RN HESI EXIT EXAM Version 1 V1 All
160 Qs
LATEST ACTUAL EXAM WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+|
||PROFESSOR VERIFIED|| ||BRANDNEW!!!||
,1. The nurse is completing the admission 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)?
Answer / Options: O A Tachycardia and tachypnea. © 8 Sluggish and unequal pupillary resfonses.
O ¢c Increased head circumference and bulging fontanels. oO D Blood pressure fluctuations and
syncope. ,Acilent with acute pancreatitis is admitted with severe, piercing abdominai pain and an
elevaled serum amylase. Which additional information Is the clent moet! Abdominal pain decreases
when lying supine. Pain lasts an hour and leaves the abdomen tender. Right upper quadrant pain
refers to right scapula. Drinks alcoho! until intoxicated at least twice weekly. ents prior to discharge?
Instructions about how much fluid the child should drink daily. Signs of addiction to opioid pain
medications. Information about non-pharmaceutical pain relief measures. Referral for social services
for the child and family.
2. | To auscultate for a carotid bruit, the nurse places the stethoscoy location.) pe at what
location (Select the correct location on the image. To change, click on a new: #4: | placed
the Red dot on the base of the neck on the right side. :
Answer / Options: Verified correct answer marked in original screenshot (see options above)
3. a j After receiving report on an inpatient acute care unit, which client should the nurse
assess first?
Answer / Options: O A The ctient with an obstruction of the large intestine who is experiencing
abdominal distention. O B The client who had surgery yesterday and is experiencing a paralytic ileus
with absent bowel sounds. O 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. ee A teenager presents to the emergency department with
palpitations after vaping at a party. The client is anxious, fearful, and hyperventiatifig. 1 ‘anticipates
the client developing which acid base imbalance? Respiratory acidosis. - Metabolic alkalosis.
Metabolic acidosis. - Respiratory alkalosis.
4. ‘The nurse is taking the blood pressure measurement of a client with Parkinson's
disease. s Which information in the cllent’s admission ‘Wo the nurse's plan for taking the
blood pressure teading?
Answer / Options: (Select all that apply.) Frequent syncope. Occasional nocturia. Flat affect.
Blurred vision. Frequent drooling. ‘Wile caring for a client's postoperative dressing, the nurse
observes purulent drainage at the wound. athe nurse should review which of the client's laboratory
values? A Serum albumin. ® 8 Culture for sensitive organisms. Oe Serum blood glucose (BG) level.
Creatinine level.
, 5. ‘boy Is admitted to the pediatric unit following successful resuscitation from a
near-drowning incident. While providing care to the chil 0 ‘brother who rescued the child
from the swimming pool and Initiated resuscitation. The nurse notices the older boy
becomes withdrs Which action shoutd the nurse take?
Answer / Options: Develop a water safety teaching plan for the family. Ask the older brother how he
fest during the incident. Tell the older brother that he seems depressed. Commend the older brather
for his heroic actions.
6. Amale cient wilh cirrhosis has jaundice and pruritus. He tells the nurse that he has been
soaking in hot baths al night wilh no relief of his discomfort. Which actions take?
Answer / Options: | © A Encourage the client to use coolerlwater and apply calamine lotion after
soaking. O B Obtain a PRN prescription for an analgesic that the client can use for symptom relief. O
c Suggest that the client take brief showers and apply oil-based lotion after showering. | O D Explain
that the symptoms are caused by liver damage and cannot be relieved.
7. N), and heart failure (HF) arrives in the Emergency Departmant ( disease (CAD),
hypertension (HT t ‘ eutic response to furosemide should the nurse expected in the: An
older client with a tong history of coronary artery bes furosemide {V. Which therap
respiratory distress. The healthcare provider prescri with acute HF?
Answer / Options: oO A increased cardiac contractility. @® ——Reduced pretiad. O Cc Relaxed
vascular tone. O D Decreased afterload.
8. Which intervention should the nurse include in the pian of care for a child with tetanus?
Answer / Options: OC A Encourage coughing and deep breathing. @) B Minimize the amount of
stinkuli in the room. QO C Reposition from side to side every hour. CQ D Open window shades to
provide natural light.
9. An adolescent who was diagnosed with diabetes mellitus Type 1 at the age of 9, is
admitted to the hospital in diabetic ketoacidosis. Which % most likely cause of the
ketoacidosis?
Answer / Options: O A Ate an extra peanut butter sandwich before gym class. Os Incorrectly
administered too much insulin. © Cc Had a cold and ear injaction for the past two days. oO BD
Skipped eating lunch.
10. Aciient with a prescription for “do not resuscifate" (DNR) begins to manifest signs of
impending death. After notifying the family of the client's status, what priority action should
the , nurse implement?
160 Qs
LATEST ACTUAL EXAM WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+|
||PROFESSOR VERIFIED|| ||BRANDNEW!!!||
,1. The nurse is completing the admission 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)?
Answer / Options: O A Tachycardia and tachypnea. © 8 Sluggish and unequal pupillary resfonses.
O ¢c Increased head circumference and bulging fontanels. oO D Blood pressure fluctuations and
syncope. ,Acilent with acute pancreatitis is admitted with severe, piercing abdominai pain and an
elevaled serum amylase. Which additional information Is the clent moet! Abdominal pain decreases
when lying supine. Pain lasts an hour and leaves the abdomen tender. Right upper quadrant pain
refers to right scapula. Drinks alcoho! until intoxicated at least twice weekly. ents prior to discharge?
Instructions about how much fluid the child should drink daily. Signs of addiction to opioid pain
medications. Information about non-pharmaceutical pain relief measures. Referral for social services
for the child and family.
2. | To auscultate for a carotid bruit, the nurse places the stethoscoy location.) pe at what
location (Select the correct location on the image. To change, click on a new: #4: | placed
the Red dot on the base of the neck on the right side. :
Answer / Options: Verified correct answer marked in original screenshot (see options above)
3. a j After receiving report on an inpatient acute care unit, which client should the nurse
assess first?
Answer / Options: O A The ctient with an obstruction of the large intestine who is experiencing
abdominal distention. O B The client who had surgery yesterday and is experiencing a paralytic ileus
with absent bowel sounds. O 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. ee A teenager presents to the emergency department with
palpitations after vaping at a party. The client is anxious, fearful, and hyperventiatifig. 1 ‘anticipates
the client developing which acid base imbalance? Respiratory acidosis. - Metabolic alkalosis.
Metabolic acidosis. - Respiratory alkalosis.
4. ‘The nurse is taking the blood pressure measurement of a client with Parkinson's
disease. s Which information in the cllent’s admission ‘Wo the nurse's plan for taking the
blood pressure teading?
Answer / Options: (Select all that apply.) Frequent syncope. Occasional nocturia. Flat affect.
Blurred vision. Frequent drooling. ‘Wile caring for a client's postoperative dressing, the nurse
observes purulent drainage at the wound. athe nurse should review which of the client's laboratory
values? A Serum albumin. ® 8 Culture for sensitive organisms. Oe Serum blood glucose (BG) level.
Creatinine level.
, 5. ‘boy Is admitted to the pediatric unit following successful resuscitation from a
near-drowning incident. While providing care to the chil 0 ‘brother who rescued the child
from the swimming pool and Initiated resuscitation. The nurse notices the older boy
becomes withdrs Which action shoutd the nurse take?
Answer / Options: Develop a water safety teaching plan for the family. Ask the older brother how he
fest during the incident. Tell the older brother that he seems depressed. Commend the older brather
for his heroic actions.
6. Amale cient wilh cirrhosis has jaundice and pruritus. He tells the nurse that he has been
soaking in hot baths al night wilh no relief of his discomfort. Which actions take?
Answer / Options: | © A Encourage the client to use coolerlwater and apply calamine lotion after
soaking. O B Obtain a PRN prescription for an analgesic that the client can use for symptom relief. O
c Suggest that the client take brief showers and apply oil-based lotion after showering. | O D Explain
that the symptoms are caused by liver damage and cannot be relieved.
7. N), and heart failure (HF) arrives in the Emergency Departmant ( disease (CAD),
hypertension (HT t ‘ eutic response to furosemide should the nurse expected in the: An
older client with a tong history of coronary artery bes furosemide {V. Which therap
respiratory distress. The healthcare provider prescri with acute HF?
Answer / Options: oO A increased cardiac contractility. @® ——Reduced pretiad. O Cc Relaxed
vascular tone. O D Decreased afterload.
8. Which intervention should the nurse include in the pian of care for a child with tetanus?
Answer / Options: OC A Encourage coughing and deep breathing. @) B Minimize the amount of
stinkuli in the room. QO C Reposition from side to side every hour. CQ D Open window shades to
provide natural light.
9. An adolescent who was diagnosed with diabetes mellitus Type 1 at the age of 9, is
admitted to the hospital in diabetic ketoacidosis. Which % most likely cause of the
ketoacidosis?
Answer / Options: O A Ate an extra peanut butter sandwich before gym class. Os Incorrectly
administered too much insulin. © Cc Had a cold and ear injaction for the past two days. oO BD
Skipped eating lunch.
10. Aciient with a prescription for “do not resuscifate" (DNR) begins to manifest signs of
impending death. After notifying the family of the client's status, what priority action should
the , nurse implement?
