HESI RN EXIT 2023 VERSION 5 ACTUAL EXAM ALL 160
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
The nurse is providing teaching to a client with type 2 diabetes mellitus about
important points for disease and symptom management. Which statement by the
client indicates understanding?
A Using salt, herbs, and spices will improve the flavor of foods.
B Get an eye examination with an ophthalmologist annually.
C Arrange diet schedule around three regular meals a day.
D Inspect feet every month for ingrown nails, cuts, and calluses. - ANSWER: B Get an
eye examination with an ophthalmologist annually.
The nurse is providing education to a client who experiences recurrent levels of
moderate anxiety to situations and perceived stress. In addition to information
about prescribed medication and administration, which instruction should the nurse
include in the teaching?
A Center attention on positive upbeat music.
B Find outlets for more social interaction.
C Practice using muscle relaxation techniques.
D Think about reasons the episodes occur. - ANSWER: C Practice using muscle
relaxation techniques.
The charge nurse is planning for the shift and has a registered nurse (RN) and a
practical nurse (PN) on the team. Which client should the charge nurse assign to the
RN?
A A 75-year-old client with renal calculi who requires urine straining.
B A 64-year-old client who had a total hip replacement the previous day.
C A 30-year-old depressed client who admits to suicide ideation.
D An adolescent with multiple contusions due to a fall that occurred 2 days ago. -
ANSWER: C A 30-year-old depressed client who admits to suicide ideation.
A client with pancreatitis complains of severe epigastric pain, so the nurse
administers a prescribed narcotic analgesic. Ten minutes later, the client insists on
sitting up and leaning forward. Which intervention should the nurse implement?
A Raise head of bed until to a 90 degree angle.
B Position bedside table so the client can lean across it.
C Place bed in a reverse trendelenburg position.
D Encourage rest until the analgesic becomes effective. - ANSWER: B Position
bedside table so the client can lean across it.
,The nurse is caring for a client who arrives to the emergency department with
reports of experiencing dizziness and difficulty walking to the bathroom. The nurse
observes right-sided weakness and sluggish enunciation of speech. The nurse should
immediately take which action?
A Maintain elevated positioning of the dependent joints on affected side.
B Keep the bed in the lowest position and initiate seizure and fall precautions.
C Place an indwelling urinary catheter and measure strict intake and output.
D Start two large bore IV catheters and review inclusion criteria for IV fibrinolytic
therapy. - ANSWER: D Start two large bore IV catheters and review inclusion
criteria for IV fibrinolytic therapy.
A male client with a brain tumor is scheduled for a biopsy in the morning. During the
admission procedure, the client has a tonic-clonic seizure that lasts 50 seconds.
Following the seizure, the client is lethargic and confused and his wife tells the nurse
that her husband has never had a seizure before and has always been alert and
communicative. Which action should the nurse take?
A Ask the wife to wait outside the room until the nurse can talk with her.
B Keep orienting the client to time and space until he is less confused.
C Notify the emergency response team of the client's seizure.
D Explain the postictal state that usually follows seizures. - ANSWER: D Explain the
postictal state that usually follows seizures.
The nurse is providing lifestyle change education for a client to slow the progression
of coronary artery disease. Which statement(s)made by the client should the nurse
recognize as needing additional education? (Select all that apply.)
A Keep a food diary.
B Eat more canned vegetables.
C Consume foods with saturated fats.
D Walk 30 minutes per day.
E Include oatmeal for breakfast.
F Use a salt substitute. - ANSWER: B Eat more canned vegetables.
C Consume foods with saturated fats.
While caring for a toddler receiving oxygen via face mask, the nurse observes that
the child's lips and nares are dry and cracked. Which intervention should the nurse
implement?
A Use a water soluble lubricant on affected oral and nasal mucosa.
B Use a topical lidocaine analgesic for cracked lips.
C Ask the mother what she usually uses on the child's lips and nose.
D Apply a petroleum jelly to the child's nose and lips. - ANSWER: A Use a water
soluble lubricant on affected oral and nasal mucosa.
, When assessing a multigravida on the first postpartum day, the nurse finds a
moderate amount of lochia rubra, with the uterus firm, and three fingerbreadths
above the umbilicus. What action should the nurse implement first?
A Increase intravenous infusion.
B Massage the uterus to decrease atony.
C Review the hemoglobin to determine hemorrhage.
D Check for a distended bladder. - ANSWER: D Check for a distended bladder.
The nurse is caring for a client on the first day postoperative for a descending aortic
aneurysm repair. Which assessment finding should the nurse prioritize reporting to
the healthcare provider?
Reference Range
Potassium (Reference Range: 3.5 to 5 mEq/L (3.5 to 5 mmol/L)]
A Serum potassium 4.8 mEg/L (4.8 mmol/L).
B Electrocardiogram ST segment elevation.
C Urine output 30 mL/hour.
D Blood pressure 130/80. - ANSWER: B Electrocardiogram ST segment elevation.
The healthcare provider prescribes a low-fiber diet for a client with ulcerative colitis.
Which food selection indicate to the nurse that the
client understand the prescribed diet?
A Roast pork, fresh strawberries.
B Baked potato with skin, raw carrots.
C Roasted turkey, canned vegetables.
D Pancakes, whole-grain cereals. - ANSWER: C Roasted turkey, canned vegetables.
The psychiatric nurse is caring for clients in an adolescent unit. Which client requires
the nurse's immediate attention?
A An 18-year-old client with antisocial behavior who is being yelled at by other
clients.
B A 17-year-old client diagnosed with bipolar disorder who is pacing around the
lobby.
C A 16-year-old client diagnosed with major depression who refuses to participate in
a group.
D A 14-year-old client with anorexia nervosa who is refusing to eat the evening
snack. - ANSWER: A An 18-year-old client with antisocial behavior who is being yelled
at by other clients.
A client recovering from pneumonia who has a history of severe chronic obstructive
pulmonary disease (COPD) and peripheral vascular disease (PVD) is being discharged
from a skilled nursing facility. Which action is most important for the nurse to
implement?
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
The nurse is providing teaching to a client with type 2 diabetes mellitus about
important points for disease and symptom management. Which statement by the
client indicates understanding?
A Using salt, herbs, and spices will improve the flavor of foods.
B Get an eye examination with an ophthalmologist annually.
C Arrange diet schedule around three regular meals a day.
D Inspect feet every month for ingrown nails, cuts, and calluses. - ANSWER: B Get an
eye examination with an ophthalmologist annually.
The nurse is providing education to a client who experiences recurrent levels of
moderate anxiety to situations and perceived stress. In addition to information
about prescribed medication and administration, which instruction should the nurse
include in the teaching?
A Center attention on positive upbeat music.
B Find outlets for more social interaction.
C Practice using muscle relaxation techniques.
D Think about reasons the episodes occur. - ANSWER: C Practice using muscle
relaxation techniques.
The charge nurse is planning for the shift and has a registered nurse (RN) and a
practical nurse (PN) on the team. Which client should the charge nurse assign to the
RN?
A A 75-year-old client with renal calculi who requires urine straining.
B A 64-year-old client who had a total hip replacement the previous day.
C A 30-year-old depressed client who admits to suicide ideation.
D An adolescent with multiple contusions due to a fall that occurred 2 days ago. -
ANSWER: C A 30-year-old depressed client who admits to suicide ideation.
A client with pancreatitis complains of severe epigastric pain, so the nurse
administers a prescribed narcotic analgesic. Ten minutes later, the client insists on
sitting up and leaning forward. Which intervention should the nurse implement?
A Raise head of bed until to a 90 degree angle.
B Position bedside table so the client can lean across it.
C Place bed in a reverse trendelenburg position.
D Encourage rest until the analgesic becomes effective. - ANSWER: B Position
bedside table so the client can lean across it.
,The nurse is caring for a client who arrives to the emergency department with
reports of experiencing dizziness and difficulty walking to the bathroom. The nurse
observes right-sided weakness and sluggish enunciation of speech. The nurse should
immediately take which action?
A Maintain elevated positioning of the dependent joints on affected side.
B Keep the bed in the lowest position and initiate seizure and fall precautions.
C Place an indwelling urinary catheter and measure strict intake and output.
D Start two large bore IV catheters and review inclusion criteria for IV fibrinolytic
therapy. - ANSWER: D Start two large bore IV catheters and review inclusion
criteria for IV fibrinolytic therapy.
A male client with a brain tumor is scheduled for a biopsy in the morning. During the
admission procedure, the client has a tonic-clonic seizure that lasts 50 seconds.
Following the seizure, the client is lethargic and confused and his wife tells the nurse
that her husband has never had a seizure before and has always been alert and
communicative. Which action should the nurse take?
A Ask the wife to wait outside the room until the nurse can talk with her.
B Keep orienting the client to time and space until he is less confused.
C Notify the emergency response team of the client's seizure.
D Explain the postictal state that usually follows seizures. - ANSWER: D Explain the
postictal state that usually follows seizures.
The nurse is providing lifestyle change education for a client to slow the progression
of coronary artery disease. Which statement(s)made by the client should the nurse
recognize as needing additional education? (Select all that apply.)
A Keep a food diary.
B Eat more canned vegetables.
C Consume foods with saturated fats.
D Walk 30 minutes per day.
E Include oatmeal for breakfast.
F Use a salt substitute. - ANSWER: B Eat more canned vegetables.
C Consume foods with saturated fats.
While caring for a toddler receiving oxygen via face mask, the nurse observes that
the child's lips and nares are dry and cracked. Which intervention should the nurse
implement?
A Use a water soluble lubricant on affected oral and nasal mucosa.
B Use a topical lidocaine analgesic for cracked lips.
C Ask the mother what she usually uses on the child's lips and nose.
D Apply a petroleum jelly to the child's nose and lips. - ANSWER: A Use a water
soluble lubricant on affected oral and nasal mucosa.
, When assessing a multigravida on the first postpartum day, the nurse finds a
moderate amount of lochia rubra, with the uterus firm, and three fingerbreadths
above the umbilicus. What action should the nurse implement first?
A Increase intravenous infusion.
B Massage the uterus to decrease atony.
C Review the hemoglobin to determine hemorrhage.
D Check for a distended bladder. - ANSWER: D Check for a distended bladder.
The nurse is caring for a client on the first day postoperative for a descending aortic
aneurysm repair. Which assessment finding should the nurse prioritize reporting to
the healthcare provider?
Reference Range
Potassium (Reference Range: 3.5 to 5 mEq/L (3.5 to 5 mmol/L)]
A Serum potassium 4.8 mEg/L (4.8 mmol/L).
B Electrocardiogram ST segment elevation.
C Urine output 30 mL/hour.
D Blood pressure 130/80. - ANSWER: B Electrocardiogram ST segment elevation.
The healthcare provider prescribes a low-fiber diet for a client with ulcerative colitis.
Which food selection indicate to the nurse that the
client understand the prescribed diet?
A Roast pork, fresh strawberries.
B Baked potato with skin, raw carrots.
C Roasted turkey, canned vegetables.
D Pancakes, whole-grain cereals. - ANSWER: C Roasted turkey, canned vegetables.
The psychiatric nurse is caring for clients in an adolescent unit. Which client requires
the nurse's immediate attention?
A An 18-year-old client with antisocial behavior who is being yelled at by other
clients.
B A 17-year-old client diagnosed with bipolar disorder who is pacing around the
lobby.
C A 16-year-old client diagnosed with major depression who refuses to participate in
a group.
D A 14-year-old client with anorexia nervosa who is refusing to eat the evening
snack. - ANSWER: A An 18-year-old client with antisocial behavior who is being yelled
at by other clients.
A client recovering from pneumonia who has a history of severe chronic obstructive
pulmonary disease (COPD) and peripheral vascular disease (PVD) is being discharged
from a skilled nursing facility. Which action is most important for the nurse to
implement?
