ELITE COMPREHENSIVE
HESI RN FUNDAMENTALS EXIT EXAM (LATEST
2025–2026)
Pediatrics and High-Yield Nursing Practice
High-Yield Nursing Review, Core Concepts,
NGN Focus Areas and Exam Preparation Guide
Spring Semester Examination May 2026
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.
1
• B
Page
, • 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
• 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.
2
Page
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.
• 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.
The occurrence of any episodes of sleep apnea
B.
The child's blood pressure, pulse, and respirations
C.
Length of rapid eye movement (REM) sleep that the child is experiencing
D.
Description of the family's home environment
• D
• Rationale: School-age children often resist bedtime. The nurse
should begin by assessing the environment of the home to determine
3
factors that may not be conducive to the establishment of bedtime
Page
rituals that promote sleep. Option A often causes daytime fatigue
, rather than resistance to going to sleep. Option B is unlikely to
provide useful data. The nurse cannot determine option C.
The nurse identifies a potential for infection in a client with partial-thickness (second-
degree) and full-thickness (third-degree) burns. What action has the highest priority in
decreasing the client's risk of infection?
A.
Administration of plasma expanders
B.
Use of careful handwashing technique
C.
Application of a topical antibacterial cream
D.
Limiting visitors to the client with burns
• B
• Rationale: Careful handwashing technique is the single most effective
intervention for the prevention of contamination to all clients. Option A
reverses the hypovolemia that initially accompanies burn trauma but
is not related to decreasing the proliferation of infective organisms.
Options C and D are recommended by various burn centers as
possible ways to reduce the chance of infection. Option B is a proven
technique to prevent infection.
The nurse assesses a 2-year-old who is admitted for dehydration and finds that the
peripheral IV rate by gravity has slowed, even though the venous access site is healthy.
What should the nurse do next?
4
A.
Page
Apply a warm compress proximal to the site.
HESI RN FUNDAMENTALS EXIT EXAM (LATEST
2025–2026)
Pediatrics and High-Yield Nursing Practice
High-Yield Nursing Review, Core Concepts,
NGN Focus Areas and Exam Preparation Guide
Spring Semester Examination May 2026
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.
1
• B
Page
, • 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
• 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.
2
Page
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.
• 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.
The occurrence of any episodes of sleep apnea
B.
The child's blood pressure, pulse, and respirations
C.
Length of rapid eye movement (REM) sleep that the child is experiencing
D.
Description of the family's home environment
• D
• Rationale: School-age children often resist bedtime. The nurse
should begin by assessing the environment of the home to determine
3
factors that may not be conducive to the establishment of bedtime
Page
rituals that promote sleep. Option A often causes daytime fatigue
, rather than resistance to going to sleep. Option B is unlikely to
provide useful data. The nurse cannot determine option C.
The nurse identifies a potential for infection in a client with partial-thickness (second-
degree) and full-thickness (third-degree) burns. What action has the highest priority in
decreasing the client's risk of infection?
A.
Administration of plasma expanders
B.
Use of careful handwashing technique
C.
Application of a topical antibacterial cream
D.
Limiting visitors to the client with burns
• B
• Rationale: Careful handwashing technique is the single most effective
intervention for the prevention of contamination to all clients. Option A
reverses the hypovolemia that initially accompanies burn trauma but
is not related to decreasing the proliferation of infective organisms.
Options C and D are recommended by various burn centers as
possible ways to reduce the chance of infection. Option B is a proven
technique to prevent infection.
The nurse assesses a 2-year-old who is admitted for dehydration and finds that the
peripheral IV rate by gravity has slowed, even though the venous access site is healthy.
What should the nurse do next?
4
A.
Page
Apply a warm compress proximal to the site.
