HESI RN FUNDAMENTALS EXIT EXAM NEWEST EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES A NEW UPDATED VERSION LATEST 2026-
2027 (VERIFIED ANSWERS) ALREADY GRADED A+
The nurse comes upon an automobile accident involving many cars. Which victim should the
nurse see first?
A. The victim who is not breathing and does not have a pulse
B. The victim who is bleeding out of both the ears, and the nose and mouth, with a blank stare
C. The victim who is heavily bleeding bright red blood from a thigh wound
D. The victim who is crying, complaining of arm pain, and no other apparent injuries - CORRECT
ANSWER-C
Rationale: The client hemorrhaging from the leg wound is the priority as of the severely injured
clients; the nurse can help the client by tying off the leg above the injury and/or applying
pressure to the wound site. When there is only one health care provider on the scene, the nurse
must provide care to those who are most likely to survive. The client without a pulse and
respirations is dead. The client with bleeding from the ears, nose, and mouth, with a blank
stare, likely has severe head trauma. The victim with arm pain and crying is the lowest priority.
The nurse is evaluating the chart of a client scheduled for surgery in 1 hour. When viewing the
consent form, the nurse notes the surgeon's signature, but not the client's signature. What
steps must the nurse take? (Select all that apply.)
A. Call the surgeon.
B. Ask the client, "Did your surgeon explain the procedure to you?"
C. Have the client's spouse sign the form.
D. Ask the client, "Do you have any questions?"
,E. Witness the signature.
F. Obtain the consent. - CORRECT ANSWER-B, D, E
Rationale:It is the surgeon's responsibility to review the procedure with the client until the
client has no further questions. The nurse can verify the review by the surgeon and ask if the
client has any further questions. If the client has questions, the nurse must call in the surgeon.
When the nurse signs the consent form, the nurse is witnessing the signature only.
In assisting an older adult client prepare to take a tub bath, which nursing action is most
important?
A. Check the bath water temperature.
B. Shut the bathroom door.
C. Ensure that the client has voided.
D. Provide extra towels. - CORRECT ANSWER-A
Rationale: To prevent burns or excessive chilling, the nurse must check the bath water
temperature. Options B, C, and D promote comfort and privacy and are important interventions
but are of less priority than promoting safety
The nurse is preparing an IV solution containing 10 mEq of potassium in 100 mL of normal
saline. Which findings would concern the nurse? (Select all that apply.)
A. A red and swollen peripheral IV site
B.An order to infuse the solution at 50 mL/hr
C. Starting the infusion without an infusion devise
D. Inverting the potassium solution every 30 minutes while infusing
E. The solution is a lemon-yellow color - CORRECT ANSWER-A, C, E
Rationale: Potassium can cause phlebitis. The red swollen IV site is showing signs infection. The
IV site would need to be changed before starting the solution. Potassium solutions must infuse
with an infusion devise to avoid an accidental bolus infusion. Potassium solution should be
clear, and not lemon yellow. The remaining selections are not
,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 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.
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 ANSWER-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 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.
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 ANSWER-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 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.
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES A NEW UPDATED VERSION LATEST 2026-
2027 (VERIFIED ANSWERS) ALREADY GRADED A+
The nurse comes upon an automobile accident involving many cars. Which victim should the
nurse see first?
A. The victim who is not breathing and does not have a pulse
B. The victim who is bleeding out of both the ears, and the nose and mouth, with a blank stare
C. The victim who is heavily bleeding bright red blood from a thigh wound
D. The victim who is crying, complaining of arm pain, and no other apparent injuries - CORRECT
ANSWER-C
Rationale: The client hemorrhaging from the leg wound is the priority as of the severely injured
clients; the nurse can help the client by tying off the leg above the injury and/or applying
pressure to the wound site. When there is only one health care provider on the scene, the nurse
must provide care to those who are most likely to survive. The client without a pulse and
respirations is dead. The client with bleeding from the ears, nose, and mouth, with a blank
stare, likely has severe head trauma. The victim with arm pain and crying is the lowest priority.
The nurse is evaluating the chart of a client scheduled for surgery in 1 hour. When viewing the
consent form, the nurse notes the surgeon's signature, but not the client's signature. What
steps must the nurse take? (Select all that apply.)
A. Call the surgeon.
B. Ask the client, "Did your surgeon explain the procedure to you?"
C. Have the client's spouse sign the form.
D. Ask the client, "Do you have any questions?"
,E. Witness the signature.
F. Obtain the consent. - CORRECT ANSWER-B, D, E
Rationale:It is the surgeon's responsibility to review the procedure with the client until the
client has no further questions. The nurse can verify the review by the surgeon and ask if the
client has any further questions. If the client has questions, the nurse must call in the surgeon.
When the nurse signs the consent form, the nurse is witnessing the signature only.
In assisting an older adult client prepare to take a tub bath, which nursing action is most
important?
A. Check the bath water temperature.
B. Shut the bathroom door.
C. Ensure that the client has voided.
D. Provide extra towels. - CORRECT ANSWER-A
Rationale: To prevent burns or excessive chilling, the nurse must check the bath water
temperature. Options B, C, and D promote comfort and privacy and are important interventions
but are of less priority than promoting safety
The nurse is preparing an IV solution containing 10 mEq of potassium in 100 mL of normal
saline. Which findings would concern the nurse? (Select all that apply.)
A. A red and swollen peripheral IV site
B.An order to infuse the solution at 50 mL/hr
C. Starting the infusion without an infusion devise
D. Inverting the potassium solution every 30 minutes while infusing
E. The solution is a lemon-yellow color - CORRECT ANSWER-A, C, E
Rationale: Potassium can cause phlebitis. The red swollen IV site is showing signs infection. The
IV site would need to be changed before starting the solution. Potassium solutions must infuse
with an infusion devise to avoid an accidental bolus infusion. Potassium solution should be
clear, and not lemon yellow. The remaining selections are not
,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 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.
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 ANSWER-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 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.
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 ANSWER-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 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.
