HESI RN Fundamentals Exit Exam | 100
Questions with Verified Answers &
Rationales (2025 Latest Edition)
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. - ---✔✔✔ANSWER----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.
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 - ---✔✔✔ANSWER----B
Rationale: Normal saline solution is the only solution that is compatible
with blood.
,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. - ---✔✔✔ANSWER----B
Rationale: Option B describes the correct positioning of the nurse and
affords the nurse a wide base of support while stabilizing the client's
knees when assisting to a standing position. The chair should be placed
at a 45-degree angle to the bed, with the back of the chair toward the
head of the bed. Clients should never be lifted under the axillae; this
could damage nerves and strain the nurse's back. The client should be
instructed to use the arms of the chair and should never place his or her
arms around the nurse's neck; this places undue stress on the nurse's
neck and back and increases the risk for a fall.
, How many mL will the nurse document on the client's intake and output
record from the items listed? _____ mL
1200 mL water
4 ounce container of gelatin
8 ounces of orange juice
355 mL can of soda1 cup of soup - ---✔✔✔ANSWER----Answer:
2155
Rationale: 1200 + 240 (8 oz) + 240 (1 cup) + 120 (4 oz) + 355 = 2155
The nurse observes a UAP taking a client's blood pressure in the lower
extremity. Which observation of this procedure requires the nurse to
intervene with the UAP's approach?
A.
The cuff wraps around the girth of the leg.
B.
The UAP auscultates the popliteal 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. - ---✔✔✔ANSWER----B
Questions with Verified Answers &
Rationales (2025 Latest Edition)
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. - ---✔✔✔ANSWER----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.
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 - ---✔✔✔ANSWER----B
Rationale: Normal saline solution is the only solution that is compatible
with blood.
,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. - ---✔✔✔ANSWER----B
Rationale: Option B describes the correct positioning of the nurse and
affords the nurse a wide base of support while stabilizing the client's
knees when assisting to a standing position. The chair should be placed
at a 45-degree angle to the bed, with the back of the chair toward the
head of the bed. Clients should never be lifted under the axillae; this
could damage nerves and strain the nurse's back. The client should be
instructed to use the arms of the chair and should never place his or her
arms around the nurse's neck; this places undue stress on the nurse's
neck and back and increases the risk for a fall.
, How many mL will the nurse document on the client's intake and output
record from the items listed? _____ mL
1200 mL water
4 ounce container of gelatin
8 ounces of orange juice
355 mL can of soda1 cup of soup - ---✔✔✔ANSWER----Answer:
2155
Rationale: 1200 + 240 (8 oz) + 240 (1 cup) + 120 (4 oz) + 355 = 2155
The nurse observes a UAP taking a client's blood pressure in the lower
extremity. Which observation of this procedure requires the nurse to
intervene with the UAP's approach?
A.
The cuff wraps around the girth of the leg.
B.
The UAP auscultates the popliteal 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. - ---✔✔✔ANSWER----B
