1
HESI RN EXIT
V2 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 :
The nurse assumes care of a postoperative adult client with type 2 diabetes mellitus and learns that the
client has a current blood glucose level of 720 mg/dL. When assessing the client, what is the priority?
A. Assess for signs of fluid volume deficit
B. Observe wound drainage characteristics
C. Measure the level of acute pain
D. Determine when the client last ate
**Answer:**** A. Assess for signs of fluid volume deficit
**Explanation:**
In this scenario, the client's blood glucose level is significantly elevated (720 mg/dL), which is indicative of
severe hyperglycemia. In the context of diabetes, fluids can become severely depleted due to osmotic
diuresis, which can lead to a state of dehydration and fluid volume deficit. Therefore, assessing for signs of
fluid volume deficit is the priority because prompt identification of dehydration can prevent further
complications, such as acute kidney injury or shock. While other assessments are important, identifying the
status of fluid volume is critical to managing the client's hyperglycemic crisis.
### Question 2:
A male client tells the nurse that he is concerned that he may have a stomach ulcer because he is
experiencing heartburn and dull gnawing pain that is relieved when he eats. Which is the best response by
the nurse?
A. Encourage the client to obtain a complete physical exam since these symptoms are consistent with an
ulcer
B. Assure the client that his symptoms may only reflect reflux since ulcer pain is not relieved with food
C. Instruct the client that these mild symptoms can generally be controlled with antacids
D. Recommend the client increase his intake of fiber
**Answer:**** A. Encourage the client to obtain a complete physical exam since these symptoms are
consistent with an ulcer
, 3
**Explanation:**
The client's symptoms of heartburn and dull, gnawing pain relieved by eating are classic signs of a peptic
ulcer. The most appropriate response is to encourage the client to seek a medical evaluation. While
reassuring the client may seem comforting, it is essential to acknowledge that symptoms consistent with
potential ulcers demand further evaluation by a healthcare professional to confirm the diagnosis and initiate
appropriate treatment. This ensures that the underlying cause is properly addressed, especially given the
seriousness of potential gastric conditions.
'''
### Question 3:
A male client with stomach cancer returns to the unit following a total gastrectomy. He has a nasogastric
tube to suction and is receiving Lactated Ringer's solution at 75 mL/hr IV. One hour after admission to the
unit, the nurse notes 300mL of blood in the suction canister, the client's heart rate is 1 55 beats/minute, and
his blood pressure is 78/48 mmHg. In addition to reporting the findings to the surgeon, which action should
the nurse implement first?
A. Measure and document the client's urine output
B. Increase the infusion rate of Lactated Ringer's solution
C. Prepare to administer a blood transfusion
D. Assess the client's level of consciousness
**Answer:**** B. Increase the infusion rate of Lactated Ringer's solution
**Explanation:**
In this situation, the client exhibits signs of hypovolemic shock, indicated by hypotension (78/48 mmHg) and
tachycardia (1 55 beats/minute). Immediate management requires restoring circulating volume, and
increasing the rate of Lactated Ringer's solution infusion can provide the necessary fluids to support blood
pressure and perfusion to vital organs. Although reporting to the surgeon is critical, the priority intervention
is to stabilize the client's hemodynamic status. This action can buy time while awaiting surgical intervention
and help counteract the effects of blood loss.
, 4
---
### Question 4:
A heparin infusion is prescribed for a client who weighs 220 pounds. After administering a bolus dose of 80
units/kg, the nurse calculates the infusion rate for the heparin solution as 1 8 units/kg/hour. The available
solution is Heparin Sodium 25,000 Units in 5/ Dextrose Injection 250 mL. The nurse should program the
infusion pump to deliver how many mL/hour?
1 st: Calculate the weight = 220/2.2 = 1 00kg
Then calculate total dose in units = 1 8 units x 1 00 kg = 1 800 units/hr
Available: 25,000 units in 250 mL
**Answer:**** 1 8 mL/hr
**Explanation:**
To find the appropriate rate for the heparin infusion, the nurse first converted the client's weight from
pounds to kilograms (220 lbs / 2.2 = 1 00 kg). The desired dose is then calculated (1 8 units/kg/hour x 1 00 kg
= 1 800 units/hour). Next, the nurse must set the infusion pump correctly. Since the drug concentration
indicates 25,000 units in 250 mL, the nurse can use a proportion to find out how mL/hour to administer:
(1 800 units/hour) x (250 mL/25,000 units) = 1 8 mL/hour.
This precise calculation ensures the client receives the correct therapeutic dosage of heparin, essential for
effective anticoagulation.
### 5
**Scenario:**
A 68-year-old male is admitted to the emergency department with exacerbation of chronic obstructive
pulmonary disease (COPD). He presents with dyspnea, a cough productive of green sputum, and
wheezing. The nurse notes that the patient has slight edema in the lower extremities and a history of
smoking.
HESI RN EXIT
V2 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 :
The nurse assumes care of a postoperative adult client with type 2 diabetes mellitus and learns that the
client has a current blood glucose level of 720 mg/dL. When assessing the client, what is the priority?
A. Assess for signs of fluid volume deficit
B. Observe wound drainage characteristics
C. Measure the level of acute pain
D. Determine when the client last ate
**Answer:**** A. Assess for signs of fluid volume deficit
**Explanation:**
In this scenario, the client's blood glucose level is significantly elevated (720 mg/dL), which is indicative of
severe hyperglycemia. In the context of diabetes, fluids can become severely depleted due to osmotic
diuresis, which can lead to a state of dehydration and fluid volume deficit. Therefore, assessing for signs of
fluid volume deficit is the priority because prompt identification of dehydration can prevent further
complications, such as acute kidney injury or shock. While other assessments are important, identifying the
status of fluid volume is critical to managing the client's hyperglycemic crisis.
### Question 2:
A male client tells the nurse that he is concerned that he may have a stomach ulcer because he is
experiencing heartburn and dull gnawing pain that is relieved when he eats. Which is the best response by
the nurse?
A. Encourage the client to obtain a complete physical exam since these symptoms are consistent with an
ulcer
B. Assure the client that his symptoms may only reflect reflux since ulcer pain is not relieved with food
C. Instruct the client that these mild symptoms can generally be controlled with antacids
D. Recommend the client increase his intake of fiber
**Answer:**** A. Encourage the client to obtain a complete physical exam since these symptoms are
consistent with an ulcer
, 3
**Explanation:**
The client's symptoms of heartburn and dull, gnawing pain relieved by eating are classic signs of a peptic
ulcer. The most appropriate response is to encourage the client to seek a medical evaluation. While
reassuring the client may seem comforting, it is essential to acknowledge that symptoms consistent with
potential ulcers demand further evaluation by a healthcare professional to confirm the diagnosis and initiate
appropriate treatment. This ensures that the underlying cause is properly addressed, especially given the
seriousness of potential gastric conditions.
'''
### Question 3:
A male client with stomach cancer returns to the unit following a total gastrectomy. He has a nasogastric
tube to suction and is receiving Lactated Ringer's solution at 75 mL/hr IV. One hour after admission to the
unit, the nurse notes 300mL of blood in the suction canister, the client's heart rate is 1 55 beats/minute, and
his blood pressure is 78/48 mmHg. In addition to reporting the findings to the surgeon, which action should
the nurse implement first?
A. Measure and document the client's urine output
B. Increase the infusion rate of Lactated Ringer's solution
C. Prepare to administer a blood transfusion
D. Assess the client's level of consciousness
**Answer:**** B. Increase the infusion rate of Lactated Ringer's solution
**Explanation:**
In this situation, the client exhibits signs of hypovolemic shock, indicated by hypotension (78/48 mmHg) and
tachycardia (1 55 beats/minute). Immediate management requires restoring circulating volume, and
increasing the rate of Lactated Ringer's solution infusion can provide the necessary fluids to support blood
pressure and perfusion to vital organs. Although reporting to the surgeon is critical, the priority intervention
is to stabilize the client's hemodynamic status. This action can buy time while awaiting surgical intervention
and help counteract the effects of blood loss.
, 4
---
### Question 4:
A heparin infusion is prescribed for a client who weighs 220 pounds. After administering a bolus dose of 80
units/kg, the nurse calculates the infusion rate for the heparin solution as 1 8 units/kg/hour. The available
solution is Heparin Sodium 25,000 Units in 5/ Dextrose Injection 250 mL. The nurse should program the
infusion pump to deliver how many mL/hour?
1 st: Calculate the weight = 220/2.2 = 1 00kg
Then calculate total dose in units = 1 8 units x 1 00 kg = 1 800 units/hr
Available: 25,000 units in 250 mL
**Answer:**** 1 8 mL/hr
**Explanation:**
To find the appropriate rate for the heparin infusion, the nurse first converted the client's weight from
pounds to kilograms (220 lbs / 2.2 = 1 00 kg). The desired dose is then calculated (1 8 units/kg/hour x 1 00 kg
= 1 800 units/hour). Next, the nurse must set the infusion pump correctly. Since the drug concentration
indicates 25,000 units in 250 mL, the nurse can use a proportion to find out how mL/hour to administer:
(1 800 units/hour) x (250 mL/25,000 units) = 1 8 mL/hour.
This precise calculation ensures the client receives the correct therapeutic dosage of heparin, essential for
effective anticoagulation.
### 5
**Scenario:**
A 68-year-old male is admitted to the emergency department with exacerbation of chronic obstructive
pulmonary disease (COPD). He presents with dyspnea, a cough productive of green sputum, and
wheezing. The nurse notes that the patient has slight edema in the lower extremities and a history of
smoking.
