RN HESI EXIT/HESI EXIT RN EXAM
VERSION 6(V6)
REAL/ACTUAL/AUTHENTIC EXAM WITH
COMPLETE SOLUTIONS
1. mA mmother mruns minto mthe memergency mdepartment mwith ma mtoddler min mher
marms mand
tells mthe mnurse mthat mher mchild mgot minto msome mcleaning mproducts. mthe mchild
msmells
of mchemicals mon mthe mhands, mface, mand mon mthe mfront mof mthe mchild's mclothes.
mafter
,ensuring mthe mairway mis mpatent, mwhat maction mshould mthe mnurse mimplement
mfirst?
a. mAssess mthe mchild mfor maltered msensorium
b. mDetermine mtype mof mchemical mexposure
c. mObtain mequipment mfor mgastric mlavage
d. mCall mpoison mcontrol memergency mnumber m- mcorrect manswers m-b. mDetermine
mtype mof mchemical mexposure
2. mWhich mconditions mare mmost mlikely mto mrespond mto mtreatment mwith
antihistamines? mSelect mall mthat mapply.
a. mBronchitis
b. mAllergic mrhinitis
c. mOtitis mmedia
d. mContact mdermatitis
e. mMyocarditis m- mcorrect manswers m-b. mAllergic mrhinitis
d. mContact mdermatitis
3. mAn molder mclient's mdaughter mcalls mthe mhome mhealth mnurse mand mreports mthat
mher
mother mhas mbecome mforgetful mand mis mvery mconfused mat mnight. mThe mdaughter
states mthat mher mmother's mbehavior mchanged msuddenly ma mfew mdays mago mand
mis
now mgetting mworse. mWhich maction mshould mthe mnurse mtake? mSelect mall mthat
mapply.
a. mAsk mif mthe mmother mis mexperiencing many mpain mwith murination
b. mEncourage mincreased mintake mof mhigh mprotein mfoods
c. mInstruct mthe mdaughter mto mcheck mher mmother's mtemperature
d. mReview mthe mclient's mcurrent mfood mand mmedication mallergies
e. mDetermine mif mthe mmother mhas mrecently mexperienced ma mfall m- mcorrect
manswers m-a. mAsk mif mthe mmother mis mexperiencing many mpain mwith murination
c. mInstruct mthe mdaughter mto mcheck mher mmother's mtemperature
e. mDetermine mif mthe mmother mhas mrecently mexperienced ma mfall
4. mThe mnurse mis massessing ma mmale mwith ma mhistory mof mAddison's mdisease.
mThe mclient
has mflu-like msymptoms mand mnausea mwith mvomiting mover mthe mpast mweek. mThe
client's mspouse mreports mthat mhe macted mconfused mand mwas mextremely mweak
mwhen
he mawoke mthis mmorning. mThe mclient mis mfebrile mand mhas mtachycardia. mThe
mhealth
care mprovider mdiagnoses macute madrenal minsufficiency. mWhich mmedication mwill
most mlikely mbe mprescribed?
a. mHypertonic msaline msolution mat m100 mml/hr muntil mall medema mdisappears
b. mHydrocortisone m100 mmg mIV mevery msix mhours muntil msystolic mBP mreaches
m110
mmHg
,c. mPotassium mchloride m20 mmEq mIV mto minfuse mover m2 mhours muntil mconfusion
resolves
d. mRegular minsulin mdrip mto mkeep mblood mglucose maround m100 mmg/dl m(5.55
mmol/L) m- mcorrect manswers m-b. mHydrocortisone m100 mmg mIV mevery msix mhours
muntil msystolic mBP mreaches m110
mmHg
5. mA mclient mwith ma mhistory mof mmitral mvalve mprolapse mis madmitted mbecause mof
mfever
and mdyspnea mon mexertion, mand mis mdiagnosed mwith macute minfective
mendocarditis.
During mthe madmission massessment, mthe mnurse mobserves mmultiple mareas mof
petechiae mon mthe mclient's mskin. mWhich mintervention mshould mthe mnurse minclude
min
the mclient's mplan mof mcare? mSelect mall mthat mapply.
a. mMonitor mcardiac mrhythm mvia mtelemetry
b. mReport mchanges min mpre-existing mmurmurs
c. mSchedule mrest mperiods mbetween mactivities
d. mMaintain mrecord mof mfluid mintake mand moutput
e. mInitiate mcontact mtransmission mprecautions m- mcorrect manswers m-a. mMonitor
mcardiac mrhythm mvia mtelemetry
b. mReport mchanges min mpre-existing mmurmurs
6. mThe mnurse mis mplanning man meducational msession mfor mnew mparents mon mways
mto
prevent msudden minfant mdeath msyndrome m(SIDS). mWhich minformation mis mmost
important mto mprovide mparents mof mnewborns mand minfants?
a. mRemove mpillows mand msoft mtoys mfrom mthe mcrib mat mbedtime
b. mKeep ma mbulb msyringe maccessible mfor muse mfor man minfant
c. mPosition mthe minfant min ma msupine mposition mwhile msleeping
d. mDo mnot mprop mbottles mfor man minfant mduring mnaps mand mbedtime m- mcorrect
manswers m-c. mPosition mthe minfant min ma msupine mposition mwhile msleeping
7. mThe mhealthcare mprovider mprescribes mmethylergonovine mmaleate mfor ma
postpartum mclient mwith muterine matony. mWhat mfindings mshould mindicate mto mthe
nurse mto mwithhold mthe mnext mdose mof mmedication?
a. mHypertension
b. mDifficulty mlocating mthe muterine mfundus
c. mSaturation mof mmore mthan mone mpad mper mhour
d. mExcessive mlochia m- mcorrect manswers m-a. mHypertension
8. mThe mnurse mnotes mthat man molder madult mclient mhas ma mmoist mcough mthat
mincreases min
severity mduring mand mafter mmeals. mBased mon mthis mfinding, mwhich maction mshould
the mnurse mtake?
a. mCollect ma msputum mspecimen mimmediately
, b. mRequest ma mconsultation mto mconfirm mdysphasia
c. mOffer mthe mclient madditional mclear mliquids mfrequently
d. mEncourage mthe mclient mto mdo mdeep mbreathing mexercises mdaily m- mcorrect
manswers m-b. mRequest ma mconsultation mto mconfirm mdysphasia
9. mA mmultiparous mclient mwho mdelivered mher minfant m3 mhours mago masks mthe
mnurse mif
she mcan mtake ma mwarm msitz mbath mbecause mit mhelped mreduce mperennial mpain
mafter
her mlast mdelivery. mWhat maction mshould mthe mnurse mimplement?
a. mUsing manalgesic mspray mto mthe mperennial marea mto mreduce mpain
b. mApply man mice mpack mto mthe mperineum mfor mthe mfirst m24 mhours
c. mTeach mthe mclient mhow mto mpractice mKegel mexercises
d. mReview mthe muse mof msitz mbath mequipment mwith mthe mclient m- mcorrect
manswers m-d. mReview mthe muse mof msitz mbath mequipment mwith mthe mclient
10.When mthe mparents mof ma m6-year-old mboy mwith ma mbrain mtumor mare mtold mthat
mhis
condition mis mterminal, mthe mmother mshouts mat mthe mfather, m"This mis myour mfault!
mIt
never mwould mhave mhappened mif mwe msought mtreatment msooner!" mWhich
intervention mis mbest mfor mthe mnurse mto mimplement?
a. mRefer mthe mparents mto mthe mchaplain mto mprovide mgrief mcounseling
b. mAssure mthe mparents mthat ma mterminal mdiagnosis mwas minevitable
c. mTell mthe mparents mthat mblame meach mother mwill mnot mchange mthe msituation
d. mExplain mto mthe mparents mthat manger mis ma mcommon mresponse mto mgrief m-
mcorrect manswers m-d. mExplain mto mthe mparents mthat manger mis ma mcommon
mresponse mto mgrief
11.The mwife mof ma mnewly mdiagnosed mclient mwith mParkinson's mdisease masks mthe
mnurse
if malternative mor mcomplementary mmedical mtherapies mmight mcure mthe mdisease.
Which mresponse mshould mthe mnurse mprovide?
a. mComplete ma mlist mof malternative mmedications mthat mare meffective min mcuring
Parkinson's mdisease
b. mExplain mthere mare mno mknown mconventional, malternative, mor
complementary mtherapies mthat mcure mParkinson's mdisease
c. mEncourage mthe mwife mto mventilate mher mfeelings mabout mhaving ma mhusband
with mParkinson's mdisease
d. mTell mthe mwife mthat mher mhusband's mneurologist mjust mwould mknow mmore
about malternative mtreatments mto mcure mParkinson's m- mcorrect manswers m-b.
mExplain mthere mare mno mknown mconventional, malternative, mor
complementary mtherapies mthat mcure mParkinson's mdisease
12.An mIV mantibiotic mis mprescribed mfor ma mclient mwith ma mpost moperative
minfection. mThe
VERSION 6(V6)
REAL/ACTUAL/AUTHENTIC EXAM WITH
COMPLETE SOLUTIONS
1. mA mmother mruns minto mthe memergency mdepartment mwith ma mtoddler min mher
marms mand
tells mthe mnurse mthat mher mchild mgot minto msome mcleaning mproducts. mthe mchild
msmells
of mchemicals mon mthe mhands, mface, mand mon mthe mfront mof mthe mchild's mclothes.
mafter
,ensuring mthe mairway mis mpatent, mwhat maction mshould mthe mnurse mimplement
mfirst?
a. mAssess mthe mchild mfor maltered msensorium
b. mDetermine mtype mof mchemical mexposure
c. mObtain mequipment mfor mgastric mlavage
d. mCall mpoison mcontrol memergency mnumber m- mcorrect manswers m-b. mDetermine
mtype mof mchemical mexposure
2. mWhich mconditions mare mmost mlikely mto mrespond mto mtreatment mwith
antihistamines? mSelect mall mthat mapply.
a. mBronchitis
b. mAllergic mrhinitis
c. mOtitis mmedia
d. mContact mdermatitis
e. mMyocarditis m- mcorrect manswers m-b. mAllergic mrhinitis
d. mContact mdermatitis
3. mAn molder mclient's mdaughter mcalls mthe mhome mhealth mnurse mand mreports mthat
mher
mother mhas mbecome mforgetful mand mis mvery mconfused mat mnight. mThe mdaughter
states mthat mher mmother's mbehavior mchanged msuddenly ma mfew mdays mago mand
mis
now mgetting mworse. mWhich maction mshould mthe mnurse mtake? mSelect mall mthat
mapply.
a. mAsk mif mthe mmother mis mexperiencing many mpain mwith murination
b. mEncourage mincreased mintake mof mhigh mprotein mfoods
c. mInstruct mthe mdaughter mto mcheck mher mmother's mtemperature
d. mReview mthe mclient's mcurrent mfood mand mmedication mallergies
e. mDetermine mif mthe mmother mhas mrecently mexperienced ma mfall m- mcorrect
manswers m-a. mAsk mif mthe mmother mis mexperiencing many mpain mwith murination
c. mInstruct mthe mdaughter mto mcheck mher mmother's mtemperature
e. mDetermine mif mthe mmother mhas mrecently mexperienced ma mfall
4. mThe mnurse mis massessing ma mmale mwith ma mhistory mof mAddison's mdisease.
mThe mclient
has mflu-like msymptoms mand mnausea mwith mvomiting mover mthe mpast mweek. mThe
client's mspouse mreports mthat mhe macted mconfused mand mwas mextremely mweak
mwhen
he mawoke mthis mmorning. mThe mclient mis mfebrile mand mhas mtachycardia. mThe
mhealth
care mprovider mdiagnoses macute madrenal minsufficiency. mWhich mmedication mwill
most mlikely mbe mprescribed?
a. mHypertonic msaline msolution mat m100 mml/hr muntil mall medema mdisappears
b. mHydrocortisone m100 mmg mIV mevery msix mhours muntil msystolic mBP mreaches
m110
mmHg
,c. mPotassium mchloride m20 mmEq mIV mto minfuse mover m2 mhours muntil mconfusion
resolves
d. mRegular minsulin mdrip mto mkeep mblood mglucose maround m100 mmg/dl m(5.55
mmol/L) m- mcorrect manswers m-b. mHydrocortisone m100 mmg mIV mevery msix mhours
muntil msystolic mBP mreaches m110
mmHg
5. mA mclient mwith ma mhistory mof mmitral mvalve mprolapse mis madmitted mbecause mof
mfever
and mdyspnea mon mexertion, mand mis mdiagnosed mwith macute minfective
mendocarditis.
During mthe madmission massessment, mthe mnurse mobserves mmultiple mareas mof
petechiae mon mthe mclient's mskin. mWhich mintervention mshould mthe mnurse minclude
min
the mclient's mplan mof mcare? mSelect mall mthat mapply.
a. mMonitor mcardiac mrhythm mvia mtelemetry
b. mReport mchanges min mpre-existing mmurmurs
c. mSchedule mrest mperiods mbetween mactivities
d. mMaintain mrecord mof mfluid mintake mand moutput
e. mInitiate mcontact mtransmission mprecautions m- mcorrect manswers m-a. mMonitor
mcardiac mrhythm mvia mtelemetry
b. mReport mchanges min mpre-existing mmurmurs
6. mThe mnurse mis mplanning man meducational msession mfor mnew mparents mon mways
mto
prevent msudden minfant mdeath msyndrome m(SIDS). mWhich minformation mis mmost
important mto mprovide mparents mof mnewborns mand minfants?
a. mRemove mpillows mand msoft mtoys mfrom mthe mcrib mat mbedtime
b. mKeep ma mbulb msyringe maccessible mfor muse mfor man minfant
c. mPosition mthe minfant min ma msupine mposition mwhile msleeping
d. mDo mnot mprop mbottles mfor man minfant mduring mnaps mand mbedtime m- mcorrect
manswers m-c. mPosition mthe minfant min ma msupine mposition mwhile msleeping
7. mThe mhealthcare mprovider mprescribes mmethylergonovine mmaleate mfor ma
postpartum mclient mwith muterine matony. mWhat mfindings mshould mindicate mto mthe
nurse mto mwithhold mthe mnext mdose mof mmedication?
a. mHypertension
b. mDifficulty mlocating mthe muterine mfundus
c. mSaturation mof mmore mthan mone mpad mper mhour
d. mExcessive mlochia m- mcorrect manswers m-a. mHypertension
8. mThe mnurse mnotes mthat man molder madult mclient mhas ma mmoist mcough mthat
mincreases min
severity mduring mand mafter mmeals. mBased mon mthis mfinding, mwhich maction mshould
the mnurse mtake?
a. mCollect ma msputum mspecimen mimmediately
, b. mRequest ma mconsultation mto mconfirm mdysphasia
c. mOffer mthe mclient madditional mclear mliquids mfrequently
d. mEncourage mthe mclient mto mdo mdeep mbreathing mexercises mdaily m- mcorrect
manswers m-b. mRequest ma mconsultation mto mconfirm mdysphasia
9. mA mmultiparous mclient mwho mdelivered mher minfant m3 mhours mago masks mthe
mnurse mif
she mcan mtake ma mwarm msitz mbath mbecause mit mhelped mreduce mperennial mpain
mafter
her mlast mdelivery. mWhat maction mshould mthe mnurse mimplement?
a. mUsing manalgesic mspray mto mthe mperennial marea mto mreduce mpain
b. mApply man mice mpack mto mthe mperineum mfor mthe mfirst m24 mhours
c. mTeach mthe mclient mhow mto mpractice mKegel mexercises
d. mReview mthe muse mof msitz mbath mequipment mwith mthe mclient m- mcorrect
manswers m-d. mReview mthe muse mof msitz mbath mequipment mwith mthe mclient
10.When mthe mparents mof ma m6-year-old mboy mwith ma mbrain mtumor mare mtold mthat
mhis
condition mis mterminal, mthe mmother mshouts mat mthe mfather, m"This mis myour mfault!
mIt
never mwould mhave mhappened mif mwe msought mtreatment msooner!" mWhich
intervention mis mbest mfor mthe mnurse mto mimplement?
a. mRefer mthe mparents mto mthe mchaplain mto mprovide mgrief mcounseling
b. mAssure mthe mparents mthat ma mterminal mdiagnosis mwas minevitable
c. mTell mthe mparents mthat mblame meach mother mwill mnot mchange mthe msituation
d. mExplain mto mthe mparents mthat manger mis ma mcommon mresponse mto mgrief m-
mcorrect manswers m-d. mExplain mto mthe mparents mthat manger mis ma mcommon
mresponse mto mgrief
11.The mwife mof ma mnewly mdiagnosed mclient mwith mParkinson's mdisease masks mthe
mnurse
if malternative mor mcomplementary mmedical mtherapies mmight mcure mthe mdisease.
Which mresponse mshould mthe mnurse mprovide?
a. mComplete ma mlist mof malternative mmedications mthat mare meffective min mcuring
Parkinson's mdisease
b. mExplain mthere mare mno mknown mconventional, malternative, mor
complementary mtherapies mthat mcure mParkinson's mdisease
c. mEncourage mthe mwife mto mventilate mher mfeelings mabout mhaving ma mhusband
with mParkinson's mdisease
d. mTell mthe mwife mthat mher mhusband's mneurologist mjust mwould mknow mmore
about malternative mtreatments mto mcure mParkinson's m- mcorrect manswers m-b.
mExplain mthere mare mno mknown mconventional, malternative, mor
complementary mtherapies mthat mcure mParkinson's mdisease
12.An mIV mantibiotic mis mprescribed mfor ma mclient mwith ma mpost moperative
minfection. mThe