HESI RN exit exam for 2024 latest with correct questions and
answers top rate exam
A client is admitted with a diagnosis of schizophrenia. The client refuses to take medication and states "I
don't think I need those medications. They make me too sleepy and drowsy. I insist that you explain their
use and side effects." The nurse should understand that
A) A referral is needed to the psychiatrist who is to provide the client with answers
B) The client has a right to know about the prescribed medications
C) Such education is an independent decision of the individual nurse whether or not to teach clients
about their medications
D) Clients with schizophrenia are at a higher risk of psychosocial complications when they know about
their medication side effects - CORRECT ANSWER-B) The client has a right to know about the prescribed
medications
Which statement by the nurse is appropriate when asking an unlicensed assistive personnel (UAP) to
assist a 69 year-old surgical client to ambulate for the first time?
A) "Have the client sit on the side of the bed for at least 2 minutes before helping him stand."
B) "If the client is dizzy on standing, ask him to take some deep breaths."
C) "Assist the client to the bathroom at least twice on this shift."
D) "After you assist him to the chair, let me know how he feels." - CORRECT ANSWER-A) "Have the client
sit on the side of the bed for at least 2 minutes before helping him stand."
The nurse receives a report on an older adult client with middle stage dementia.What information
suggests the nurse should do immediate follow up rather than delegate care to the nursing assistant?
The client
A) Has had a change in respiratory rate by an increase of 2 breaths
B) Has had a change in heart rate by an increase of 10 beats
C) Was minimally responsive to voice and touch
D) Has had a blood pressure change by a drop in 8 mmHg systolic - CORRECT ANSWER-C) Was minimally
responsive to voice and touch
,The school nurse suspects that a third grade child might have Attention Deficit Hyperactivity Disorder.
Prior to referring the child for further evaluation, the nurse should
A) Observe the child's behavior on at least 2 occasions
B) Consult with the teacher about how to control impulsivity
C) Compile a history of behavior patterns and developmental accomplishments
D) Compare the child's behavior with classic signs and symptoms - CORRECT ANSWER-C) Compile a
history of behavior patterns and developmental accomplishments
Which of the actions suggested to the RN by the PN during a planning conference for a 10 month-old
infant admitted 2 hours ago with bacterial meningitis would be acceptable to add to the plan of care?
A) Measure head circumference
B) Place in airborne isolation
C) Provide passive range of motion
D) Provide an over-the-crib protective top - CORRECT ANSWER-A) Measure head circumference
A client is admitted with a diagnosis of hepatitis B. In reviewing the initial laboratory
results, the nurse would expect to find elevation in which of the following values?
A) Blood urea nitrogen
B) Acid phosphatase
C) Bilirubin
D) Sedimentation Rate - CORRECT ANSWER-C) Bilirubin
A client tells the nurse, "I have something very important to tell you if you promise not to tell." The best
response by the nurse is
A) "I must document and report any information."
B) "I can't make such a promise."
C) "That depends on what you tell me."
D) "I must report everything to the treatment team." - CORRECT ANSWER-C) Was minimally responsive
to voice and touch
,Which task could be safely delegated by the nurse to an unlicensed assistive personnel (UAP)?
A) Be with a client who self-administers insulin
B) Cleanse and dress a small decubitus ulcer
C) Monitor a client's response to passive range of motion exercises
D) Apply and care for a client's rectal pouch - CORRECT ANSWER-D) Apply and care for a client's rectal
pouch
A client asks the nurse to call the police and states: "I need to report that I am being abused by a nurse."
The nurse should first
A) Focus on reality orientation to place and person
B) Assist with the report of the client's complaint to the police
C) Obtain more details of the client's claim of abuse
D) Document the statement on the client's chart with a report to the manager - CORRECT ANSWER-C)
Obtain more details of the client's claim of abuse
In planning care for a 6 month-old infant, what must the nurse provide to assist in the development of
trust?
A) Food
B) Warmth
C) Security
D) Comfort - CORRECT ANSWER-C) Security
A nurse has just received a medication order which is not legible. Which statement best reflects assertive
communication?
A) "I cannot give this medication as it is written. I have no idea of what you mean."
B) "Would you please clarify what you have written so I am sure I am reading it
correctly?"
C) "I am having difficulty reading your handwriting. It would save me time if you would be more careful."
D) "Please print in the future so I do not have to spend extra time attempting to read your writing." -
CORRECT ANSWER-B) "Would you please clarify what you have written so I am sure I am reading it
correctly?"
, What is the most important consideration when teaching parents how to reduce risks in the home?
A) Age and knowledge level of the parents
B) Proximity to emergency services
C) Number of children in the home
D) Age of children in the home - CORRECT ANSWER-D) Age of children in the home
A 35 year-old client with sickle cell crisis is talking on the telephone but stops as the nurse enters the
room to request something for pain. The nurse should
A) Administer a placebo
B) Encourage increased fluid intake
C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control - CORRECT ANSWER-C) Administer the prescribed
analgesia
While caring for a toddler with croup, which initial sign of croup requires the nurse's immediate
attention?
A) Respiratory rate of 42
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions - CORRECT ANSWER-A) Respiratory rate of 42
A client is admitted with low T3 and T4 levels and an elevated TSH level. On initial assessment, the nurse
would anticipate which of the following assessment findings?
A) Lethargy
B) Heat intolerance
C) Diarrhea
D) Skin eruptions - CORRECT ANSWER-A) Lethargy
answers top rate exam
A client is admitted with a diagnosis of schizophrenia. The client refuses to take medication and states "I
don't think I need those medications. They make me too sleepy and drowsy. I insist that you explain their
use and side effects." The nurse should understand that
A) A referral is needed to the psychiatrist who is to provide the client with answers
B) The client has a right to know about the prescribed medications
C) Such education is an independent decision of the individual nurse whether or not to teach clients
about their medications
D) Clients with schizophrenia are at a higher risk of psychosocial complications when they know about
their medication side effects - CORRECT ANSWER-B) The client has a right to know about the prescribed
medications
Which statement by the nurse is appropriate when asking an unlicensed assistive personnel (UAP) to
assist a 69 year-old surgical client to ambulate for the first time?
A) "Have the client sit on the side of the bed for at least 2 minutes before helping him stand."
B) "If the client is dizzy on standing, ask him to take some deep breaths."
C) "Assist the client to the bathroom at least twice on this shift."
D) "After you assist him to the chair, let me know how he feels." - CORRECT ANSWER-A) "Have the client
sit on the side of the bed for at least 2 minutes before helping him stand."
The nurse receives a report on an older adult client with middle stage dementia.What information
suggests the nurse should do immediate follow up rather than delegate care to the nursing assistant?
The client
A) Has had a change in respiratory rate by an increase of 2 breaths
B) Has had a change in heart rate by an increase of 10 beats
C) Was minimally responsive to voice and touch
D) Has had a blood pressure change by a drop in 8 mmHg systolic - CORRECT ANSWER-C) Was minimally
responsive to voice and touch
,The school nurse suspects that a third grade child might have Attention Deficit Hyperactivity Disorder.
Prior to referring the child for further evaluation, the nurse should
A) Observe the child's behavior on at least 2 occasions
B) Consult with the teacher about how to control impulsivity
C) Compile a history of behavior patterns and developmental accomplishments
D) Compare the child's behavior with classic signs and symptoms - CORRECT ANSWER-C) Compile a
history of behavior patterns and developmental accomplishments
Which of the actions suggested to the RN by the PN during a planning conference for a 10 month-old
infant admitted 2 hours ago with bacterial meningitis would be acceptable to add to the plan of care?
A) Measure head circumference
B) Place in airborne isolation
C) Provide passive range of motion
D) Provide an over-the-crib protective top - CORRECT ANSWER-A) Measure head circumference
A client is admitted with a diagnosis of hepatitis B. In reviewing the initial laboratory
results, the nurse would expect to find elevation in which of the following values?
A) Blood urea nitrogen
B) Acid phosphatase
C) Bilirubin
D) Sedimentation Rate - CORRECT ANSWER-C) Bilirubin
A client tells the nurse, "I have something very important to tell you if you promise not to tell." The best
response by the nurse is
A) "I must document and report any information."
B) "I can't make such a promise."
C) "That depends on what you tell me."
D) "I must report everything to the treatment team." - CORRECT ANSWER-C) Was minimally responsive
to voice and touch
,Which task could be safely delegated by the nurse to an unlicensed assistive personnel (UAP)?
A) Be with a client who self-administers insulin
B) Cleanse and dress a small decubitus ulcer
C) Monitor a client's response to passive range of motion exercises
D) Apply and care for a client's rectal pouch - CORRECT ANSWER-D) Apply and care for a client's rectal
pouch
A client asks the nurse to call the police and states: "I need to report that I am being abused by a nurse."
The nurse should first
A) Focus on reality orientation to place and person
B) Assist with the report of the client's complaint to the police
C) Obtain more details of the client's claim of abuse
D) Document the statement on the client's chart with a report to the manager - CORRECT ANSWER-C)
Obtain more details of the client's claim of abuse
In planning care for a 6 month-old infant, what must the nurse provide to assist in the development of
trust?
A) Food
B) Warmth
C) Security
D) Comfort - CORRECT ANSWER-C) Security
A nurse has just received a medication order which is not legible. Which statement best reflects assertive
communication?
A) "I cannot give this medication as it is written. I have no idea of what you mean."
B) "Would you please clarify what you have written so I am sure I am reading it
correctly?"
C) "I am having difficulty reading your handwriting. It would save me time if you would be more careful."
D) "Please print in the future so I do not have to spend extra time attempting to read your writing." -
CORRECT ANSWER-B) "Would you please clarify what you have written so I am sure I am reading it
correctly?"
, What is the most important consideration when teaching parents how to reduce risks in the home?
A) Age and knowledge level of the parents
B) Proximity to emergency services
C) Number of children in the home
D) Age of children in the home - CORRECT ANSWER-D) Age of children in the home
A 35 year-old client with sickle cell crisis is talking on the telephone but stops as the nurse enters the
room to request something for pain. The nurse should
A) Administer a placebo
B) Encourage increased fluid intake
C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control - CORRECT ANSWER-C) Administer the prescribed
analgesia
While caring for a toddler with croup, which initial sign of croup requires the nurse's immediate
attention?
A) Respiratory rate of 42
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions - CORRECT ANSWER-A) Respiratory rate of 42
A client is admitted with low T3 and T4 levels and an elevated TSH level. On initial assessment, the nurse
would anticipate which of the following assessment findings?
A) Lethargy
B) Heat intolerance
C) Diarrhea
D) Skin eruptions - CORRECT ANSWER-A) Lethargy
