HESI RN EXIT EXAM v1ACTUAL COMPLETE REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS ) ALREADY GRADED A+(GUARANTEED!!)
The nurse on a pediatric unit observes a distraught mother in
the hallway scolding her 3 year old son for wetting his pants.
What initial action should the nurse take?
A. Provide disposable training pants while calming the mother
B. Refer the mother to a community parent education program
C. Inform the mother that toilet training is slower for boys
D. Suggest that the mother consult a pediatric nephrologist -
ANSWER-C. Inform the mother that toilet training is slower for
boys
The nurse is caring for a client with heart failure. Which method
is used in computing the cardiac index to measure how the
client's heart is functioning?
A. Mean arterial pressure minus right atrial pressure
B. Cardiac output divided by body surface area
C. Stroke volume divided by end diastolic volume
D. Stroke volume multiplied by heart rate - ANSWER-B. Cardiac
output divided by body surface area
,Two days prior to discharge from the rehabilitation facility, the
nurse is teaching a client who is recovering from Guillain-Barre
syndrome about home care. Which actions should the nurse
include when providing discharge teaching to the client and
spouse? (Select all that apply)
A. Review safe transfer strategies
B. Develop a nutritional plan
C. Help identify community support
D. Initiate a rigorous exercise routine
E. Provide cooking instructions - ANSWER-A. Review safe
transfer strategies
B. Develop a nutritional plan
C. Help identify community support
A client presents to the emergency department with muscle
aches, headache, fever, and describes a recent loss of taste and
smell. The nurse obtains a nasal swab for COVID-19 testing.
Which action is most important for the nurse to take? A. Place
the nasal swab specimen for COVID-19 directly into a biohazard
bag
B. Move the client to a private room, keep the door closed,
and initiate droplet precautions.
C. Teach the client to wear a mask, hand wash, and social
distance to prevent spreading the virus
,D. Explain to the client to inform others that they may have
been potentially exposed in the last 14 days. - ANSWER-A. Place
the nasal swab specimen for COVID-19 directly into a biohazard
bag
An older adult client with systemic inflammatory response
syndrome (SIRS) has a temperature of 101.8F, heart rate of 110
beats/minute, and respiratory rate of 24 breaths/minute. Which
additional finding is most important to report to the healthcare
provider?
A. Capillary glucose reading of 110 mg/dL
B. Serum creatinine of 2.0 mg/dL
C. Blood pressure of 130/88 mmHg
D. Hemoglobin of 12 g/dL - ANSWER-B. Serum creatinine of 2.0
mg/dL
The nurse leading a care team on a medical surgical unit is
assigning client care to a practical nurse (PN) and an unlicensed
assistive personnel (UAP). Which task should the nurse delegate
to the UAP?
A. Evaluate a client's mobility progress toward the plan of care
B. Assess for side effects of administered pain medications
C. Turn and reposition a client with a total hip replacement
, D. Monitor an intravenous infusion rate on an established
schedule - ANSWERC. Turn and reposition a client with a total
hip replacement
After an older client receives treatment for drug toxicity, the
healthcare provider prescribes a 24-hour creatinine clearance
test. Prior to starting the urine collection, the nurse notes that
the client's serum creatinine is 0.3 mg/dL. Which action should
the nurse implement? A. Evaluate the client's serum BUN level
B. Initiate the urine collection as prescribed
C. Notify the healthcare provider of the results
D. Assess the client for signs of hypokalemia - ANSWER-C.
Notify the healthcare provider of the results
A young male client is admitted to rehabilitation following a right
above-knee amputation (AKA) for a severe traumatic injury. He
is in the commons room and anxiously calls out to the nurse,
stating that his "right foot is aching". The nurse offers
reassurance and support. Which additional intervention is most
important for the nurse to implement?
A. Encourage discussion of feelings about the loss of his limb
B. Administer a prescription for gabapentin, a neuroleptic agent
C. Tech the client how to wrap the stump with an elastic bandage
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS ) ALREADY GRADED A+(GUARANTEED!!)
The nurse on a pediatric unit observes a distraught mother in
the hallway scolding her 3 year old son for wetting his pants.
What initial action should the nurse take?
A. Provide disposable training pants while calming the mother
B. Refer the mother to a community parent education program
C. Inform the mother that toilet training is slower for boys
D. Suggest that the mother consult a pediatric nephrologist -
ANSWER-C. Inform the mother that toilet training is slower for
boys
The nurse is caring for a client with heart failure. Which method
is used in computing the cardiac index to measure how the
client's heart is functioning?
A. Mean arterial pressure minus right atrial pressure
B. Cardiac output divided by body surface area
C. Stroke volume divided by end diastolic volume
D. Stroke volume multiplied by heart rate - ANSWER-B. Cardiac
output divided by body surface area
,Two days prior to discharge from the rehabilitation facility, the
nurse is teaching a client who is recovering from Guillain-Barre
syndrome about home care. Which actions should the nurse
include when providing discharge teaching to the client and
spouse? (Select all that apply)
A. Review safe transfer strategies
B. Develop a nutritional plan
C. Help identify community support
D. Initiate a rigorous exercise routine
E. Provide cooking instructions - ANSWER-A. Review safe
transfer strategies
B. Develop a nutritional plan
C. Help identify community support
A client presents to the emergency department with muscle
aches, headache, fever, and describes a recent loss of taste and
smell. The nurse obtains a nasal swab for COVID-19 testing.
Which action is most important for the nurse to take? A. Place
the nasal swab specimen for COVID-19 directly into a biohazard
bag
B. Move the client to a private room, keep the door closed,
and initiate droplet precautions.
C. Teach the client to wear a mask, hand wash, and social
distance to prevent spreading the virus
,D. Explain to the client to inform others that they may have
been potentially exposed in the last 14 days. - ANSWER-A. Place
the nasal swab specimen for COVID-19 directly into a biohazard
bag
An older adult client with systemic inflammatory response
syndrome (SIRS) has a temperature of 101.8F, heart rate of 110
beats/minute, and respiratory rate of 24 breaths/minute. Which
additional finding is most important to report to the healthcare
provider?
A. Capillary glucose reading of 110 mg/dL
B. Serum creatinine of 2.0 mg/dL
C. Blood pressure of 130/88 mmHg
D. Hemoglobin of 12 g/dL - ANSWER-B. Serum creatinine of 2.0
mg/dL
The nurse leading a care team on a medical surgical unit is
assigning client care to a practical nurse (PN) and an unlicensed
assistive personnel (UAP). Which task should the nurse delegate
to the UAP?
A. Evaluate a client's mobility progress toward the plan of care
B. Assess for side effects of administered pain medications
C. Turn and reposition a client with a total hip replacement
, D. Monitor an intravenous infusion rate on an established
schedule - ANSWERC. Turn and reposition a client with a total
hip replacement
After an older client receives treatment for drug toxicity, the
healthcare provider prescribes a 24-hour creatinine clearance
test. Prior to starting the urine collection, the nurse notes that
the client's serum creatinine is 0.3 mg/dL. Which action should
the nurse implement? A. Evaluate the client's serum BUN level
B. Initiate the urine collection as prescribed
C. Notify the healthcare provider of the results
D. Assess the client for signs of hypokalemia - ANSWER-C.
Notify the healthcare provider of the results
A young male client is admitted to rehabilitation following a right
above-knee amputation (AKA) for a severe traumatic injury. He
is in the commons room and anxiously calls out to the nurse,
stating that his "right foot is aching". The nurse offers
reassurance and support. Which additional intervention is most
important for the nurse to implement?
A. Encourage discussion of feelings about the loss of his limb
B. Administer a prescription for gabapentin, a neuroleptic agent
C. Tech the client how to wrap the stump with an elastic bandage
