1
HESI EXIT RN V1,V2,V3,V4,V5,V6 & V7
HESI EXIT RN V1,V2,V3,V4,V5,V6 & V7EXAM
EXAM
2 WITH NGN 2026 LATEST WITH
COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
GUARANTEED PASS | GRADED A+
Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which assessment does the
nurse perform as a priority before administering the medication?
A) Checking the client's blood pressure
B) checking the client's peripheral pulses
C) checking the most recent potassium level
D) checking the client's intake and output record for the last 24 hours
, 2
HESI EXIT RN V1,V2,V3,V4,V5,V6 & V7
A) Checking the client's blood pressure EXAM
Rationale--
enalapril maleate is an angiotensin-converting enzyme (ACE) inhibitor used to treat
hypertension. One common side effect is postural hypotension. Therefore the nurse would
check the client's blood pressure immediately before administering each dose.
When caring for a client hospitalized with Guillain-Barré syndrome, which
information is most important for the nurse to report to the primary health care
provider?
A. Ascending numbness from the feet to the knees
B. Decrease in cognitive status of the client
C. Blurred vision and sensation changes
D. Persistent unilateral headache
B. Decrease in cognitive status of the client
Rationale
A decline in cognitive status in a client is indicative of symptoms of hypoxia and a
possible need to assist the client with mechanical ventilation. A primary health care
provider will need to be contacted immediately. Options A, C, and D are findings
associated with Guillain-Barré syndrome that should also be reported but are not as
critical as the client's hypoxic status.
A client is scheduled to undergo an upper gastrointestinal (GI) series, and the nurse provides
instructions to the client about the test. Which statement by the client indicates a need for
further instruction?
A) "The test will take about 30 minutes"
B) "I need to fast for 8 hours before the test"
C) "I need to drink citrate of magnesia the night before the test and give myself a Fleet enema
on the morning of the test."
D) "I need to take a laxative after the test is completed, because the liquid that I'll have to
drink for the test can be constipating."
, 3
HESI EXIT RN V1,V2,V3,V4,V5,V6 & V7
C) "I need to drink citrate of magnesia the night before the test and give myself EXAM
a Fleet enema
on the morning of the test."
Rationale
An upper GI series involves visualization of the esophagus, duodenum, and upper
jejunum by means of the use of a contrast medium. It involves swallowing a contrast
medium (usually barium), which is administered in a flavored milkshake. Films are taken
at intervals during the test, which takes about 30 minutes. No special preparation is
necessary before a GI series, except that NPO status must be maintained for 8 hours
before the test. After an upper GI series, the client is prescribed a laxative to hasten
elimination of the barium. Barium that remains in the colon may become hard and
difficult to expel, leading to fecal impaction.
A nurse on the evening shift checks a physician's prescriptions and notes that the dose of a
prescribed medication is higher than the normal dose. The nurse calls the physician's
answering service and is told that the physician if off for the night and will be available the
next morning. The nurse should:
A) call the nursing supervisor
B) Ask the answering service to contact the on-call physician
C) Withhold the medication until the physician can be reached in the morning
D) Administer the medication but consult the physician when he becomes available
B) Ask the answering service to contact the on-call physician
An emergency department (ED) nurse is monitoring a client with suspected acute
myocardial infarction (MI) who is awaiting transfer to the coronary intensive care unit.
The nurse notes the sudden onset of premature ventricular contractions (PVCs) on the
monitor, checks the client's carotid pulse, and determines that the PVCs are not
resulting in perfusion. The appropriate action by the nurse is:
A. Documenting the findings
B. Asking the ED physician to check the client
C. Continuing to monitor the client's cardiac status
D. Informing the client that PVCs are expected after an MI
, 4
HESI EXIT RN V1,V2,V3,V4,V5,V6 & V7
B. Asking the ED physician to check the client EXAM
NPO status is imposed 8 hours before the procedure on a client scheduled to undergo
electroconvulsive therapy (ECT) at 1 p.m. On the morning of the procedure, the nurse
checks the client's record and notes that the client routinely takes an oral
antihypertensive medication each morning. The nurse should:
A. Administer the antihypertensive with a small sip of water
B. Withhold the antihypertensive and administer it at bedtime
C. Administer the medication by way of the intravenous (IV) route
D. Hold the antihypertensive and resume its administration on the day after the ECT
Administer the antihypertensive with a small sip of water
A client who recently underwent coronary artery bypass graft surgery comes to the
physician's office for a follow-up visit. On assessment, the client tells the nurse that he is
feeling depressed. Which response by the nurse is therapeutic?
A. "Tell me more about what you're feeling."
B. "That's a normal response after this type of surgery."
C. "It will take time, but, I promise you, you will get over this depression."
D. "Every client who has this surgery feels the same way for about a month."
A. "Tell me more about what you're feeling."
Which information is most concerning to the nurse when caring for an older
client with bilateral cataracts?
A. States having difficulty with color perception
B. Presents with opacity of the lens upon assessment
C. Complains of seeing a cobweb-type structure in
the visual field
D. Reports the need to use a magnifying glass to see
small print
C. Complains of seeing a cobweb-type structure in
the visual field
HESI EXIT RN V1,V2,V3,V4,V5,V6 & V7
HESI EXIT RN V1,V2,V3,V4,V5,V6 & V7EXAM
EXAM
2 WITH NGN 2026 LATEST WITH
COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
GUARANTEED PASS | GRADED A+
Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which assessment does the
nurse perform as a priority before administering the medication?
A) Checking the client's blood pressure
B) checking the client's peripheral pulses
C) checking the most recent potassium level
D) checking the client's intake and output record for the last 24 hours
, 2
HESI EXIT RN V1,V2,V3,V4,V5,V6 & V7
A) Checking the client's blood pressure EXAM
Rationale--
enalapril maleate is an angiotensin-converting enzyme (ACE) inhibitor used to treat
hypertension. One common side effect is postural hypotension. Therefore the nurse would
check the client's blood pressure immediately before administering each dose.
When caring for a client hospitalized with Guillain-Barré syndrome, which
information is most important for the nurse to report to the primary health care
provider?
A. Ascending numbness from the feet to the knees
B. Decrease in cognitive status of the client
C. Blurred vision and sensation changes
D. Persistent unilateral headache
B. Decrease in cognitive status of the client
Rationale
A decline in cognitive status in a client is indicative of symptoms of hypoxia and a
possible need to assist the client with mechanical ventilation. A primary health care
provider will need to be contacted immediately. Options A, C, and D are findings
associated with Guillain-Barré syndrome that should also be reported but are not as
critical as the client's hypoxic status.
A client is scheduled to undergo an upper gastrointestinal (GI) series, and the nurse provides
instructions to the client about the test. Which statement by the client indicates a need for
further instruction?
A) "The test will take about 30 minutes"
B) "I need to fast for 8 hours before the test"
C) "I need to drink citrate of magnesia the night before the test and give myself a Fleet enema
on the morning of the test."
D) "I need to take a laxative after the test is completed, because the liquid that I'll have to
drink for the test can be constipating."
, 3
HESI EXIT RN V1,V2,V3,V4,V5,V6 & V7
C) "I need to drink citrate of magnesia the night before the test and give myself EXAM
a Fleet enema
on the morning of the test."
Rationale
An upper GI series involves visualization of the esophagus, duodenum, and upper
jejunum by means of the use of a contrast medium. It involves swallowing a contrast
medium (usually barium), which is administered in a flavored milkshake. Films are taken
at intervals during the test, which takes about 30 minutes. No special preparation is
necessary before a GI series, except that NPO status must be maintained for 8 hours
before the test. After an upper GI series, the client is prescribed a laxative to hasten
elimination of the barium. Barium that remains in the colon may become hard and
difficult to expel, leading to fecal impaction.
A nurse on the evening shift checks a physician's prescriptions and notes that the dose of a
prescribed medication is higher than the normal dose. The nurse calls the physician's
answering service and is told that the physician if off for the night and will be available the
next morning. The nurse should:
A) call the nursing supervisor
B) Ask the answering service to contact the on-call physician
C) Withhold the medication until the physician can be reached in the morning
D) Administer the medication but consult the physician when he becomes available
B) Ask the answering service to contact the on-call physician
An emergency department (ED) nurse is monitoring a client with suspected acute
myocardial infarction (MI) who is awaiting transfer to the coronary intensive care unit.
The nurse notes the sudden onset of premature ventricular contractions (PVCs) on the
monitor, checks the client's carotid pulse, and determines that the PVCs are not
resulting in perfusion. The appropriate action by the nurse is:
A. Documenting the findings
B. Asking the ED physician to check the client
C. Continuing to monitor the client's cardiac status
D. Informing the client that PVCs are expected after an MI
, 4
HESI EXIT RN V1,V2,V3,V4,V5,V6 & V7
B. Asking the ED physician to check the client EXAM
NPO status is imposed 8 hours before the procedure on a client scheduled to undergo
electroconvulsive therapy (ECT) at 1 p.m. On the morning of the procedure, the nurse
checks the client's record and notes that the client routinely takes an oral
antihypertensive medication each morning. The nurse should:
A. Administer the antihypertensive with a small sip of water
B. Withhold the antihypertensive and administer it at bedtime
C. Administer the medication by way of the intravenous (IV) route
D. Hold the antihypertensive and resume its administration on the day after the ECT
Administer the antihypertensive with a small sip of water
A client who recently underwent coronary artery bypass graft surgery comes to the
physician's office for a follow-up visit. On assessment, the client tells the nurse that he is
feeling depressed. Which response by the nurse is therapeutic?
A. "Tell me more about what you're feeling."
B. "That's a normal response after this type of surgery."
C. "It will take time, but, I promise you, you will get over this depression."
D. "Every client who has this surgery feels the same way for about a month."
A. "Tell me more about what you're feeling."
Which information is most concerning to the nurse when caring for an older
client with bilateral cataracts?
A. States having difficulty with color perception
B. Presents with opacity of the lens upon assessment
C. Complains of seeing a cobweb-type structure in
the visual field
D. Reports the need to use a magnifying glass to see
small print
C. Complains of seeing a cobweb-type structure in
the visual field
