4/26/26, 2:55 PM HESI RN FUNDAMENTALS EXIT EXAM LATEST 2024-2025 ACTUAL EXAM 100 QUESTIONS AND CORRECT ANSWERS …
HESI RN FUNDAMENTALS EXIT EXAM LATEST 2024-2025
ACTUAL EXAM 100 QUESTIONS AND CORRECT
ANSWERS WITH RATIOANLES (VERIFIED ANSWERS)
The nurse is called to the waiting room of a pediatricB, C, D clinic. The frantic mother states, "I think my 4-
month-oldRationale: The fingers are placed at the same location on an infant as chest baby is choking!" What steps
will the nurse take? (Selectcompressions for CPR; however, the nurse must deliver five chest thrusts, after
all that apply.)the five back slaps. Blind sweeps are not used as this action may push the A.object deeper into the
throat. The remaining steps are correct.
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.
Which fluid will the nurse select to administer with theB
prescribed blood transfusion?Rationale: Normal saline solution is the only solution that is compatible with
A.blood.
5% Dextrose and water
B.
Normal saline C.
Lactated Ringers solution D.
5% Dextrose and lactated ringers
Students also studied
Terms in this set (125)
HESI RN
,4/26/26, 2:55 PM HESI RN FUNDAMENTALS EXIT EXAM LATEST 2024-2025 ACTUAL EXAM 100 QUESTIONS AND CORRECT ANSWERS …
When assisting a client from the bed to a chair, whichB
procedure is best for the nurse to follow?Rationale: Option B describes the correct positioning of the nurse and affords
A.the nurse a wide base of support while stabilizing the client's knees when
Place the chair parallel to the bed, with its back towardassisting to a standing position. The chair should be placed at
a 45-degree the head of the bed and assist the client in moving toangle to the bed, with the back of the chair
toward the head of the bed. Clients
the chair.should never be lifted under the axillae; this could damage nerves and strain B.the nurse's back. The client
should be instructed to use the arms of the chair
With the nurse's feet spread apart and knees alignedand should never place his or her arms around the
nurse's neck; this places with the client's knees, stand and pivot the client intoundue stress on the nurse's neck
and back and increases the risk for a fall. 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.
How many mL will the nurse document on the client'sAnswer: 2155 intake and output record from the
items listed? _____ mLRationale: 1200 + 240 (8 oz) + 240 (1 cup) + 120 (4 oz) + 355 = 2155 1200 mL
water
4 ounce container of gelatin
8 ounces of orange juice
355 mL can of soda1 cup of soup
The nurse observes a UAP taking a client's bloodB pressure in the lower extremity. Which observation ofRationale:
When obtaining the blood pressure in the lower extremities, the this procedure requires the nurse to intervene
with thepopliteal pulse is the site for auscultation when the blood pressure cuff is
UAP's approach?applied around the thigh. The nurse should intervene with the UAP who has
A.applied the cuff on the lower leg. Option A ensures an accurate assessment,
The cuff wraps around the girth of the leg.and option C provides the best access to the artery. Systolic pressure in
the
B.popliteal artery is usually 10 to 40 mm Hg higher than in the brachial artery.
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.
During a clinic visit, the mother of a 7-year-old reportsD to the nurse that her child is often awake until
midnightRationale: School-age children often resist bedtime. The nurse should begin by playing and is then very difficult
to awaken in theassessing the environment of the home to determine factors that may not be morning for school.
Which assessment data should theconducive to the establishment of bedtime rituals that promote sleep. Option A nurse
obtain in response to the mother's concern?often causes daytime fatigue rather than resistance to going to sleep.
Option B
A.is unlikely to provide useful data. The nurse cannot determine option C.
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
HESI RN
,4/26/26, 2:55 PM HESI RN FUNDAMENTALS EXIT EXAM LATEST 2024-2025 ACTUAL EXAM 100 QUESTIONS AND CORRECT ANSWERS …
The nurse identifies a potential for infection in a clientB
with partial-thickness (second-degree) and full- Rationale: Careful handwashing technique is the single most
effective thickness (third-degree) burns. What action has theintervention for the prevention of contamination to
all clients. Option A highest priority in decreasing the client's risk ofreverses the hypovolemia that initially
accompanies burn trauma but is not
infection?related to decreasing the proliferation of infective organisms. Options C and D
A.are recommended by various burn centers as possible ways to reduce the
Administration of plasma expanderschance of infection. Option B is a proven technique to prevent infection.
B.
Use of careful handwashing technique C.
Application of a topical antibacterial cream D.
Limiting visitors to the client with burns
The nurse assesses a 2-year-old who is admitted forB dehydration and finds that the peripheral IV rate byRationale:
The nurse should first check the tubing and height of the bag on the gravity has slowed, even though the venous
access siteIV pole, which are common factors that may slow the rate. Gravity infusion rates is healthy. What should the
nurse do next?are influenced by the height of the bag, tubing clamp closure or kinks, needle
A.size or position, fluid viscosity, client blood pressure (crying in the pediatric
Apply a warm compress proximal to the site.client), and infiltration. Venospasm can slow the rate and often responds to
B.warmth over the vessel, but the nurse should first adjust the IV pole height. The
Check for kinks in the tubing and raise the IV pole.nurse may need to adjust the stabilizing tape on a positional
needle or flush the
C.venous access with normal saline, but less invasive actions should be
Adjust the tape that stabilizes the needle.implemented first.
D.
Flush with normal saline and recount the drop rate.
The nurse manager of a skilled nursing (chronic care)A unit is instructing UAPs on ways to preventRationale:
Performing range-of-motion exercises is beneficial in reducing complications of immobility. Which action should
becontractures around joints. Options B, C, and D are all potentially harmful included in this instruction?practices
that place the immobile client at risk of complications.
A.
Perform range-of-motion exercises to prevent
contractures. B.
Decrease the client's fluid intake to prevent
diarrhea. C.
Massage the client's legs to reduce embolism
occurrence. D.
Turn the client from side to back every shift.
The nurse administered 10 mg of diazepam to theB, C, D preoperative client. What steps will the nurse take next?
Rationale: Diazepam is a common preoperative medication. Close observation
(Select all that apply.)by placing the client close to the nurse's station is not necessary. The A.medication has a
sedative effect and the client should not get out of bed, even
Place the client in the bed next to the nurse's station.with assistance. The remaining
selections are correct. B.
Instruct the client not to get out of bed. C.
Place the call bell within the client's reach. D.
Place the side rails up, according to institutional
policy. E.
Assist the client to the bathroom
HESI RN
, 4/26/26, 2:55 PM HESI RN FUNDAMENTALS EXIT EXAM LATEST 2024-2025 ACTUAL EXAM 100 QUESTIONS AND CORRECT ANSWERS …
An older client who had abdominal surgery 3 daysA earlier was given a barbiturate for sleep and is nowRationale:
Barbiturates cause central nervous system (CNS) depression, and requesting to go to the bathroom. What is the
priorityindividuals taking these medications are at greater risk for falls. The nurse nursing action for this client?should
assist the client to the bathroom. A bedpan is not necessary as long as
A.safety is ensured. Whether the client needs to void or have a bowel movement,
Assist the client to walk to the bathroom and do notoption C is irrelevant in terms of meeting this client's safety
needs. There is no leave the client alone.indication that this client cannot voice her or his needs, so assessment of the
B.bladder is not needed.
Request that the UAP assist the client onto a
bedpan. C.
Ask if the client needs to have a bowel movement
or void. D.
Assess the client's bladder to determine if the client
needs to urinate.
A terminally ill client tells the nurse, "I am so tired and inB so much pain! Please help me to die." Which is the
bestRationale: The nurse should first assess the client's feelings about death and response for the nurse to
provide?determine the extent to which this statement expresses the client's true
A.feelings. The client may need additional pain management, but further
Administer the prescribed maximum dose of painassessment is needed before implementing option A. Options
C and D are medication.both premature interventions and should not be implemented until further
B.assessment is obtained.
Talk with the client about thoughts and feelings
about death. C.
Collaborate with the health care provider about
initiating antidepressant therapy. D.
Refer the client to the ethics committee of her local
health care facility.
A nurse stops at a motor vehicle collision site to renderC aid until the emergency personnel arrive and
appliesRationale: The Good Samaritan Act protects health care professionals who pressure to a groin wound that is
bleeding profusely.practice in good faith and provide reasonable care from malpractice claims, Later the client
has to have the leg amputated and suesregardless of the client outcome. Although the Patient's Bill of Rights protects
the nurse for malpractice. Which statement reflects theclients, this nurse is protected by the Good Samaritan Act. The
state Board of likely outcome for the nurse?Nursing has no reason to revoke a registered nurse's license unless there
was
A.evidence that actions taken in the emergency were not done in good faith or
The Patient's Bill of Rights protects clients fromthat reasonable care was not provided. All four elements of malpractice
were malicious intents, so the nurse could lose the case.not shown.
B.
The lawsuit may be settled out of court, but the
nurse's license is likely to be revoked. C.
There will be no judgment against the nurse, whose
actions are protected under the Good Samaritan
Act. D.
The client will win because the four elements of
negligence (duty, breach, causation, and damages)
can be proved.
HESI RN
HESI RN FUNDAMENTALS EXIT EXAM LATEST 2024-2025
ACTUAL EXAM 100 QUESTIONS AND CORRECT
ANSWERS WITH RATIOANLES (VERIFIED ANSWERS)
The nurse is called to the waiting room of a pediatricB, C, D clinic. The frantic mother states, "I think my 4-
month-oldRationale: The fingers are placed at the same location on an infant as chest baby is choking!" What steps
will the nurse take? (Selectcompressions for CPR; however, the nurse must deliver five chest thrusts, after
all that apply.)the five back slaps. Blind sweeps are not used as this action may push the A.object deeper into the
throat. The remaining steps are correct.
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.
Which fluid will the nurse select to administer with theB
prescribed blood transfusion?Rationale: Normal saline solution is the only solution that is compatible with
A.blood.
5% Dextrose and water
B.
Normal saline C.
Lactated Ringers solution D.
5% Dextrose and lactated ringers
Students also studied
Terms in this set (125)
HESI RN
,4/26/26, 2:55 PM HESI RN FUNDAMENTALS EXIT EXAM LATEST 2024-2025 ACTUAL EXAM 100 QUESTIONS AND CORRECT ANSWERS …
When assisting a client from the bed to a chair, whichB
procedure is best for the nurse to follow?Rationale: Option B describes the correct positioning of the nurse and affords
A.the nurse a wide base of support while stabilizing the client's knees when
Place the chair parallel to the bed, with its back towardassisting to a standing position. The chair should be placed at
a 45-degree the head of the bed and assist the client in moving toangle to the bed, with the back of the chair
toward the head of the bed. Clients
the chair.should never be lifted under the axillae; this could damage nerves and strain B.the nurse's back. The client
should be instructed to use the arms of the chair
With the nurse's feet spread apart and knees alignedand should never place his or her arms around the
nurse's neck; this places with the client's knees, stand and pivot the client intoundue stress on the nurse's neck
and back and increases the risk for a fall. 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.
How many mL will the nurse document on the client'sAnswer: 2155 intake and output record from the
items listed? _____ mLRationale: 1200 + 240 (8 oz) + 240 (1 cup) + 120 (4 oz) + 355 = 2155 1200 mL
water
4 ounce container of gelatin
8 ounces of orange juice
355 mL can of soda1 cup of soup
The nurse observes a UAP taking a client's bloodB pressure in the lower extremity. Which observation ofRationale:
When obtaining the blood pressure in the lower extremities, the this procedure requires the nurse to intervene
with thepopliteal pulse is the site for auscultation when the blood pressure cuff is
UAP's approach?applied around the thigh. The nurse should intervene with the UAP who has
A.applied the cuff on the lower leg. Option A ensures an accurate assessment,
The cuff wraps around the girth of the leg.and option C provides the best access to the artery. Systolic pressure in
the
B.popliteal artery is usually 10 to 40 mm Hg higher than in the brachial artery.
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.
During a clinic visit, the mother of a 7-year-old reportsD to the nurse that her child is often awake until
midnightRationale: School-age children often resist bedtime. The nurse should begin by playing and is then very difficult
to awaken in theassessing the environment of the home to determine factors that may not be morning for school.
Which assessment data should theconducive to the establishment of bedtime rituals that promote sleep. Option A nurse
obtain in response to the mother's concern?often causes daytime fatigue rather than resistance to going to sleep.
Option B
A.is unlikely to provide useful data. The nurse cannot determine option C.
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
HESI RN
,4/26/26, 2:55 PM HESI RN FUNDAMENTALS EXIT EXAM LATEST 2024-2025 ACTUAL EXAM 100 QUESTIONS AND CORRECT ANSWERS …
The nurse identifies a potential for infection in a clientB
with partial-thickness (second-degree) and full- Rationale: Careful handwashing technique is the single most
effective thickness (third-degree) burns. What action has theintervention for the prevention of contamination to
all clients. Option A highest priority in decreasing the client's risk ofreverses the hypovolemia that initially
accompanies burn trauma but is not
infection?related to decreasing the proliferation of infective organisms. Options C and D
A.are recommended by various burn centers as possible ways to reduce the
Administration of plasma expanderschance of infection. Option B is a proven technique to prevent infection.
B.
Use of careful handwashing technique C.
Application of a topical antibacterial cream D.
Limiting visitors to the client with burns
The nurse assesses a 2-year-old who is admitted forB dehydration and finds that the peripheral IV rate byRationale:
The nurse should first check the tubing and height of the bag on the gravity has slowed, even though the venous
access siteIV pole, which are common factors that may slow the rate. Gravity infusion rates is healthy. What should the
nurse do next?are influenced by the height of the bag, tubing clamp closure or kinks, needle
A.size or position, fluid viscosity, client blood pressure (crying in the pediatric
Apply a warm compress proximal to the site.client), and infiltration. Venospasm can slow the rate and often responds to
B.warmth over the vessel, but the nurse should first adjust the IV pole height. The
Check for kinks in the tubing and raise the IV pole.nurse may need to adjust the stabilizing tape on a positional
needle or flush the
C.venous access with normal saline, but less invasive actions should be
Adjust the tape that stabilizes the needle.implemented first.
D.
Flush with normal saline and recount the drop rate.
The nurse manager of a skilled nursing (chronic care)A unit is instructing UAPs on ways to preventRationale:
Performing range-of-motion exercises is beneficial in reducing complications of immobility. Which action should
becontractures around joints. Options B, C, and D are all potentially harmful included in this instruction?practices
that place the immobile client at risk of complications.
A.
Perform range-of-motion exercises to prevent
contractures. B.
Decrease the client's fluid intake to prevent
diarrhea. C.
Massage the client's legs to reduce embolism
occurrence. D.
Turn the client from side to back every shift.
The nurse administered 10 mg of diazepam to theB, C, D preoperative client. What steps will the nurse take next?
Rationale: Diazepam is a common preoperative medication. Close observation
(Select all that apply.)by placing the client close to the nurse's station is not necessary. The A.medication has a
sedative effect and the client should not get out of bed, even
Place the client in the bed next to the nurse's station.with assistance. The remaining
selections are correct. B.
Instruct the client not to get out of bed. C.
Place the call bell within the client's reach. D.
Place the side rails up, according to institutional
policy. E.
Assist the client to the bathroom
HESI RN
, 4/26/26, 2:55 PM HESI RN FUNDAMENTALS EXIT EXAM LATEST 2024-2025 ACTUAL EXAM 100 QUESTIONS AND CORRECT ANSWERS …
An older client who had abdominal surgery 3 daysA earlier was given a barbiturate for sleep and is nowRationale:
Barbiturates cause central nervous system (CNS) depression, and requesting to go to the bathroom. What is the
priorityindividuals taking these medications are at greater risk for falls. The nurse nursing action for this client?should
assist the client to the bathroom. A bedpan is not necessary as long as
A.safety is ensured. Whether the client needs to void or have a bowel movement,
Assist the client to walk to the bathroom and do notoption C is irrelevant in terms of meeting this client's safety
needs. There is no leave the client alone.indication that this client cannot voice her or his needs, so assessment of the
B.bladder is not needed.
Request that the UAP assist the client onto a
bedpan. C.
Ask if the client needs to have a bowel movement
or void. D.
Assess the client's bladder to determine if the client
needs to urinate.
A terminally ill client tells the nurse, "I am so tired and inB so much pain! Please help me to die." Which is the
bestRationale: The nurse should first assess the client's feelings about death and response for the nurse to
provide?determine the extent to which this statement expresses the client's true
A.feelings. The client may need additional pain management, but further
Administer the prescribed maximum dose of painassessment is needed before implementing option A. Options
C and D are medication.both premature interventions and should not be implemented until further
B.assessment is obtained.
Talk with the client about thoughts and feelings
about death. C.
Collaborate with the health care provider about
initiating antidepressant therapy. D.
Refer the client to the ethics committee of her local
health care facility.
A nurse stops at a motor vehicle collision site to renderC aid until the emergency personnel arrive and
appliesRationale: The Good Samaritan Act protects health care professionals who pressure to a groin wound that is
bleeding profusely.practice in good faith and provide reasonable care from malpractice claims, Later the client
has to have the leg amputated and suesregardless of the client outcome. Although the Patient's Bill of Rights protects
the nurse for malpractice. Which statement reflects theclients, this nurse is protected by the Good Samaritan Act. The
state Board of likely outcome for the nurse?Nursing has no reason to revoke a registered nurse's license unless there
was
A.evidence that actions taken in the emergency were not done in good faith or
The Patient's Bill of Rights protects clients fromthat reasonable care was not provided. All four elements of malpractice
were malicious intents, so the nurse could lose the case.not shown.
B.
The lawsuit may be settled out of court, but the
nurse's license is likely to be revoked. C.
There will be no judgment against the nurse, whose
actions are protected under the Good Samaritan
Act. D.
The client will win because the four elements of
negligence (duty, breach, causation, and damages)
can be proved.
HESI RN
