HESI RN FUNDAMENTALS EXIT EXAM
LATEST 2025-2026 ACTUAL EXAM
WITH VERIFIED CORRECT ANSWERS
AND RATIONALE.
The nurse transcribes the postoperative
prescriptions for a client who returns to the unit
following surgery and notes that an
antihypertensive medication that was prescribed
preoperatively is not listed. Which action should the
nurse take?
A.Consult with the pharmacist about the need to
continue the medication.
B.Administer the antihypertensive medication as
prescribed preoperatively.
C.Withhold the medication until the client is fully
alert and vital signs are stable.
D.Contact the health care provider to renew the
prescription for the medication.
- Answer-D
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,Rationale: Medications prescribed preoperatively
must be renewed postoperatively, so the nurse
should contact the health care provider if the
antihypertensive medication is not included in the
postoperative prescriptions. The pharmacist does
not prescribe medications or renew prescriptions.
The nurse must have a current prescription before
administering any medications.
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
- Answer-B
Rationale: Normal saline solution is the only
solution that is compatible with blood.
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,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. - 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
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, 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.
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,
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LATEST 2025-2026 ACTUAL EXAM
WITH VERIFIED CORRECT ANSWERS
AND RATIONALE.
The nurse transcribes the postoperative
prescriptions for a client who returns to the unit
following surgery and notes that an
antihypertensive medication that was prescribed
preoperatively is not listed. Which action should the
nurse take?
A.Consult with the pharmacist about the need to
continue the medication.
B.Administer the antihypertensive medication as
prescribed preoperatively.
C.Withhold the medication until the client is fully
alert and vital signs are stable.
D.Contact the health care provider to renew the
prescription for the medication.
- Answer-D
Page | 1
,Rationale: Medications prescribed preoperatively
must be renewed postoperatively, so the nurse
should contact the health care provider if the
antihypertensive medication is not included in the
postoperative prescriptions. The pharmacist does
not prescribe medications or renew prescriptions.
The nurse must have a current prescription before
administering any medications.
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
- Answer-B
Rationale: Normal saline solution is the only
solution that is compatible with blood.
Page | 2
,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. - 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
Page | 3
, 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.
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,
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