HESI RN FUNDAMENTALS UPDATED
QUESTIONS AND ANSWERS (2024/2025)
(VERIFIED ANSWERS)
TheKnurseKisKcalledKtoKtheKwaitingKroomKofKaKpediatricKclinic.KTheKfranticKmotherKstates,K"IKthinkKmyK4-
month-oldKbabyKisKchoking!"KWhatKstepsKwillKtheKnurseKtake?K(SelectKallKthatKapply.)
A.
CompressKtheKchestKonceKbetweenKtheKnipplesKwithKtwoKfingers.
K B.
NoteKanyKobstructionKorKabsenceKofKbreathing.
K C.
DeliverKfiveKbackslapsKbetweenKtheKshoulderKblades.
K D.
PlaceKtheKinfantKoverKtheKnurse'sKarm.
K E.
PerformKaKblindKfingerKsweep.K-KcorrectKanswer-B,KC,KD
Rationale:KTheKfingersKareKplacedKatKtheKsameKlocationKonKanKinfantKasKchestKcompressionsKforKCPR;Khowe
ver,KtheKnurseKmustKdeliverKfiveKchestKthrusts,KafterKtheKfiveKbackKslaps.KBlindKsweepsKareKnotKusedKasKthisK
actionKmayKpushKtheKobjectKdeeperKintoKtheKthroat.KTheKremainingKstepsKareKcorrect.
WhichKfluidKwillKtheKnurseKselectKtoKadministerKwithKtheKprescribedKbloodKtransfusion?
A.
5%KDextroseKandKwater
K B.
NormalKsaline
K C.
LactatedKRingersKsolution
K D.
5%KDextroseKandKlactatedKringersK-KcorrectKanswer-BK
,Rationale:KNormalKsalineKsolutionKisKtheKonlyKsolutionKthatKisKcompatibleKwithKblood.
WhenKassistingKaKclientKfromKtheKbedKtoKaKchair,KwhichKprocedureKisKbestKforKtheKnurseKtoKfollow?
A.
PlaceKtheKchairKparallelKtoKtheKbed,KwithKitsKbackKtowardKtheKheadKofKtheKbedKandKassistKtheKclientKinKmovi
ngKtoKtheKchair.
K B.
WithKtheKnurse'sKfeetKspreadKapartKandKkneesKalignedKwithKtheKclient'sKknees,KstandKandKpivotKtheKclientKi
ntoKtheKchair.
K C.
AssistKtheKclientKtoKaKstandingKpositionKbyKgentlyKliftingKupward,KunderneathKtheKaxillae.
K D.
StandKbesideKtheKclient,KplaceKtheKclient'sKarmsKaroundKtheKnurse'sKneck,KandKgentlyKmoveKtheKclientKtoKth
eKchair.K-KcorrectKanswer-B
Rationale:KOptionKBKdescribesKtheKcorrectKpositioningKofKtheKnurseKandKaffordsKtheKnurseKaKwideKbaseKofKs
upportKwhileKstabilizingKtheKclient'sKkneesKwhenKassistingKtoKaKstandingKposition.KTheKchairKshouldKbeKplac
edKatKaK45-
degreeKangleKtoKtheKbed,KwithKtheKbackKofKtheKchairKtowardKtheKheadKofKtheKbed.KClientsKshouldKneverKbeKl
iftedKunderKtheKaxillae;KthisKcouldKdamageKnervesKandKstrainKtheKnurse'sKback.KTheKclientKshouldKbeKinstru
ctedKtoKuseKtheKarmsKofKtheKchairKandKshouldKneverKplaceKhisKorKherKarmsKaroundKtheKnurse'sKneck;KthisKpl
acesKundueKstressKonKtheKnurse'sKneckKandKbackKandKincreasesKtheKriskKforKaKfall.
HowKmanyKmLKwillKtheKnurseKdocumentKonKtheKclient'sKintakeKandKoutputKrecordKfromKtheKitemsKlisted?K_
____KmL
1200KmLKwater
4KounceKcontainerKofKgelatin
8KouncesKofKorangeKjuice
355KmLKcanKofKsoda1KcupKofKsoupK-KcorrectKanswer-Answer:K2155
Rationale:K1200K+K240K(8Koz)K+K240K(1Kcup)K+K120K(4Koz)K+K355K=K2155
TheKnurseKobservesKaKUAPKtakingKaKclient'sKbloodKpressureKinKtheKlowerKextremity.KWhichKobservationKofKt
hisKprocedureKrequiresKtheKnurseKtoKinterveneKwithKtheKUAP'sKapproach?
A.
,TheKcuffKwrapsKaroundKtheKgirthKofKtheKleg.
K B.
TheKUAPKauscultatesKtheKpoplitealKpulseKwithKtheKcuffKonKtheKlowerKleg.
K C.
TheKclientKisKplacedKinKaKproneKposition.
K D.
TheKsystolicKreadingKisK20KmmKHgKhigherKthanKtheKbloodKpressureKinKtheKclient'sKarm.K-KcorrectKanswer-B
Rationale:KWhenKobtainingKtheKbloodKpressureKinKtheKlowerKextremities,KtheKpoplitealKpulseKisKtheKsiteKforK
auscultationKwhenKtheKbloodKpressureKcuffKisKappliedKaroundKtheKthigh.KTheKnurseKshouldKinterveneKwithKt
heKUAPKwhoKhasKappliedKtheKcuffKonKtheKlowerKleg.KOptionKAKensuresKanKaccurateKassessment,KandKoption
KCKprovidesKtheKbestKaccessKtoKtheKartery.KSystolicKpressureKinKtheKpoplitealKarteryKisKusuallyK10KtoK40KmmK
HgKhigherKthanKinKtheKbrachialKartery.
DuringKaKclinicKvisit,KtheKmotherKofKaK7-year-
oldKreportsKtoKtheKnurseKthatKherKchildKisKoftenKawakeKuntilKmidnightKplayingKandKisKthenKveryKdifficultKtoKa
wakenKinKtheKmorningKforKschool.KWhichKassessmentKdataKshouldKtheKnurseKobtainKinKresponseKtoKtheKmo
ther'sKconcern?
A.
TheKoccurrenceKofKanyKepisodesKofKsleepKapnea
K B.
TheKchild'sKbloodKpressure,Kpulse,KandKrespirations
K C.
LengthKofKrapidKeyeKmovementK(REM)KsleepKthatKtheKchildKisKexperiencing
K D.
DescriptionKofKtheKfamily'sKhomeKenvironmentK-KcorrectKanswer-D
Rationale:KSchool-
ageKchildrenKoftenKresistKbedtime.KTheKnurseKshouldKbeginKbyKassessingKtheKenvironmentKofKtheKhomeKtoK
determineKfactorsKthatKmayKnotKbeKconduciveKtoKtheKestablishmentKofKbedtimeKritualsKthatKpromoteKsleep
.KOptionKAKoftenKcausesKdaytimeKfatigueKratherKthanKresistanceKtoKgoingKtoKsleep.KOptionKBKisKunlikelyKtoKp
rovideKusefulKdata.KTheKnurseKcannotKdetermineKoptionKC.
, TheKnurseKidentifiesKaKpotentialKforKinfectionKinKaKclientKwithKpartial-thicknessK(second-degree)KandKfull-
thicknessK(third-
degree)Kburns.KWhatKactionKhasKtheKhighestKpriorityKinKdecreasingKtheKclient'sKriskKofKinfection?
A.
AdministrationKofKplasmaKexpanders
K B.
UseKofKcarefulKhandwashingKtechnique
K C.
ApplicationKofKaKtopicalKantibacterialKcream
K D.
LimitingKvisitorsKtoKtheKclientKwithKburnsK-KcorrectKanswer-B
Rationale:KCarefulKhandwashingKtechniqueKisKtheKsingleKmostKeffectiveKinterventionKforKtheKpreventionKofK
contaminationKtoKallKclients.KOptionKAKreversesKtheKhypovolemiaKthatKinitiallyKaccompaniesKburnKtraumaKb
utKisKnotKrelatedKtoKdecreasingKtheKproliferationKofKinfectiveKorganisms.KOptionsKCKandKDKareKrecommende
dKbyKvariousKburnKcentersKasKpossibleKwaysKtoKreduceKtheKchanceKofKinfection.KOptionKBKisKaKprovenKtechni
queKtoKpreventKinfection.
TheKnurseKassessesKaK2-year-
oldKwhoKisKadmittedKforKdehydrationKandKfindsKthatKtheKperipheralKIVKrateKbyKgravityKhasKslowed,KevenKtho
ughKtheKvenousKaccessKsiteKisKhealthy.KWhatKshouldKtheKnurseKdoKnext?
A.
ApplyKaKwarmKcompressKproximalKtoKtheKsite.
K B.
CheckKforKkinksKinKtheKtubingKandKraiseKtheKIVKpole.
K C.
AdjustKtheKtapeKthatKstabilizesKtheKneedle.
K D.
FlushKwithKnormalKsalineKandKrecountKtheKdropKrate.K-KcorrectKanswer-B
Rationale:KTheKnurseKshouldKfirstKcheckKtheKtubingKandKheightKofKtheKbagKonKtheKIVKpole,KwhichKareKcomm
onKfactorsKthatKmayKslowKtheKrate.KGravityKinfusionKratesKareKinfluencedKbyKtheKheightKofKtheKbag,KtubingKc
lampKclosureKorKkinks,KneedleKsizeKorKposition,KfluidKviscosity,KclientKbloodKpressureK(cryingKinKtheKpediatric
Kclient),KandKinfiltration.KVenospasmKcanKslowKtheKrateKandKoftenKrespondsKtoKwarmthKoverKtheKvessel,Kbut
KtheKnurseKshouldKfirstKadjustKtheKIVKpoleKheight.KTheKnurseKmayKneedKtoKadjustKtheKstabilizingKtapeKonKaKp
QUESTIONS AND ANSWERS (2024/2025)
(VERIFIED ANSWERS)
TheKnurseKisKcalledKtoKtheKwaitingKroomKofKaKpediatricKclinic.KTheKfranticKmotherKstates,K"IKthinkKmyK4-
month-oldKbabyKisKchoking!"KWhatKstepsKwillKtheKnurseKtake?K(SelectKallKthatKapply.)
A.
CompressKtheKchestKonceKbetweenKtheKnipplesKwithKtwoKfingers.
K B.
NoteKanyKobstructionKorKabsenceKofKbreathing.
K C.
DeliverKfiveKbackslapsKbetweenKtheKshoulderKblades.
K D.
PlaceKtheKinfantKoverKtheKnurse'sKarm.
K E.
PerformKaKblindKfingerKsweep.K-KcorrectKanswer-B,KC,KD
Rationale:KTheKfingersKareKplacedKatKtheKsameKlocationKonKanKinfantKasKchestKcompressionsKforKCPR;Khowe
ver,KtheKnurseKmustKdeliverKfiveKchestKthrusts,KafterKtheKfiveKbackKslaps.KBlindKsweepsKareKnotKusedKasKthisK
actionKmayKpushKtheKobjectKdeeperKintoKtheKthroat.KTheKremainingKstepsKareKcorrect.
WhichKfluidKwillKtheKnurseKselectKtoKadministerKwithKtheKprescribedKbloodKtransfusion?
A.
5%KDextroseKandKwater
K B.
NormalKsaline
K C.
LactatedKRingersKsolution
K D.
5%KDextroseKandKlactatedKringersK-KcorrectKanswer-BK
,Rationale:KNormalKsalineKsolutionKisKtheKonlyKsolutionKthatKisKcompatibleKwithKblood.
WhenKassistingKaKclientKfromKtheKbedKtoKaKchair,KwhichKprocedureKisKbestKforKtheKnurseKtoKfollow?
A.
PlaceKtheKchairKparallelKtoKtheKbed,KwithKitsKbackKtowardKtheKheadKofKtheKbedKandKassistKtheKclientKinKmovi
ngKtoKtheKchair.
K B.
WithKtheKnurse'sKfeetKspreadKapartKandKkneesKalignedKwithKtheKclient'sKknees,KstandKandKpivotKtheKclientKi
ntoKtheKchair.
K C.
AssistKtheKclientKtoKaKstandingKpositionKbyKgentlyKliftingKupward,KunderneathKtheKaxillae.
K D.
StandKbesideKtheKclient,KplaceKtheKclient'sKarmsKaroundKtheKnurse'sKneck,KandKgentlyKmoveKtheKclientKtoKth
eKchair.K-KcorrectKanswer-B
Rationale:KOptionKBKdescribesKtheKcorrectKpositioningKofKtheKnurseKandKaffordsKtheKnurseKaKwideKbaseKofKs
upportKwhileKstabilizingKtheKclient'sKkneesKwhenKassistingKtoKaKstandingKposition.KTheKchairKshouldKbeKplac
edKatKaK45-
degreeKangleKtoKtheKbed,KwithKtheKbackKofKtheKchairKtowardKtheKheadKofKtheKbed.KClientsKshouldKneverKbeKl
iftedKunderKtheKaxillae;KthisKcouldKdamageKnervesKandKstrainKtheKnurse'sKback.KTheKclientKshouldKbeKinstru
ctedKtoKuseKtheKarmsKofKtheKchairKandKshouldKneverKplaceKhisKorKherKarmsKaroundKtheKnurse'sKneck;KthisKpl
acesKundueKstressKonKtheKnurse'sKneckKandKbackKandKincreasesKtheKriskKforKaKfall.
HowKmanyKmLKwillKtheKnurseKdocumentKonKtheKclient'sKintakeKandKoutputKrecordKfromKtheKitemsKlisted?K_
____KmL
1200KmLKwater
4KounceKcontainerKofKgelatin
8KouncesKofKorangeKjuice
355KmLKcanKofKsoda1KcupKofKsoupK-KcorrectKanswer-Answer:K2155
Rationale:K1200K+K240K(8Koz)K+K240K(1Kcup)K+K120K(4Koz)K+K355K=K2155
TheKnurseKobservesKaKUAPKtakingKaKclient'sKbloodKpressureKinKtheKlowerKextremity.KWhichKobservationKofKt
hisKprocedureKrequiresKtheKnurseKtoKinterveneKwithKtheKUAP'sKapproach?
A.
,TheKcuffKwrapsKaroundKtheKgirthKofKtheKleg.
K B.
TheKUAPKauscultatesKtheKpoplitealKpulseKwithKtheKcuffKonKtheKlowerKleg.
K C.
TheKclientKisKplacedKinKaKproneKposition.
K D.
TheKsystolicKreadingKisK20KmmKHgKhigherKthanKtheKbloodKpressureKinKtheKclient'sKarm.K-KcorrectKanswer-B
Rationale:KWhenKobtainingKtheKbloodKpressureKinKtheKlowerKextremities,KtheKpoplitealKpulseKisKtheKsiteKforK
auscultationKwhenKtheKbloodKpressureKcuffKisKappliedKaroundKtheKthigh.KTheKnurseKshouldKinterveneKwithKt
heKUAPKwhoKhasKappliedKtheKcuffKonKtheKlowerKleg.KOptionKAKensuresKanKaccurateKassessment,KandKoption
KCKprovidesKtheKbestKaccessKtoKtheKartery.KSystolicKpressureKinKtheKpoplitealKarteryKisKusuallyK10KtoK40KmmK
HgKhigherKthanKinKtheKbrachialKartery.
DuringKaKclinicKvisit,KtheKmotherKofKaK7-year-
oldKreportsKtoKtheKnurseKthatKherKchildKisKoftenKawakeKuntilKmidnightKplayingKandKisKthenKveryKdifficultKtoKa
wakenKinKtheKmorningKforKschool.KWhichKassessmentKdataKshouldKtheKnurseKobtainKinKresponseKtoKtheKmo
ther'sKconcern?
A.
TheKoccurrenceKofKanyKepisodesKofKsleepKapnea
K B.
TheKchild'sKbloodKpressure,Kpulse,KandKrespirations
K C.
LengthKofKrapidKeyeKmovementK(REM)KsleepKthatKtheKchildKisKexperiencing
K D.
DescriptionKofKtheKfamily'sKhomeKenvironmentK-KcorrectKanswer-D
Rationale:KSchool-
ageKchildrenKoftenKresistKbedtime.KTheKnurseKshouldKbeginKbyKassessingKtheKenvironmentKofKtheKhomeKtoK
determineKfactorsKthatKmayKnotKbeKconduciveKtoKtheKestablishmentKofKbedtimeKritualsKthatKpromoteKsleep
.KOptionKAKoftenKcausesKdaytimeKfatigueKratherKthanKresistanceKtoKgoingKtoKsleep.KOptionKBKisKunlikelyKtoKp
rovideKusefulKdata.KTheKnurseKcannotKdetermineKoptionKC.
, TheKnurseKidentifiesKaKpotentialKforKinfectionKinKaKclientKwithKpartial-thicknessK(second-degree)KandKfull-
thicknessK(third-
degree)Kburns.KWhatKactionKhasKtheKhighestKpriorityKinKdecreasingKtheKclient'sKriskKofKinfection?
A.
AdministrationKofKplasmaKexpanders
K B.
UseKofKcarefulKhandwashingKtechnique
K C.
ApplicationKofKaKtopicalKantibacterialKcream
K D.
LimitingKvisitorsKtoKtheKclientKwithKburnsK-KcorrectKanswer-B
Rationale:KCarefulKhandwashingKtechniqueKisKtheKsingleKmostKeffectiveKinterventionKforKtheKpreventionKofK
contaminationKtoKallKclients.KOptionKAKreversesKtheKhypovolemiaKthatKinitiallyKaccompaniesKburnKtraumaKb
utKisKnotKrelatedKtoKdecreasingKtheKproliferationKofKinfectiveKorganisms.KOptionsKCKandKDKareKrecommende
dKbyKvariousKburnKcentersKasKpossibleKwaysKtoKreduceKtheKchanceKofKinfection.KOptionKBKisKaKprovenKtechni
queKtoKpreventKinfection.
TheKnurseKassessesKaK2-year-
oldKwhoKisKadmittedKforKdehydrationKandKfindsKthatKtheKperipheralKIVKrateKbyKgravityKhasKslowed,KevenKtho
ughKtheKvenousKaccessKsiteKisKhealthy.KWhatKshouldKtheKnurseKdoKnext?
A.
ApplyKaKwarmKcompressKproximalKtoKtheKsite.
K B.
CheckKforKkinksKinKtheKtubingKandKraiseKtheKIVKpole.
K C.
AdjustKtheKtapeKthatKstabilizesKtheKneedle.
K D.
FlushKwithKnormalKsalineKandKrecountKtheKdropKrate.K-KcorrectKanswer-B
Rationale:KTheKnurseKshouldKfirstKcheckKtheKtubingKandKheightKofKtheKbagKonKtheKIVKpole,KwhichKareKcomm
onKfactorsKthatKmayKslowKtheKrate.KGravityKinfusionKratesKareKinfluencedKbyKtheKheightKofKtheKbag,KtubingKc
lampKclosureKorKkinks,KneedleKsizeKorKposition,KfluidKviscosity,KclientKbloodKpressureK(cryingKinKtheKpediatric
Kclient),KandKinfiltration.KVenospasmKcanKslowKtheKrateKandKoftenKrespondsKtoKwarmthKoverKtheKvessel,Kbut
KtheKnurseKshouldKfirstKadjustKtheKIVKpoleKheight.KTheKnurseKmayKneedKtoKadjustKtheKstabilizingKtapeKonKaKp
