HESI RN EXIT EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS|
GRADEDA+
1. An infant born with esophageal atresia and tracheoesophageal fistula receives a prescription for internal
feedings after corrective surgery. To promote normal growth and development of the infant, which action
should the nurse include in the plan of care?
Correct Answer: Offer a pacifier for non-nutritive sucking.
2. The nurse is preparing a four-year-old client with a serum bilirubin level of 19 for discharge from the
hospital. When teaching the parents about home phototherapy, which instruction should the nurse
include in the discharge teaching plan?
A) Cover with a receiving blanket.
B) Perform diaper changes under the light.
C) Feed the infant every four hours.
D) Reposition the infant every two hours.
Correct Answer: D) Reposition the infant every two hours.
3. The nurse initiates the procedure to remove a clients peripherally inserted central catheter when code
blue is called for another client in the unit who collapse in the hallway while ambulating with the
unlicensed assistive personnel. Which action should the nurse take?
A) Close the room door.
B) Finish the procedure.
C) Respond to the code.
D) Call for an assistant.
Correct Answer: B) Finish the procedure.
4. Which nursing intervention is most important for the nurse to include in the plan of care for a client with
alcohol withdrawal delirium?
A) Maintain a quiet, non-stimulating environment.
B) Confront the client’s denial of substance abuse.
C) Force oral fluids and provide frequent small meals.
D) Encourage attendance and group participation.
Correct Answer: A) Maintain a quiet, non-stimulating environment.
5. A client arrives at the emergency department describing chest pain that began three hours earlier which
has not subsided. To assess the quality of the client’s chest pain. Which approach for the nurse use?
A) Provide a numeric pain scale.
B) Ask the client to describe the pain.
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, C) Identify effective pain relief measures.
D) Observe body language and movement.
Correct Answer: B) Ask the client to describe the pain.
6. An adolescent who was diagnosed with type one diabetes mellitus at the age of nine, is admitted to the
hospital in diabetic keto acidosis. Which occurrence is the most likely cause of the keto acidosis?
A) Ate an extra peanut butter sandwich before gym class.
B) Incorrectly administered too much insulin.
C) Had a cold and ear infection for the past two days.
D) Skipped eating lunch while at school.
Correct Answer: C) Had a cold and ear infection for the past two days.
7. When is it most important for the nurse to assess a pregnant client's deep tendon reflexes?
A) Within the first trimester of pregnancy.
B) When the client has ankle edema.
C) During admission to labor and delivery.
D) If the client has an elevated blood pressure.
Correct Answer: D) If the client has an elevated blood pressure.
8. NGN: Car accident survivor experiencing nightmares and sleep loss. Highlight areas that require further
nursing investigation:
Correct Answer: - She only gets 2 to 3 hours of sleep due to nightmares about the crash. 'jumpy' after the
accident, especially when she is in the car. - 'I feel so sad that I can't seem to feel anything at all'.
9. The client is exhibiting symptoms of ______ related to ______ and ______.
Correct Answer: Post traumatic stress disorder, experiencing a life-threatening event, losing a loved one.
10. NGN: How can the nurse build a therapeutic relationship with the client? Select all that apply.
A) The nurse can show no emotion when talking to the client.
B) The nurse can be open honest and sincere.
C) The nurse can talk as much as needed to get the client talking.
D) The nurse can focus energy on the client.
E) The nurse can communicate acceptance of the client as she is
F) The nurse can establish a meaningful connection.
Correct Answer: B) The nurse can be open honest and sincere. & E) The nurse can communicate acceptance
of the client as she is & F) The nurse can establish a meaningful connection.
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, 11. NGN: The client states, 'I don't want to kill myself, but sometimes I wish I had died in the crash.' The
statement presents ______ and should be followed up with ______.
Correct Answer: Suicidal ideation, assessment of risk factors for suicide.
12. What would be some effective strategies that the nurse could use to decrease the client’s risk of suicide in
the future? SATA.
A) Have the client remove any sharp objects from the home.
B) Have the client sign a no suicide contract.
C) Help the client enlist the help of friends and family.
D) Make the client feel too guilty to commit suicide.
E) Place the client in a locked unit.
F) Refer the client for cognitive behavioral therapy.
Correct Answer: B) Have the client sign a no suicide contract. & C) Help the client enlist the help of friends
and family. & F) Refer the client for cognitive behavioral therapy.
13. NGN: Which findings are effective or ineffective for the PTSD client?
- The client states she feels less jumpy and more relaxed.
- The client states she feels numb when thinking about the crash.
- The client talks to her father and her best friend when she starts to feel sad.
- The client reports sleeping 6 to 7 hours per night.
- The client states that she avoids driving altogether and takes the bus.
Correct Answer: Effective: feels less jumpy, talks to father/friend, sleeps 6-7 hours. Ineffective: feels numb,
avoids driving altogether.
14. The healthcare provider prescribes acarbose, an alpha-glucosidase inhibitor, for a client with type two
diabetes. Which information provides the best indicator of the drug’s effectiveness?
A) Body mass index between 20 and 24.
B) Blood pressure readings less than 120/80.
C) Self-reported glucose levels 120 to 150.
D) Hemoglobin A1c readings less than 7%.
Correct Answer: D) Hemoglobin A1c readings less than 7%.
15. After receiving report on an inpatient acute care unit which client should the nurse assess first?
A) The client who had surgery yesterday and is experiencing a paralytic ileus with absent bowel sounds.
B) The client with a small bowel obstruction who has a nasogastric tube that is draining greenish fluid.
C) The client with an obstruction of the large intestine who is experiencing abdominal distention.
D) The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity.
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GRADEDA+
1. An infant born with esophageal atresia and tracheoesophageal fistula receives a prescription for internal
feedings after corrective surgery. To promote normal growth and development of the infant, which action
should the nurse include in the plan of care?
Correct Answer: Offer a pacifier for non-nutritive sucking.
2. The nurse is preparing a four-year-old client with a serum bilirubin level of 19 for discharge from the
hospital. When teaching the parents about home phototherapy, which instruction should the nurse
include in the discharge teaching plan?
A) Cover with a receiving blanket.
B) Perform diaper changes under the light.
C) Feed the infant every four hours.
D) Reposition the infant every two hours.
Correct Answer: D) Reposition the infant every two hours.
3. The nurse initiates the procedure to remove a clients peripherally inserted central catheter when code
blue is called for another client in the unit who collapse in the hallway while ambulating with the
unlicensed assistive personnel. Which action should the nurse take?
A) Close the room door.
B) Finish the procedure.
C) Respond to the code.
D) Call for an assistant.
Correct Answer: B) Finish the procedure.
4. Which nursing intervention is most important for the nurse to include in the plan of care for a client with
alcohol withdrawal delirium?
A) Maintain a quiet, non-stimulating environment.
B) Confront the client’s denial of substance abuse.
C) Force oral fluids and provide frequent small meals.
D) Encourage attendance and group participation.
Correct Answer: A) Maintain a quiet, non-stimulating environment.
5. A client arrives at the emergency department describing chest pain that began three hours earlier which
has not subsided. To assess the quality of the client’s chest pain. Which approach for the nurse use?
A) Provide a numeric pain scale.
B) Ask the client to describe the pain.
1
, C) Identify effective pain relief measures.
D) Observe body language and movement.
Correct Answer: B) Ask the client to describe the pain.
6. An adolescent who was diagnosed with type one diabetes mellitus at the age of nine, is admitted to the
hospital in diabetic keto acidosis. Which occurrence is the most likely cause of the keto acidosis?
A) Ate an extra peanut butter sandwich before gym class.
B) Incorrectly administered too much insulin.
C) Had a cold and ear infection for the past two days.
D) Skipped eating lunch while at school.
Correct Answer: C) Had a cold and ear infection for the past two days.
7. When is it most important for the nurse to assess a pregnant client's deep tendon reflexes?
A) Within the first trimester of pregnancy.
B) When the client has ankle edema.
C) During admission to labor and delivery.
D) If the client has an elevated blood pressure.
Correct Answer: D) If the client has an elevated blood pressure.
8. NGN: Car accident survivor experiencing nightmares and sleep loss. Highlight areas that require further
nursing investigation:
Correct Answer: - She only gets 2 to 3 hours of sleep due to nightmares about the crash. 'jumpy' after the
accident, especially when she is in the car. - 'I feel so sad that I can't seem to feel anything at all'.
9. The client is exhibiting symptoms of ______ related to ______ and ______.
Correct Answer: Post traumatic stress disorder, experiencing a life-threatening event, losing a loved one.
10. NGN: How can the nurse build a therapeutic relationship with the client? Select all that apply.
A) The nurse can show no emotion when talking to the client.
B) The nurse can be open honest and sincere.
C) The nurse can talk as much as needed to get the client talking.
D) The nurse can focus energy on the client.
E) The nurse can communicate acceptance of the client as she is
F) The nurse can establish a meaningful connection.
Correct Answer: B) The nurse can be open honest and sincere. & E) The nurse can communicate acceptance
of the client as she is & F) The nurse can establish a meaningful connection.
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, 11. NGN: The client states, 'I don't want to kill myself, but sometimes I wish I had died in the crash.' The
statement presents ______ and should be followed up with ______.
Correct Answer: Suicidal ideation, assessment of risk factors for suicide.
12. What would be some effective strategies that the nurse could use to decrease the client’s risk of suicide in
the future? SATA.
A) Have the client remove any sharp objects from the home.
B) Have the client sign a no suicide contract.
C) Help the client enlist the help of friends and family.
D) Make the client feel too guilty to commit suicide.
E) Place the client in a locked unit.
F) Refer the client for cognitive behavioral therapy.
Correct Answer: B) Have the client sign a no suicide contract. & C) Help the client enlist the help of friends
and family. & F) Refer the client for cognitive behavioral therapy.
13. NGN: Which findings are effective or ineffective for the PTSD client?
- The client states she feels less jumpy and more relaxed.
- The client states she feels numb when thinking about the crash.
- The client talks to her father and her best friend when she starts to feel sad.
- The client reports sleeping 6 to 7 hours per night.
- The client states that she avoids driving altogether and takes the bus.
Correct Answer: Effective: feels less jumpy, talks to father/friend, sleeps 6-7 hours. Ineffective: feels numb,
avoids driving altogether.
14. The healthcare provider prescribes acarbose, an alpha-glucosidase inhibitor, for a client with type two
diabetes. Which information provides the best indicator of the drug’s effectiveness?
A) Body mass index between 20 and 24.
B) Blood pressure readings less than 120/80.
C) Self-reported glucose levels 120 to 150.
D) Hemoglobin A1c readings less than 7%.
Correct Answer: D) Hemoglobin A1c readings less than 7%.
15. After receiving report on an inpatient acute care unit which client should the nurse assess first?
A) The client who had surgery yesterday and is experiencing a paralytic ileus with absent bowel sounds.
B) The client with a small bowel obstruction who has a nasogastric tube that is draining greenish fluid.
C) The client with an obstruction of the large intestine who is experiencing abdominal distention.
D) The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity.
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