10 QUESTIONS AND CORRECT ANSWERS WITH RATIOANLES
(VERIFIED AN-SWERS)
1. 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.: 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.
2. Which fluid will the nurse select to administer with the
prescribed blood transfusion?
A.
5% Dextrose and
water B.
Normal
, HESI RN FUNDAMENTALS EXIT EXAM LATEST 2024-2025 ACTUAL EXAM
10 QUESTIONS AND CORRECT ANSWERS WITH RATIOANLES
(VERIFIED AN-SWERS)
saline C.
Lactated Ringers
solution D.
5% Dextrose and lactated ringers: B
Rationale: Normal saline solution is the only solution that is compatible with blood.
3. When assisting a client from the bed to a chair, which procedure
is best for the nurse to follow?
A.
, HESI RN FUNDAMENTALS EXIT EXAM LATEST 2024-2025 ACTUAL EXAM
10 QUESTIONS AND CORRECT ANSWERS WITH RATIOANLES
(VERIFIED AN-SWERS)
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.: B
Rationale: Option B describes the correct positioning of the nurse and attords 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.
4. How many mL will the nurse
document on the client's intake and output record from the
items listed? mL
1200 mL water
, HESI RN FUNDAMENTALS EXIT EXAM LATEST 2024-2025 ACTUAL EXAM
10 QUESTIONS AND CORRECT ANSWERS WITH RATIOANLES
(VERIFIED AN-SWERS)
4 ounce container of
gelatin 8 ounces of
orange juice
355 mL can of soda1 cup of soup: Answer:
2155 Rationale: 1200 + 240 (8 oz) + 240 (1 cup) + 120 (4 oz)
+ 355 = 2155
5. The nurse observes a UAP taking a client's blood pressure in the
lower ex-tremity. 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.