HESI EXAM ga ga
Exam Solution
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HESI RN FUNDAMENTALS EXIT EXAM LATEST ACTUAL E
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XAM 100 QUESTIONS AND CORRECT ANSWERS WITH R
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ATIOANLES (VERIFIED ANSWERS) 2026 A+ GRADE ASS ga ga ga ga ga ga
URED COMPLETE SOLUTIONS AND VERIFIED ANSWERS
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(68C0D)
QUESTION 1 ga
Which fluid will the nurse select to administer with the prescribed blood transfusion?
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A. 5% Dextrose and water
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B. Normal saline
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C. Lactated Ringers solution
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D. 5% Dextrose and lactated ringers
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ANSWER
B Rationale: Normal saline solution is the only solution that is compatible with blood.
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QUESTION 2 ga
How many mL will the nurse document on the client's intake and output record from th
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e items listed? _____ mL 1200 mL water 4 ounce container of gelatin 8 ounces of orange j
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uice 355 mL can of soda1 cup of soup
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ANSWER
Answer: 2155 Rationale: 1200 + 240 (8 oz) + 240 (1 cup) + 120 (4 oz) + 355 = 2155
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QUESTION 3 ga
The nurse identifies a potential for infection in a client with partial-thickness (second-
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degree) and full-thickness (third-
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degree) burns. What action has the highest priority in decreasing the client's risk of infe
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ction?
A. Administration of plasma expanders
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, B. Use of careful handwashing technique
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C. Application of a topical antibacterial cream
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D. Limiting visitors to the client with burns
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ANSWER
B Rationale: Careful handwashing technique is the single most effective intervention for the prevention
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of contamination to all clients. Option A reverses the hypovolemia that initially accompanies burn trau
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ma but is not related to decreasing the proliferation of infective organisms. Options C and D are recom
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mended by various burn centers as possible ways to reduce the chance of infection. Option B is a prove
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n technique to prevent infection.
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QUESTION 4 ga
The nurse administered 10 mg of diazepam to the preoperative client. What steps will t
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he nurse take next? (Select all that apply.)
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A. Place the client in the bed next to the nurse's station.
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B. Instruct the client not to get out of bed.
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C. Place the call bell within the client's reach.
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D. Place the side rails up, according to institutional policy.
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E. Assist the client to the bathroom
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ANSWER
B, C, D Rationale: Diazepam is a common preoperative medication. Close observation by placing the clie
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nt close to the nurse's station is not necessary. The medication has a sedative effect and the client shou
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ld not get out of bed, even with assistance. The remaining selections are correct.
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QUESTION 5 ga
The nurse is planning care for a client with an indwelling urinary catheter. Which nursi
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ng action has the highest priority?
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A. Assist the client with daily cleansing.
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B. Tell the client that incontinence happens with aging.
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C. Offer 200 mL of fluid every 2 hours while awake.
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D. Take the client's temperature every 4 hours.
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ANSWER
D Rationale: Indwelling urinary catheters are a major source of infection. Option A is a problem that m
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ay develop from having an indwelling catheter. Option B may or may not be true for the client. Option
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C is not affected by an indwelling catheter.
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QUESTION 6 ga
When bathing an uncircumcised boy older than 3 years, which action should the nurse t
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ake?
A. Remind the child to clean his genital area.
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Exam Solution
ga
HESI RN FUNDAMENTALS EXIT EXAM LATEST ACTUAL E
ga ga ga ga ga ga ga
XAM 100 QUESTIONS AND CORRECT ANSWERS WITH R
ga ga ga ga ga ga ga
ATIOANLES (VERIFIED ANSWERS) 2026 A+ GRADE ASS ga ga ga ga ga ga
URED COMPLETE SOLUTIONS AND VERIFIED ANSWERS
ga ga ga ga ga ga
(68C0D)
QUESTION 1 ga
Which fluid will the nurse select to administer with the prescribed blood transfusion?
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A. 5% Dextrose and water
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B. Normal saline
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C. Lactated Ringers solution
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D. 5% Dextrose and lactated ringers
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ANSWER
B Rationale: Normal saline solution is the only solution that is compatible with blood.
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QUESTION 2 ga
How many mL will the nurse document on the client's intake and output record from th
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e items listed? _____ mL 1200 mL water 4 ounce container of gelatin 8 ounces of orange j
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
uice 355 mL can of soda1 cup of soup
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ANSWER
Answer: 2155 Rationale: 1200 + 240 (8 oz) + 240 (1 cup) + 120 (4 oz) + 355 = 2155
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QUESTION 3 ga
The nurse identifies a potential for infection in a client with partial-thickness (second-
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degree) and full-thickness (third-
ga ga ga
degree) burns. What action has the highest priority in decreasing the client's risk of infe
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ction?
A. Administration of plasma expanders
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, B. Use of careful handwashing technique
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C. Application of a topical antibacterial cream
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D. Limiting visitors to the client with burns
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ANSWER
B Rationale: Careful handwashing technique is the single most effective intervention for the prevention
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of contamination to all clients. Option A reverses the hypovolemia that initially accompanies burn trau
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ma but is not related to decreasing the proliferation of infective organisms. Options C and D are recom
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mended by various burn centers as possible ways to reduce the chance of infection. Option B is a prove
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n technique to prevent infection.
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QUESTION 4 ga
The nurse administered 10 mg of diazepam to the preoperative client. What steps will t
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he nurse take next? (Select all that apply.)
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A. Place the client in the bed next to the nurse's station.
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B. Instruct the client not to get out of bed.
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C. Place the call bell within the client's reach.
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D. Place the side rails up, according to institutional policy.
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E. Assist the client to the bathroom
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ANSWER
B, C, D Rationale: Diazepam is a common preoperative medication. Close observation by placing the clie
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nt close to the nurse's station is not necessary. The medication has a sedative effect and the client shou
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
ld not get out of bed, even with assistance. The remaining selections are correct.
ga ga ga ga ga ga ga ga ga ga ga ga ga
QUESTION 5 ga
The nurse is planning care for a client with an indwelling urinary catheter. Which nursi
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ng action has the highest priority?
ga ga ga ga ga
A. Assist the client with daily cleansing.
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B. Tell the client that incontinence happens with aging.
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C. Offer 200 mL of fluid every 2 hours while awake.
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D. Take the client's temperature every 4 hours.
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ANSWER
D Rationale: Indwelling urinary catheters are a major source of infection. Option A is a problem that m
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ay develop from having an indwelling catheter. Option B may or may not be true for the client. Option
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C is not affected by an indwelling catheter.
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QUESTION 6 ga
When bathing an uncircumcised boy older than 3 years, which action should the nurse t
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ake?
A. Remind the child to clean his genital area.
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