HESI EXIT RN
HESI EXIT RN V1- V7 EXAM 3 WITH NGN
2026 LATEST WITH COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES GUARANTEED PASS |
GRADED A+
A 45-year-old female client is admitted to the psychiatric unit for evaluation. Her husband
states that she has been reluctant to leave home for the last 6 months. The client has not
gone to work for a month, has been terminated from her job, and has not left the house since
that time. This client is displaying symptoms of which disorder?
A.Claustrophobia
A+ TEST BANK 1
, HESI EXIT RN
B.Acrophobia
C.Agoraphobia
D.Necrophobia
C
Rationale:
Agoraphobia (C) is the fear of crowds or of being in an open place. (A) is the fear of being in
closed places. (B) is the fear of high places. (D) is an abnormal fear of death or bodies after
death. A phobia is an unrealistic fear associated with severe anxiety.
The nurse reviews the comprehensive metabolic panel for a client with an electrolyte
imbalance. Which data requires the most immediate intervention by the nurse?
A.Potassium level, 3.9 mEq/dL
B.Creatinine level,1.1 mg/dL
C.Sodium level, 125 mEq/L
D.Calcium level, 9 mg/dL
C
Rationale:
The normal serum sodium level is 135 to 145 mEq/L (C). This value indicates hyponatremia.
Symptoms of hyponatremia include nausea and vomiting, headache, confusion, and seizures,
which can be severe and need immediate attention. (A, B, and D) are all within normal
parameters.
The nurse anticipates administering Rho(D) immune globulin (RhoGAM) to which
individual(s)? (Select all that apply.)
A.An Rh-negative woman who has had a miscarriage at 24 weeks
B.The father of a baby of an Rh-positive fetus
C.An Rh-negative mother after delivery of an Rh-positive infant with a negative direct
A+ TEST BANK 2
, HESI EXIT RN
Coombs' test
D.An Rh-positive infant within 72 hours after birth
E.An Rh-negative mother with a negative antibody titer at 28 weeks
A,C,E
Rationale:
(A, C, and E) are all candidates for RhoGAM. RhoGAM should never be given to an infant or
father (B and D).
Which nursing intervention should be implemented postoperatively in an infant with spina
bifida after repair of a meningocele?
A.Limit fluids to prevent infection to the surgical site.
B.Place the infant in the prone position.
C.Provide a low-residue diet to limit bowel movements.
D.Cover sac with a moist sterile dressing.
B
Rationale:
The infant should be placed in the prone position to alleviate pressure on the surgical site,
which is in the sacrum (B). Fluids should be increased postoperatively to prevent dehydration
(A). A high-fiber diet should be implemented to prevent constipation (C). After the repair, the
sac is no longer exposed, so (D) does not apply.
Which intervention(s) should the nurse implement when administering a new prescription of
amitriptyline HCl (Elavil) to a client with a depressive disorder? (Select all that apply.)
A.Explain that therapeutic effects should be achieved within 1 to 3 days.
B.Administer at bedtime to minimize sedative effects.
C.Give 1 hour after the administration of isocarboxazid (Marplan).
A+ TEST BANK 3
, HESI EXIT RN
D.Take blood pressure prior to and after administration.
E.Assess for adverse reactions such as dry mouth and blurred vision.
B,D,E
Rationale:
The drug causes sedation, so it should be given at bedtime (B). Cardiovascular adverse
reactions include orthostatic hypotension; therefore, the blood pressure should be assessed
(D). This drug can cause anticholinergic effects such as dry mouth, blurred vision,
constipation, and urinary retention (E). The drug takes 2 to 6 weeks to achieve therapeutic
effects (A). All monoamine oxidase (MAO) inhibitors such as isocarboxazid should be
discontinued 1 to 3 weeks prior to the administration of Elavil (C).
When administering an intramuscular injection, which factor is most important to ensure the
best medication absorption?
A.Compress the syringe plunger quickly.
B.Select a small-gauge needle.
C.Inject the needle at a 90-degree angle.
D.Select a small-diameter syringe.
C
Rationale:
Injecting the needle at a 90-degree angle allows the medication to be injected into the muscle
so that appropriate absorption can occur (C). Too rapid injection of the medication (A) may
be painful and may cause medication leakage and reduced absorption. (B) will reduce
injection discomfort but will not affect absorption. A syringe barrel that is too small (D)
increases the pressure during the injection and may traumatize tissue without improving
medication absorption.
When assessing a normal newborn, which finding(s) should the nurse expect? (Select all that
apply.)
A.Umbilical cord contains one vein and two arteries
B.Slightly edematous labia in the female newborn
A+ TEST BANK 4
HESI EXIT RN V1- V7 EXAM 3 WITH NGN
2026 LATEST WITH COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES GUARANTEED PASS |
GRADED A+
A 45-year-old female client is admitted to the psychiatric unit for evaluation. Her husband
states that she has been reluctant to leave home for the last 6 months. The client has not
gone to work for a month, has been terminated from her job, and has not left the house since
that time. This client is displaying symptoms of which disorder?
A.Claustrophobia
A+ TEST BANK 1
, HESI EXIT RN
B.Acrophobia
C.Agoraphobia
D.Necrophobia
C
Rationale:
Agoraphobia (C) is the fear of crowds or of being in an open place. (A) is the fear of being in
closed places. (B) is the fear of high places. (D) is an abnormal fear of death or bodies after
death. A phobia is an unrealistic fear associated with severe anxiety.
The nurse reviews the comprehensive metabolic panel for a client with an electrolyte
imbalance. Which data requires the most immediate intervention by the nurse?
A.Potassium level, 3.9 mEq/dL
B.Creatinine level,1.1 mg/dL
C.Sodium level, 125 mEq/L
D.Calcium level, 9 mg/dL
C
Rationale:
The normal serum sodium level is 135 to 145 mEq/L (C). This value indicates hyponatremia.
Symptoms of hyponatremia include nausea and vomiting, headache, confusion, and seizures,
which can be severe and need immediate attention. (A, B, and D) are all within normal
parameters.
The nurse anticipates administering Rho(D) immune globulin (RhoGAM) to which
individual(s)? (Select all that apply.)
A.An Rh-negative woman who has had a miscarriage at 24 weeks
B.The father of a baby of an Rh-positive fetus
C.An Rh-negative mother after delivery of an Rh-positive infant with a negative direct
A+ TEST BANK 2
, HESI EXIT RN
Coombs' test
D.An Rh-positive infant within 72 hours after birth
E.An Rh-negative mother with a negative antibody titer at 28 weeks
A,C,E
Rationale:
(A, C, and E) are all candidates for RhoGAM. RhoGAM should never be given to an infant or
father (B and D).
Which nursing intervention should be implemented postoperatively in an infant with spina
bifida after repair of a meningocele?
A.Limit fluids to prevent infection to the surgical site.
B.Place the infant in the prone position.
C.Provide a low-residue diet to limit bowel movements.
D.Cover sac with a moist sterile dressing.
B
Rationale:
The infant should be placed in the prone position to alleviate pressure on the surgical site,
which is in the sacrum (B). Fluids should be increased postoperatively to prevent dehydration
(A). A high-fiber diet should be implemented to prevent constipation (C). After the repair, the
sac is no longer exposed, so (D) does not apply.
Which intervention(s) should the nurse implement when administering a new prescription of
amitriptyline HCl (Elavil) to a client with a depressive disorder? (Select all that apply.)
A.Explain that therapeutic effects should be achieved within 1 to 3 days.
B.Administer at bedtime to minimize sedative effects.
C.Give 1 hour after the administration of isocarboxazid (Marplan).
A+ TEST BANK 3
, HESI EXIT RN
D.Take blood pressure prior to and after administration.
E.Assess for adverse reactions such as dry mouth and blurred vision.
B,D,E
Rationale:
The drug causes sedation, so it should be given at bedtime (B). Cardiovascular adverse
reactions include orthostatic hypotension; therefore, the blood pressure should be assessed
(D). This drug can cause anticholinergic effects such as dry mouth, blurred vision,
constipation, and urinary retention (E). The drug takes 2 to 6 weeks to achieve therapeutic
effects (A). All monoamine oxidase (MAO) inhibitors such as isocarboxazid should be
discontinued 1 to 3 weeks prior to the administration of Elavil (C).
When administering an intramuscular injection, which factor is most important to ensure the
best medication absorption?
A.Compress the syringe plunger quickly.
B.Select a small-gauge needle.
C.Inject the needle at a 90-degree angle.
D.Select a small-diameter syringe.
C
Rationale:
Injecting the needle at a 90-degree angle allows the medication to be injected into the muscle
so that appropriate absorption can occur (C). Too rapid injection of the medication (A) may
be painful and may cause medication leakage and reduced absorption. (B) will reduce
injection discomfort but will not affect absorption. A syringe barrel that is too small (D)
increases the pressure during the injection and may traumatize tissue without improving
medication absorption.
When assessing a normal newborn, which finding(s) should the nurse expect? (Select all that
apply.)
A.Umbilical cord contains one vein and two arteries
B.Slightly edematous labia in the female newborn
A+ TEST BANK 4
