HESI RN FUNDAMENTALS EXIT EXAM 2024 /
FUNDAMENTALS RN HESI EXIT 2024 ACTUAL
EXAM ALL QUESTIONS AND CORRECT DETAILED
ANSWERS
Terms in this set (125)
The nurse is called to the B, C, D
waiting room of a pediatric Rationale: The fingers are placed at the same location on
clinic. The frantic mother an infant as chest compressions for CPR; however, the
states, "I think my 4-month- nurse must deliver five chest thrusts, after the five back
old baby is choking!" What slaps. Blind sweeps are not used as this action may push
steps will the nurse take? the object deeper into the throat. The remaining steps
(Select all that apply.) are correct.
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.
,Which fluid will the nurse B
select to administer with the Rationale: Normal saline solution is the only solution that
prescribed blood is compatible with blood.
transfusion?
A.
5% Dextrose and water
B.
Normal saline
C.
Lactated Ringers solution
D.
5% Dextrose and lactated
ringers
,When assisting a client from B
the bed to a chair, which Rationale: Option B describes the correct positioning of
procedure is best for the the nurse and affords the nurse a wide base of support
nurse to follow? while stabilizing the client's knees when assisting to a
A. standing position. The chair should be placed at a 45-
Place the chair parallel to degree angle to the bed, with the back of the chair
the bed, with its back toward the head of the bed. Clients should never be
toward the head of the bed lifted under the axillae; this could damage nerves and
and assist the client in strain the nurse's back. The client should be instructed to
moving to the chair. use the arms of the chair and should never place his or
B. her arms around the nurse's neck; this places undue
With the nurse's feet spread stress on the nurse's neck and back and increases the risk
apart and knees aligned for a fall.
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.
, How many mL will the nurse Answer: 2155
document on the client's Rationale: 1200 + 240 (8 oz) + 240 (1 cup) + 120 (4 oz) +
intake and output record 355 = 2155
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
The nurse observes a UAP B
taking a client's blood Rationale: When obtaining the blood pressure in the
pressure in the lower lower extremities, the popliteal pulse is the site for
extremity. Which auscultation when the blood pressure cuff is applied
observation of this around the thigh. The nurse should intervene with the
procedure requires the UAP who has applied the cuff on the lower leg. Option A
nurse to intervene with the ensures an accurate assessment, and option C provides
UAP's approach? the best access to the artery. Systolic pressure in the
A. popliteal artery is usually 10 to 40 mm Hg higher than in
The cuff wraps around the the brachial artery.
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.
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