2024 HESI RN EXIT VERSION 1 ACTUAL FINAL
EXAM WITH REAL QUESTIONS AND WELL
VERIFIED CORRECT ANSWERS [ALREADY
GRADED A+] //HESI EXIT EXAM LATEST
VERSION 2024-2025 //GURANTEED PASS!!
A client with a hx of asthma and bronchitis arrives at the clinic with SOB,
productive cough with thickened tenacious mucous and the inability to walk
up a flight of stairs without experiencing breathlessness. Which action is
important for the nurse to instruct the client about self-care? - ANSWER-
Increase the daily intake of oral fluids to liquefy secretions
The nurse educator is conducting a class for unlicensed assistive
personnel. Which action indicates the UAP understands gloving
procedures? - ANSWER-Puts on new gloves when entering a room
The nurse is planning care for a group of clients during the night shift on a
medical unit. Which client should be assessed regularly during the night for
sleep apnea? - ANSWER-An older male with multiple problems including
obesity, diabetes, and hypertension
A six-month-old returns from surgery with elbow restraints in place. What
nursing intervention should be included when caring for any restrained
,child? - ANSWER-remove restraints one at a time and provide range of
motion exercise
A two-year-old with Down Syndrome is brought to the clinic for his regular
physical exam. The nurse knows which problem is frequently associated
with Down Syndrome? - ANSWER-Congenital Heart Disease
When assessing a child with asthma the nurse should expect intercostal
retractions during - ANSWER-inspiration
When planning the care for a child who has had a cleft lip repair, the nurse
knows that crying should be minimized because it - ANSWER-stresses the
suture line
A client with a productive cough has obtained a sputum specimen for
culture as instructed. What action is the best initial nursing action? -
ANSWER-Administer the first dose of prescribed antibiotic therapy
It is most important for the nurse to recalculate the Braden Scale for a client
who has developed which problem? - ANSWER-urinary incontinence
A male client with a sprained ankle is seen at the clinic and is given a pair
of crutches. When the client stands with the aid of the crutches the nurse
notes a space of three finger widths between the top of the crutch and the
clients axilla. What action should the nurse take? - ANSWER-Proceed with
teaching the client how to walk with crutches
A cardiac catherization of a client with heart disease indicates the following
blockages 95% LAD 99% proximal circumflex and 95% proximal RCA. The
client later asks the nurse "what does all that mean for me" - ANSWER-3
main arteries have major blockages with only 1 to 5% of blood flow getting
through to the heart muscle
,The nurse is caring for a client with a lower left pulmonary abscess which
position should the nurse instruct the client to maintain - ANSWER-left
lateral
A client with cholelithiasis has a gallstone lodged in the common bile duct
and is unable to eat or drink without nausea and vomiting. Which finding
should the nurse report to the healthcare provider - ANSWER-yellow sclera
While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the
nurse performs a neuro assessment every 4 hours. which assessment
finding warrants immediate intervention by the nurse? - ANSWER-
Increasing Anxiety
The nurse is providing preoperative education for a Jewish client scheduled
to receive a xenograft to promote burn healing. Which info should the nurse
provide this client? - ANSWER-The xenograft is taken from nonhuman
sources
A male client who had colon surgery 3 days ago is anxious and requests
assistance to reposition. The wound dehiscence and eviscerates. The
nurse moistens an available sterile dressing and places it over the wound
which intervention should the nurse implement next? - ANSWER-prepare
the client to return to the operating room
An older adult male is admitted with complications related to COPD. He
reports progressive dyspnea that worsens on exertion and his weakness
has increased over the past month. The nurse notes the he has dependent
edema in both lower legs. Based on these findings which dietary instruction
should the nurse provide? - ANSWER-Restrict daily fluid intake
, A client with coronary artery disease who is experiencing syncopal
episodes is admitted for an electrophysiology study (EPS) and possible
cardiac ablation therapy. Which intervention should the nurse delegate to
the unlicensed assistive personnel? - ANSWER-Prepare the skin for
procedure
Following an outbreak of measles involving 5 students in an elementary
school, which action is most important for the school nurse to take? -
ANSWER-Restrict unvaccinated children from attending school until
measles outbreak is resolved.
A preeclamptic client how delivered 24 hrs ago remains in the labor and
delivery recovery room. She continues to receive magnesium sulfate at 2
grams per hour. Her total input is limited to 125 ml per hour, and her urinary
output for the last hour was 850ml. What intervention should the nurse
implement? - ANSWER-Continue with the plan of care for this client
The nurse is planning care for a client who admits having suicidal thoughts.
Which client behavior indicates the highest risk for the client acting on
these suicidal thoughts - ANSWER-Begins to show signs of improvement in
affect
The nurse is giving preop instructions to a 14 yr old scheduled to correct a
spinal curvature. Which statement best demonstrates that learning has
taken place? - ANSWER-I understand I will be in a body cast and I will
show you how you taught me to turn
To take the vital signs of a 4-month-old child which order will give the most
accurate results? - ANSWER-Respiratory rate, heart rate, rectal
temperature
AN otoscope exam of a child's ear reveals a tympanic membrane that is
pearly gray, slightly bulging and not movable. What action should the nurse
EXAM WITH REAL QUESTIONS AND WELL
VERIFIED CORRECT ANSWERS [ALREADY
GRADED A+] //HESI EXIT EXAM LATEST
VERSION 2024-2025 //GURANTEED PASS!!
A client with a hx of asthma and bronchitis arrives at the clinic with SOB,
productive cough with thickened tenacious mucous and the inability to walk
up a flight of stairs without experiencing breathlessness. Which action is
important for the nurse to instruct the client about self-care? - ANSWER-
Increase the daily intake of oral fluids to liquefy secretions
The nurse educator is conducting a class for unlicensed assistive
personnel. Which action indicates the UAP understands gloving
procedures? - ANSWER-Puts on new gloves when entering a room
The nurse is planning care for a group of clients during the night shift on a
medical unit. Which client should be assessed regularly during the night for
sleep apnea? - ANSWER-An older male with multiple problems including
obesity, diabetes, and hypertension
A six-month-old returns from surgery with elbow restraints in place. What
nursing intervention should be included when caring for any restrained
,child? - ANSWER-remove restraints one at a time and provide range of
motion exercise
A two-year-old with Down Syndrome is brought to the clinic for his regular
physical exam. The nurse knows which problem is frequently associated
with Down Syndrome? - ANSWER-Congenital Heart Disease
When assessing a child with asthma the nurse should expect intercostal
retractions during - ANSWER-inspiration
When planning the care for a child who has had a cleft lip repair, the nurse
knows that crying should be minimized because it - ANSWER-stresses the
suture line
A client with a productive cough has obtained a sputum specimen for
culture as instructed. What action is the best initial nursing action? -
ANSWER-Administer the first dose of prescribed antibiotic therapy
It is most important for the nurse to recalculate the Braden Scale for a client
who has developed which problem? - ANSWER-urinary incontinence
A male client with a sprained ankle is seen at the clinic and is given a pair
of crutches. When the client stands with the aid of the crutches the nurse
notes a space of three finger widths between the top of the crutch and the
clients axilla. What action should the nurse take? - ANSWER-Proceed with
teaching the client how to walk with crutches
A cardiac catherization of a client with heart disease indicates the following
blockages 95% LAD 99% proximal circumflex and 95% proximal RCA. The
client later asks the nurse "what does all that mean for me" - ANSWER-3
main arteries have major blockages with only 1 to 5% of blood flow getting
through to the heart muscle
,The nurse is caring for a client with a lower left pulmonary abscess which
position should the nurse instruct the client to maintain - ANSWER-left
lateral
A client with cholelithiasis has a gallstone lodged in the common bile duct
and is unable to eat or drink without nausea and vomiting. Which finding
should the nurse report to the healthcare provider - ANSWER-yellow sclera
While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the
nurse performs a neuro assessment every 4 hours. which assessment
finding warrants immediate intervention by the nurse? - ANSWER-
Increasing Anxiety
The nurse is providing preoperative education for a Jewish client scheduled
to receive a xenograft to promote burn healing. Which info should the nurse
provide this client? - ANSWER-The xenograft is taken from nonhuman
sources
A male client who had colon surgery 3 days ago is anxious and requests
assistance to reposition. The wound dehiscence and eviscerates. The
nurse moistens an available sterile dressing and places it over the wound
which intervention should the nurse implement next? - ANSWER-prepare
the client to return to the operating room
An older adult male is admitted with complications related to COPD. He
reports progressive dyspnea that worsens on exertion and his weakness
has increased over the past month. The nurse notes the he has dependent
edema in both lower legs. Based on these findings which dietary instruction
should the nurse provide? - ANSWER-Restrict daily fluid intake
, A client with coronary artery disease who is experiencing syncopal
episodes is admitted for an electrophysiology study (EPS) and possible
cardiac ablation therapy. Which intervention should the nurse delegate to
the unlicensed assistive personnel? - ANSWER-Prepare the skin for
procedure
Following an outbreak of measles involving 5 students in an elementary
school, which action is most important for the school nurse to take? -
ANSWER-Restrict unvaccinated children from attending school until
measles outbreak is resolved.
A preeclamptic client how delivered 24 hrs ago remains in the labor and
delivery recovery room. She continues to receive magnesium sulfate at 2
grams per hour. Her total input is limited to 125 ml per hour, and her urinary
output for the last hour was 850ml. What intervention should the nurse
implement? - ANSWER-Continue with the plan of care for this client
The nurse is planning care for a client who admits having suicidal thoughts.
Which client behavior indicates the highest risk for the client acting on
these suicidal thoughts - ANSWER-Begins to show signs of improvement in
affect
The nurse is giving preop instructions to a 14 yr old scheduled to correct a
spinal curvature. Which statement best demonstrates that learning has
taken place? - ANSWER-I understand I will be in a body cast and I will
show you how you taught me to turn
To take the vital signs of a 4-month-old child which order will give the most
accurate results? - ANSWER-Respiratory rate, heart rate, rectal
temperature
AN otoscope exam of a child's ear reveals a tympanic membrane that is
pearly gray, slightly bulging and not movable. What action should the nurse
