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HESI RN FUNDAMENTALS OF NURSING
EXAM 2025 UPDATED ACTUAL EXAM
WITH CORRECT SOLUTIONS.
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?
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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
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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.
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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.
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.
HESI RN FUNDAMENTALS OF NURSING
EXAM 2025 UPDATED ACTUAL EXAM
WITH CORRECT SOLUTIONS.
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?
,2 | Page
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
,3 | 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 - 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.
, 4 | Page
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.
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.
