RN HESI FUNDAMENTALS EXIT EXAM
QUESTIONS AND ANSWERS
1. A nurse is caring for a client with a localized bacterial infection. Which of the following
findings should the nurse expect to see?
A. Fever
B. Erythema
C. Increased heart rate
D. Malaise
Answer: B
Conceptual Explanation: Localized symptoms include redness (erythema), warmth,
edema, and pain. Fever, malaise, and tachycardia are systemic manifestations.
2. When assessing a client’s risk for pressure ulcers, which tool should the nurse use?
A. Braden Scale
B. Morse Fall Scale
C. Glasgow Coma Scale
,D. APGAR Score
Answer: A
Conceptual Explanation: The Braden Scale is a validated tool for predicting pressure sore
risk. The Morse scale is for falls, and Glasgow is for neurological assessment.
3. A client is prescribed a clear liquid diet. Which item can the nurse provide?
A. Apple juice
B. Orange juice with pulp
C. Milk
D. Vanilla pudding
Answer: A
Conceptual Explanation: Clear liquids must be transparent to light and liquid at room
temperature. Apple juice is clear, while milk and pulp-containing juices are full liquids.
4. A nurse is preparing to administer an intramuscular injection to a 2-month-old infant.
Which site is most appropriate?
A. Dorsogluteal
B. Vastus lateralis
C. Deltoid
D. Ventrogluteal
, Answer: B
Conceptual Explanation: The vastus lateralis muscle is the preferred site for IM injections
in infants under 12 months because it is the most developed.
5. A nurse discovers a fire in a client’s room. Using the RACE mnemonic, what is the first
action?
A. Extinguish the fire
B. Rescue the client
C. Confine the fire
D. Activate the alarm
Answer: B
Conceptual Explanation: RACE stands for Rescue, Alarm, Confine, Extinguish. The priority
is always the safety of the client.
6. A nurse is teaching a client about high-fiber foods. Which food should be included?
A. White bread
B. White rice
C. Canned peaches
D. Black beans
Answer: D
QUESTIONS AND ANSWERS
1. A nurse is caring for a client with a localized bacterial infection. Which of the following
findings should the nurse expect to see?
A. Fever
B. Erythema
C. Increased heart rate
D. Malaise
Answer: B
Conceptual Explanation: Localized symptoms include redness (erythema), warmth,
edema, and pain. Fever, malaise, and tachycardia are systemic manifestations.
2. When assessing a client’s risk for pressure ulcers, which tool should the nurse use?
A. Braden Scale
B. Morse Fall Scale
C. Glasgow Coma Scale
,D. APGAR Score
Answer: A
Conceptual Explanation: The Braden Scale is a validated tool for predicting pressure sore
risk. The Morse scale is for falls, and Glasgow is for neurological assessment.
3. A client is prescribed a clear liquid diet. Which item can the nurse provide?
A. Apple juice
B. Orange juice with pulp
C. Milk
D. Vanilla pudding
Answer: A
Conceptual Explanation: Clear liquids must be transparent to light and liquid at room
temperature. Apple juice is clear, while milk and pulp-containing juices are full liquids.
4. A nurse is preparing to administer an intramuscular injection to a 2-month-old infant.
Which site is most appropriate?
A. Dorsogluteal
B. Vastus lateralis
C. Deltoid
D. Ventrogluteal
, Answer: B
Conceptual Explanation: The vastus lateralis muscle is the preferred site for IM injections
in infants under 12 months because it is the most developed.
5. A nurse discovers a fire in a client’s room. Using the RACE mnemonic, what is the first
action?
A. Extinguish the fire
B. Rescue the client
C. Confine the fire
D. Activate the alarm
Answer: B
Conceptual Explanation: RACE stands for Rescue, Alarm, Confine, Extinguish. The priority
is always the safety of the client.
6. A nurse is teaching a client about high-fiber foods. Which food should be included?
A. White bread
B. White rice
C. Canned peaches
D. Black beans
Answer: D
