RN HESI EXIT EXAM ACTUAL EXAM 2025 | ALL
QUESTIONS AND CORRECT ANSWERS |
VERIFIED ANSWERS | ALREADY GRADED A+ |
LATEST EXAM
The nurse notices a male client grimacing as he moves from the bed to a
chair but when asked about his pain he denies having any pain. Which
intervention should the nurse implement first? ---------CORRECT ANSWER-
----------------Ask the client what is making him grimace
The nurse notes that a client has cyanosis of the toes and fingertips. Which
vital sign should the nurse obtain first? ---------CORRECT ANSWER----------
-------Respiratory Rate
The charge nurse observes a new graduate nurse demonstrate the
administration of two different liquid medications through a gtube used for
continuous feeding What actions should the nurse take? ---------CORRECT
ANSWER------------------ confirm that the nurse determined the amount of
gastric residual
-Add the liquid volumes when documenting fluid intake
-Instruct the nurse to administer each medication separately
The nurse inserts a catheter for a nasotracheal suctioning as seen in the
picture. What action should the nurse take next? ---------CORRECT
ANSWER-----------------Apply intermittent suction
A client who is 2 days postop for thoracic surgery is complaining of
incisional pain 2 hours after receiving his pain medication. He rates his pain
5 on a scale of 1-10. After placing a call to the healthcare provider. What
,action should the nurse implement? ---------CORRECT ANSWER--------------
---Instruct the client to use guided imagery and slow rhythmic breathing
An unlicensed assistive personnel is assigned to help a female client with
her bath who has viral hepatitis A and hepatic encephalopathy. What
information should the nurse reinforce with UAP? ---------CORRECT
ANSWER-----------------Wear gloves while giving a bath
The nurse educator is conducting a class for unlicensed assistive
personnel. Which action indicates the UAP understands gloving
procedures? ---------CORRECT ANSWER-----------------Puts on new gloves
when entering a room
A 24 hour urine collection is in progress. The client tells the nurse that the
last voiding was accidentally flushed instead of saving in the container.
What intervention should the nurse initiate? ---------CORRECT ANSWER----
-------------Discard the urine and start another 24 hour period
A confused elderly male client is having trouble sleeping at night and is
sometimes found wandering the hallway. What nursing intervention should
the nurse implement first? ---------CORRECT ANSWER-----------------
Provide a backrub at bedtime
A young male client with testicular cancer has a living will that describes his
desire that no extraordinary measures be taken to save his life. The
healthcare provider knows the client has a good prognosis and refuses to
write a do not resuscitate prescription. What action should the nurse take? -
--------CORRECT ANSWER-----------------Initiate an ethics committee review
of the case
,The nurse is preparing to feed a newly admitted elderly male client who is
debilitated but is able to respond to most commands. Before starting to
feed the client which information is most important for the nurse to obtain? -
--------CORRECT ANSWER-----------------Client's ability to chew and
swallow
The nurse enters the room of a client with C Diff infection to administer an
intravenous antibiotic. The unlicensed assistive personnel is in the room
cleaning the clients buttocks and states the client has been incontinent with
diarrhea. The UAP is wearing gloves but not a gown. Which action should
the nurse implement first? ---------CORRECT ANSWER-----------------Tell the
UAP to put a gown on
The computer documentation system shuts down while the nurse is
entering the client's physical assessment data. What should the nurse do
first? ---------CORRECT ANSWER-----------------Wait for notification services
department of the situation
In assessing a client who has a nursing diagnosis of spiritual distress.
Which action should the nurse take first? ---------CORRECT ANSWER-------
----------Assist and support the client in establishing short term goals
A policy requiring the removal of acrylic nails by all nursing personnel was
implemented 6 months ago. Which assessment measure best determines if
the intended outcome of the policy is being achieved? ---------CORRECT
ANSWER-----------------Healthcare associated infection rate
, The nurse explains to an older adult male the procedure for collecting a 24
hour urine specimen for creatine clearance. ---------CORRECT ANSWER---
--------------Empty the urinal into the 24 hour collection container
A 54 year old male client and his wife were informed this morning that he
has terminal cancer. Which nursing intervention is likely to be most
effective ---------CORRECT ANSWER-----------------Refer her to support
group for family members dying of cancer
A client who has a BMI of 30 is requesting information on the initial
approach to a weight loss plan. Which action should the nurse
recommend? ---------CORRECT ANSWER-----------------Keep a record of
food and drinks consumed daily
The nurse assess a client who has a nasal cannula delivering oxygen at
2L/Min. To assess for skin damage related to the cannula which area
should the nurse observe ---------CORRECT ANSWER-----------------tops of
ears, around the nostrils, and over the cheeks
The nurse observes the unlicensed assistive personnel who is providing a
total bed bath for a confused lethargic client. The UAP is soaking the
clients foot in a basin of warm water placed in the bed. What action should
the nurse take? ---------CORRECT ANSWER-----------------Remind the UAP
to dry between the toes completely
The nurse in the Emergency Department observes a colleague viewing the
EMR of a client who holds an elected position in the community. The client
is not part of the colleague's assignment. Which action should the nurse
implement? ---------CORRECT ANSWER-----------------Communicate the
colleague's actions to the unit charge nurse
QUESTIONS AND CORRECT ANSWERS |
VERIFIED ANSWERS | ALREADY GRADED A+ |
LATEST EXAM
The nurse notices a male client grimacing as he moves from the bed to a
chair but when asked about his pain he denies having any pain. Which
intervention should the nurse implement first? ---------CORRECT ANSWER-
----------------Ask the client what is making him grimace
The nurse notes that a client has cyanosis of the toes and fingertips. Which
vital sign should the nurse obtain first? ---------CORRECT ANSWER----------
-------Respiratory Rate
The charge nurse observes a new graduate nurse demonstrate the
administration of two different liquid medications through a gtube used for
continuous feeding What actions should the nurse take? ---------CORRECT
ANSWER------------------ confirm that the nurse determined the amount of
gastric residual
-Add the liquid volumes when documenting fluid intake
-Instruct the nurse to administer each medication separately
The nurse inserts a catheter for a nasotracheal suctioning as seen in the
picture. What action should the nurse take next? ---------CORRECT
ANSWER-----------------Apply intermittent suction
A client who is 2 days postop for thoracic surgery is complaining of
incisional pain 2 hours after receiving his pain medication. He rates his pain
5 on a scale of 1-10. After placing a call to the healthcare provider. What
,action should the nurse implement? ---------CORRECT ANSWER--------------
---Instruct the client to use guided imagery and slow rhythmic breathing
An unlicensed assistive personnel is assigned to help a female client with
her bath who has viral hepatitis A and hepatic encephalopathy. What
information should the nurse reinforce with UAP? ---------CORRECT
ANSWER-----------------Wear gloves while giving a bath
The nurse educator is conducting a class for unlicensed assistive
personnel. Which action indicates the UAP understands gloving
procedures? ---------CORRECT ANSWER-----------------Puts on new gloves
when entering a room
A 24 hour urine collection is in progress. The client tells the nurse that the
last voiding was accidentally flushed instead of saving in the container.
What intervention should the nurse initiate? ---------CORRECT ANSWER----
-------------Discard the urine and start another 24 hour period
A confused elderly male client is having trouble sleeping at night and is
sometimes found wandering the hallway. What nursing intervention should
the nurse implement first? ---------CORRECT ANSWER-----------------
Provide a backrub at bedtime
A young male client with testicular cancer has a living will that describes his
desire that no extraordinary measures be taken to save his life. The
healthcare provider knows the client has a good prognosis and refuses to
write a do not resuscitate prescription. What action should the nurse take? -
--------CORRECT ANSWER-----------------Initiate an ethics committee review
of the case
,The nurse is preparing to feed a newly admitted elderly male client who is
debilitated but is able to respond to most commands. Before starting to
feed the client which information is most important for the nurse to obtain? -
--------CORRECT ANSWER-----------------Client's ability to chew and
swallow
The nurse enters the room of a client with C Diff infection to administer an
intravenous antibiotic. The unlicensed assistive personnel is in the room
cleaning the clients buttocks and states the client has been incontinent with
diarrhea. The UAP is wearing gloves but not a gown. Which action should
the nurse implement first? ---------CORRECT ANSWER-----------------Tell the
UAP to put a gown on
The computer documentation system shuts down while the nurse is
entering the client's physical assessment data. What should the nurse do
first? ---------CORRECT ANSWER-----------------Wait for notification services
department of the situation
In assessing a client who has a nursing diagnosis of spiritual distress.
Which action should the nurse take first? ---------CORRECT ANSWER-------
----------Assist and support the client in establishing short term goals
A policy requiring the removal of acrylic nails by all nursing personnel was
implemented 6 months ago. Which assessment measure best determines if
the intended outcome of the policy is being achieved? ---------CORRECT
ANSWER-----------------Healthcare associated infection rate
, The nurse explains to an older adult male the procedure for collecting a 24
hour urine specimen for creatine clearance. ---------CORRECT ANSWER---
--------------Empty the urinal into the 24 hour collection container
A 54 year old male client and his wife were informed this morning that he
has terminal cancer. Which nursing intervention is likely to be most
effective ---------CORRECT ANSWER-----------------Refer her to support
group for family members dying of cancer
A client who has a BMI of 30 is requesting information on the initial
approach to a weight loss plan. Which action should the nurse
recommend? ---------CORRECT ANSWER-----------------Keep a record of
food and drinks consumed daily
The nurse assess a client who has a nasal cannula delivering oxygen at
2L/Min. To assess for skin damage related to the cannula which area
should the nurse observe ---------CORRECT ANSWER-----------------tops of
ears, around the nostrils, and over the cheeks
The nurse observes the unlicensed assistive personnel who is providing a
total bed bath for a confused lethargic client. The UAP is soaking the
clients foot in a basin of warm water placed in the bed. What action should
the nurse take? ---------CORRECT ANSWER-----------------Remind the UAP
to dry between the toes completely
The nurse in the Emergency Department observes a colleague viewing the
EMR of a client who holds an elected position in the community. The client
is not part of the colleague's assignment. Which action should the nurse
implement? ---------CORRECT ANSWER-----------------Communicate the
colleague's actions to the unit charge nurse
