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HESI RN Fundamentals Version 4 2026 | Actual Exam
with Complete Questions and Answers ||VERIFIED
EXAM!!| Nursing Fundamentals | HESI Exit Exam
Preparation||LATEST EXAM!!
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
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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.
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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.
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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.
HESI RN Fundamentals Version 4 2026 | Actual Exam
with Complete Questions and Answers ||VERIFIED
EXAM!!| Nursing Fundamentals | HESI Exit Exam
Preparation||LATEST EXAM!!
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
,2|Page
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.
,3|Page
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.
, 4|Page
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.
