Page 1 of 199
HESI Rn Fundamentals Exam (3 VERSIONS)
COMPLETE NEWEST 500 QUESTIONS AND
VERIFIED SOLUTIONS LATEST UPDATE THIS
YEAR
HESI Rn Fundamentals Exam V1
QUESTION: 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.
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Stand beside the client, place the client's arms around the nurse's neck, and gently move the
client to the chair. - ANSWER-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.
QUESTION: 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 - ANSWER-Answer: 2155
Rationale: 1200 + 240 (8 oz) + 240 (1 cup) + 120 (4 oz) + 355 = 2155
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, Page 3 of 199
QUESTION: 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. - ANSWER-
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.
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, Page 4 of 199
Q; 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. - ANSWER-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.
4
HESI Rn Fundamentals Exam (3 VERSIONS)
COMPLETE NEWEST 500 QUESTIONS AND
VERIFIED SOLUTIONS LATEST UPDATE THIS
YEAR
HESI Rn Fundamentals Exam V1
QUESTION: 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.
1
, Page 2 of 199
Stand beside the client, place the client's arms around the nurse's neck, and gently move the
client to the chair. - ANSWER-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.
QUESTION: 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 - ANSWER-Answer: 2155
Rationale: 1200 + 240 (8 oz) + 240 (1 cup) + 120 (4 oz) + 355 = 2155
2
, Page 3 of 199
QUESTION: 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. - ANSWER-
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.
3
, Page 4 of 199
Q; 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. - ANSWER-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.
4
