Exam (elaborations)

HESI RN FUNDAMENTALS EXIT EXAM 2024 / FUNDAMENTALS RN HESI EXIT 2024 ACTUAL EXAM ALL QUESTIONS AND CORRECT DETAILED ANSWERS

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Written in 2024/2025
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Contains Questions & answers

hesi rn fundamentals exit exam 2024 fundamentals

Institution HESI RN
Course HESI RN

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HESI RN FUNDAMENTALS EXIT EXAM 2024 / FUNDAMENTALS RN HESI EXIT
2024 ACTUAL EXAM ALL QUESTIONS AND CORRECT DETAILED ANSWERS

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

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,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.
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,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

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, 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

Rationale: When obtaining the blood pressure in the lower extremities, the popliteal

pulse is the site for auscultation when the blood pressure cuff is applied around the

thigh. The nurse should intervene with the UAP who has applied the cuff on the lower

leg. Option A ensures an accurate assessment, and option C provides the best access to

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