HESI EXIT RN EXAM – VERSION 1
Study Guide & Test Bank
Colored Edition • Numbered Questions • Verified Answers • No Year
This edition contains Version 1 only – with attractive colors, sequentially numbered for easy revision.
QUESTION 1
Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink
plenty of
dairy products, such as milk, to help coat and protect his ulcer. What is the best follow-up action
by the
nurse?
✓ Answer: Review with the client the need to avoid foods that are rich in milk and cream
QUESTION 2
A male client with hypertension, who received new antihypertensive prescriptions at his last visit
returns to
the clinic two weeks later to evaluate his blood pressure (BP). His BP is 158/106 and he admits
that he has
not been taking the prescribed medication because the drugs make him “feel bad”. In explaining
the need for
hypertension control, the nurse should stress that an elevated BP places the client at risk for
which
pathophysiological condition?
✓ Answer: Stroke secondary to hemorrhage
✓ Answer: The nurse observes an unlicensed assistive personnel (UAP) positioning a newly admitted
client who has a
seizure disorder. The client is supine and the UAP is placing soft pillows along the side rails. What action
should the nurse implement?
An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for the past 12 days.
Which
assessment finding requires immediate follow-up?
✓ Answer: Describes life without purpose
QUESTION 3
A 60-year-old female client with a positive family history of ovarian cancer has developed an
abdominal
mass and is being evaluated for possible ovarian cancer. Her Papanicolau (Pap) smear results
are negative.
What information should the nurse include in the client’s teaching plan?
✓ Answer: Further evaluation involving surgery may be needed
,QUESTION 4
A client who recently underwear a tracheostomy is being prepared for discharge to home. Which
instructions is most important for the nurse to include in the discharge plan?
✓ Answer: Teach tracheal suctioning techniques
QUESTION 5
In assessing an adult client with a partial rebreather mask, the nurse notes that the oxygen
reservoir bag does not deflate completely during inspiration and the client’s respiratory rate is
14
breaths / minute. What action should the nurse implement?
✓ Answer: Document the assessment data
■ Rationale: Rational: reservoir bag should not deflate completely during inspiration and the client’s
respiratory rate is within normal limits.
QUESTION 6
During shift report, the central electrocardiogram (EKG) monitoring system alarms. Which client
alarm
should the nurse investigate firs?
✓ Answer: Respiratory apnea of 30 seconds
QUESTION 7
During a home visit, the nurse observed an elderly client with diabetes slip and fall. What action
should
the nurse take first?
✓ Answer: Check the client for lacerations or fractures
QUESTION 8
At 0600 while admitting a woman for a schedule repeat cesarean section (C-Section), the client
tells the
nurse that she drank a cup a coffee at 0400 because she wanted to avoid getting a headache.
Which action
should the nurse take first?
✓ Answer: Inform the anesthesia care provider
QUESTION 9
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 heart
sounds. To
determine if an S3 heart sound is present, what action should the nurse take first?
✓ Answer: Listen with the bell at the same location
, QUESTION 10
A 66-year-old woman is retiring and will no longer have a health insurance through her place of
employment. Which agency should the client be referred to by the employee health nurse for
health
insurance needs?
✓ Answer: Medicare
QUESTION 11
A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset. What
snack
should the nurse instruct the client to take with the tetracycline?
✓ Answer: Toasted wheat bread and jelly
QUESTION 12
Following a lumbar puncture, a client voices several complaints. What complaint indicated to the
nurse
that the client is experiencing a complication?
✓ Answer: “I
have
a
headache
that
gets
worse
when
I
sit
up”
✓ Answer: “I am having pain in my lower back when I move my legs”
✓ Answer: “My throat hurts when I swallow”
✓ Answer: “I feel sick to my stomach and am going to throw up”
QUESTION 13
An elderly client seems confused and reports the onset of nausea, dysuria, and urgency with
incontinence. Which action should the nurse implement?
✓ Answer: Obtain a clean catch mid-stream specimen
QUESTION 14
The nurse is assisting the mother of a child with phenylketonuria (PKU) to select foods that are
in keeping
with the child’s dietary restrictions. Which foods are contraindicated for this child?
Study Guide & Test Bank
Colored Edition • Numbered Questions • Verified Answers • No Year
This edition contains Version 1 only – with attractive colors, sequentially numbered for easy revision.
QUESTION 1
Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink
plenty of
dairy products, such as milk, to help coat and protect his ulcer. What is the best follow-up action
by the
nurse?
✓ Answer: Review with the client the need to avoid foods that are rich in milk and cream
QUESTION 2
A male client with hypertension, who received new antihypertensive prescriptions at his last visit
returns to
the clinic two weeks later to evaluate his blood pressure (BP). His BP is 158/106 and he admits
that he has
not been taking the prescribed medication because the drugs make him “feel bad”. In explaining
the need for
hypertension control, the nurse should stress that an elevated BP places the client at risk for
which
pathophysiological condition?
✓ Answer: Stroke secondary to hemorrhage
✓ Answer: The nurse observes an unlicensed assistive personnel (UAP) positioning a newly admitted
client who has a
seizure disorder. The client is supine and the UAP is placing soft pillows along the side rails. What action
should the nurse implement?
An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for the past 12 days.
Which
assessment finding requires immediate follow-up?
✓ Answer: Describes life without purpose
QUESTION 3
A 60-year-old female client with a positive family history of ovarian cancer has developed an
abdominal
mass and is being evaluated for possible ovarian cancer. Her Papanicolau (Pap) smear results
are negative.
What information should the nurse include in the client’s teaching plan?
✓ Answer: Further evaluation involving surgery may be needed
,QUESTION 4
A client who recently underwear a tracheostomy is being prepared for discharge to home. Which
instructions is most important for the nurse to include in the discharge plan?
✓ Answer: Teach tracheal suctioning techniques
QUESTION 5
In assessing an adult client with a partial rebreather mask, the nurse notes that the oxygen
reservoir bag does not deflate completely during inspiration and the client’s respiratory rate is
14
breaths / minute. What action should the nurse implement?
✓ Answer: Document the assessment data
■ Rationale: Rational: reservoir bag should not deflate completely during inspiration and the client’s
respiratory rate is within normal limits.
QUESTION 6
During shift report, the central electrocardiogram (EKG) monitoring system alarms. Which client
alarm
should the nurse investigate firs?
✓ Answer: Respiratory apnea of 30 seconds
QUESTION 7
During a home visit, the nurse observed an elderly client with diabetes slip and fall. What action
should
the nurse take first?
✓ Answer: Check the client for lacerations or fractures
QUESTION 8
At 0600 while admitting a woman for a schedule repeat cesarean section (C-Section), the client
tells the
nurse that she drank a cup a coffee at 0400 because she wanted to avoid getting a headache.
Which action
should the nurse take first?
✓ Answer: Inform the anesthesia care provider
QUESTION 9
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 heart
sounds. To
determine if an S3 heart sound is present, what action should the nurse take first?
✓ Answer: Listen with the bell at the same location
, QUESTION 10
A 66-year-old woman is retiring and will no longer have a health insurance through her place of
employment. Which agency should the client be referred to by the employee health nurse for
health
insurance needs?
✓ Answer: Medicare
QUESTION 11
A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset. What
snack
should the nurse instruct the client to take with the tetracycline?
✓ Answer: Toasted wheat bread and jelly
QUESTION 12
Following a lumbar puncture, a client voices several complaints. What complaint indicated to the
nurse
that the client is experiencing a complication?
✓ Answer: “I
have
a
headache
that
gets
worse
when
I
sit
up”
✓ Answer: “I am having pain in my lower back when I move my legs”
✓ Answer: “My throat hurts when I swallow”
✓ Answer: “I feel sick to my stomach and am going to throw up”
QUESTION 13
An elderly client seems confused and reports the onset of nausea, dysuria, and urgency with
incontinence. Which action should the nurse implement?
✓ Answer: Obtain a clean catch mid-stream specimen
QUESTION 14
The nurse is assisting the mother of a child with phenylketonuria (PKU) to select foods that are
in keeping
with the child’s dietary restrictions. Which foods are contraindicated for this child?
