HESI RN FUNDAMENTALS EXIT UPDATED
EXAM 2026/2027 COMPLETE MULTIPLE
CHOICE QUESTION BANK WITH VERIFIED
ANSWERS DETAILED EXPLANATIONS
ALREADY GRADED A+ AND 100% PASS
GUARANTEE (ORIGINAL COPY!!!!!!!)
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 - THE 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. - THE 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.
Length of rapid eye movement (REM) sleep that the child is
experiencing
D.
Description of the family's home environment - THE CORRECT
ANSWER-D
Rationale: School-age children often resist bedtime. The nurse
should begin by assessing the environment of the home to
determine factors that may not be conducive to the
,establishment of bedtime rituals that promote sleep. Option A
often causes daytime fatigue rather than resistance to going to
sleep. Option B is unlikely to provide useful data. The nurse
cannot determine option C.
The nurse identifies a potential for infection in a client with
partial-thickness (second-degree) and full-thickness (third-
degree) burns. What action has the highest priority in
decreasing the client's risk of infection?
A.
Administration of plasma expanders
B.
Use of careful handwashing technique
C.
Application of a topical antibacterial cream
D.
Limiting visitors to the client with burns - THE CORRECT ANSWER-B
Rationale: Careful handwashing technique is the single most
effective intervention for the prevention of contamination to all
clients. Option A reverses the hypovolemia that initially
accompanies burn trauma but is not related to decreasing the
proliferation of infective organisms. Options C and D are
recommended by various burn centers as possible ways to
reduce the chance of infection. Option B is a proven technique
to prevent infection.
The nurse assesses a 2-year-old who is admitted for
dehydration and finds that the peripheral IV rate by gravity has
slowed, even though the venous access site is healthy. What
should the nurse do next?
A.
Apply a warm compress proximal to the site.
, B.
Check for kinks in the tubing and raise the IV pole.
C.
Adjust the tape that stabilizes the needle.
D.
Flush with normal saline and recount the drop rate. - THE CORRECT
ANSWER-B
Rationale: The nurse should first check the tubing and height of
the bag on the IV pole, which are common factors that may
slow the rate. Gravity infusion rates are influenced by the
height of the bag, tubing clamp closure or kinks, needle size or
position, fluid viscosity, client blood pressure (crying in the
pediatric client), and infiltration. Venospasm can slow the rate
and often responds to warmth over the vessel, but the nurse
should first adjust the IV pole height. The nurse may need to
adjust the stabilizing tape on a positional needle or flush the
venous access with normal saline, but less invasive actions
should be implemented first.
The nurse manager of a skilled nursing (chronic care) unit is
instructing UAPs on ways to prevent complications of
immobility. Which action should be included in this
instruction?
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.
EXAM 2026/2027 COMPLETE MULTIPLE
CHOICE QUESTION BANK WITH VERIFIED
ANSWERS DETAILED EXPLANATIONS
ALREADY GRADED A+ AND 100% PASS
GUARANTEE (ORIGINAL COPY!!!!!!!)
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 - THE 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. - THE 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.
Length of rapid eye movement (REM) sleep that the child is
experiencing
D.
Description of the family's home environment - THE CORRECT
ANSWER-D
Rationale: School-age children often resist bedtime. The nurse
should begin by assessing the environment of the home to
determine factors that may not be conducive to the
,establishment of bedtime rituals that promote sleep. Option A
often causes daytime fatigue rather than resistance to going to
sleep. Option B is unlikely to provide useful data. The nurse
cannot determine option C.
The nurse identifies a potential for infection in a client with
partial-thickness (second-degree) and full-thickness (third-
degree) burns. What action has the highest priority in
decreasing the client's risk of infection?
A.
Administration of plasma expanders
B.
Use of careful handwashing technique
C.
Application of a topical antibacterial cream
D.
Limiting visitors to the client with burns - THE CORRECT ANSWER-B
Rationale: Careful handwashing technique is the single most
effective intervention for the prevention of contamination to all
clients. Option A reverses the hypovolemia that initially
accompanies burn trauma but is not related to decreasing the
proliferation of infective organisms. Options C and D are
recommended by various burn centers as possible ways to
reduce the chance of infection. Option B is a proven technique
to prevent infection.
The nurse assesses a 2-year-old who is admitted for
dehydration and finds that the peripheral IV rate by gravity has
slowed, even though the venous access site is healthy. What
should the nurse do next?
A.
Apply a warm compress proximal to the site.
, B.
Check for kinks in the tubing and raise the IV pole.
C.
Adjust the tape that stabilizes the needle.
D.
Flush with normal saline and recount the drop rate. - THE CORRECT
ANSWER-B
Rationale: The nurse should first check the tubing and height of
the bag on the IV pole, which are common factors that may
slow the rate. Gravity infusion rates are influenced by the
height of the bag, tubing clamp closure or kinks, needle size or
position, fluid viscosity, client blood pressure (crying in the
pediatric client), and infiltration. Venospasm can slow the rate
and often responds to warmth over the vessel, but the nurse
should first adjust the IV pole height. The nurse may need to
adjust the stabilizing tape on a positional needle or flush the
venous access with normal saline, but less invasive actions
should be implemented first.
The nurse manager of a skilled nursing (chronic care) unit is
instructing UAPs on ways to prevent complications of
immobility. Which action should be included in this
instruction?
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.
