HESI RN FUNDAMENTALS EXIT
EXAM LATEST ACTUAL EXAM
200+ QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)
2026/2027 Frequently Most Tested Questions and
100% Accurate From Past papers | Graded A+ ,
Reviewed and Updated | 100% Guarantee Pass | Latest
Exam and Newest Version!!!
A nurse is called to the waiting room of a pediatric clinic where a frantic mother states,
"I think my 4-month-old baby is choking!" Which steps should the nurse take
immediately? (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
✔️ Correct Answer: B, C, D
,Rationale:
When an infant is suspected of choking, the nurse must first assess for obstruction and
breathing. The infant should be placed over the nurse's arm with the head lower than
the trunk, and five backslaps should be delivered between the shoulder blades. Chest
thrusts follow the backslaps, not a single compression. Blind finger sweeps are
contraindicated as they may push the object deeper into the airway. The correct
sequence involves alternating five backslaps and five chest thrusts while maintaining the
head-down position.
Which intravenous fluid should the nurse select to administer concurrently with a
prescribed blood transfusion?
a. 5% Dextrose and water
b. Normal saline
c. Lactated Ringer's solution
d. 5% Dextrose and lactated Ringer's
✔️ Correct Answer: B
Rationale:
Normal saline (0.9% sodium chloride) is the only intravenous solution that is compatible
with blood products for transfusion. Dextrose-containing solutions can cause hemolysis
of red blood cells, and lactated Ringer's solution contains calcium, which can cause
clotting in the blood administration tubing. The use of normal saline ensures the
integrity of the blood product and prevents complications during transfusion.
When assisting a client from the bed to a chair, which procedure is best for the nurse to
follow to ensure client and staff safety?
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. 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
✔️ Correct Answer: B
Rationale:
Option B describes the correct positioning and technique for transferring a client. The
nurse should stand with feet spread apart to provide a wide base of support, with knees
aligned with the client's knees to stabilize the client during the pivot transfer. 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 as this can damage
nerves and strain the nurse's back. The client should use the arms of the chair and
should never place arms around the nurse's neck.
The nurse is documenting intake and output for a client. How many milliliters will the
nurse record from the following items consumed during the shift?
1200 mL water
4 ounce container of gelatin
8 ounces of orange juice
355 mL can of soda
1 cup of soup
✔️ Correct Answer: 2155 mL
Rationale:
The total intake is calculated by converting all measurements to milliliters: 1200 mL
water + 120 mL (4 oz gelatin) + 240 mL (8 oz juice) + 355 mL (soda) + 240 mL (1 cup
soup) = 2155 mL. Accurate intake and output documentation is essential for monitoring
fluid balance and identifying potential complications such as fluid overload or
dehydration.
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 immediately?
, 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
✔️ Correct Answer: B
Rationale:
When obtaining blood pressure in the lower extremity, the popliteal pulse should be
auscultated with the blood pressure cuff applied around the thigh, not the lower leg.
The nurse should intervene if the UAP applies the cuff on the lower leg. Correct cuff
placement around the girth of the leg ensures accuracy, and prone positioning provides
best access to the popliteal artery. Systolic pressure in the lower extremity is normally 10
to 40 mm Hg higher than in the brachial artery.
During a clinic visit, the mother of a 7-year-old reports 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 sleep that the child is experiencing
d. Description of the family's home environment
✔️ Correct Answer: D
Rationale:
School-age children often resist bedtime, and the nurse should begin by assessing the
home environment to determine factors that may not be conducive to the
establishment of effective bedtime routines. Sleep apnea often causes daytime fatigue
rather than resistance to going to sleep. Vital signs are unlikely to provide useful data
for this concern. The nurse cannot directly measure REM sleep duration.
EXAM LATEST ACTUAL EXAM
200+ QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)
2026/2027 Frequently Most Tested Questions and
100% Accurate From Past papers | Graded A+ ,
Reviewed and Updated | 100% Guarantee Pass | Latest
Exam and Newest Version!!!
A nurse is called to the waiting room of a pediatric clinic where a frantic mother states,
"I think my 4-month-old baby is choking!" Which steps should the nurse take
immediately? (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
✔️ Correct Answer: B, C, D
,Rationale:
When an infant is suspected of choking, the nurse must first assess for obstruction and
breathing. The infant should be placed over the nurse's arm with the head lower than
the trunk, and five backslaps should be delivered between the shoulder blades. Chest
thrusts follow the backslaps, not a single compression. Blind finger sweeps are
contraindicated as they may push the object deeper into the airway. The correct
sequence involves alternating five backslaps and five chest thrusts while maintaining the
head-down position.
Which intravenous fluid should the nurse select to administer concurrently with a
prescribed blood transfusion?
a. 5% Dextrose and water
b. Normal saline
c. Lactated Ringer's solution
d. 5% Dextrose and lactated Ringer's
✔️ Correct Answer: B
Rationale:
Normal saline (0.9% sodium chloride) is the only intravenous solution that is compatible
with blood products for transfusion. Dextrose-containing solutions can cause hemolysis
of red blood cells, and lactated Ringer's solution contains calcium, which can cause
clotting in the blood administration tubing. The use of normal saline ensures the
integrity of the blood product and prevents complications during transfusion.
When assisting a client from the bed to a chair, which procedure is best for the nurse to
follow to ensure client and staff safety?
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. 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
✔️ Correct Answer: B
Rationale:
Option B describes the correct positioning and technique for transferring a client. The
nurse should stand with feet spread apart to provide a wide base of support, with knees
aligned with the client's knees to stabilize the client during the pivot transfer. 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 as this can damage
nerves and strain the nurse's back. The client should use the arms of the chair and
should never place arms around the nurse's neck.
The nurse is documenting intake and output for a client. How many milliliters will the
nurse record from the following items consumed during the shift?
1200 mL water
4 ounce container of gelatin
8 ounces of orange juice
355 mL can of soda
1 cup of soup
✔️ Correct Answer: 2155 mL
Rationale:
The total intake is calculated by converting all measurements to milliliters: 1200 mL
water + 120 mL (4 oz gelatin) + 240 mL (8 oz juice) + 355 mL (soda) + 240 mL (1 cup
soup) = 2155 mL. Accurate intake and output documentation is essential for monitoring
fluid balance and identifying potential complications such as fluid overload or
dehydration.
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 immediately?
, 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
✔️ Correct Answer: B
Rationale:
When obtaining blood pressure in the lower extremity, the popliteal pulse should be
auscultated with the blood pressure cuff applied around the thigh, not the lower leg.
The nurse should intervene if the UAP applies the cuff on the lower leg. Correct cuff
placement around the girth of the leg ensures accuracy, and prone positioning provides
best access to the popliteal artery. Systolic pressure in the lower extremity is normally 10
to 40 mm Hg higher than in the brachial artery.
During a clinic visit, the mother of a 7-year-old reports 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 sleep that the child is experiencing
d. Description of the family's home environment
✔️ Correct Answer: D
Rationale:
School-age children often resist bedtime, and the nurse should begin by assessing the
home environment to determine factors that may not be conducive to the
establishment of effective bedtime routines. Sleep apnea often causes daytime fatigue
rather than resistance to going to sleep. Vital signs are unlikely to provide useful data
for this concern. The nurse cannot directly measure REM sleep duration.
