HERZING UNIVERSITY HESI RN EXIT EXAM LATEST UPDATE
CORRECT ANSWERS FOR GUARANTEED SUCCESS!” TESTED
QUESTIONS AND ANSWERS 100+ QUESTIONS
1.
Which nursing action is most appropriate when administering subcutaneous heparin?
A. Massage the injection site after administration
B. Inject into abdominal tissue with a 90° angle
C. Aspirate before injecting the medication
D. Use the deltoid muscle for faster absorption
ANSWER: B
2.
A client with COPD has an SpO₂ of 85% on room air. What is the nurse’s priority intervention?
A. Increase fluid intake
B. Place client in high Fowler’s position
C. Initiate oxygen therapy as prescribed
D. Encourage pursed-lip breathing
ANSWER: C
3.
The nurse is caring for a client with a nasogastric (NG) tube on low suction. Which
finding indicates a complication? A. Dry mucous membranes
B. Potassium level 2.7 mEq/L
C. Slight abdominal tenderness
D. Watery nasal secretions
ANSWER: B
4.
Which instruction should the nurse provide to a client starting nitroglycerin therapy?
A. Swallow tablets whole with water
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,B. Store medication in original dark container
C. Take with food to avoid stomach upset
D. Expect relief within 30 minutes of use
ANSWER: B
.
A client with cirrhosis is at risk for hepatic encephalopathy. Which diet selection by the
client indicates teaching was effective? A. Grilled chicken breast with rice
B. Bacon and scrambled eggs
C. Steak with mashed potatoes
D. Cheeseburger and fries
ANSWER: A
6.
The nurse is preparing to administer morning insulin to a client. Which order should be
questioned?
A. Regular insulin IV for DKA
B. NPH insulin at bedtime
C. Mixing glargine with regular insulin
D. Lispro insulin before meals
ANSWER: C
7.
A client post-thyroidectomy complains of tingling in lips and fingertips. Which assessment
should the nurse perform first?
A. Assess incision site for infection
B. Check for Chvostek’s sign
C. Auscultate for stridor
D. Review latest TSH levels
ANSWER: B
8.
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,Which task can the RN delegate to the unlicensed assistive personnel (UAP)?
A. Assessing a client’s pain level
B. Feeding a client with mild dysphagia
C. Administering oral medications
D. Teaching incentive spirometry use
ANSWER: B
9.
A client with atrial fibrillation is prescribed warfarin. Which lab value indicates
therapeutic effect? A. INR of 1.0
B. INR of 2.5
C. PT of 9 seconds
D. INR of 4.8
ANSWER: B
20.
A client is receiving IV vancomycin. The nurse notes red rash, flushing, and hypotension. What is
the most likely cause? A. Anaphylaxis
B. Red man syndrome
C. Stevens-Johnson syndrome
D. Serum sickness
ANSWER: B
21.
The nurse is caring for a client with chronic kidney disease. Which lab result is most concerning?
A. Creatinine 5.2 mg/dL
B. Hemoglobin 9.8 g/dL
C. Potassium 6.1 mEq/L
D. BUN 32 mg/dL
ANSWER: C
22.
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, A client with tuberculosis is prescribed rifampin. Which client statement indicates effective
teaching?
A. “I will avoid taking the drug with food.”
B. “I should expect my urine to turn orange.”
C. “This medication can be stopped once I feel better.”
D. “I should avoid wearing contact lenses.”
ANSWER: B
23.
The nurse is providing discharge teaching for a client with new colostomy. Which instruction is
most appropriate?
A. Use alcohol pads to clean the stoma daily
B. Empty pouch when one-third full
C. Expect constant pain around the stoma
D. Avoid all high-fiber foods permanently
ANSWER: B
24.
Which assessment finding suggests a client with DKA is improving?
A. Kussmaul respirations
B. Blood glucose 450 mg/dL
C. pH 7.36
D. Ketones present in urine
ANSWER: C
25.
The nurse is caring for a client with myasthenia gravis receiving pyridostigmine. Which symptom
requires immediate intervention?
A. Drooping eyelids
B. Increased muscle weakness after medication
C. Difficulty swallowing
D. Fatigue in the evening
ANSWER: B
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CORRECT ANSWERS FOR GUARANTEED SUCCESS!” TESTED
QUESTIONS AND ANSWERS 100+ QUESTIONS
1.
Which nursing action is most appropriate when administering subcutaneous heparin?
A. Massage the injection site after administration
B. Inject into abdominal tissue with a 90° angle
C. Aspirate before injecting the medication
D. Use the deltoid muscle for faster absorption
ANSWER: B
2.
A client with COPD has an SpO₂ of 85% on room air. What is the nurse’s priority intervention?
A. Increase fluid intake
B. Place client in high Fowler’s position
C. Initiate oxygen therapy as prescribed
D. Encourage pursed-lip breathing
ANSWER: C
3.
The nurse is caring for a client with a nasogastric (NG) tube on low suction. Which
finding indicates a complication? A. Dry mucous membranes
B. Potassium level 2.7 mEq/L
C. Slight abdominal tenderness
D. Watery nasal secretions
ANSWER: B
4.
Which instruction should the nurse provide to a client starting nitroglycerin therapy?
A. Swallow tablets whole with water
1|Page
,B. Store medication in original dark container
C. Take with food to avoid stomach upset
D. Expect relief within 30 minutes of use
ANSWER: B
.
A client with cirrhosis is at risk for hepatic encephalopathy. Which diet selection by the
client indicates teaching was effective? A. Grilled chicken breast with rice
B. Bacon and scrambled eggs
C. Steak with mashed potatoes
D. Cheeseburger and fries
ANSWER: A
6.
The nurse is preparing to administer morning insulin to a client. Which order should be
questioned?
A. Regular insulin IV for DKA
B. NPH insulin at bedtime
C. Mixing glargine with regular insulin
D. Lispro insulin before meals
ANSWER: C
7.
A client post-thyroidectomy complains of tingling in lips and fingertips. Which assessment
should the nurse perform first?
A. Assess incision site for infection
B. Check for Chvostek’s sign
C. Auscultate for stridor
D. Review latest TSH levels
ANSWER: B
8.
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,Which task can the RN delegate to the unlicensed assistive personnel (UAP)?
A. Assessing a client’s pain level
B. Feeding a client with mild dysphagia
C. Administering oral medications
D. Teaching incentive spirometry use
ANSWER: B
9.
A client with atrial fibrillation is prescribed warfarin. Which lab value indicates
therapeutic effect? A. INR of 1.0
B. INR of 2.5
C. PT of 9 seconds
D. INR of 4.8
ANSWER: B
20.
A client is receiving IV vancomycin. The nurse notes red rash, flushing, and hypotension. What is
the most likely cause? A. Anaphylaxis
B. Red man syndrome
C. Stevens-Johnson syndrome
D. Serum sickness
ANSWER: B
21.
The nurse is caring for a client with chronic kidney disease. Which lab result is most concerning?
A. Creatinine 5.2 mg/dL
B. Hemoglobin 9.8 g/dL
C. Potassium 6.1 mEq/L
D. BUN 32 mg/dL
ANSWER: C
22.
3|Page
, A client with tuberculosis is prescribed rifampin. Which client statement indicates effective
teaching?
A. “I will avoid taking the drug with food.”
B. “I should expect my urine to turn orange.”
C. “This medication can be stopped once I feel better.”
D. “I should avoid wearing contact lenses.”
ANSWER: B
23.
The nurse is providing discharge teaching for a client with new colostomy. Which instruction is
most appropriate?
A. Use alcohol pads to clean the stoma daily
B. Empty pouch when one-third full
C. Expect constant pain around the stoma
D. Avoid all high-fiber foods permanently
ANSWER: B
24.
Which assessment finding suggests a client with DKA is improving?
A. Kussmaul respirations
B. Blood glucose 450 mg/dL
C. pH 7.36
D. Ketones present in urine
ANSWER: C
25.
The nurse is caring for a client with myasthenia gravis receiving pyridostigmine. Which symptom
requires immediate intervention?
A. Drooping eyelids
B. Increased muscle weakness after medication
C. Difficulty swallowing
D. Fatigue in the evening
ANSWER: B
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