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HESI RN FUNDAMENTALS EXIT EXAM LATEST 2025
WITH QUESTIONS, ANSWERS AND WELL EXPLAINED
RATIONALES
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 - 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
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unlikely to provide useful data. The nurse cannot determine option
C.
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, 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.
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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.
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.
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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 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 - answer-Answer: 2155
Rationale: 1200 + 240 (8 oz) + 240 (1 cup) + 120 (4 oz) + 355 = 2155
HESI RN FUNDAMENTALS EXIT EXAM LATEST 2025
WITH QUESTIONS, ANSWERS AND WELL EXPLAINED
RATIONALES
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 - 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
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unlikely to provide useful data. The nurse cannot determine option
C.
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, 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.
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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.
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.
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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 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 - answer-Answer: 2155
Rationale: 1200 + 240 (8 oz) + 240 (1 cup) + 120 (4 oz) + 355 = 2155
