HESI RN Exit Exam (V1 - V7) Actual Question ,Answers And Rationales, 100%
Verified |2025/2026
Wickyaplus stuvia
THIS EXAM CONTAINS
HESI RN Exit Exam
V1 - V7
Actual Qs & Ans
Rationales included
,1.
A group of nursing students is touring an in-patient psychiatric unit when a male client who is in a manic
state shouts, "Want to see a crazy person?" and begins to jump up and down, flap his arms, and cluck
like a chicken. Which action is best for the nurse to take?
A. Direct the students to continue the tour without responding to the client's behavior.
B. Medicate the client with a PRN prescription for an antianxiety agent.
C. Restrict the client to his room until he can control his behaviors.
D. Redirect the client's acting out behavior by asking him to perform a unit task.
Correct Answer: D
Rationale: Redirecting the client's energy into a constructive task is a therapeutic approach for manic
behavior. It provides structure and channels excessive energy positively without confrontation. Ignoring
the behavior (A) may escalate it; medicating (B) may be needed but isn't the immediate best response;
restricting (C) could increase agitation.
2.
An adult male client is brought to the emergency department (ED) by ambulance following a motorcycle
collision. He was not wearing a helmet and presents with periorbital bruising and bloody drainage from
both ears. Which assessment finding warrants immediate intervention by the nurse?
A. Rebound abdominal tenderness.
B. Diminished bilateral breath sounds.
C. Nausea with projectile vomiting.
D. Rib pain with deep inspiration.
Correct Answer: C
,Rationale: Periorbital bruising (raccoon eyes) and bloody ear drainage (battle sign) indicate basilar skull
fracture. Nausea with projectile vomiting suggests increased intracranial pressure, which requires
immediate intervention. Abdominal tenderness (A) and rib pain (D) are concerning but not immediately
life-threatening. Diminished breath sounds (B) require attention but vomiting with head injury is a
priority.
3.
A client diagnosed with Parkinson's disease receives a prescription for carbidopa-levodopa, controlled
release (CR) 25/100 mg PO daily each morning. Which information should the nurse include in the
client's teaching plan? Select all that apply.
A. Parkinson symptoms should diminish within one week.
B. Avoid sunlight and wear sunglasses while outdoors.
C. A change in urine color to dark red often occurs while taking this drug.
D. An upset stomach may occur as a side effect of this medication.
E. The medication should only be taken during a meal.
Correct Answers: C, D
Rationale:
C is correct: Carbidopa-levodopa can cause dark urine (reddish-brown) due to metabolites.
D is correct: GI upset is a common side effect; taking with food can help.
A is incorrect: Symptom improvement typically takes 2-3 weeks.
, B is incorrect: Photosensitivity is not a common side effect.
E is incorrect: While taking with food can reduce GI upset, it's not mandatory to take only during meals.
4.
The healthcare provider (HCP) prescribes 500 mL of 0.45% normal saline with 100 units regular insulin to
infuse at 15 units/hour. The drop factor is 20 gtt/mL. The nurse should regulate the IV to deliver how
many gtt/minute? (Enter numerical value only.)
Correct Answer: 25
Rationale:
100 units in 500 mL = 5 mL/unit (500 ÷ 100 = 5)
15 units/hour × 5 mL/unit = 75 mL/hour
75 mL/hour ÷ 60 minutes = 1.25 mL/minute
1.25 mL/min × 20 gtt/mL = 25 gtt/minute
5.
A client with generalized anxiety disorder does not want to communicate with friends, smokes 2 to 3
packages of cigarettes a day, and describes difficulty focusing. Which intervention should the nurse
recommend?
Correct Answer: Focus on small achievable tasks, not taxing problems.
Verified |2025/2026
Wickyaplus stuvia
THIS EXAM CONTAINS
HESI RN Exit Exam
V1 - V7
Actual Qs & Ans
Rationales included
,1.
A group of nursing students is touring an in-patient psychiatric unit when a male client who is in a manic
state shouts, "Want to see a crazy person?" and begins to jump up and down, flap his arms, and cluck
like a chicken. Which action is best for the nurse to take?
A. Direct the students to continue the tour without responding to the client's behavior.
B. Medicate the client with a PRN prescription for an antianxiety agent.
C. Restrict the client to his room until he can control his behaviors.
D. Redirect the client's acting out behavior by asking him to perform a unit task.
Correct Answer: D
Rationale: Redirecting the client's energy into a constructive task is a therapeutic approach for manic
behavior. It provides structure and channels excessive energy positively without confrontation. Ignoring
the behavior (A) may escalate it; medicating (B) may be needed but isn't the immediate best response;
restricting (C) could increase agitation.
2.
An adult male client is brought to the emergency department (ED) by ambulance following a motorcycle
collision. He was not wearing a helmet and presents with periorbital bruising and bloody drainage from
both ears. Which assessment finding warrants immediate intervention by the nurse?
A. Rebound abdominal tenderness.
B. Diminished bilateral breath sounds.
C. Nausea with projectile vomiting.
D. Rib pain with deep inspiration.
Correct Answer: C
,Rationale: Periorbital bruising (raccoon eyes) and bloody ear drainage (battle sign) indicate basilar skull
fracture. Nausea with projectile vomiting suggests increased intracranial pressure, which requires
immediate intervention. Abdominal tenderness (A) and rib pain (D) are concerning but not immediately
life-threatening. Diminished breath sounds (B) require attention but vomiting with head injury is a
priority.
3.
A client diagnosed with Parkinson's disease receives a prescription for carbidopa-levodopa, controlled
release (CR) 25/100 mg PO daily each morning. Which information should the nurse include in the
client's teaching plan? Select all that apply.
A. Parkinson symptoms should diminish within one week.
B. Avoid sunlight and wear sunglasses while outdoors.
C. A change in urine color to dark red often occurs while taking this drug.
D. An upset stomach may occur as a side effect of this medication.
E. The medication should only be taken during a meal.
Correct Answers: C, D
Rationale:
C is correct: Carbidopa-levodopa can cause dark urine (reddish-brown) due to metabolites.
D is correct: GI upset is a common side effect; taking with food can help.
A is incorrect: Symptom improvement typically takes 2-3 weeks.
, B is incorrect: Photosensitivity is not a common side effect.
E is incorrect: While taking with food can reduce GI upset, it's not mandatory to take only during meals.
4.
The healthcare provider (HCP) prescribes 500 mL of 0.45% normal saline with 100 units regular insulin to
infuse at 15 units/hour. The drop factor is 20 gtt/mL. The nurse should regulate the IV to deliver how
many gtt/minute? (Enter numerical value only.)
Correct Answer: 25
Rationale:
100 units in 500 mL = 5 mL/unit (500 ÷ 100 = 5)
15 units/hour × 5 mL/unit = 75 mL/hour
75 mL/hour ÷ 60 minutes = 1.25 mL/minute
1.25 mL/min × 20 gtt/mL = 25 gtt/minute
5.
A client with generalized anxiety disorder does not want to communicate with friends, smokes 2 to 3
packages of cigarettes a day, and describes difficulty focusing. Which intervention should the nurse
recommend?
Correct Answer: Focus on small achievable tasks, not taxing problems.
