HESI RN FUNDAMENTALS EXIT EXAM LATEST 2024-2025 ACTUAL EXA
100 QUESTIONS AND CORRECT ANSWERS WITH RATIOANLES (VERIF
ANSWERS)
Study online at https://quizlet.com/_fh0m37
1. The nurse is called to the waiting room of a pedi- B, C, D
atric clinic. The frantic mother states, "I think my Rationale: The fin-
4-month-old baby is choking!" What steps will the gers are placed at
nurse take? (Select all that apply.) the same location
A. on an infant as
Compress the chest once between the nipples chest compressions
with two fingers. for CPR; however,
B. the nurse must deliv-
Note any obstruction or absence of breathing. er five chest thrusts,
C. after the five back
Deliver five backslaps between the shoulder slaps. Blind sweeps
blades. are not used as this
D. action may push the
Place the infant over the nurse's arm. object deeper into the
E. throat. The remaining
Perform a blind finger sweep. steps are correct.
2. Which fluid will the nurse select to administer with B
the prescribed blood transfusion? Rationale: Normal
A. saline solution is the
5% Dextrose and water only solution that
B. is compatible with
Normal saline blood.
C.
Lactated Ringers solution
D.
5% Dextrose and lactated ringers
3. When assisting a client from the bed to a chair, B
which procedure is best for the nurse to follow? Rationale: Option B
A. describes the cor-
Place the chair parallel to the bed, with its back rect positioning of the
toward the head of the bed and assist the client in nurse and affords the
moving to the chair. nurse a wide base
B. of support while sta-
With the nurse's feet spread apart and knees bilizing the client's
aligned with the client's knees, stand and pivot the knees when assisting
client into the chair. to a standing posi-
, HESI RN FUNDAMENTALS EXIT EXAM LATEST 2024-2025 ACTUAL EXA
100 QUESTIONS AND CORRECT ANSWERS WITH RATIOANLES (VERIF
ANSWERS)
Study online at https://quizlet.com/_fh0m37
C. tion. The chair should
Assist the client to a standing position by gently be placed at a 45-de-
lifting upward, underneath the axillae. gree angle to the bed,
D. with the back of the
Stand beside the client, place the client's arms chair toward the head
around the nurse's neck, and gently move the of the bed. Clients
client to the chair. should never be lift-
ed under the axil-
lae; this could dam-
age nerves and strain
the nurse's back. The
client should be in-
structed to use the
arms of the chair and
should never place
his or her arms
around the nurse's
neck; this places un-
due stress on the
nurse's neck and
back and increases
the risk for a fall.
4. How many mL will the nurse document on the Answer: 2155
client's intake and output record from the items Rationale: 1200 +
listed? _____ mL 240 (8 oz) + 240 (1
1200 mL water cup) + 120 (4 oz) +
4 ounce container of gelatin 355 = 2155
8 ounces of orange juice
355 mL can of soda1 cup of soup
5. The nurse observes a UAP taking a client's blood B
pressure in the lower extremity. Which observation Rationale: When ob-
of this procedure requires the nurse to intervene taining the blood
with the UAP's approach? pressure in the low-
A. er extremities, the
The cuff wraps around the girth of the leg. popliteal pulse is the
B. site for auscultation
, HESI RN FUNDAMENTALS EXIT EXAM LATEST 2024-2025 ACTUAL EXA
100 QUESTIONS AND CORRECT ANSWERS WITH RATIOANLES (VERIF
ANSWERS)
Study online at https://quizlet.com/_fh0m37
The UAP auscultates the popliteal pulse with the when the blood pres-
cuff on the lower leg. sure cuff is applied
C. around the thigh. The
The client is placed in a prone position. nurse should inter-
D. vene with the UAP
The systolic reading is 20 mm Hg higher than the who has applied the
blood pressure in the client's arm. cuff on the lower
leg. Option A ensures
an accurate assess-
ment, and option C
provides the best ac-
cess to the artery.
Systolic pressure in
the popliteal artery is
usually 10 to 40 mm
Hg higher than in the
brachial artery.
6. During a clinic visit, the mother of a 7-year-old D
reports to the nurse that her child is often awake Rationale:
until midnight playing and is then very difficult to School-age children
awaken in the morning for school. Which assess- often resist bedtime.
ment data should the nurse obtain in response to The nurse should
the mother's concern? begin by assessing
A. the environment of
The occurrence of any episodes of sleep apnea the home to
B. determine factors
The child's blood pressure, pulse, and respirations that may not be
C. conducive to the
Length of rapid eye movement (REM) sleep that establishment of
the child is experiencing bedtime rituals that
D. promote sleep.
Description of the family's home environment Option A often
causes daytime
fatigue rather than
resistance to going to
sleep. Option B is
unlikely to provide
, HESI RN FUNDAMENTALS EXIT EXAM LATEST 2024-2025 ACTUAL EXA
100 QUESTIONS AND CORRECT ANSWERS WITH RATIOANLES (VERIF
ANSWERS)
Study online at https://quizlet.com/_fh0m37
useful data. The
nurse cannot
determine option C.
7. The nurse identifies a potential for infection in a B
client with partial-thickness (second-degree) and Rationale: Careful
full-thickness (third-degree) burns. What action handwashing tech-
has the highest priority in decreasing the client's nique is the single
risk of infection? most effective inter-
A. vention for the pre-
Administration of plasma expanders vention of contami-
B. nation to all clients.
Use of careful handwashing technique Option A reverses
C. the hypovolemia that
Application of a topical antibacterial cream initially accompanies
D. burn trauma but is
Limiting visitors to the client with burns not related to de-
creasing the prolifer-
ation of infective or-
ganisms. Options C
and D are recom-
mended by various
burn centers as pos-
sible ways to reduce
the chance of infec-
tion. Option B is a
proven technique to
prevent infection.
8. The nurse assesses a 2-year-old who is admitted B
for dehydration and finds that the peripheral IV Rationale: The nurse
rate by gravity has slowed, even though the ve- should first check
nous access site is healthy. What should the nurse the tubing and height
do next? of the bag on the
A. IV pole, which are
Apply a warm compress proximal to the site. common factors that
B. may slow the rate.
Check for kinks in the tubing and raise the IV pole. Gravity infusion rates
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