HESI RN EXIT EXAM 2024 QUESTIONS AND VERIFIED ANSWERS (NEWEST 2024/2025)
A 2 year-old child has just been diagnosed with cystic fibrosis. The child's father asksthe nurse "What is our major concern now, and
what will we have to deal with in the future?" Which of the following is the best response?
A) "There is a probability of life-long complications."
B) "Cystic fibrosis results in nutritional concerns that can be dealt with."
C) "Thin, tenacious secretions from the lungs are a constant struggle in cystic fibrosis."
Page | 1
D) "You will work with a team of experts and also have access to a support group that the family can attend." - qualified
Answer C) "Thin, tenacious secretions from the lungsare a constant struggle in cystic fibrosis."
A 20 year-old client has an infected leg wound from a motorcycle accident, and the client has returned home from the hospital. The
client is to keep the affected leg elevated and is on contact precautions. The client wants to know if visitors can come.The appropriate
response from the home health nurse is that:
A) Visitors must wear a mask and a gown
B) There are no special requirements for visitors of clients on contact precautions
C) Visitors should wash their hands before and after touching the client
D) Visitors - qualified
Answer C) Visitors should wash their hands before and aftertouching the client
A 26-year-old female client is admitted to the hospital for treatment of a simple goiter,and levothyroxine sodium (Synthroid) is
prescribed. Which symptoms indicate to the nurse that the prescribed dosage is too high for this client? The client experiences: A.
Bradycardia and constipation
B. Lethargy and lack of appetite
C. Muscle cramping and dry, flushed skin
D. Palpitations and shortness of breath - qualified
Answer D. Palpitations and shortnessof breath
A 30 month-old child is admitted to the hospital unit. Which of the following toys wouldbe appropriate for the nurse to select from the
toy room for this child?
A) Cartoon stickers
B) Large wooden puzzle
C) Blunt scissors and paper
D) Beach ball - qualified
Answer B) Large wooden puzzle
A 35 year-old client with sickle cell crisis is talking on the telephone but stops as thenurse 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
STUDYGUIDESOLUTIONS
, HESI RN EXIT EXAM 2024 QUESTIONS AND VERIFIED ANSWERS (NEWEST 2024/2025)
D) Recommend relaxation exercises for pain control qualified
Answer C) Administerthe prescribed analgesia
A 38 year-old female client is admitted to the hospital with an acute exacerbation of asthma. This is her third admission for asthma in 7
months. She describes how she doesn't really like having to use her medications all the time. Which explanation by the nurse best
Page | 2 describes the long-term consequence of uncontrolled airway inflammation?A) Degeneration of the alveoli
B) Chronic broncho constriction of the large airways
C) Lung remodeling and permanent changes in lung function
D) Frequent pneumonia - qualified
Answer C) Lung remodeling and permanentchanges in lung function
A 60 year-old male client had a hernia repair in an outpatient surgery clinic. He is awakeand alert, but has not been able to void since he
returned from surgery 6 hours ago.He received 1000 mL of IV fluid. Which action would be most likely to help him void?
A) Have him drink several glasses of water
B) Crede' the bladder from the bottom to the top
C) Assist him to stand by the side of the bed to void
C) Wait 2 hours and have him try to void again qualified
Answer C) Assist him to standby the side of the bed to void
A 65-year-old Hispanic-Latino client with prostate cancer rates his pain as a 6 on a 0-to-10 scale. The client refuses all pain medication
other than Motrin, which does not relieve his pain. The next action for the nurse to take is to
A) Ask the client about the refusal of certain pain medications
B) Talk with the client's family about the situation
C) Report the situation to the health care provider
D) Document the situation in the notes - qualified
Answer A) Ask the client about therefusal of certain pain medications
A child is admitted to the pediatric unit with a diagnosis of suspected meningococcalmeningitis. Which admission orders should the
nurse do first?
A) Institute seizure precautions
B) Monitor neurologic status every hour
C) Place in respiratory/secretion precautions
D) Cefotaxime IV 50 mg/kg/day divided q6h - qualified
Answer C) Place inrespiratory/secretion precautions
A client asks the nurse to call the police and states: "I need to report that I am beingabused 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
DDocument the statement on the client's chart with a report to the manager qualified
Answer C) Obtain more details of the client's claim of abuse
STUDYGUIDESOLUTIONS
, HESI RN EXIT EXAM 2024 QUESTIONS AND VERIFIED ANSWERS (NEWEST 2024/2025)
A client develops volume overload from an IV that has infused too rapidly. Whatassessment would the nurse expect to find?
A) S3 heart sound
B) Thready pulse
C) Flattened neck veins
D) Hypoventilation - qualified
Page | 3 Answer A) S3 heart sound
A client frequently admitted to the locked psychiatric unit repeatedly compliments andinvites one of the nurses to go out on a date. The
nurse's response should be to
A) Ask to not be assigned to this client or to work on another unit
B) Tell the client that such behavior is inappropriate
C) Inform the client that hospital policy prohibits staff to date clients
D) Discuss the boundaries of the therapeutic relationship with the client - qualified
Answer D) Discuss the boundaries of the therapeutic relationship with the client
A client has been receiving lithium (Lithane) for the past two weeks for the treatment ofbipolar illness. When planning client teaching,
what is most important to emphasize to the client?
A) Maintain a low sodium dietB) Take a
diuretic with lithium
C) Come in for evaluation of serum lithium levels every 1-3 months
D) Have blood lithium levels drawn during the summer months - qualified
Answer D)Have blood lithium levels drawn during the summer months
A client has received her first dose of fluphenazine (Prolixin) 2 hours ago. She suddenlyexperiences torticollis and involuntary spastic muscle
movement. In addition to administering the ordered anticholinergic drug, what other measure should the nurse implement?
A) Have respiratory support equipment available
B) Immediately place her in the seclusion room
C) Assess the client for anxiety and agitation
D) Administer PRN dose of IM antipsychotic medication - qualified
Answer A) Haverespiratory support equipment available
A client has returned from a cardiac catheterization. Which one of the followingassessments would indicate the client is experiencing a
complication from the procedure?
A) Increased blood pressure
B) Increased heart rate
C) Loss of pulse in the extremity
D) Decreased urine output - qualified
Answer C) Loss of pulse in the extremity
A client in a long term care facility complains of pain. The nurse collects data about the client's pain. The first step in pain assessment is
for the nurse to
A) Have the client identify coping methods
STUDYGUIDESOLUTIONS
, HESI RN EXIT EXAM 2024 QUESTIONS AND VERIFIED ANSWERS (NEWEST 2024/2025)
B) Get the description of the location and intensity of the pain
C) Accept the client's report of pain
D) Determine the client's status of pain - qualified
Answer C) Accept the client's reportof pain
Page | 4 A client is admitted for first and second degree burns on the face, neck, anterior chestand hands. The nurse's priority should be
A) Cover the areas with dry sterile dressings
B) Assess for dyspnea or stridor
C) Initiate intravenous therapy
D) Administer pain medication - qualified
Answer B) Assess for dyspnea or stridor
A client is admitted with a diagnosis of hepatitis B. In reviewing the initial laboratoryresults, 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 - qualified
Answer C) Bilirubin
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 sleepyand 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 toteach clients about their medications
D) Clients with schizophrenia are at a higher risk of psychosocial complications whenthey know about their medication side effects -
qualified
Answer B) The client has a right to know about the prescribed medications
A client is admitted with a pressure ulcer in the sacral area. The partial thickness woundis 4cm by 7cm, the wound base is red and moist
with no exudate and the surrounding skin is intact. Which of the following coverings is most appropriate for this wound?
A) Transparent dressing
B) Dry sterile dressing with antibiotic ointment
C) Wet to dry dressing
D) Occlusive moist dressing - qualified
Answer D) Occlusive moist dressing
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 - qualified
Answer A) Lethargy
STUDYGUIDESOLUTIONS
A 2 year-old child has just been diagnosed with cystic fibrosis. The child's father asksthe nurse "What is our major concern now, and
what will we have to deal with in the future?" Which of the following is the best response?
A) "There is a probability of life-long complications."
B) "Cystic fibrosis results in nutritional concerns that can be dealt with."
C) "Thin, tenacious secretions from the lungs are a constant struggle in cystic fibrosis."
Page | 1
D) "You will work with a team of experts and also have access to a support group that the family can attend." - qualified
Answer C) "Thin, tenacious secretions from the lungsare a constant struggle in cystic fibrosis."
A 20 year-old client has an infected leg wound from a motorcycle accident, and the client has returned home from the hospital. The
client is to keep the affected leg elevated and is on contact precautions. The client wants to know if visitors can come.The appropriate
response from the home health nurse is that:
A) Visitors must wear a mask and a gown
B) There are no special requirements for visitors of clients on contact precautions
C) Visitors should wash their hands before and after touching the client
D) Visitors - qualified
Answer C) Visitors should wash their hands before and aftertouching the client
A 26-year-old female client is admitted to the hospital for treatment of a simple goiter,and levothyroxine sodium (Synthroid) is
prescribed. Which symptoms indicate to the nurse that the prescribed dosage is too high for this client? The client experiences: A.
Bradycardia and constipation
B. Lethargy and lack of appetite
C. Muscle cramping and dry, flushed skin
D. Palpitations and shortness of breath - qualified
Answer D. Palpitations and shortnessof breath
A 30 month-old child is admitted to the hospital unit. Which of the following toys wouldbe appropriate for the nurse to select from the
toy room for this child?
A) Cartoon stickers
B) Large wooden puzzle
C) Blunt scissors and paper
D) Beach ball - qualified
Answer B) Large wooden puzzle
A 35 year-old client with sickle cell crisis is talking on the telephone but stops as thenurse 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
STUDYGUIDESOLUTIONS
, HESI RN EXIT EXAM 2024 QUESTIONS AND VERIFIED ANSWERS (NEWEST 2024/2025)
D) Recommend relaxation exercises for pain control qualified
Answer C) Administerthe prescribed analgesia
A 38 year-old female client is admitted to the hospital with an acute exacerbation of asthma. This is her third admission for asthma in 7
months. She describes how she doesn't really like having to use her medications all the time. Which explanation by the nurse best
Page | 2 describes the long-term consequence of uncontrolled airway inflammation?A) Degeneration of the alveoli
B) Chronic broncho constriction of the large airways
C) Lung remodeling and permanent changes in lung function
D) Frequent pneumonia - qualified
Answer C) Lung remodeling and permanentchanges in lung function
A 60 year-old male client had a hernia repair in an outpatient surgery clinic. He is awakeand alert, but has not been able to void since he
returned from surgery 6 hours ago.He received 1000 mL of IV fluid. Which action would be most likely to help him void?
A) Have him drink several glasses of water
B) Crede' the bladder from the bottom to the top
C) Assist him to stand by the side of the bed to void
C) Wait 2 hours and have him try to void again qualified
Answer C) Assist him to standby the side of the bed to void
A 65-year-old Hispanic-Latino client with prostate cancer rates his pain as a 6 on a 0-to-10 scale. The client refuses all pain medication
other than Motrin, which does not relieve his pain. The next action for the nurse to take is to
A) Ask the client about the refusal of certain pain medications
B) Talk with the client's family about the situation
C) Report the situation to the health care provider
D) Document the situation in the notes - qualified
Answer A) Ask the client about therefusal of certain pain medications
A child is admitted to the pediatric unit with a diagnosis of suspected meningococcalmeningitis. Which admission orders should the
nurse do first?
A) Institute seizure precautions
B) Monitor neurologic status every hour
C) Place in respiratory/secretion precautions
D) Cefotaxime IV 50 mg/kg/day divided q6h - qualified
Answer C) Place inrespiratory/secretion precautions
A client asks the nurse to call the police and states: "I need to report that I am beingabused 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
DDocument the statement on the client's chart with a report to the manager qualified
Answer C) Obtain more details of the client's claim of abuse
STUDYGUIDESOLUTIONS
, HESI RN EXIT EXAM 2024 QUESTIONS AND VERIFIED ANSWERS (NEWEST 2024/2025)
A client develops volume overload from an IV that has infused too rapidly. Whatassessment would the nurse expect to find?
A) S3 heart sound
B) Thready pulse
C) Flattened neck veins
D) Hypoventilation - qualified
Page | 3 Answer A) S3 heart sound
A client frequently admitted to the locked psychiatric unit repeatedly compliments andinvites one of the nurses to go out on a date. The
nurse's response should be to
A) Ask to not be assigned to this client or to work on another unit
B) Tell the client that such behavior is inappropriate
C) Inform the client that hospital policy prohibits staff to date clients
D) Discuss the boundaries of the therapeutic relationship with the client - qualified
Answer D) Discuss the boundaries of the therapeutic relationship with the client
A client has been receiving lithium (Lithane) for the past two weeks for the treatment ofbipolar illness. When planning client teaching,
what is most important to emphasize to the client?
A) Maintain a low sodium dietB) Take a
diuretic with lithium
C) Come in for evaluation of serum lithium levels every 1-3 months
D) Have blood lithium levels drawn during the summer months - qualified
Answer D)Have blood lithium levels drawn during the summer months
A client has received her first dose of fluphenazine (Prolixin) 2 hours ago. She suddenlyexperiences torticollis and involuntary spastic muscle
movement. In addition to administering the ordered anticholinergic drug, what other measure should the nurse implement?
A) Have respiratory support equipment available
B) Immediately place her in the seclusion room
C) Assess the client for anxiety and agitation
D) Administer PRN dose of IM antipsychotic medication - qualified
Answer A) Haverespiratory support equipment available
A client has returned from a cardiac catheterization. Which one of the followingassessments would indicate the client is experiencing a
complication from the procedure?
A) Increased blood pressure
B) Increased heart rate
C) Loss of pulse in the extremity
D) Decreased urine output - qualified
Answer C) Loss of pulse in the extremity
A client in a long term care facility complains of pain. The nurse collects data about the client's pain. The first step in pain assessment is
for the nurse to
A) Have the client identify coping methods
STUDYGUIDESOLUTIONS
, HESI RN EXIT EXAM 2024 QUESTIONS AND VERIFIED ANSWERS (NEWEST 2024/2025)
B) Get the description of the location and intensity of the pain
C) Accept the client's report of pain
D) Determine the client's status of pain - qualified
Answer C) Accept the client's reportof pain
Page | 4 A client is admitted for first and second degree burns on the face, neck, anterior chestand hands. The nurse's priority should be
A) Cover the areas with dry sterile dressings
B) Assess for dyspnea or stridor
C) Initiate intravenous therapy
D) Administer pain medication - qualified
Answer B) Assess for dyspnea or stridor
A client is admitted with a diagnosis of hepatitis B. In reviewing the initial laboratoryresults, 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 - qualified
Answer C) Bilirubin
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 sleepyand 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 toteach clients about their medications
D) Clients with schizophrenia are at a higher risk of psychosocial complications whenthey know about their medication side effects -
qualified
Answer B) The client has a right to know about the prescribed medications
A client is admitted with a pressure ulcer in the sacral area. The partial thickness woundis 4cm by 7cm, the wound base is red and moist
with no exudate and the surrounding skin is intact. Which of the following coverings is most appropriate for this wound?
A) Transparent dressing
B) Dry sterile dressing with antibiotic ointment
C) Wet to dry dressing
D) Occlusive moist dressing - qualified
Answer D) Occlusive moist dressing
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 - qualified
Answer A) Lethargy
STUDYGUIDESOLUTIONS
