HESI RN LATEST EXAM QUESTIONS AND
ANSWERS. DETAILED EXPLANATION.
REAL/ACTUAL EXAM. LATEST UPDATE
2026. GRADE A+
The nurse is called to the waiting room of a pediatric clinic. The frantic mother
states, "I think my 4-month-old baby is choking!" What steps will the nurse take?
(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. - QUESTION -B, C, D
,Rationale: The fingers are placed at the same location on an infant as chest
compressions for CPR; however, the nurse must deliver five chest thrusts, after the
five back slaps. Blind sweeps are not used as this action may push the object
deeper into the throat. The remaining steps are correct.
- ANSWER-The nurse finds a client crying behind a locked bathroom door. The
client will not open the door. Which action should the nurse take first?
A.
Instruct an unlicensed assistive personnel (UAP) to stay and keep talking to the
client.
B.
Sit quietly in the client's room until the client leaves the bathroom.
C.
Allow the client to cry alone and leave the client in the bathroom.
D.
Talk to the client and attempt to find out why the client is crying. - QUESTION -
D
Rationale: The nurse's first concern should be for the client's safety, so an
immediate assessment of the client's situation is needed. Option A is incorrect; the
nurse should implement the intervention. The nurse may offer to stay nearby after
first assessing the situation more fully. Although option C may be correct, the
nurse should determine if the client's safety is compromised and offer assistance,
eveThe nurse transcribes the postoperative prescriptions for a client who returns to
,the unit following surgery and notes that an antihypertensive medication that was
prescribed preoperatively is not listed. Which action should the nurse take?
A.
Consult with the pharmacist about the need to continue the medication.
B.
Administer the antihypertensive medication as prescribed preoperatively.
C.
Withhold the medication until the client is fully alert and vital signs are stable.
D.
Contact the health care provider to renew the prescription for the medication. -
QUESTION -D
Rationale: Medications prescribed preoperatively must be renewed
postoperatively, so the nurse should contact the health care provider if the
antihypertensive medication is not included in the postoperative prescriptions. The
pharmacist does not prescribe medications or renew prescriptions. The nurse must
have a current prescription before administering any medications.
- ANSWER-Which fluid will the nurse select to administer with the prescribed
blood transfusion?
A.
5% Dextrose and water
B.
, Normal saline
C.
Lactated Ringers solution
D.
5% Dextrose and lactated ringers - QUESTION -B
Rationale: Normal saline solution is the only solution that is compatible with
blood.
- ANSWER-When assisting a client from the bed to a chair, which procedure is
best for the nurse to follow?
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. - QUESTION -B
ANSWERS. DETAILED EXPLANATION.
REAL/ACTUAL EXAM. LATEST UPDATE
2026. GRADE A+
The nurse is called to the waiting room of a pediatric clinic. The frantic mother
states, "I think my 4-month-old baby is choking!" What steps will the nurse take?
(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. - QUESTION -B, C, D
,Rationale: The fingers are placed at the same location on an infant as chest
compressions for CPR; however, the nurse must deliver five chest thrusts, after the
five back slaps. Blind sweeps are not used as this action may push the object
deeper into the throat. The remaining steps are correct.
- ANSWER-The nurse finds a client crying behind a locked bathroom door. The
client will not open the door. Which action should the nurse take first?
A.
Instruct an unlicensed assistive personnel (UAP) to stay and keep talking to the
client.
B.
Sit quietly in the client's room until the client leaves the bathroom.
C.
Allow the client to cry alone and leave the client in the bathroom.
D.
Talk to the client and attempt to find out why the client is crying. - QUESTION -
D
Rationale: The nurse's first concern should be for the client's safety, so an
immediate assessment of the client's situation is needed. Option A is incorrect; the
nurse should implement the intervention. The nurse may offer to stay nearby after
first assessing the situation more fully. Although option C may be correct, the
nurse should determine if the client's safety is compromised and offer assistance,
eveThe nurse transcribes the postoperative prescriptions for a client who returns to
,the unit following surgery and notes that an antihypertensive medication that was
prescribed preoperatively is not listed. Which action should the nurse take?
A.
Consult with the pharmacist about the need to continue the medication.
B.
Administer the antihypertensive medication as prescribed preoperatively.
C.
Withhold the medication until the client is fully alert and vital signs are stable.
D.
Contact the health care provider to renew the prescription for the medication. -
QUESTION -D
Rationale: Medications prescribed preoperatively must be renewed
postoperatively, so the nurse should contact the health care provider if the
antihypertensive medication is not included in the postoperative prescriptions. The
pharmacist does not prescribe medications or renew prescriptions. The nurse must
have a current prescription before administering any medications.
- ANSWER-Which fluid will the nurse select to administer with the prescribed
blood transfusion?
A.
5% Dextrose and water
B.
, Normal saline
C.
Lactated Ringers solution
D.
5% Dextrose and lactated ringers - QUESTION -B
Rationale: Normal saline solution is the only solution that is compatible with
blood.
- ANSWER-When assisting a client from the bed to a chair, which procedure is
best for the nurse to follow?
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. - QUESTION -B
