HESI RN FUNDAMENTALS EXIT EXAM
LATEST 2024-2025 ACTUAL EXAM 100
QUESTIONS AND CORRECT ANSWERS
WITH RATIOANLES (VERIFIED
ANSWERS) EXAM WITH CORRECT
QUESTIONS AND ANSWERS 2025
The nurse is called to the waiting room of a pediatric clinic. The frantic
mother states, "I think my 4-month-old baby is choking!" What steps will the
nurse take? (Select all that apply.)
A.
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. - CORRECT-ANSWERS////B, C, D
Rationale: The fingers are placed at the same location on an infant as chest
compressions for CPR; however, the nurse must deliver five chest thrusts,
,after the five back slaps. Blind sweeps are not used as this action may push
the object deeper into the throat. The remaining steps are correct.
Which fluid will the nurse select to administer with the prescribed blood
transfusion?
A.
5% Dextrose and water
B.
Normal saline
C.
Lactated Ringers solution
D.
5% Dextrose and lactated ringers - CORRECT-ANSWERS////B
Rationale: Normal saline solution is the only solution that is compatible with
blood.
When assisting a client from the bed to a chair, which procedure is best for
the nurse to follow?
A.
Place the chair parallel to the bed, with its back toward the head of the bed
and assist the client in moving to the chair.
B.
With the nurse's feet spread apart and knees aligned with the client's knees,
stand and pivot the client into the chair.
C.
,Assist the client to a standing position by gently 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. - CORRECT-ANSWERS////B
Rationale: Option B describes the correct positioning of the nurse and affords
the nurse a wide base of support while stabilizing the client's knees when
assisting to a standing position. The chair should be placed at a 45-degree
angle to the bed, with the back of the chair toward the head of the bed.
Clients should never be lifted under the axillae; this could damage nerves
and strain the nurse's back. The client should be instructed to use the arms
of the chair and should never place his or her arms around the nurse's neck;
this places undue stress on the nurse's neck and back and increases the risk
for a fall.
How many mL will the nurse document on the client's 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 - CORRECT-ANSWERS////Answer: 2155
Rationale: 1200 + 240 (8 oz) + 240 (1 cup) + 120 (4 oz) + 355 = 2155
, The nurse observes a UAP taking a client's blood pressure in the lower
extremity. Which observation of this procedure requires the nurse to
intervene with the UAP's approach?
A.
The cuff wraps around the girth of the leg.
B.
The UAP auscultates the popliteal pulse with the cuff on the lower leg.
C.
The client is placed in a prone position.
D.
The systolic reading is 20 mm Hg higher than the blood pressure in the
client's arm. - CORRECT-ANSWERS////B
Rationale: When obtaining the blood pressure in the lower extremities, the
popliteal pulse is the site for auscultation when the blood pressure cuff is
applied around the thigh. The nurse should intervene with the UAP who has
applied the cuff on the lower leg. Option A ensures an accurate assessment,
and option C provides the best access to the artery. Systolic pressure in the
popliteal artery is usually 10 to 40 mm Hg higher than in the brachial artery.
During a clinic visit, the mother of a 7-year-old reports to the nurse that her
child is often awake until midnight playing and is then very difficult to
awaken in the morning for school. Which assessment data should the nurse
obtain in response to the mother's concern?
A.
LATEST 2024-2025 ACTUAL EXAM 100
QUESTIONS AND CORRECT ANSWERS
WITH RATIOANLES (VERIFIED
ANSWERS) EXAM WITH CORRECT
QUESTIONS AND ANSWERS 2025
The nurse is called to the waiting room of a pediatric clinic. The frantic
mother states, "I think my 4-month-old baby is choking!" What steps will the
nurse take? (Select all that apply.)
A.
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. - CORRECT-ANSWERS////B, C, D
Rationale: The fingers are placed at the same location on an infant as chest
compressions for CPR; however, the nurse must deliver five chest thrusts,
,after the five back slaps. Blind sweeps are not used as this action may push
the object deeper into the throat. The remaining steps are correct.
Which fluid will the nurse select to administer with the prescribed blood
transfusion?
A.
5% Dextrose and water
B.
Normal saline
C.
Lactated Ringers solution
D.
5% Dextrose and lactated ringers - CORRECT-ANSWERS////B
Rationale: Normal saline solution is the only solution that is compatible with
blood.
When assisting a client from the bed to a chair, which procedure is best for
the nurse to follow?
A.
Place the chair parallel to the bed, with its back toward the head of the bed
and assist the client in moving to the chair.
B.
With the nurse's feet spread apart and knees aligned with the client's knees,
stand and pivot the client into the chair.
C.
,Assist the client to a standing position by gently 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. - CORRECT-ANSWERS////B
Rationale: Option B describes the correct positioning of the nurse and affords
the nurse a wide base of support while stabilizing the client's knees when
assisting to a standing position. The chair should be placed at a 45-degree
angle to the bed, with the back of the chair toward the head of the bed.
Clients should never be lifted under the axillae; this could damage nerves
and strain the nurse's back. The client should be instructed to use the arms
of the chair and should never place his or her arms around the nurse's neck;
this places undue stress on the nurse's neck and back and increases the risk
for a fall.
How many mL will the nurse document on the client's 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 - CORRECT-ANSWERS////Answer: 2155
Rationale: 1200 + 240 (8 oz) + 240 (1 cup) + 120 (4 oz) + 355 = 2155
, The nurse observes a UAP taking a client's blood pressure in the lower
extremity. Which observation of this procedure requires the nurse to
intervene with the UAP's approach?
A.
The cuff wraps around the girth of the leg.
B.
The UAP auscultates the popliteal pulse with the cuff on the lower leg.
C.
The client is placed in a prone position.
D.
The systolic reading is 20 mm Hg higher than the blood pressure in the
client's arm. - CORRECT-ANSWERS////B
Rationale: When obtaining the blood pressure in the lower extremities, the
popliteal pulse is the site for auscultation when the blood pressure cuff is
applied around the thigh. The nurse should intervene with the UAP who has
applied the cuff on the lower leg. Option A ensures an accurate assessment,
and option C provides the best access to the artery. Systolic pressure in the
popliteal artery is usually 10 to 40 mm Hg higher than in the brachial artery.
During a clinic visit, the mother of a 7-year-old reports to the nurse that her
child is often awake until midnight playing and is then very difficult to
awaken in the morning for school. Which assessment data should the nurse
obtain in response to the mother's concern?
A.
