HESI RN Fundamentals Exit Exam 2026/2027 |
Practice Questions & Verified Answers |
Comprehensive Nursing Fundamentals Review
1. A patient is receiving a blood transfusion and begins to show signs of an
allergic reaction. What should the nurse do next regarding the
intravenous fluid being used?
Switch to 5% Dextrose and water.
Continue the transfusion with normal saline.
Administer Lactated Ringers solution instead.
Stop the transfusion and maintain normal saline infusion.
2. You respond to an infant choking. As you are administering back blows,
the infant becomes unresponsive. You should:
Lay the infant on a flat surface and perform a blind finger sweep
to clear the obstruction. Begin chest compressions.
Lay the infant on a flat surface and begin chest compressions.
Look for and remove any visible obstructions.
Continue to perform back blows and chest thrusts on the infant
until the obstruction clears.
Slightly increase the force of the back blows while maintaining
support of the infant's head.
3. What is the highest priority action to decrease the risk of infection in a
client with burns?
Application of a topical antibacterial cream
Administration of plasma expanders
Limiting visitors to the client with burns
,Use of careful handwashing technique
, 4. Describe why the right cephalic vein is preferred for IV catheter
insertion over other options.
The dorsal side of the wrist is less painful for the patient.
The right cephalic vein is typically larger and more accessible
for IV catheter insertion.
The left brachial vein is closer to the heart.
The right upper extremity has more blood flow.
5. What is the priority nursing action for a client who had abdominal
surgery and is requesting to go to the bathroom after receiving a
barbiturate?
Assess the client's bladder to determine if the client needs to
urinate.
Ask if the client needs to have a bowel movement or void.
Request that the UAP assist the client onto a bedpan.
Assist the client to walk to the bathroom and do not leave the
client alone.
6. What is the best response for a nurse to give to a client expressing a
desire to die due to pain?
Talk with the client about thoughts and feelings about death.
Administer the prescribed maximum dose of pain medication.
Refer the client to the ethics committee of her local health care
facility.
Collaborate with the health care provider about initiating
antidepressant therapy.
7. A nurse has just administered a dose of diazepam (Valium) to a client.
Which of the following actions should the nurse take before she leaves
Practice Questions & Verified Answers |
Comprehensive Nursing Fundamentals Review
1. A patient is receiving a blood transfusion and begins to show signs of an
allergic reaction. What should the nurse do next regarding the
intravenous fluid being used?
Switch to 5% Dextrose and water.
Continue the transfusion with normal saline.
Administer Lactated Ringers solution instead.
Stop the transfusion and maintain normal saline infusion.
2. You respond to an infant choking. As you are administering back blows,
the infant becomes unresponsive. You should:
Lay the infant on a flat surface and perform a blind finger sweep
to clear the obstruction. Begin chest compressions.
Lay the infant on a flat surface and begin chest compressions.
Look for and remove any visible obstructions.
Continue to perform back blows and chest thrusts on the infant
until the obstruction clears.
Slightly increase the force of the back blows while maintaining
support of the infant's head.
3. What is the highest priority action to decrease the risk of infection in a
client with burns?
Application of a topical antibacterial cream
Administration of plasma expanders
Limiting visitors to the client with burns
,Use of careful handwashing technique
, 4. Describe why the right cephalic vein is preferred for IV catheter
insertion over other options.
The dorsal side of the wrist is less painful for the patient.
The right cephalic vein is typically larger and more accessible
for IV catheter insertion.
The left brachial vein is closer to the heart.
The right upper extremity has more blood flow.
5. What is the priority nursing action for a client who had abdominal
surgery and is requesting to go to the bathroom after receiving a
barbiturate?
Assess the client's bladder to determine if the client needs to
urinate.
Ask if the client needs to have a bowel movement or void.
Request that the UAP assist the client onto a bedpan.
Assist the client to walk to the bathroom and do not leave the
client alone.
6. What is the best response for a nurse to give to a client expressing a
desire to die due to pain?
Talk with the client about thoughts and feelings about death.
Administer the prescribed maximum dose of pain medication.
Refer the client to the ethics committee of her local health care
facility.
Collaborate with the health care provider about initiating
antidepressant therapy.
7. A nurse has just administered a dose of diazepam (Valium) to a client.
Which of the following actions should the nurse take before she leaves
