HESI EXAM ga ga
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
(D9F1E)
QUESTION 1 ga
Which fluid will the nurse select to administer with the prescribed blood transfusion?
ga ga ga ga ga ga ga ga ga ga ga ga
A. 5% Dextrose and water
ga ga ga ga
B. Normal saline
ga ga
C. Lactated Ringers solution
ga ga ga
D. 5% Dextrose and lactated ringers
ga ga ga ga ga
ANSWER
B Rationale: Normal saline solution is the only solution that is compatible with blood.
ga ga ga ga ga ga ga ga ga ga ga ga ga
QUESTION 2 ga
How many mL will the nurse document on the client's intake and output record from th
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
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
ga ga ga ga ga ga ga ga
ANSWER
Answer: 2155 Rationale: 1200 + 240 (8 oz) + 240 (1 cup) + 120 (4 oz) + 355 = 2155
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
QUESTION 3 ga
The nurse identifies a potential for infection in a client with partial-thickness (second-
ga ga ga ga ga ga ga ga ga ga ga ga
degree) and full-thickness (third-
ga ga ga
degree) burns. What action has the highest priority in decreasing the client's risk of infe
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
ction?
A. Administration of plasma expanders
ga ga ga ga
, B. Use of careful handwashing technique
ga ga ga ga ga
C. Application of a topical antibacterial cream
ga ga ga ga ga ga
D. Limiting visitors to the client with burns
ga ga ga ga ga ga ga
ANSWER
B Rationale: Careful handwashing technique is the single most effective intervention for the prevention
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
of contamination to all clients. Option A reverses the hypovolemia that initially accompanies burn trau
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
ma but is not related to decreasing the proliferation of infective organisms. Options C and D are recom
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
mended by various burn centers as possible ways to reduce the chance of infection. Option B is a prove
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
n technique to prevent infection.
ga ga ga ga
QUESTION 4 ga
The nurse administered 10 mg of diazepam to the preoperative client. What steps will t
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
he nurse take next? (Select all that apply.)
ga ga ga ga ga ga ga
A. Place the client in the bed next to the nurse's station.
ga ga ga ga ga ga ga ga ga ga ga
B. Instruct the client not to get out of bed.
ga ga ga ga ga ga ga ga ga
C. Place the call bell within the client's reach.
ga ga ga ga ga ga ga ga
D. Place the side rails up, according to institutional policy.
ga ga ga ga ga ga ga ga ga
E. Assist the client to the bathroom
ga ga ga ga ga ga
ANSWER
B, C, D Rationale: Diazepam is a common preoperative medication. Close observation by placing the clie
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
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
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
ng action has the highest priority?
ga ga ga ga ga
A. Assist the client with daily cleansing.
ga ga ga ga ga ga
B. Tell the client that incontinence happens with aging.
ga ga ga ga ga ga ga ga
C. Offer 200 mL of fluid every 2 hours while awake.
ga ga ga ga ga ga ga ga ga ga
D. Take the client's temperature every 4 hours.
ga ga ga ga ga ga ga
ANSWER
D Rationale: Indwelling urinary catheters are a major source of infection. Option A is a problem that m
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
ay develop from having an indwelling catheter. Option B may or may not be true for the client. Option
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
C is not affected by an indwelling catheter.
ga ga ga ga ga ga ga
QUESTION 6 ga
When bathing an uncircumcised boy older than 3 years, which action should the nurse t
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
ake?
A. Remind the child to clean his genital area.
ga ga ga ga ga ga ga ga
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
(D9F1E)
QUESTION 1 ga
Which fluid will the nurse select to administer with the prescribed blood transfusion?
ga ga ga ga ga ga ga ga ga ga ga ga
A. 5% Dextrose and water
ga ga ga ga
B. Normal saline
ga ga
C. Lactated Ringers solution
ga ga ga
D. 5% Dextrose and lactated ringers
ga ga ga ga ga
ANSWER
B Rationale: Normal saline solution is the only solution that is compatible with blood.
ga ga ga ga ga ga ga ga ga ga ga ga ga
QUESTION 2 ga
How many mL will the nurse document on the client's intake and output record from th
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
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
ga ga ga ga ga ga ga ga
ANSWER
Answer: 2155 Rationale: 1200 + 240 (8 oz) + 240 (1 cup) + 120 (4 oz) + 355 = 2155
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
QUESTION 3 ga
The nurse identifies a potential for infection in a client with partial-thickness (second-
ga ga ga ga ga ga ga ga ga ga ga ga
degree) and full-thickness (third-
ga ga ga
degree) burns. What action has the highest priority in decreasing the client's risk of infe
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
ction?
A. Administration of plasma expanders
ga ga ga ga
, B. Use of careful handwashing technique
ga ga ga ga ga
C. Application of a topical antibacterial cream
ga ga ga ga ga ga
D. Limiting visitors to the client with burns
ga ga ga ga ga ga ga
ANSWER
B Rationale: Careful handwashing technique is the single most effective intervention for the prevention
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
of contamination to all clients. Option A reverses the hypovolemia that initially accompanies burn trau
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
ma but is not related to decreasing the proliferation of infective organisms. Options C and D are recom
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
mended by various burn centers as possible ways to reduce the chance of infection. Option B is a prove
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
n technique to prevent infection.
ga ga ga ga
QUESTION 4 ga
The nurse administered 10 mg of diazepam to the preoperative client. What steps will t
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
he nurse take next? (Select all that apply.)
ga ga ga ga ga ga ga
A. Place the client in the bed next to the nurse's station.
ga ga ga ga ga ga ga ga ga ga ga
B. Instruct the client not to get out of bed.
ga ga ga ga ga ga ga ga ga
C. Place the call bell within the client's reach.
ga ga ga ga ga ga ga ga
D. Place the side rails up, according to institutional policy.
ga ga ga ga ga ga ga ga ga
E. Assist the client to the bathroom
ga ga ga ga ga ga
ANSWER
B, C, D Rationale: Diazepam is a common preoperative medication. Close observation by placing the clie
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
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
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
ng action has the highest priority?
ga ga ga ga ga
A. Assist the client with daily cleansing.
ga ga ga ga ga ga
B. Tell the client that incontinence happens with aging.
ga ga ga ga ga ga ga ga
C. Offer 200 mL of fluid every 2 hours while awake.
ga ga ga ga ga ga ga ga ga ga
D. Take the client's temperature every 4 hours.
ga ga ga ga ga ga ga
ANSWER
D Rationale: Indwelling urinary catheters are a major source of infection. Option A is a problem that m
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
ay develop from having an indwelling catheter. Option B may or may not be true for the client. Option
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
C is not affected by an indwelling catheter.
ga ga ga ga ga ga ga
QUESTION 6 ga
When bathing an uncircumcised boy older than 3 years, which action should the nurse t
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
ake?
A. Remind the child to clean his genital area.
ga ga ga ga ga ga ga ga
