HESI RN FUNDAMENTALS EXIT EXAM LATEST
2026 ACTUAL EXAM 100 QUESTIONS AND
CORRECT ANSWERS WITH RATIOANLES
(VERIFIED ANSWERS)
Play your way to mastery with fun games
Match Blocks Charms NEW
Terms in this set (125)
,The nurse is called to the waiting B, C, D
room of a pediatric clinic. The frantic Rationale: The fingers are placed at the same
mother states, "I think my 4-month- location on an infant as chest compressions for CPR;
old baby is choking!" What steps will however, the nurse must deliver five chest thrusts,
the nurse take? (Select all that apply.) after the five back slaps. Blind sweeps are not used
A. as this action may push the object deeper into the
Compress the chest once between throat. The remaining steps are correct.
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.
Which fluid will the nurse select to B
administer with the prescribed blood Rationale: Normal saline solution is the only solution
transfusion? that is compatible with blood.
A.
5% Dextrose and water
B.
Normal saline
C.
Lactated Ringers solution
D.
5% Dextrose and lactated ringers
,When assisting a client from the bed B
to a chair, which procedure is best for Rationale: Option B describes the correct
the nurse to follow? positioning of the nurse and affords the nurse a
A. wide base of support while stabilizing the client's
Place the chair parallel to the bed, knees when assisting to a standing position. The
with its back toward the head of the chair should be placed at a 45-degree angle to the
bed and assist the client in moving to bed, with the back of the chair toward the head of
the chair. the bed. Clients should never be lifted under the
B. axillae; this could damage nerves and strain the
With the nurse's feet spread apart and nurse's back. The client should be instructed to use
knees aligned with the client's knees, the arms of the chair and should never place his or
stand and pivot the client into the her arms around the nurse's neck; this places undue
chair. stress on the nurse's neck and back and increases
C. the risk for a fall.
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.
How many mL will the nurse Answer: 2155
document on the client's intake and Rationale: 1200 + 240 (8 oz) + 240 (1 cup) + 120 (4 oz)
output record from the items listed? + 355 = 2155
_____ mL
1200 mL water
4 ounce container of gelatin
8 ounces of orange juice
355 mL can of soda1 cup of soup
, The nurse observes a UAP taking a B
client's blood pressure in the lower Rationale: When obtaining the blood pressure in the
extremity. Which observation of this lower extremities, the popliteal pulse is the site for
procedure requires the nurse to auscultation when the blood pressure cuff is applied
intervene with the UAP's approach? around the thigh. The nurse should intervene with
A. the UAP who has applied the cuff on the lower leg.
The cuff wraps around the girth of the Option A ensures an accurate assessment, and
leg. option C provides the best access to the artery.
B. Systolic pressure in the popliteal artery is usually 10
The UAP auscultates the popliteal to 40 mm Hg higher than in the brachial artery.
pulse with the cuff on the lower leg.
C.
The client is placed in a prone
position.
D.
The systolic reading is 20 mm Hg
higher than the blood pressure in the
client's arm.
During a clinic visit, the mother of a 7- D
year-old reports to the nurse that her Rationale: School-age children often resist bedtime.
child is often awake until midnight The nurse should begin by assessing the
playing and is then very difficult to environment of the home to determine factors that
awaken in the morning for school. may not be conducive to the establishment of
Which assessment data should the bedtime rituals that promote sleep. Option A often
nurse obtain in response to the causes daytime fatigue rather than resistance to
mother's concern? going to sleep. Option B is unlikely to provide useful
A. data. The nurse cannot determine option C.
The occurrence of any episodes of
sleep apnea
B.
The child's blood pressure, pulse, and
respirations
C.
Length of rapid eye movement (REM)
sleep that the child is experiencing
D.
Description of the family's home
environment
2026 ACTUAL EXAM 100 QUESTIONS AND
CORRECT ANSWERS WITH RATIOANLES
(VERIFIED ANSWERS)
Play your way to mastery with fun games
Match Blocks Charms NEW
Terms in this set (125)
,The nurse is called to the waiting B, C, D
room of a pediatric clinic. The frantic Rationale: The fingers are placed at the same
mother states, "I think my 4-month- location on an infant as chest compressions for CPR;
old baby is choking!" What steps will however, the nurse must deliver five chest thrusts,
the nurse take? (Select all that apply.) after the five back slaps. Blind sweeps are not used
A. as this action may push the object deeper into the
Compress the chest once between throat. The remaining steps are correct.
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.
Which fluid will the nurse select to B
administer with the prescribed blood Rationale: Normal saline solution is the only solution
transfusion? that is compatible with blood.
A.
5% Dextrose and water
B.
Normal saline
C.
Lactated Ringers solution
D.
5% Dextrose and lactated ringers
,When assisting a client from the bed B
to a chair, which procedure is best for Rationale: Option B describes the correct
the nurse to follow? positioning of the nurse and affords the nurse a
A. wide base of support while stabilizing the client's
Place the chair parallel to the bed, knees when assisting to a standing position. The
with its back toward the head of the chair should be placed at a 45-degree angle to the
bed and assist the client in moving to bed, with the back of the chair toward the head of
the chair. the bed. Clients should never be lifted under the
B. axillae; this could damage nerves and strain the
With the nurse's feet spread apart and nurse's back. The client should be instructed to use
knees aligned with the client's knees, the arms of the chair and should never place his or
stand and pivot the client into the her arms around the nurse's neck; this places undue
chair. stress on the nurse's neck and back and increases
C. the risk for a fall.
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.
How many mL will the nurse Answer: 2155
document on the client's intake and Rationale: 1200 + 240 (8 oz) + 240 (1 cup) + 120 (4 oz)
output record from the items listed? + 355 = 2155
_____ mL
1200 mL water
4 ounce container of gelatin
8 ounces of orange juice
355 mL can of soda1 cup of soup
, The nurse observes a UAP taking a B
client's blood pressure in the lower Rationale: When obtaining the blood pressure in the
extremity. Which observation of this lower extremities, the popliteal pulse is the site for
procedure requires the nurse to auscultation when the blood pressure cuff is applied
intervene with the UAP's approach? around the thigh. The nurse should intervene with
A. the UAP who has applied the cuff on the lower leg.
The cuff wraps around the girth of the Option A ensures an accurate assessment, and
leg. option C provides the best access to the artery.
B. Systolic pressure in the popliteal artery is usually 10
The UAP auscultates the popliteal to 40 mm Hg higher than in the brachial artery.
pulse with the cuff on the lower leg.
C.
The client is placed in a prone
position.
D.
The systolic reading is 20 mm Hg
higher than the blood pressure in the
client's arm.
During a clinic visit, the mother of a 7- D
year-old reports to the nurse that her Rationale: School-age children often resist bedtime.
child is often awake until midnight The nurse should begin by assessing the
playing and is then very difficult to environment of the home to determine factors that
awaken in the morning for school. may not be conducive to the establishment of
Which assessment data should the bedtime rituals that promote sleep. Option A often
nurse obtain in response to the causes daytime fatigue rather than resistance to
mother's concern? going to sleep. Option B is unlikely to provide useful
A. data. The nurse cannot determine option C.
The occurrence of any episodes of
sleep apnea
B.
The child's blood pressure, pulse, and
respirations
C.
Length of rapid eye movement (REM)
sleep that the child is experiencing
D.
Description of the family's home
environment
