HESI RN EXIT EXAM V1-V7 (LATEST 2024-2025) / RN EXIT HESI
EXAM V1, V2, V3, V4, V5, V6, V7 Verified updated
Grade A+
1. Following discharge teaching, a male patient with duodenal ulcer tells the registered nurse
that he will drink plenty of dairy products, such as milk, to help coat and protect his ulcer.
What is the best follow-up action by the registered nurse?
• Review with the patient the need to avoid foods that are rich in milk and cream
2. A male patient with hypertension, who received new antihypertensive prescriptions at his
last visit returns to the clinic two weeks later to evaluate his blood pressure (BP). His BP
is 158/106 and he admits that he has not been taking the prescribed medication because
The medicines make him ―feel bad‖. In explaining the need for hypertension control, the
registered nurse should stress that an elevated BP places the patient at risk for which
pathophysiological condition?
• Stroke secondary to hemorrhage
3. The registered nurse observes an unlicensed assistive personnel (UAP) positioning a newly
admitted patient who has a seizure disorder. The patient is supine and the UAP is placing
soft pillows along the side rails. What action should the registered nurse implement?
• Instruct the UAP to obtain soft blankets to secure to the side rails instead of
pillows.
4. An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for
the past 12 days. Which assessment finding requires immediate follow-up?
• Describes life without purpose
5. A 60-year-old female patient with a positive family history of ovarian cancer has
developed an abdominal mass and is being evaluated for possible ovarian cancer. Her
Papanicolau (Pap) smear results are negative. What information should the registered
nurse include in the patient’s teaching plan?
• Further evaluation involving surgery may be needed
6. A patient who recently underwear a tracheostomy is being prepared for discharge to
home. Which instructions is most important for the registered nurse to include in the
discharge plan?
• Teach tracheal suctioning techniques
7. In assessing an adult patient with a partial rebreathe mask, the registered nurse notes that
the oxygen reservoir bag does not deflate completely during inspiration and the
patient’s respiratory rate is 14 breaths / minute. What action should the registered nurse
implement?
• Document the assessment data
• Rational: reservoir bag should not deflate completely during inspiration and the
patient’s respiratory rate is within normal limits.
8. During shift report, the central electrocardiogram (EKG) monitoring system alarms.
Which patient alarm should the registered nurse investigate firs?
,HESI RN EXIT EXAM V1-V7 (LATEST 2023-2024) / RN EXIT HESI
EXAM V1,V2,V3,V4,V5,V6,V7 latest updated
Grade A+
• Respiratory apnea of 30 seconds
9. During a home visit, the registered nurse observed an elderly patient with diabetes slip and
fall. What action should the registered nurse take first?
• Check the patient for lacerations or fractures
10. At 0600 while admitting a woman for a schedule repeat cesarean section (C-Section), the
patient tells the registered nurse that she drank a cup a coffee at 0400 because she wanted
to avoid getting a headache. Which action should the registered nurse take first?
• Inform the anesthesia care provider
11. After placing a stethoscope as seen in the picture, the registered nurse auscultates S1 and
S2 heart sounds. To determine if an S3 heart sound is present, what action should the
registered nurse take first?
• Listen with the bell at the same location
12. A 66-year-old woman is retiring and will no longer have a health insurance through her
place of employment. Which agency should the patient be referred to by the employee
health registered nurse for health insurance needs?
• Medicare
13. A patient who is taking an oral dose of a tetracycline complains of gastrointestinal upset.
What snack should the registered nurse instruct the patient to take with the tetracycline?
• Toasted wheat bread and jelly
14. Following a lumbar puncture, a patient voices several complaints. What
complaint indicated to the registered nurse that the patient is experiencing a
complication?
• “I have a headache that gets worse when I sit up”
• ―I am having pain in my lower back when I move my legs‖
• ―My throat hurts when I swallow‖
• “I feel sick to my stomach and am going to throw up”
15. An elderly patient seems confused and reports the onset of nausea, dysuria, and urgency
with incontinence. Which action should the registered nurse implement? • Obtain a
clean catch mid-stream specimen
16. The registered nurse is assisting the mother of a child with phenylketonuria (PKU) to
select foods that are in keeping with the child’s dietary restrictions. Which foods are
contraindicated for this child?
• Foods sweetened with aspartame
17. Before preparing a patient for the first surgical case of the day, a part-time scrub
registered nurse asks the circulating registered nurse if a 3 minute surgical hand scrub
is adequate preparation for this patient. Which response should the circulating
registered nurse provide?
• Direct the registered nurse to continue the surgical hand scrub for a 5 minute duration
18. Which breakfast selection indicates that the patient understands the registered nurse’s
instructions about the dietary management of osteoporosis?
,HESI RN EXIT EXAM V1-V7 (LATEST 2023-2024) / RN EXIT HESI
EXAM V1,V2,V3,V4,V5,V6,V7 latest updated
Grade A+
• Bagel with jelly and skim milk
19. The charge registered nurse of a critical care unit is informed at the beginning of the shift that less
than the optimal number of registered registered nurses will be working that shift. In planning
assignments, which patient should receive the most care hours by a registered registered nurse (RN)?
• An 82-year-old patient with Alzheimer’s disease newly-fractures femur who has a
Foley catheter and soft wrist restrains applied
, 20. A mother brings her 6-year-old child, who has just stepped on a rusty nail, to the
pediatrician’s office. Upon inspection, the registered nurse notes that the nail went
through the shoe and pierced the bottom of the child’s foot. Which action should the
registered nurse implement first?
• Cleanse the foot with soap and water and apply an antibiotic ointment •
Provide teaching about the need for a tetanus booster within the next 72 hours.
• have the mother check the child's temperature q4h for the next 24 hours
• transfer the child to the emergency department to receive a gamma globulin
injection
21. The mother of an adolescent tells the clinic registered nurse, ―My son has athlete’s foot, I
have been applying triple antibiotic ointment for two days, but there has been no
improvement.‖ What instruction should the registered nurse provide?
• Stop using the ointment and encourage complete drying of the feet and wearing
clean socks.
22. A 26-year-old female patient is admitted to the hospital for treatment of a simple
goiter, and levothyroxine sodium (Synthroid) is prescribed. Which symptoms indicate
to the registered nurse that the prescribed dosage is too high for this patient? The
patient experiences
• Bradycardia and constipation
• Lethargy and lack of appetite
• Muscle cramping and dry, flushed skin
• Palpitations and shortness of breath
23. A patient with a history of heart failure presents to the clinic with a nausea, vomiting,
yellow vision and palpitations. Which finding is most important for the registered nurse
to assess to the patient?
• Obtain a list of medications taken for cardiac history
24. The healthcare provider prescribes an IV solution of isoproterenol (Isuprel) 1 mg in 250
ml of D5W at 300 mcg/hour. The registered nurse should program the infusion pump to
deliver how many ml/hour? (Enter numeric value only.)
• 75
• Rationale: Convert mg to mcg and use the formula D/H x Q. 300 mcg/hour /
1,000 mcg x 250 ml = 3/1 x 25 = 75 ml/hour
25. The pathophysiological mechanism are responsible for ascites related to liver failure?
(Select all that apply)
• Fluid shifts from intravascular to interstitial area due to decreased serum protein
• Increased hydrostatic pressure in portal circulation increases fluid shifts into
abdomen
• Increased circulating aldosterone levels that increase sodium and water retention
26. The registered nurse is auscultating a patient’s heart sounds. Which description should
the registered nurse use to document this sound? (Please listen to the audio first to select
the option that applies)
EXAM V1, V2, V3, V4, V5, V6, V7 Verified updated
Grade A+
1. Following discharge teaching, a male patient with duodenal ulcer tells the registered nurse
that he will drink plenty of dairy products, such as milk, to help coat and protect his ulcer.
What is the best follow-up action by the registered nurse?
• Review with the patient the need to avoid foods that are rich in milk and cream
2. A male patient with hypertension, who received new antihypertensive prescriptions at his
last visit returns to the clinic two weeks later to evaluate his blood pressure (BP). His BP
is 158/106 and he admits that he has not been taking the prescribed medication because
The medicines make him ―feel bad‖. In explaining the need for hypertension control, the
registered nurse should stress that an elevated BP places the patient at risk for which
pathophysiological condition?
• Stroke secondary to hemorrhage
3. The registered nurse observes an unlicensed assistive personnel (UAP) positioning a newly
admitted patient who has a seizure disorder. The patient is supine and the UAP is placing
soft pillows along the side rails. What action should the registered nurse implement?
• Instruct the UAP to obtain soft blankets to secure to the side rails instead of
pillows.
4. An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for
the past 12 days. Which assessment finding requires immediate follow-up?
• Describes life without purpose
5. A 60-year-old female patient with a positive family history of ovarian cancer has
developed an abdominal mass and is being evaluated for possible ovarian cancer. Her
Papanicolau (Pap) smear results are negative. What information should the registered
nurse include in the patient’s teaching plan?
• Further evaluation involving surgery may be needed
6. A patient who recently underwear a tracheostomy is being prepared for discharge to
home. Which instructions is most important for the registered nurse to include in the
discharge plan?
• Teach tracheal suctioning techniques
7. In assessing an adult patient with a partial rebreathe mask, the registered nurse notes that
the oxygen reservoir bag does not deflate completely during inspiration and the
patient’s respiratory rate is 14 breaths / minute. What action should the registered nurse
implement?
• Document the assessment data
• Rational: reservoir bag should not deflate completely during inspiration and the
patient’s respiratory rate is within normal limits.
8. During shift report, the central electrocardiogram (EKG) monitoring system alarms.
Which patient alarm should the registered nurse investigate firs?
,HESI RN EXIT EXAM V1-V7 (LATEST 2023-2024) / RN EXIT HESI
EXAM V1,V2,V3,V4,V5,V6,V7 latest updated
Grade A+
• Respiratory apnea of 30 seconds
9. During a home visit, the registered nurse observed an elderly patient with diabetes slip and
fall. What action should the registered nurse take first?
• Check the patient for lacerations or fractures
10. At 0600 while admitting a woman for a schedule repeat cesarean section (C-Section), the
patient tells the registered nurse that she drank a cup a coffee at 0400 because she wanted
to avoid getting a headache. Which action should the registered nurse take first?
• Inform the anesthesia care provider
11. After placing a stethoscope as seen in the picture, the registered nurse auscultates S1 and
S2 heart sounds. To determine if an S3 heart sound is present, what action should the
registered nurse take first?
• Listen with the bell at the same location
12. A 66-year-old woman is retiring and will no longer have a health insurance through her
place of employment. Which agency should the patient be referred to by the employee
health registered nurse for health insurance needs?
• Medicare
13. A patient who is taking an oral dose of a tetracycline complains of gastrointestinal upset.
What snack should the registered nurse instruct the patient to take with the tetracycline?
• Toasted wheat bread and jelly
14. Following a lumbar puncture, a patient voices several complaints. What
complaint indicated to the registered nurse that the patient is experiencing a
complication?
• “I have a headache that gets worse when I sit up”
• ―I am having pain in my lower back when I move my legs‖
• ―My throat hurts when I swallow‖
• “I feel sick to my stomach and am going to throw up”
15. An elderly patient seems confused and reports the onset of nausea, dysuria, and urgency
with incontinence. Which action should the registered nurse implement? • Obtain a
clean catch mid-stream specimen
16. The registered nurse is assisting the mother of a child with phenylketonuria (PKU) to
select foods that are in keeping with the child’s dietary restrictions. Which foods are
contraindicated for this child?
• Foods sweetened with aspartame
17. Before preparing a patient for the first surgical case of the day, a part-time scrub
registered nurse asks the circulating registered nurse if a 3 minute surgical hand scrub
is adequate preparation for this patient. Which response should the circulating
registered nurse provide?
• Direct the registered nurse to continue the surgical hand scrub for a 5 minute duration
18. Which breakfast selection indicates that the patient understands the registered nurse’s
instructions about the dietary management of osteoporosis?
,HESI RN EXIT EXAM V1-V7 (LATEST 2023-2024) / RN EXIT HESI
EXAM V1,V2,V3,V4,V5,V6,V7 latest updated
Grade A+
• Bagel with jelly and skim milk
19. The charge registered nurse of a critical care unit is informed at the beginning of the shift that less
than the optimal number of registered registered nurses will be working that shift. In planning
assignments, which patient should receive the most care hours by a registered registered nurse (RN)?
• An 82-year-old patient with Alzheimer’s disease newly-fractures femur who has a
Foley catheter and soft wrist restrains applied
, 20. A mother brings her 6-year-old child, who has just stepped on a rusty nail, to the
pediatrician’s office. Upon inspection, the registered nurse notes that the nail went
through the shoe and pierced the bottom of the child’s foot. Which action should the
registered nurse implement first?
• Cleanse the foot with soap and water and apply an antibiotic ointment •
Provide teaching about the need for a tetanus booster within the next 72 hours.
• have the mother check the child's temperature q4h for the next 24 hours
• transfer the child to the emergency department to receive a gamma globulin
injection
21. The mother of an adolescent tells the clinic registered nurse, ―My son has athlete’s foot, I
have been applying triple antibiotic ointment for two days, but there has been no
improvement.‖ What instruction should the registered nurse provide?
• Stop using the ointment and encourage complete drying of the feet and wearing
clean socks.
22. A 26-year-old female patient is admitted to the hospital for treatment of a simple
goiter, and levothyroxine sodium (Synthroid) is prescribed. Which symptoms indicate
to the registered nurse that the prescribed dosage is too high for this patient? The
patient experiences
• Bradycardia and constipation
• Lethargy and lack of appetite
• Muscle cramping and dry, flushed skin
• Palpitations and shortness of breath
23. A patient with a history of heart failure presents to the clinic with a nausea, vomiting,
yellow vision and palpitations. Which finding is most important for the registered nurse
to assess to the patient?
• Obtain a list of medications taken for cardiac history
24. The healthcare provider prescribes an IV solution of isoproterenol (Isuprel) 1 mg in 250
ml of D5W at 300 mcg/hour. The registered nurse should program the infusion pump to
deliver how many ml/hour? (Enter numeric value only.)
• 75
• Rationale: Convert mg to mcg and use the formula D/H x Q. 300 mcg/hour /
1,000 mcg x 250 ml = 3/1 x 25 = 75 ml/hour
25. The pathophysiological mechanism are responsible for ascites related to liver failure?
(Select all that apply)
• Fluid shifts from intravascular to interstitial area due to decreased serum protein
• Increased hydrostatic pressure in portal circulation increases fluid shifts into
abdomen
• Increased circulating aldosterone levels that increase sodium and water retention
26. The registered nurse is auscultating a patient’s heart sounds. Which description should
the registered nurse use to document this sound? (Please listen to the audio first to select
the option that applies)
