HESI RN FUNDAMENTALS EXIT EXAM LATEST ACTUAL EXAM 100 QUESTIONS AND CORRECT ANSWERS WITH RATIOANLES (VERIFIED ANSWERS)

HESI RN FUNDAMENTALS EXIT
EXAM LATEST 2024-2025 ACTUAL
EXAM 100 QUESTIONS AND
CORRECT ANSWERS WITH
RATIOANLES (VERIFIED ANSWERS)
Theinurseiisicalleditoitheiwaitingiroomiofiaipediatriciclinic.iTheifranticimotheristates,i"Iithinkimyi4-
month-oldibabyiisichoking!"iWhatistepsiwillitheinurseitake?i(Selectiallithatiapply.)

A.Compressitheichestionceibetweenitheinipplesiwithitwoifingers.
iB.Noteianyiobstructionioriabsenceiofibreathing.


iC.Deliverifiveibackslapsibetweenitheishoulderiblades.


iD.Placeitheiinfantioveritheinurse'siarm.


iE.Performiaiblindifingerisweep.




⚜ANSWER:iB,iC,iD
Rationale:iTheifingersiareiplacediatitheisameilocationionianiinfantiasichesticompressionsiforiCPR;ih
owever,itheinurseimustideliverifiveichestithrusts,iafteritheifiveibackislaps.iBlindisweepsiareinotiuse
diasithisiactionimayipushitheiobjectideeperiintoitheithroat.iTheiremainingistepsiareicorrect.

Whichifluidiwillitheinurseiselectitoiadministeriwithitheiprescribediblooditransfusion?
A.
5%iDextroseiandiwater
iB.


Normalisaline
iC.


LactatediRingersisolution
iD.


5%iDextroseiandilactatediringers
⚜ANSWER:iBi
Rationale:iNormalisalineisolutioniisitheionlyisolutionithatiisicompatibleiwithiblood.

Wheniassistingiaiclientifromitheibeditoiaichair,iwhichiprocedureiisibestiforitheinurseitoifollow?
A.
Placeitheichairiparallelitoitheibed,iwithiitsibackitowarditheiheadiofitheibediandiassistitheiclientiinimo
vingitoitheichair.
iB.


Withitheinurse'sifeetispreadiapartiandikneesialignediwithitheiclient'siknees,istandiandipivotitheiclie
ntiintoitheichair.

,iC.
Assistitheiclientitoiaistandingipositionibyigentlyiliftingiupward,iunderneathitheiaxillae.
iD.


Standibesideitheiclient,iplaceitheiclient'siarmsiarounditheinurse'sineck,iandigentlyimoveitheiclientit
oitheichair.
⚜ANSWER:iB
Rationale:iOptioniBidescribesitheicorrectipositioningiofitheinurseiandiaffordsitheinurseiaiwideibas
eiofisupportiwhileistabilizingitheiclient'sikneesiwheniassistingitoiaistandingiposition.iTheichairishoul
dibeiplacediatiai45-
degreeiangleitoitheibed,iwithitheibackiofitheichairitowarditheiheadiofitheibed.iClientsishouldineveri
beiliftediunderitheiaxillae;ithisicouldidamageinervesiandistrainitheinurse'siback.iTheiclientishouldib
eiinstructeditoiuseitheiarmsiofitheichairiandishouldineveriplaceihisioriheriarmsiarounditheinurse'sin
eck;ithisiplacesiundueistressionitheinurse'sineckiandibackiandiincreasesitheiriskiforiaifall.

HowimanyimLiwillitheinurseidocumentionitheiclient'siintakeiandioutputirecordifromitheiitemsiliste
d?i_____imL
1200imLiwater
4iounceicontaineriofigelatin
8iouncesiofiorangeijuice
355imLicaniofisoda1icupiofisoup
⚜ANSWER:iAnswer:i2155

Rationale:i1200i+i240i(8ioz)i+i240i(1icup)i+i120i(4ioz)i+i355i=i2155

TheinurseiobservesiaiUAPitakingiaiclient'sibloodipressureiinitheiloweriextremity.iWhichiobservati
oniofithisiprocedureirequiresitheinurseitoiinterveneiwithitheiUAP'siapproach?
A.
Theicuffiwrapsiarounditheigirthiofitheileg.
iB.


TheiUAPiauscultatesitheipoplitealipulseiwithitheicuffionitheilowerileg.
iC.


Theiclientiisiplacediiniaiproneiposition.
iD.


Theisystolicireadingiisi20immiHgihigherithanitheibloodipressureiinitheiclient'siarm.
⚜ANSWER:iB
Rationale:iWheniobtainingitheibloodipressureiinitheiloweriextremities,itheipoplitealipulseiisitheisi
teiforiauscultationiwhenitheibloodipressureicuffiisiappliediarounditheithigh.iTheinurseishouldiinter
veneiwithitheiUAPiwhoihasiapplieditheicuffionitheilowerileg.iOptioniAiensuresianiaccurateiassessm
ent,iandioptioniCiprovidesitheibestiaccessitoitheiartery.iSystolicipressureiinitheipoplitealiarteryiisiu
suallyi10itoi40immiHgihigherithaniinitheibrachialiartery.

Duringiaiclinicivisit,itheimotheriofiai7-year-
oldireportsitoitheinurseithatiherichildiisiofteniawakeiuntilimidnightiplayingiandiisitheniveryidifficultit

,oiawakeniinitheimorningiforischool.iWhichiassessmentidataishoulditheinurseiobtainiiniresponseitoi
theimother'siconcern?
A.
Theioccurrenceiofianyiepisodesiofisleepiapnea
iB.


Theichild'sibloodipressure,ipulse,iandirespirations
iC.


Lengthiofirapidieyeimovementi(REM)isleepithatitheichildiisiexperiencing
iD.


Descriptioniofitheifamily'sihomeienvironment
⚜ANSWER:iD
Rationale:iSchool-
ageichildreniofteniresistibedtime.iTheinurseishouldibeginibyiassessingitheienvironmentiofitheihom
eitoidetermineifactorsithatimayinotibeiconduciveitoitheiestablishmentiofibedtimeiritualsithatiprom
oteisleep.iOptioniAioftenicausesidaytimeifatigueiratherithaniresistanceitoigoingitoisleep.iOptioniBii
siunlikelyitoiprovideiusefulidata.iTheinurseicannotidetermineioptioniC.

Theinurseiidentifiesiaipotentialiforiinfectioniiniaiclientiwithipartial-thicknessi(second-
degree)iandifull-thicknessi(third-
degree)iburns.iWhatiactionihasitheihighestipriorityiinidecreasingitheiclient'siriskiofiinfection?
A.
Administrationiofiplasmaiexpanders
iB.


Useioficarefulihandwashingitechnique
iC.


Applicationiofiaitopicaliantibacterialicream
iD.


Limitingivisitorsitoitheiclientiwithiburns
⚜ANSWER:iB
Rationale:iCarefulihandwashingitechniqueiisitheisingleimostieffectiveiinterventioniforitheipreventi
onioficontaminationitoialliclients.iOptioniAireversesitheihypovolemiaithatiinitiallyiaccompaniesibu
rnitraumaibutiisinotirelateditoidecreasingitheiproliferationiofiinfectiveiorganisms.iOptionsiCiandiD
iareirecommendedibyivariousiburnicentersiasipossibleiwaysitoireduceitheichanceiofiinfection.iOpti


oniBiisiaiprovenitechniqueitoipreventiinfection.

Theinurseiassessesiai2-year-
oldiwhoiisiadmittediforidehydrationiandifindsithatitheiperipheraliIVirateibyigravityihasislowed,ieven
ithoughitheivenousiaccessisiteiisihealthy.iWhatishoulditheinurseidoinext?


A.
Applyiaiwarmicompressiproximalitoitheisite.
iB.


CheckiforikinksiinitheitubingiandiraiseitheiIVipole.
iC.

, Adjustitheitapeithatistabilizesitheineedle.
iD.


Flushiwithinormalisalineiandirecountitheidropirate.
⚜ANSWER:iB
Rationale:iTheinurseishouldifirsticheckitheitubingiandiheightiofitheibagionitheiIVipole,iwhichiareico
mmonifactorsithatimayislowitheirate.iGravityiinfusioniratesiareiinfluencedibyitheiheightiofitheibag,it
ubingiclampiclosureiorikinks,ineedleisizeioriposition,ifluidiviscosity,iclientibloodipressurei(cryingiini
theipediatriciclient),iandiinfiltration.iVenospasmicanislowitheirateiandioftenirespondsitoiwarmthio
veritheivessel,ibutitheinurseishouldifirstiadjustitheiIVipoleiheight.iTheinurseimayineeditoiadjustitheis
tabilizingitapeioniaipositionalineedleioriflushitheivenousiaccessiwithinormalisaline,ibutilessiinvasivei
actionsishouldibeiimplementedifirst.

Theinurseimanageriofiaiskilledinursingi(chronicicare)iunitiisiinstructingiUAPsioniwaysitoipreventic
omplicationsiofiimmobility.iWhichiactionishouldibeiincludediinithisiinstruction?
A.
Performirange-of-motioniexercisesitoipreventicontractures.
iB.


Decreaseitheiclient'sifluidiintakeitoipreventidiarrhea.
iC.


Massageitheiclient'silegsitoireduceiembolismioccurrence.
iD.


Turnitheiclientifromisideitoibackieveryishift.
⚜ANSWER:iA
Rationale:iPerformingirange-of-
motioniexercisesiisibeneficialiinireducingicontracturesiaroundijoints.iOptionsiB,iC,iandiDiareiallipo
tentiallyiharmfulipracticesithatiplaceitheiimmobileiclientiatiriskioficomplications.

Theinurseiadministeredi10imgiofidiazepamitoitheipreoperativeiclient.iWhatistepsiwillitheinurseita
keinext?i(Selectiallithatiapply.)
A.
Placeitheiclientiinitheibedinextitoitheinurse'sistation.
iB.


Instructitheiclientinotitoigetioutiofibed.
iC.


Placeitheicallibelliwithinitheiclient'sireach.
iD.


Placeitheisideirailsiup,iaccordingitoiinstitutionalipolicy.
iE.


Assistitheiclientitoitheibathroom
⚜ANSWER:iB,iC,iD
Rationale:iDiazepamiisiaicommonipreoperativeimedication.iCloseiobservationibyiplacingitheiclien
ticloseitoitheinurse'sistationiisinotinecessary.iTheimedicationihasiaisedativeieffectianditheiclientisho
uldinotigetioutiofibed,ieveniwithiassistance.iTheiremainingiselectionsiareicorrect.