HESI RN EXIT EXAM-NEW FILE TESTED 2022
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1. The nurse admits a 7 year-old to the emergency room after a leg injury. The x-rays show a femur
fracture near the epiphysis. The parents ask what will be the outcome of this injury. The appropriate
response by the nurse should be which of these statements?
"In some instancesthe resultis a retarded bone growth."
2. A client has returned to the unit following a renal biopsy. Which of the following nursing interventions
is appropriate?
Monitor vital signs
3. A young adult seeks treatment in an outpatient mental health center. The client tells the nurse he is a
government official being followed by spies. On further questioning, he reveals that his warnings must
be heeded to prevent nuclear war. What is the most therapeutic approach by the nurse?
Listen quietly without comment
4. The nurse is administering an intravenous piggyback infusion of penicillin. Which of the following
client statements would require the nurse's immediate attention?
"I am itching all over."
5. A depressed client is experiencing severe insomnia. The health care provider orders trazadone
(Desyrel). The nurse tells the client to expect?
Relief of insomnia
6. The nurse is administering the initial total parenteral nutrition solution to a client. Which of
the following assessments requires the nurse's immediate attention?
, Blood glucose of 350 mg/dl
7. Which of the following classifications of medications would be most often used for clients with
schizophrenia?
Neuroleptics
8. The nurse is teaching administration of albuterol inhalation to an adult with asthma. Which of the
following demonstrates proper teaching?
"Notify the health care provider if you need the drug more often."
9. The nurse is caring for a client with Parkinson's disease who has developed hallucinations. Which
of the following medications that the client is receiving may have been a contributing factor?
L-Dopa
10. The nurse is administering albuterol (Proventil) to a child with asthma. Which of the following
assessments by the nurse indicate the need for an adjustment of the medication?
Apical Pulse of 112
11. A nurse manager is using the technique of brainstorming to help solve a problem. One
nurse criticizes another nurse’s contribution and begins to find objections to the
suggestion.
The nurse manager's best response is to Let’s move to the ‘what if…’ as related to these objections for
an exploration of spin off ideas.
12. When teaching a client about the use of sublingual nitroglycerin, the nurse should emphasize that
which of these is the most common side effect?
Headache
13. The home care nurse has been managing a client for 6 weeks. What is the best method to determine
the quality of care provided by a home health care aide assigned to assist with the care of this client?
, Determine if the home health aide's care is consistent with the plan of care
14. An RN from the women’s health clinic is temporarily reassigned to a medical-surgical unit. Which of
these client assignments would be most appropriate for this nurse?
A client from a motor vehicle accident with an external fixation device on the leg
15. A 25 year-old client, unresponsive after a motor vehicle accident, is being transferred from the
hospital to a long term care facility. To which o staff members should the charge nurse assign the client?
RN
16. A charge nurse working in a long term care facility is making out assignments. Which assignment to
an unlicensed assistive personnel (UAP), if made by the nurse, requires intervention by the supervisor?
Teaching a family intermittent (bolus) feedings via G-tube before discharge
17. Two people call in sick on the medical-surgical unit and no additional help is available. The team
consists of an RN, an LPN and an unlicensed assistive personnel (UAP). Which of these activities should
the nurse assign to the UAP?
Provide basic hygiene care to all clients on the unit
18. The measurement and documentation of vital signs is expected for clients in a long term facility.
Which staff type would it be a priority to delegate these tasks to?
Unlicensed assistive personnel (UAP)
19. During the care of a client with Legionnaire's disease, which finding would require the nurse's
immediate attention?
Decrease in chest wall expansion
20. The charge nurse on a cardiac step-down unit makes assignments for the team consisting of an RN, a
PN, and an unlicensed assistive person. Which client should be assigned to the PN?
A 58 year-old hypertensive with possible angina
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
1. The nurse admits a 7 year-old to the emergency room after a leg injury. The x-rays show a femur
fracture near the epiphysis. The parents ask what will be the outcome of this injury. The appropriate
response by the nurse should be which of these statements?
"In some instancesthe resultis a retarded bone growth."
2. A client has returned to the unit following a renal biopsy. Which of the following nursing interventions
is appropriate?
Monitor vital signs
3. A young adult seeks treatment in an outpatient mental health center. The client tells the nurse he is a
government official being followed by spies. On further questioning, he reveals that his warnings must
be heeded to prevent nuclear war. What is the most therapeutic approach by the nurse?
Listen quietly without comment
4. The nurse is administering an intravenous piggyback infusion of penicillin. Which of the following
client statements would require the nurse's immediate attention?
"I am itching all over."
5. A depressed client is experiencing severe insomnia. The health care provider orders trazadone
(Desyrel). The nurse tells the client to expect?
Relief of insomnia
6. The nurse is administering the initial total parenteral nutrition solution to a client. Which of
the following assessments requires the nurse's immediate attention?
, Blood glucose of 350 mg/dl
7. Which of the following classifications of medications would be most often used for clients with
schizophrenia?
Neuroleptics
8. The nurse is teaching administration of albuterol inhalation to an adult with asthma. Which of the
following demonstrates proper teaching?
"Notify the health care provider if you need the drug more often."
9. The nurse is caring for a client with Parkinson's disease who has developed hallucinations. Which
of the following medications that the client is receiving may have been a contributing factor?
L-Dopa
10. The nurse is administering albuterol (Proventil) to a child with asthma. Which of the following
assessments by the nurse indicate the need for an adjustment of the medication?
Apical Pulse of 112
11. A nurse manager is using the technique of brainstorming to help solve a problem. One
nurse criticizes another nurse’s contribution and begins to find objections to the
suggestion.
The nurse manager's best response is to Let’s move to the ‘what if…’ as related to these objections for
an exploration of spin off ideas.
12. When teaching a client about the use of sublingual nitroglycerin, the nurse should emphasize that
which of these is the most common side effect?
Headache
13. The home care nurse has been managing a client for 6 weeks. What is the best method to determine
the quality of care provided by a home health care aide assigned to assist with the care of this client?
, Determine if the home health aide's care is consistent with the plan of care
14. An RN from the women’s health clinic is temporarily reassigned to a medical-surgical unit. Which of
these client assignments would be most appropriate for this nurse?
A client from a motor vehicle accident with an external fixation device on the leg
15. A 25 year-old client, unresponsive after a motor vehicle accident, is being transferred from the
hospital to a long term care facility. To which o staff members should the charge nurse assign the client?
RN
16. A charge nurse working in a long term care facility is making out assignments. Which assignment to
an unlicensed assistive personnel (UAP), if made by the nurse, requires intervention by the supervisor?
Teaching a family intermittent (bolus) feedings via G-tube before discharge
17. Two people call in sick on the medical-surgical unit and no additional help is available. The team
consists of an RN, an LPN and an unlicensed assistive personnel (UAP). Which of these activities should
the nurse assign to the UAP?
Provide basic hygiene care to all clients on the unit
18. The measurement and documentation of vital signs is expected for clients in a long term facility.
Which staff type would it be a priority to delegate these tasks to?
Unlicensed assistive personnel (UAP)
19. During the care of a client with Legionnaire's disease, which finding would require the nurse's
immediate attention?
Decrease in chest wall expansion
20. The charge nurse on a cardiac step-down unit makes assignments for the team consisting of an RN, a
PN, and an unlicensed assistive person. Which client should be assigned to the PN?
A 58 year-old hypertensive with possible angina
