HESI RN 2024 Exit Exam –
Complete RN Test Bank with All
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**Question 1 (NGN — Prioritization)**
A newly admitted client complains of pain rating a 7 on a scale of 0 to 10. The client has not been
sleeping well lately and is experiencing labored breathing. List the client's problems in order of priority
for the nurse. (Rank from highest to lowest.)
A. Pain management
,B. Airway and breathing
C. Definitive therapy
D. Sleep and rest
💫ANSWER✔️✔️: B, A, D, C
💫RATIONALE✔️✔️: First-level problems are immediate priorities (airway, breathing, and circulation).
In this scenario, airway and breathing are the first priority, followed by pain management, Maslow's
hierarchy of basic needs for rest and sleep, and then definitive drug therapies .
**Question 2**
The nurse is caring for a client with a nursing problem of, "Infection, risk for, related to inadequate
primary defenses as evidenced by surgical incision and IV access." What nursing intervention should the
nurse implement?
A) Limit visitors to immediate family to decrease exposure to infection
B) Maintain "clean" technique in the change of wound dressing and IV site
C) Assess and document skin condition around the incision and IV site at each shift
D) Require the use of a face mask by staff when providing care requiring close contact
💫ANSWER✔️✔️: C
💫RATIONALE✔️✔️: Early identification of infection leads to prompt treatment and decreased
nosocomial transmission to others, so the condition of any invasive lines or breaks in the skin should be
assessed and documented during each shift .
**Question 3**
, When preparing to administer a prescribed medication to a homeless client at a community psychiatric
clinic, the client tells the nurse that the usual dosage taken is different from the dose the nurse is giving.
Which action should the nurse take?
A) Inform the client that he may refuse the medication and document whether or not the client takes it
B) Withhold the medication until the dosage can be confirmed
C) Explain to the client that the dosage has been changed
D) Tell the client to take the medication then verify the dosage at the next healthcare team meeting
💫ANSWER✔️✔️: B
💫RATIONALE✔️✔️: The nurse should withhold the medication until the dosage can be confirmed.
This is the safest action to prevent a medication error .
**Question 4**
A nurse has just received a medication order which is not legible. Which statement best reflects
assertive communication?
A) "I cannot give this medication as it is written. I have no idea of what you mean."
B) "Would you please clarify what you have written so I am sure I am reading it correctly?"
C) "I am having difficulty reading your handwriting. It would save me time if you would be more careful."
D) "Please print in the future so I do not have to spend extra time attempting to read your writing."
💫ANSWER✔️✔️: B
💫RATIONALE✔️✔️: This statement reflects assertive communication by asking for clarification in a
professional and respectful manner. It focuses on ensuring patient safety rather than blaming or
criticizing .
Complete RN Test Bank with All
Questions and Correct Verified
Answers Latest Update
**Question 1 (NGN — Prioritization)**
A newly admitted client complains of pain rating a 7 on a scale of 0 to 10. The client has not been
sleeping well lately and is experiencing labored breathing. List the client's problems in order of priority
for the nurse. (Rank from highest to lowest.)
A. Pain management
,B. Airway and breathing
C. Definitive therapy
D. Sleep and rest
💫ANSWER✔️✔️: B, A, D, C
💫RATIONALE✔️✔️: First-level problems are immediate priorities (airway, breathing, and circulation).
In this scenario, airway and breathing are the first priority, followed by pain management, Maslow's
hierarchy of basic needs for rest and sleep, and then definitive drug therapies .
**Question 2**
The nurse is caring for a client with a nursing problem of, "Infection, risk for, related to inadequate
primary defenses as evidenced by surgical incision and IV access." What nursing intervention should the
nurse implement?
A) Limit visitors to immediate family to decrease exposure to infection
B) Maintain "clean" technique in the change of wound dressing and IV site
C) Assess and document skin condition around the incision and IV site at each shift
D) Require the use of a face mask by staff when providing care requiring close contact
💫ANSWER✔️✔️: C
💫RATIONALE✔️✔️: Early identification of infection leads to prompt treatment and decreased
nosocomial transmission to others, so the condition of any invasive lines or breaks in the skin should be
assessed and documented during each shift .
**Question 3**
, When preparing to administer a prescribed medication to a homeless client at a community psychiatric
clinic, the client tells the nurse that the usual dosage taken is different from the dose the nurse is giving.
Which action should the nurse take?
A) Inform the client that he may refuse the medication and document whether or not the client takes it
B) Withhold the medication until the dosage can be confirmed
C) Explain to the client that the dosage has been changed
D) Tell the client to take the medication then verify the dosage at the next healthcare team meeting
💫ANSWER✔️✔️: B
💫RATIONALE✔️✔️: The nurse should withhold the medication until the dosage can be confirmed.
This is the safest action to prevent a medication error .
**Question 4**
A nurse has just received a medication order which is not legible. Which statement best reflects
assertive communication?
A) "I cannot give this medication as it is written. I have no idea of what you mean."
B) "Would you please clarify what you have written so I am sure I am reading it correctly?"
C) "I am having difficulty reading your handwriting. It would save me time if you would be more careful."
D) "Please print in the future so I do not have to spend extra time attempting to read your writing."
💫ANSWER✔️✔️: B
💫RATIONALE✔️✔️: This statement reflects assertive communication by asking for clarification in a
professional and respectful manner. It focuses on ensuring patient safety rather than blaming or
criticizing .
