HESI EXIT RN NEXT GENERATION EXAM ALL 160 QUESTIONS AND
CORRECT DETAILED ANSWERS
Terms in this set (160)
The nurse is completing the admission B. Sluggish and unequal pupillary responses
assessment of a 3-year old who is admitted
with bacterial meningitis and hydrocephalus.
Which assessment finding is evidence that
the child is experiencing increased
intracranial pressure (ICP)?
A.Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and
bulging fontanels
D. Blood pressure fluctuations and syncope
,A client with acute pancreatitis is admitted with A. Abdominal pain decreases when lying supine
severe, piercing abdominal pain and an
elevated serum amylase. Which additional
information is the client most likely to report
to the nurse?
A. Abdominal pain decreases when lying
supine
B. Pain lasts an hour and leaves the
abdomen tender
C. Right upper quadrant pain refers to right
scapula
D. Drinks alcohol until intoxicated at least twice
weekly.
A child newly diagnosed with sickle cell anemia A. Instructions about how much fluid the child should drink
(SCA) is being discharged from the hospital. daily
Which information is most important for the
nurse to provide the
parents prior to discharge?
A. Instructions about how much fluid the
child should drink daily.
B. Signs of addiction to opioid pain
medications
C. Information about non-pharmaceutical pain
relief measures
D. Referral for social services for the child and
family
To auscultate for a carotid bruit, the nurse I placed the red dot on the base of the neck on the right side
places the stethoscope at what location.
(Select the location on the image with a red dot).
After receiving report on an inpatient acute care D. The client with a bowel obstruction due to a volvulus who is
unit, which client should the nurse assess first? experiencing abdominal rigidity
A.The client with an obstruction of the large
intestine who is experiencing abdominal
distention
B. The client who had surgery yesterday and is
experiencing a paralytic ileus with absent bowel
sounds
C. The client with a small bowel obstruction who
has a nasogastric tube that is draining greenish
fluid
D. The client with a bowel obstruction due
to a volvulus who is experiencing abdominal
rigidity
,A teenager presents to the emergency department D. Respiratory alkalosis
with palpitations after vaping at
a party. The client is anxious, fearful, and
hyperventilating. The nurse anticipates the client
developing which acid base
imbalance?
A. Respiratory acidosis
B. Metabolic alkalosis
C.Metabolic acidosis
D. Respiratory alkalosis
A client with dyspnea is being admitted to the Fowlers
medical unit. To best prepare for the client's arrival,
the nurse should ensure that the client's bed is in
which position?
A. Supine
B. supine; feet elevated higher than head
C. supine; head elevated higher than feet
D. Fowlers
The nurse is taking the blood pressure A. Frequent syncope
measurement of a client with Parkinson's C. Flat affect
disease. Which information in the client's D. Blurred vision
admission assessment is relevant to the
nurse's plan for taking the blood pressure
reading? (Select all the apply)
A. Frequent syncope
B. Occasional nocturia
C. Flat affect
D. Blurred vision
E. Frequent drooling
While caring for a client's postoperative B. Culture for sensitive organisms
dressing, the nurse observes purulent
drainage at the wound. Before reporting this finding
to the healthcare provider, the nurse should review
which of the client's laboratory values?
A. Serum albumin
B. Culture for sensitive organisms
C. Serum blood glucose level
D.Creatinine level
, A preschool-aged boy is admitted to the B. Ask the older brother how he felt during the incident
pediatric unit following successful
resuscitation from a near-drowning
incident.While providing care to the child, the
nurse begins talking with his preadolescent
brother who rescued the child from the
swimming pool and initiated resuscitation.The
nurse notices the older boy becomes withdrawn
when asked about what
happened. Which action should the nurse
take?
A. Develop a water safety teaching plan for the
family
B. Ask the older brother how he felt during the
incident
C. Tell the older brother that he seems
depressed
D. Commend the olderbrother for his heroic
actions
A male client with cirrhosis has jaundice and
pruritus. He tells the nurse that he hasbeen A. Encourage the client to use cooler water and apply calamine
soaking in hot baths at night with no relief of his lotion after soaking
discomfort. Which action should the nurse take?
A. Encourage the client to use cooler water and
apply calamine lotion after soaking
B. Obtain a PRN prescription for an
analgesic that the client can use for
symptom relief
C. Suggest that the client take brief showers
and apply oil-based lotion after showering
D. Explain that the symptoms are caused by liver
damage and cannot be relieved
An older client with a long history of B. Reduced preload
coronary artery disease (CAD),
hypertension (HTN), and heart failure
(HF)arrives in the Emergency Department
(ED)in respiratory distress. The healthcare
provider prescribes furosemide IV. Which
therapeutic response to furosemide should the
nurse expected in the client with acute
HF?
A. Increased cardiac contractility
B. Reduced preload
C.Relaxed vascular tone
D. Decreased afterload
CORRECT DETAILED ANSWERS
Terms in this set (160)
The nurse is completing the admission B. Sluggish and unequal pupillary responses
assessment of a 3-year old who is admitted
with bacterial meningitis and hydrocephalus.
Which assessment finding is evidence that
the child is experiencing increased
intracranial pressure (ICP)?
A.Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and
bulging fontanels
D. Blood pressure fluctuations and syncope
,A client with acute pancreatitis is admitted with A. Abdominal pain decreases when lying supine
severe, piercing abdominal pain and an
elevated serum amylase. Which additional
information is the client most likely to report
to the nurse?
A. Abdominal pain decreases when lying
supine
B. Pain lasts an hour and leaves the
abdomen tender
C. Right upper quadrant pain refers to right
scapula
D. Drinks alcohol until intoxicated at least twice
weekly.
A child newly diagnosed with sickle cell anemia A. Instructions about how much fluid the child should drink
(SCA) is being discharged from the hospital. daily
Which information is most important for the
nurse to provide the
parents prior to discharge?
A. Instructions about how much fluid the
child should drink daily.
B. Signs of addiction to opioid pain
medications
C. Information about non-pharmaceutical pain
relief measures
D. Referral for social services for the child and
family
To auscultate for a carotid bruit, the nurse I placed the red dot on the base of the neck on the right side
places the stethoscope at what location.
(Select the location on the image with a red dot).
After receiving report on an inpatient acute care D. The client with a bowel obstruction due to a volvulus who is
unit, which client should the nurse assess first? experiencing abdominal rigidity
A.The client with an obstruction of the large
intestine who is experiencing abdominal
distention
B. The client who had surgery yesterday and is
experiencing a paralytic ileus with absent bowel
sounds
C. The client with a small bowel obstruction who
has a nasogastric tube that is draining greenish
fluid
D. The client with a bowel obstruction due
to a volvulus who is experiencing abdominal
rigidity
,A teenager presents to the emergency department D. Respiratory alkalosis
with palpitations after vaping at
a party. The client is anxious, fearful, and
hyperventilating. The nurse anticipates the client
developing which acid base
imbalance?
A. Respiratory acidosis
B. Metabolic alkalosis
C.Metabolic acidosis
D. Respiratory alkalosis
A client with dyspnea is being admitted to the Fowlers
medical unit. To best prepare for the client's arrival,
the nurse should ensure that the client's bed is in
which position?
A. Supine
B. supine; feet elevated higher than head
C. supine; head elevated higher than feet
D. Fowlers
The nurse is taking the blood pressure A. Frequent syncope
measurement of a client with Parkinson's C. Flat affect
disease. Which information in the client's D. Blurred vision
admission assessment is relevant to the
nurse's plan for taking the blood pressure
reading? (Select all the apply)
A. Frequent syncope
B. Occasional nocturia
C. Flat affect
D. Blurred vision
E. Frequent drooling
While caring for a client's postoperative B. Culture for sensitive organisms
dressing, the nurse observes purulent
drainage at the wound. Before reporting this finding
to the healthcare provider, the nurse should review
which of the client's laboratory values?
A. Serum albumin
B. Culture for sensitive organisms
C. Serum blood glucose level
D.Creatinine level
, A preschool-aged boy is admitted to the B. Ask the older brother how he felt during the incident
pediatric unit following successful
resuscitation from a near-drowning
incident.While providing care to the child, the
nurse begins talking with his preadolescent
brother who rescued the child from the
swimming pool and initiated resuscitation.The
nurse notices the older boy becomes withdrawn
when asked about what
happened. Which action should the nurse
take?
A. Develop a water safety teaching plan for the
family
B. Ask the older brother how he felt during the
incident
C. Tell the older brother that he seems
depressed
D. Commend the olderbrother for his heroic
actions
A male client with cirrhosis has jaundice and
pruritus. He tells the nurse that he hasbeen A. Encourage the client to use cooler water and apply calamine
soaking in hot baths at night with no relief of his lotion after soaking
discomfort. Which action should the nurse take?
A. Encourage the client to use cooler water and
apply calamine lotion after soaking
B. Obtain a PRN prescription for an
analgesic that the client can use for
symptom relief
C. Suggest that the client take brief showers
and apply oil-based lotion after showering
D. Explain that the symptoms are caused by liver
damage and cannot be relieved
An older client with a long history of B. Reduced preload
coronary artery disease (CAD),
hypertension (HTN), and heart failure
(HF)arrives in the Emergency Department
(ED)in respiratory distress. The healthcare
provider prescribes furosemide IV. Which
therapeutic response to furosemide should the
nurse expected in the client with acute
HF?
A. Increased cardiac contractility
B. Reduced preload
C.Relaxed vascular tone
D. Decreased afterload
