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HESI RN FUNDAMENTALS EXIT EXAM
LATEST 2026-2027 ACTUAL EXAM 100
QUESTIONS AND CORRECT ANSWERS
WITH RATIOANLES (VERIFIED
ANSWERS)
- The nurse administered 10 mg of diazepam to the preoperative client. What steps
- Place the client in the bed next to the nurse's station.
- Instruct the client not to get out of bed.
- Place the call bell within the client's reach.
- Place the side rails up, according to institutional policy.
- Assist the client to the bathroom
will the nurse take next? (Select all that apply.)
Correct Answer: B, C, D
- The nurse manager of a skilled nursing (chronic care) unit is instructing UAPs on
- Perform range-of-motion exercises to prevent contractures.
- Decrease the client's fluid intake to prevent diarrhea.
- Massage the client's legs to reduce embolism occurrence.
- Turn the client from side to back every shift.
ways to prevent complications of immobility. Which action should be included in this instruction?
Correct Answer: A
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- The nurse assesses a 2-year-old who is admitted for dehydration and finds that the
- Apply a warm compress proximal to the site.
- Check for kinks in the tubing and raise the IV pole.
- Adjust the tape that stabilizes the needle.
- Flush with normal saline and recount the drop rate.
peripheral IV rate by gravity has slowed, even though the venous access site is healthy.What should the nurse do next?
Correct Answer: B
- The nurse identifies a potential for infection in a client with partial-thickness
- Administration of plasma expanders
- Use of careful handwashing technique
- Application of a topical antibacterial cream
- Limiting visitors to the client with burns
(second-degree) and full-thickness (third-degree) burns. What action has the highest priority in decreasing the client's risk of infection?
Correct Answer: B
- During a clinic visit, the mother of a 7-year-old reports to the nurse that her child is
- The occurrence of any episodes of sleep apnea
- The child's blood pressure, pulse, and respirations
- Length of rapid eye movement (REM) sleep that the child is experiencing
- Description of the family's home environment
often awake until midnight playing and is then very difficult to awaken in the morning for school. Which assessment data should the nurse obtain in response to the mother's concern?
Correct Answer: D
- The nurse observes a UAP taking a client's blood pressure in the lower extremity.
- The cuff wraps around the girth of the leg.
Which observation of this procedure requires the nurse to intervene with the UAP's approach?
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- The UAP auscultates the popliteal pulse with the cuff on the lower leg.
- The client is placed in a prone position.
- The systolic reading is 20 mm Hg higher than the blood pressure in the client's arm.
Correct Answer: B
- How many mL will the nurse document on the client's intake and output record from
- ounce container of gelatin
- ounces of orange juice
- cup of soup
the items listed?1200 mL water
355 mL can of soda
Correct Answer: 2155
- When assisting a client from the bed to a chair, which procedure is best for the
- Place the chair parallel to the bed, with its back toward the head of the bed and assist
- With the nurse's feet spread apart and knees aligned with the client's knees, stand and
- Assist the client to a standing position by gently lifting upward, underneath the axillae.
- Stand beside the client, place the client's arms around the nurse's neck, and gently
nurse to follow?
the client in moving to the chair.
pivot the client into the chair.
move the client to the chair.
Correct Answer: B
- Which fluid will the nurse select to administer with the prescribed blood
- 5?xtrose and water
- Normal saline
- Lactated Ringers solution
- 5?xtrose and lactated ringers
transfusion?
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Correct Answer: B
- The nurse is called to the waiting room of a pediatric clinic. The frantic mother
- Compress the chest once between the nipples with two fingers.
- Note any obstruction or absence of breathing.
- Deliver five backslaps between the shoulder blades.
- Place the infant over the nurse's arm.
- Perform a blind finger sweep.
states, "I think my 4-month-old baby is choking!" What steps will the nurse take?(Select all that apply.)
Correct Answer: B, C, D
- A terminally ill client tells the nurse, "I am so tired and in so much pain! Please
- Administer the prescribed maximum dose of pain medication.
- Talk with the client about thoughts and feelings about death.
- Collaborate with the health care provider about initiating antidepressant therapy.
- Refer the client to the ethics committee of her local health care facility.
help me to die." Which is the best response for the nurse to provide?
Correct Answer: B
- A nurse stops at a motor vehicle collision site to render aid until the emergency
- The Patient's Bill of Rights protects clients from malicious intents, so the nurse could
- The lawsuit may be settled out of court, but the nurse's license is likely to be revoked.
- There will be no judgment against the nurse, whose actions are protected under the
- The client will win because the four elements of negligence (duty, breach, causation,
personnel arrive and applies pressure to a groin wound that is bleeding profusely.Later the client has to have the leg amputated and sues the nurse for malpractice.Which statement reflects the likely outcome for the nurse?
lose the case.
Good Samaritan Act.
and damages) can be proved.