1
HESI RN EXIT
V1 EXAM
Actual Qs & Ans to Pass the Exam
This Exit Hesi Test contains:
ž passing score 95/ Guarantee
ž The Exam has 1 60 Ques and Ans ž
Format Set of Multiple-choice
ž questions with incorporating Next Generation NCLEX (NGN) and Case studies
questions
ž Butterfly Questions for Hesi
ž Expert-Verified Explanations & Solutions
, 2
### Question 1
**Scenario:** While making rounds, the charge nurse notices that a young adult client with
asthma, who has been admitted for one day, is sitting on the side of the bed and leaning over the
side table. The client is receiving 2 L per minute of oxygen via nasal cannula. The client is
wheezing and using pursed-lip breathing.
**Which intervention should the nurse implement?**
A) Increase oxygen to 6 L per minute.
B) Call for an Ambu resuscitation bag.
C) Ask the client to lie back in bed.
D) Administer a nebulizer treatment.
**Correct Answer:** D) Administer a nebulizer treatment.
**Expert-Verified Explanation:**
The client's presentation indicates respiratory distress, as evidenced by wheezing and the use of
accessory muscles for breathing. Administering a nebulizer treatment with a bronchodilator (such
as albuterol) is a priority intervention for managing asthma exacerbations. Nebulizers facilitate deep
delivery of medication to the airways, relieving bronchospasm and improving respiratory function,
which is crucial in acute situations. Increasing the oxygen could potentially lead to hyperoxia if
there is airway obstruction, and lying back may exacerbate respiratory di ficulties. Calling for an
Ambu bag is unnecessary at this stage unless the patient's condition severely deteriorates.
---
### Question 2
**Which client should the nurse assess frequently because of the risk for overflow incontinence?**
, 3
A) A client with hematuria and decreasing hemoglobin and hematocrit levels.
B) A client who has been fasting, with increased serum creatinine levels.
C) A client who is confused and frequently forgets to go to the bathroom.
D) A client who has a history of frequent urinary tract infections.
**Correct Answer:** C) A client who is confused and frequently forgets to go to the bathroom.
**Expert-Verified Explanation:**
Overflow incontinence is characterized by the inability of the bladder to empty completely, often
resulting in the leakage of urine. Common in patients with cognitive impairments, such as
confusion or memory loss, this condition can occur because the individual may forget to void or
may not recognize the urge to do so. The implications of this condition require that the nurse
closely monitor patients who exhibit confusion to prevent complications. While the other clients
have identifiable health concerns, they do not directly correlate with the high risk for overflow
incontinence as the confused client does.
<<<
### 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.
**Correct Answer:** B) Withhold the medication until the dosage can be confirmed.
, 4
**Expert-Verified Explanation:**
Patient safety is paramount, especially in medication administration. If there is a discrepancy in
the dosage that the client reports and what is being administered, the nurse must refrain from
proceeding until the order can be confirmed with the prescribing provider. This ensures that the
client receives the correct medication in the appropriate dosage, thereby minimizing the risk of
adverse effects or medication errors. Engaging in dialogue with the patient about the
discrepancies does not alleviate the immediate need to prioritize safety.
---
### Question 4
**The charge nurse is making assignments for one practical nurse (LPN) and three registered
nurses (RNs) who are caring for neurologically compromised clients. Which client with which
change in status is best to assign to the LPN?**
A) A client with a subdural hematoma whose blood pressure changed from 1 50/80 to 1 70/60.
B) A client with viral meningitis whose temperature changed from 1 01 °F to 1 02°F.
C) A client with diabetic ketoacidosis whose Glasgow Coma Scale score changed from 1 0 to 7.
D) A client with myxedema whose blood pressure changed from 80/50 to 70/40.
**Correct Answer:** B) A client with viral meningitis whose temperature changed from 1 01 °F to 1 02°F.
**Expert-Verified Explanation:**
The LPN is best suited to care for stable patients who require routine assessments and
interventions. A client with viral meningitis who shows a slight increase in temperature can be
managed effectively by an LPN but does not indicate a life-threatening status; thus, it poses a low
risk for further deterioration. On the other hand, the other clients exhibit significant and urgent
changes in their conditions, including neurological deficits and severe hypertension, which
require more complex assessment and intervention skills that are within the scope of practice
for RNs.
---
HESI RN EXIT
V1 EXAM
Actual Qs & Ans to Pass the Exam
This Exit Hesi Test contains:
ž passing score 95/ Guarantee
ž The Exam has 1 60 Ques and Ans ž
Format Set of Multiple-choice
ž questions with incorporating Next Generation NCLEX (NGN) and Case studies
questions
ž Butterfly Questions for Hesi
ž Expert-Verified Explanations & Solutions
, 2
### Question 1
**Scenario:** While making rounds, the charge nurse notices that a young adult client with
asthma, who has been admitted for one day, is sitting on the side of the bed and leaning over the
side table. The client is receiving 2 L per minute of oxygen via nasal cannula. The client is
wheezing and using pursed-lip breathing.
**Which intervention should the nurse implement?**
A) Increase oxygen to 6 L per minute.
B) Call for an Ambu resuscitation bag.
C) Ask the client to lie back in bed.
D) Administer a nebulizer treatment.
**Correct Answer:** D) Administer a nebulizer treatment.
**Expert-Verified Explanation:**
The client's presentation indicates respiratory distress, as evidenced by wheezing and the use of
accessory muscles for breathing. Administering a nebulizer treatment with a bronchodilator (such
as albuterol) is a priority intervention for managing asthma exacerbations. Nebulizers facilitate deep
delivery of medication to the airways, relieving bronchospasm and improving respiratory function,
which is crucial in acute situations. Increasing the oxygen could potentially lead to hyperoxia if
there is airway obstruction, and lying back may exacerbate respiratory di ficulties. Calling for an
Ambu bag is unnecessary at this stage unless the patient's condition severely deteriorates.
---
### Question 2
**Which client should the nurse assess frequently because of the risk for overflow incontinence?**
, 3
A) A client with hematuria and decreasing hemoglobin and hematocrit levels.
B) A client who has been fasting, with increased serum creatinine levels.
C) A client who is confused and frequently forgets to go to the bathroom.
D) A client who has a history of frequent urinary tract infections.
**Correct Answer:** C) A client who is confused and frequently forgets to go to the bathroom.
**Expert-Verified Explanation:**
Overflow incontinence is characterized by the inability of the bladder to empty completely, often
resulting in the leakage of urine. Common in patients with cognitive impairments, such as
confusion or memory loss, this condition can occur because the individual may forget to void or
may not recognize the urge to do so. The implications of this condition require that the nurse
closely monitor patients who exhibit confusion to prevent complications. While the other clients
have identifiable health concerns, they do not directly correlate with the high risk for overflow
incontinence as the confused client does.
<<<
### 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.
**Correct Answer:** B) Withhold the medication until the dosage can be confirmed.
, 4
**Expert-Verified Explanation:**
Patient safety is paramount, especially in medication administration. If there is a discrepancy in
the dosage that the client reports and what is being administered, the nurse must refrain from
proceeding until the order can be confirmed with the prescribing provider. This ensures that the
client receives the correct medication in the appropriate dosage, thereby minimizing the risk of
adverse effects or medication errors. Engaging in dialogue with the patient about the
discrepancies does not alleviate the immediate need to prioritize safety.
---
### Question 4
**The charge nurse is making assignments for one practical nurse (LPN) and three registered
nurses (RNs) who are caring for neurologically compromised clients. Which client with which
change in status is best to assign to the LPN?**
A) A client with a subdural hematoma whose blood pressure changed from 1 50/80 to 1 70/60.
B) A client with viral meningitis whose temperature changed from 1 01 °F to 1 02°F.
C) A client with diabetic ketoacidosis whose Glasgow Coma Scale score changed from 1 0 to 7.
D) A client with myxedema whose blood pressure changed from 80/50 to 70/40.
**Correct Answer:** B) A client with viral meningitis whose temperature changed from 1 01 °F to 1 02°F.
**Expert-Verified Explanation:**
The LPN is best suited to care for stable patients who require routine assessments and
interventions. A client with viral meningitis who shows a slight increase in temperature can be
managed effectively by an LPN but does not indicate a life-threatening status; thus, it poses a low
risk for further deterioration. On the other hand, the other clients exhibit significant and urgent
changes in their conditions, including neurological deficits and severe hypertension, which
require more complex assessment and intervention skills that are within the scope of practice
for RNs.
---
