HESI Exit V1 Exam with NGN Questions and Answers
(Verified by Expert)
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 pres- sure (ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope
ANS B. Sluggish and unequal pupillary responses
2. A client with acute pancreatitis is admitted with severe, piercing abdominal pain and
an elevated serum amylase. Which additional information is the client most likely to
report to the nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly.
ANS A. Abdominal pain decreases when lying supine
,3. A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the
hospital. Which information is most important for the nurse to provide the parents prior
to discharge?
A. Instructions about how much fluid the child should drink daily.
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family
ANS A. Instructions about how much fluid the child should drink daily
4. To auscultate for a carotid bruit, the nurse places the stethoscope at what location.
(Select the location on the image with a red dot).
ANS I placed the red dot on the base of the neck on the right side
5. After receiving report on an inpatient acute care unit, which client should the nurse
assess first?
A. The client with an obstruction of the large intestine who is experiencing
abdominal distention
B. The client who had surgery yesterday and is experiencing a paralytic ileus with
absent bowel sounds
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 ANS D. The client with a bowel obstruction due to a volvulus who is experiencing
abdominal rigidity
, 6. A teenager presents to the emergency department with palpitations after vaping at a
party. The client is anxious, fearful, and hyperventilating. The nurse anticipates the client
developing which acid base imbalance?
A. Respiratory acidosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory alkalosis
ANS D. Respiratory alkalosis
7. A client with dyspnea is being admitted to the medical unit. To best prepare for the
client's arrival, the nurse should ensure that the client's bed is in which position?
A. Supine
B. supine; feet elevated higher than head
C. supine; head elevated higher than feet
D. Fowlers ANS Fowlers
8. The nurse is taking the blood pressure measurement of a client with Parkin- son's
disease. Which information in the client's admission assessment is relevant to the
nurse's plan for taking the blood pressure reading? (Select all the apply)
A. Frequent syncope
B. Occasional nocturia
C. Flat affect
D. Blurred vision
E. Frequent drooling
(Verified by Expert)
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 pres- sure (ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope
ANS B. Sluggish and unequal pupillary responses
2. A client with acute pancreatitis is admitted with severe, piercing abdominal pain and
an elevated serum amylase. Which additional information is the client most likely to
report to the nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly.
ANS A. Abdominal pain decreases when lying supine
,3. A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the
hospital. Which information is most important for the nurse to provide the parents prior
to discharge?
A. Instructions about how much fluid the child should drink daily.
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family
ANS A. Instructions about how much fluid the child should drink daily
4. To auscultate for a carotid bruit, the nurse places the stethoscope at what location.
(Select the location on the image with a red dot).
ANS I placed the red dot on the base of the neck on the right side
5. After receiving report on an inpatient acute care unit, which client should the nurse
assess first?
A. The client with an obstruction of the large intestine who is experiencing
abdominal distention
B. The client who had surgery yesterday and is experiencing a paralytic ileus with
absent bowel sounds
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 ANS D. The client with a bowel obstruction due to a volvulus who is experiencing
abdominal rigidity
, 6. A teenager presents to the emergency department with palpitations after vaping at a
party. The client is anxious, fearful, and hyperventilating. The nurse anticipates the client
developing which acid base imbalance?
A. Respiratory acidosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory alkalosis
ANS D. Respiratory alkalosis
7. A client with dyspnea is being admitted to the medical unit. To best prepare for the
client's arrival, the nurse should ensure that the client's bed is in which position?
A. Supine
B. supine; feet elevated higher than head
C. supine; head elevated higher than feet
D. Fowlers ANS Fowlers
8. The nurse is taking the blood pressure measurement of a client with Parkin- son's
disease. Which information in the client's admission assessment is relevant to the
nurse's plan for taking the blood pressure reading? (Select all the apply)
A. Frequent syncope
B. Occasional nocturia
C. Flat affect
D. Blurred vision
E. Frequent drooling
