ost effective inter-
h h
A. hvention for the pre- h h h
Administration of plasma expanders B. h h h h hvention of contami- h h
Use of careful handwashing technique C.
h h h h h hnation to all clients. h h h h
Application of a topical antibacterial cream D h h h h h h Option A reverses th h h h
. e hypovolemia that in
h h h
Limiting visitors to the client with burns
h h h h h h itially accompanies b
h h
urn trauma but is not
h h h h h
related to de- h h
hcreasing the prolifer- h h
hation of infective or- h h h
hganisms. Options C h h h
and D are recom-h h h
hmended by various b h h h
urn centers as pos-
h h h
hsible ways to reduce
h h h h
the chance of infec-
h h h
htion. Option B is a pr
h h h h h
oven technique to prh h h
8. The nurse assesses a 2-year-
h h h h
event infection. h
old who is admitted for dehydration and finds that
h h h h h h h h h
the peripheral IV rate by gravity has slowed, even t
h h h h h h h h h B
hough the ve- h h Rationale: The nurse h h h
hnous access site is healthy.What should the nurse
h h h h h h h h h should first check the h h h h
do next?h tubing and height of t h h h h
A. he bag on the
h h h
Apply a warm compress proximal to the site. B.
h h h h h h h h IV pole, which are co
h h h h
Check for kinks in the tubing and raise the IV pole.
h h h h h h h h h h mmon factors that ma h h h
y slow the rate.
h h h
Gravity infusion rates h h
4h/h79
