Hesi Rn Fundamentals Exit Exam Latest Actual Exam Questions And Correct Verified Answers

HESI RN FUNDAMENTALS EXIT EXAM
LATEST 2025-2026 ACTUAL EXAM
QUESTIONS AND CORRECT VERIFIED
ANSWERS
TheA2nurseA2transcribesA2theA2postoperativeA2prescriptionsA2forA2aA2clientA2whoA2returnsA
2toA2theA2unitA2followingA2surgeryA2andA2notesA2thatA2anA2antihypertensiveA2medicationA2t
hatA2wasA2prescribedA2preoperativelyA2isA2notA2listed.A2WhichA2actionA2shouldA2theA2nurse
A2take?
A.
ConsultA2withA2theA2pharmacistA2aboutA2theA2needA2toA2continueA2theA2medication.
A2B.
AdministerA2theA2antihypertensiveA2medicationA2asA2prescribedA2preoperatively.
A2C.
WithholdA2theA2medicationA2untilA2theA2clientA2isA2fullyA2alertA2andA2vitalA2signsA2areA2stabl
e.
A2D.
ContactA2theA2healthA2careA2providerA2toA2renewA2theA2prescriptionA2forA2theA2medication.
A2-A2Ans--D
Rationale:A2MedicationsA2prescribedA2preoperativelyA2mustA2beA2renewedA2postoperative
ly,A2soA2theA2nurseA2shouldA2contactA2theA2healthA2careA2providerA2ifA2theA2antihypertensiv
eA2medicationA2isA2notA2includedA2inA2theA2postoperativeA2prescriptions.A2TheA2pharmacis
tA2doesA2notA2prescribeA2medicationsA2orA2renewA2prescriptions.A2TheA2nurseA2mustA2hav
eA2aA2currentA2prescriptionA2beforeA2administeringA2anyA2medications.

WhichA2fluidA2willA2theA2nurseA2selectA2toA2administerA2withA2theA2prescribedA2bloodA2tran
sfusion?
A.
5%A2DextroseA2andA2water
A2B.
NormalA2saline
A2C.
LactatedA2RingersA2solution
A2D.
5%A2DextroseA2andA2lactatedA2ringersA2-A2Ans--BA2
Rationale:A2NormalA2salineA2solutionA2isA2theA2onlyA2solutionA2thatA2isA2compatibleA2withA2
blood.

WhenA2assistingA2aA2clientA2fromA2theA2bedA2toA2aA2chair,A2whichA2procedureA2isA2bestA2fo
rA2theA2nurseA2toA2follow?
A.
PlaceA2theA2chairA2parallelA2toA2theA2bed,A2withA2itsA2backA2towardA2theA2headA2ofA2theA2be
dA2andA2assistA2theA2clientA2inA2movingA2toA2theA2chair.

,A2B.
WithA2theA2nurse'sA2feetA2spreadA2apartA2andA2kneesA2alignedA2withA2theA2client'sA2knees,
A2standA2andA2pivotA2theA2clientA2intoA2theA2chair.
A2C.
AssistA2theA2clientA2toA2aA2standingA2positionA2byA2gentlyA2liftingA2upward,A2underneathA2t
heA2axillae.
A2D.
StandA2besideA2theA2client,A2placeA2theA2client'sA2armsA2aroundA2theA2nurse'sA2neck,A2and
A2gentlyA2moveA2theA2clientA2toA2theA2chair.A2-A2Ans--B
Rationale:A2OptionA2BA2describesA2theA2correctA2positioningA2ofA2theA2nurseA2andA2affords
A2theA2nurseA2aA2wideA2baseA2ofA2supportA2whileA2stabilizingA2theA2client'sA2kneesA2whenA2
assistingA2toA2aA2standingA2position.A2TheA2chairA2shouldA2beA2placedA2atA2aA245-
degreeA2angleA2toA2theA2bed,A2withA2theA2backA2ofA2theA2chairA2towardA2theA2headA2ofA2the
A2bed.A2ClientsA2shouldA2neverA2beA2liftedA2underA2theA2axillae;A2thisA2couldA2damageA2ne
rvesA2andA2strainA2theA2nurse'sA2back.A2TheA2clientA2shouldA2beA2instructedA2toA2useA2theA
2armsA2ofA2theA2chairA2andA2shouldA2neverA2placeA2hisA2orA2herA2armsA2aroundA2theA2nurs
e'sA2neck;A2thisA2placesA2undueA2stressA2onA2theA2nurse'sA2neckA2andA2backA2andA2increa
sesA2theA2riskA2forA2aA2fall.

TheA2nurseA2isA2calledA2toA2theA2waitingA2roomA2ofA2aA2pediatricA2clinic.A2TheA2franticA2mot
herA2states,A2"IA2thinkA2myA24-month-
oldA2babyA2isA2choking!"A2WhatA2stepsA2willA2theA2nurseA2take?A2(SelectA2allA2thatA2apply.)
A.
CompressA2theA2chestA2onceA2betweenA2theA2nipplesA2withA2twoA2fingers.
A2B.
NoteA2anyA2obstructionA2orA2absenceA2ofA2breathing.
A2C.
DeliverA2fiveA2backslapsA2betweenA2theA2shoulderA2blades.
A2D.
PlaceA2theA2infantA2overA2theA2nurse'sA2arm.
A2E.
PerformA2aA2blindA2fingerA2sweep.A2-A2Ans--B,A2C,A2D
Rationale:A2TheA2fingersA2areA2placedA2atA2theA2sameA2locationA2onA2anA2infantA2asA2ches
tA2compressionsA2forA2CPR;A2however,A2theA2nurseA2mustA2deliverA2fiveA2chestA2thrusts,A2
afterA2theA2fiveA2backA2slaps.A2BlindA2sweepsA2areA2notA2usedA2asA2thisA2actionA2mayA2pu
shA2theA2objectA2deeperA2intoA2theA2throat.A2TheA2remainingA2stepsA2areA2correct.

HowA2manyA2mLA2willA2theA2nurseA2documentA2onA2theA2client'sA2intakeA2andA2outputA2rec
ordA2fromA2theA2itemsA2listed?A2_____A2mL
1200A2mLA2water
4A2ounceA2containerA2ofA2gelatin
8A2ouncesA2ofA2orangeA2juice
355A2mLA2canA2ofA2soda1A2cupA2ofA2soupA2-A2Ans--Answer:A22155
Rationale:A21200A2+A2240A2(8A2oz)A2+A2240A2(1A2cup)A2+A2120A2(4A2oz)A2+A2355A2=A22155

,TheA2nurseA2observesA2aA2UAPA2takingA2aA2client'sA2bloodA2pressureA2inA2theA2lowerA2extr
emity.A2WhichA2observationA2ofA2thisA2procedureA2requiresA2theA2nurseA2toA2interveneA2wi
thA2theA2UAP'sA2approach?
A.
TheA2cuffA2wrapsA2aroundA2theA2girthA2ofA2theA2leg.
A2B.
TheA2UAPA2auscultatesA2theA2poplitealA2pulseA2withA2theA2cuffA2onA2theA2lowerA2leg.
A2C.
TheA2clientA2isA2placedA2inA2aA2proneA2position.
A2D.
TheA2systolicA2readingA2isA220A2mmA2HgA2higherA2thanA2theA2bloodA2pressureA2inA2theA2cli
ent'sA2arm.A2-A2Ans--B
Rationale:A2WhenA2obtainingA2theA2bloodA2pressureA2inA2theA2lowerA2extremities,A2theA2po
plitealA2pulseA2isA2theA2siteA2forA2auscultationA2whenA2theA2bloodA2pressureA2cuffA2isA2appl
iedA2aroundA2theA2thigh.A2TheA2nurseA2shouldA2interveneA2withA2theA2UAPA2whoA2hasA2ap
pliedA2theA2cuffA2onA2theA2lowerA2leg.A2OptionA2AA2ensuresA2anA2accurateA2assessment,A2
andA2optionA2CA2providesA2theA2bestA2accessA2toA2theA2artery.A2SystolicA2pressureA2inA2th
eA2poplitealA2arteryA2isA2usuallyA210A2toA240A2mmA2HgA2higherA2thanA2inA2theA2brachialA2art
ery.

DuringA2aA2clinicA2visit,A2theA2motherA2ofA2aA27-year-
oldA2reportsA2toA2theA2nurseA2thatA2herA2childA2isA2oftenA2awakeA2untilA2midnightA2playingA2
andA2isA2thenA2veryA2difficultA2toA2awakenA2inA2theA2morningA2forA2school.A2WhichA2assess
mentA2dataA2shouldA2theA2nurseA2obtainA2inA2responseA2toA2theA2mother'sA2concern?
A.
TheA2occurrenceA2ofA2anyA2episodesA2ofA2sleepA2apnea
A2B.
TheA2child'sA2bloodA2pressure,A2pulse,A2andA2respirations
A2C.
LengthA2ofA2rapidA2eyeA2movementA2(REM)A2sleepA2thatA2theA2childA2isA2experiencing
A2D.
DescriptionA2ofA2theA2family'sA2homeA2environmentA2-A2Ans--D
Rationale:A2School-
ageA2childrenA2oftenA2resistA2bedtime.A2TheA2nurseA2shouldA2beginA2byA2assessingA2theA2
environmentA2ofA2theA2homeA2toA2determineA2factorsA2thatA2mayA2notA2beA2conduciveA2toA
2theA2establishmentA2ofA2bedtimeA2ritualsA2thatA2promoteA2sleep.A2OptionA2AA2oftenA2caus
esA2daytimeA2fatigueA2ratherA2thanA2resistanceA2toA2goingA2toA2sleep.A2OptionA2BA2isA2unli
kelyA2toA2provideA2usefulA2data.A2TheA2nurseA2cannotA2determineA2optionA2C.

TheA2nurseA2identifiesA2aA2potentialA2forA2infectionA2inA2aA2clientA2withA2partial-
thicknessA2(second-degree)A2andA2full-thicknessA2(third-
degree)A2burns.A2WhatA2actionA2hasA2theA2highestA2priorityA2inA2decreasingA2theA2client'sA
2riskA2ofA2infection?
A.
AdministrationA2ofA2plasmaA2expanders
A2B.

, UseA2ofA2carefulA2handwashingA2technique
A2C.
ApplicationA2ofA2aA2topicalA2antibacterialA2cream
A2D.
LimitingA2visitorsA2toA2theA2clientA2withA2burnsA2-A2Ans--B
Rationale:A2CarefulA2handwashingA2techniqueA2isA2theA2singleA2mostA2effectiveA2intervent
ionA2forA2theA2preventionA2ofA2contaminationA2toA2allA2clients.A2OptionA2AA2reversesA2theA2
hypovolemiaA2thatA2initiallyA2accompaniesA2burnA2traumaA2butA2isA2notA2relatedA2toA2decr
easingA2theA2proliferationA2ofA2infectiveA2organisms.A2OptionsA2CA2andA2DA2areA2recomme
ndedA2byA2variousA2burnA2centersA2asA2possibleA2waysA2toA2reduceA2theA2chanceA2ofA2inf
ection.A2OptionA2BA2isA2aA2provenA2techniqueA2toA2preventA2infection.

TheA2nurseA2assessesA2aA22-year-
oldA2whoA2isA2admittedA2forA2dehydrationA2andA2findsA2thatA2theA2peripheralA2IVA2rateA2byA
2gravityA2hasA2slowed,A2evenA2thoughA2theA2venousA2accessA2siteA2isA2healthy.A2WhatA2sh
ouldA2theA2nurseA2doA2next?
A.
ApplyA2aA2warmA2compressA2proximalA2toA2theA2site.
A2B.
CheckA2forA2kinksA2inA2theA2tubingA2andA2raiseA2theA2IVA2pole.
A2C.
AdjustA2theA2tapeA2thatA2stabilizesA2theA2needle.
A2D.
FlushA2withA2normalA2salineA2andA2recountA2theA2dropA2rate.A2-A2Ans--B
Rationale:A2TheA2nurseA2shouldA2firstA2checkA2theA2tubingA2andA2heightA2ofA2theA2bagA2on
A2theA2IVA2pole,A2whichA2areA2commonA2factorsA2thatA2mayA2slowA2theA2rate.A2GravityA2inf
usionA2ratesA2areA2influencedA2byA2theA2heightA2ofA2theA2bag,A2tubingA2clampA2closureA2or
A2kinks,A2needleA2sizeA2orA2position,A2fluidA2viscosity,A2clientA2bloodA2pressureA2(cryingA2in
A2theA2pediatricA2client),A2andA2infiltration.A2VenospasmA2canA2slowA2theA2rateA2andA2often
A2respondsA2toA2warmthA2overA2theA2vessel,A2butA2theA2nurseA2shouldA2firstA2adjustA2theA2I
VA2poleA2height.A2TheA2nurseA2mayA2needA2toA2adjustA2theA2stabilizingA2tapeA2onA2aA2posit
ionalA2needleA2orA2flushA2theA2venousA2accessA2withA2normalA2saline,A2butA2lessA2invasive
A2actionsA2shouldA2beA2implementedA2first.


TheA2nurseA2managerA2ofA2aA2skilledA2nursingA2(chronicA2care)A2unitA2isA2instructingA2UAP
sA2onA2waysA2toA2preventA2complicationsA2ofA2immobility.A2WhichA2actionA2shouldA2beA2in
cludedA2inA2thisA2instruction?
A.
PerformA2range-of-motionA2exercisesA2toA2preventA2contractures.
A2B.
DecreaseA2theA2client'sA2fluidA2intakeA2toA2preventA2diarrhea.
A2C.
MassageA2theA2client'sA2legsA2toA2reduceA2embolismA2occurrence.
A2D.
TurnA2theA2clientA2fromA2sideA2toA2backA2everyA2shift.A2-A2Ans--A