HESI60RN60EXIT60EXAM60NEXT60GENERATION60202460SCREENSHOTS-
QUESTIONS60&60ANSWERS60(NGN60HESI60RN60EXIT)
A603-year-
old60boy60was60successfully60toilet60trained60prior60to60his60admission60to60the60hospital6
0for60injuries60sustained60from60a60fall.60His60parents60are60very60concerned60that60the60
child60has60regressed60in60his60toileting60behaviors.60Which60information60should60the60
nurse60provide60to60the60parents?
A.60A60retraining60program60will60need60to60be60initiated60when60the60child60returns60ho
me.60
B.60Diapering60will60be60provided60since60hospitalization60is60stressful60to60preschoolers
C.60A60potty60chair60should60be60brought60from60home60so60he60can60maintain60his60toil
eting60skills
D.60Children60usually60resume60their60toileting60behaviors60when60they60leave60the60hos
pital60-
60ansD.60Children60usually60resume60their60toileting60behaviors60when60they60leave60the
60hospital
A607-
year60old60is60admitted60to60the60hospital60with60persistent60vomiting,60and60a60nasogast
ric60tube60attached60to60low60intermittent60suction60is60applied.60Which60finding60is60mos
t60important60for60the60nurse60to60report60to60the60healthcare60provider?
A.60Shift60intake60of60640mL60IV60fluids60plus6030mL60PO60ice60chips60
B.60Serum60pH60of607.45
C.60Gastric60output60of6010060mL60in60the60last60860hours
D.60Serum60potassium60of603.060mg/dL60-60ansD.60Serum60potassium60of603.060mg/dL
A60child60newly60diagnosed60with60sickle60cell60anemia60(SCA)60is60being60discharged60f
rom60the60hospital.60Which60information60is60most60important60for60the60nurse60to60provi
de60the60parents60prior60to60discharge?
A.60Instructions60about60how60much60fluid60the60child60should60drink60daily.
B.60Signs60of60addiction60to60opioid60pain60medications
C.60Information60about60non-pharmaceutical60pain60relief60measures
D.60Referral60for60social60services60for60the60child60and60family60-
60ansA.60Instructions60about60how60much60fluid60the60child60should60drink60daily
A60client60asks60the60nurse60for60information60about60how60to60reduce60risk60factors60for
60benign60prostatic60hyperplasia60(BPH).60Which60information60should60the60nurse60prov
ide?
A.60Consume60a60high60protein60diet
B.60Increase60physical60activity
C.60Take60vitamin60supplements
D.60Obtain60a60prostate-specific60antigen60blood60level60test60-
60ansB.60Increase60physical60activity
A60client60at601260weeks60gestation60is60admitted60to60the60antepartum60unit60with60a60di
agnosis60of60hyperemesis60gravidarum.60Which60action60is60most60important60for60the60
nurse60to60implement?
A.60Obtain60the60client's6024-hour60dietary60recall
,HESI60RN60EXIT60EXAM60NEXT60GENERATION60202460SCREENSHOTS-
QUESTIONS60&60ANSWERS60(NGN60HESI60RN60EXIT)
B.60Document60mucosal60membrane60status
C.60Schedule60a60consult60with60a60nutritionist
D.60Initiate60prescribed60intravenous60fluids60-
60ansD.60Initiate60prescribed60intravenous60fluids
A60client60diagnosed60with60calcium60kidney60stones60has60a60history60of60gout.60A60new
60prescription60for60aluminum60hydroxide60is60scheduled60to60begin60at600730.60Which60
client60medication60should60the60nurse60bring60to60the60healthcare60provider's60attention
?
A.60Esinapril60
B.60Allopurinol
C.60Furosemide
D.60Aspirin,60low60dose60-60ansB.60Allopurinol
A60client60fell60in60the60bathroom60when60left60unattended60by60the60unlicensed60assistiv
e60personnel60(UAP).60Which60information60should60the60nurse60include60in60the60client'
s60health60record?
A.60The60UAP60left60the60client60to60assist60another60client
B.60The60last60time60client60was60assisted60to60the60bathroom
C.60The60unit60was60understaffed60when60the60client60fell
D.60The60client60fell60sustaining60a60fracture60to60the60left60hip60-
60ansD.60The60client60fell60sustaining60a60fracture60to60the60left60hip
A60client60in60the60emergency60center60demonstrates60rapid60speech,60flight60of60ideas,6
0and60reports60sleeping60only60three60hours60during60the60past604860hours.60Based60on6
0these60findings,60it60is60most60important60for60the60nurse60to60review60the60laboratory60v
alue60for60which60medication?
A.60Lorazepam
B.60Fluoxetine
C.60Divalproex
D.60Olanzapine60-60ansC.60Divalproex
A60client60in60the60third60trimester60of60pregnancy60reports60that60she60fells60some60"lum
py60places"60in60her60breasts60and60that60her60nipples60sometimes60leak60a60yellowish60f
luid.60She60has60an60appointment60with60her60healthcare60provider60in60two60weeks.60W
hat60action60should60the60nurse60take?
A.60Tell60the60client60to60begin60nipple60stimulation60to60prepare60for60breast60feeding.60
B.60Reschedule60the60client's60prenatal60appointment60for60the60following60day
C.60Explain60that60this60normal60secretion60can60be60assessed60at60the60next60visit
D.60Recommend60that60the60client60start60wearing60a60supportive60brassiere60-
60ansC.60Explain60that60this60normal60secretion60can60be60assessed60at60the60next60visit
A60client60is60admitted60with60a60diagnosis60of60urolithiasis.60Which60finding60is60most60i
mportant60for60the60nurse60to60report60to60the60healthcare60provider?
A.60Volume60of60each60voiding60is60more60than60300mL
B.60Serum60potassium60that60is60elevated
,HESI60RN60EXIT60EXAM60NEXT60GENERATION60202460SCREENSHOTS-
QUESTIONS60&60ANSWERS60(NGN60HESI60RN60EXIT)
C.60Relief60of60flank60pain60that60radiated60into60the60groin
D.60Hematuria60that60is60beginning60to60turn60pink60-
60ansD.60Hematuria60that60is60beginning60to60turn60pink
A60client60is60diagnosed60with60Meniere's60disease.60Which60problem60should60the60nurs
e60identify60as60most60important60in60the60plan60of60care?60
A.60Risk60for60ineffective60self-health60management60related60to60deficient60knowledge
B.60Ineffective60coping60related60to60personal60vulnerability60
C.60Risk60for60injury60related60to60vertigo60
D.60Anxiety60related60to60disruption60of60lifestyle60-
60ansC.60Risk60for60injury60related60to60vertigo.
A60client60is60receiving60enoxaparin6030mg60subcutaneously60twice60a60day.60In60assess
ing60for60adverse60effects60of60the60medication,60which60serum60laboratory60value60is60m
ost60important60for60the60nurse60to60monitor?60
A.60Glucose60
B.60Calcium
C.60Platelet60count
D.60White60blood60cell60count60-60ansC.60Platelet60count
A60client60is60recovering60in60the60critical60care60unit60following60a60cardiac60catheterizati
on.60IV60nitroglycerin60and60heparin60are60infusing.60The60client60is60sedated60but60resp
onds60to60verbal60instructions.60After60changing60positions,60the60client60complains60of60
pain60at60the60right60groin60insertion60site.60What60action60should60the60nurse60implemen
t?60
A.60Check60femoral60site60for60hematoma60formation
B.60Stimulate60the60client60to60take60deep60breaths
C.60Evaluate60the60integrity60of60the60IV60insertion60site
D.60Assess60distal60lower60extremity60capillary60refill60-
60ansB.60Stimulate60the60client60to60take60deep60breaths
A60client60is60scheduled60for60a60spiral60computed60tomography60(CT)60scan60with60cont
rast60to60evaluate60for60pulmonary60embolism.60Which60information60in60the60client's60hi
story60requires60follow-up60by60the60nurse?
A.60CT60scan60that60was60performed60660months60earlier
B.60Metal60hip60prosthesis60was60placed602060years60ago
C.60Report60of60client's60sobriety60for60the60last60560years
D.60Takes60metformin60for60type60260diabetes60mellitus60-
60ansD.60Takes60metformin60for60type60260diabetes60mellitus
A60client60presents60to60the60emergency60department60with60muscle60aches,60headache
,60fever,60and60describes60a60recent60loss60of60taste60and60smell.60The60nurse60obtains60
a60nasal60swab60for60COVID-
1960testing.60Which60action60is60most60important60for60the60nurse60to60take?60
A.60Place60the60nasal60swab60specimen60for60COVID-
1960directly60into60a60biohazard60bag
, HESI60RN60EXIT60EXAM60NEXT60GENERATION60202460SCREENSHOTS-
QUESTIONS60&60ANSWERS60(NGN60HESI60RN60EXIT)
B.60Move60the60client60to60a60private60room,60keep60the60door60closed,60and60initiate60dr
oplet60precautions.60
C.60Teach60the60client60to60wear60a60mask,60hand60wash,60and60social60distance60to60pr
event60spreading60the60virus60
D.60Explain60to60the60client60to60inform60others60that60they60may60have60been60potentiall
y60exposed60in60the60last601460days.60-
60ansA.60Place60the60nasal60swab60specimen60for60COVID-
1960directly60into60a60biohazard60bag
A60client60presents60to60the60labor60and60delivery60unit60with60a60report60of60leaking60flui
d60that60is60greenish-
brown60vaginal60discharge.60Which60action60should60the60nurse60take60first?
A.60Start60an60intravenous60infusion60
B.60Administer60oxygen60via60facemask
C.60Perform60a60vaginal60exam
D.60Begin60continuous60fetal60monitoring60-
60ansD.60Begin60continuous60fetal60monitoring
A60client60presses60the60call60bell60and60requests60pain60medication60for60a60severe60he
adache.60To60assess60the60quality60of60the60client's60pain,60which60approach60should60th
e60nurse60use?
A.60Ask60the60client60to60describe60the60pain
B.60Observe60body60language60and60movement60
C.60Identify60effective60pain60relief60measures
D.60Provide60a60numeric60pain60scale60-
60ansA.60Ask60the60client60to60describe60the60pain
A60client60taking60clopidogrel60reports60the60onset60of60diarrhea.60Which60nursing60actio
n60should60the60nurse60implement60first?
A.60Observe60the60appearance60of60the60stool
B.60Assess60the60elasticity60of60the60client's60skin
C.60Review60the60client's60laboratory60values
D.60Auscultate60the60client's60bowel60sounds60-
60ansA.60Observe60the60appearance60of60the60stool
A60client60tells60the60nurse60about60working60out60with60a60personal60trainer60and60swim
ming60three60times60a60week60in60an60effort60to60lose60weight60and60sleep60better.60The6
0client60states60that60it60still60is60taking60hours60to60fall60asleep60at60night.60Which60actio
n60should60the60nurse60implement?
A.60Advise60the60client60that60lifestyle60changes60often60take60several60weeks60to60be60e
ffective
B.60Encourage60the60client60to60exercise60everyday60to60eliminate60bedtime60wakefulnes
s
C.60Ask60the60client60for60a60description60of60the60exercise60schedule60that60is60being60fo
llowed
QUESTIONS60&60ANSWERS60(NGN60HESI60RN60EXIT)
A603-year-
old60boy60was60successfully60toilet60trained60prior60to60his60admission60to60the60hospital6
0for60injuries60sustained60from60a60fall.60His60parents60are60very60concerned60that60the60
child60has60regressed60in60his60toileting60behaviors.60Which60information60should60the60
nurse60provide60to60the60parents?
A.60A60retraining60program60will60need60to60be60initiated60when60the60child60returns60ho
me.60
B.60Diapering60will60be60provided60since60hospitalization60is60stressful60to60preschoolers
C.60A60potty60chair60should60be60brought60from60home60so60he60can60maintain60his60toil
eting60skills
D.60Children60usually60resume60their60toileting60behaviors60when60they60leave60the60hos
pital60-
60ansD.60Children60usually60resume60their60toileting60behaviors60when60they60leave60the
60hospital
A607-
year60old60is60admitted60to60the60hospital60with60persistent60vomiting,60and60a60nasogast
ric60tube60attached60to60low60intermittent60suction60is60applied.60Which60finding60is60mos
t60important60for60the60nurse60to60report60to60the60healthcare60provider?
A.60Shift60intake60of60640mL60IV60fluids60plus6030mL60PO60ice60chips60
B.60Serum60pH60of607.45
C.60Gastric60output60of6010060mL60in60the60last60860hours
D.60Serum60potassium60of603.060mg/dL60-60ansD.60Serum60potassium60of603.060mg/dL
A60child60newly60diagnosed60with60sickle60cell60anemia60(SCA)60is60being60discharged60f
rom60the60hospital.60Which60information60is60most60important60for60the60nurse60to60provi
de60the60parents60prior60to60discharge?
A.60Instructions60about60how60much60fluid60the60child60should60drink60daily.
B.60Signs60of60addiction60to60opioid60pain60medications
C.60Information60about60non-pharmaceutical60pain60relief60measures
D.60Referral60for60social60services60for60the60child60and60family60-
60ansA.60Instructions60about60how60much60fluid60the60child60should60drink60daily
A60client60asks60the60nurse60for60information60about60how60to60reduce60risk60factors60for
60benign60prostatic60hyperplasia60(BPH).60Which60information60should60the60nurse60prov
ide?
A.60Consume60a60high60protein60diet
B.60Increase60physical60activity
C.60Take60vitamin60supplements
D.60Obtain60a60prostate-specific60antigen60blood60level60test60-
60ansB.60Increase60physical60activity
A60client60at601260weeks60gestation60is60admitted60to60the60antepartum60unit60with60a60di
agnosis60of60hyperemesis60gravidarum.60Which60action60is60most60important60for60the60
nurse60to60implement?
A.60Obtain60the60client's6024-hour60dietary60recall
,HESI60RN60EXIT60EXAM60NEXT60GENERATION60202460SCREENSHOTS-
QUESTIONS60&60ANSWERS60(NGN60HESI60RN60EXIT)
B.60Document60mucosal60membrane60status
C.60Schedule60a60consult60with60a60nutritionist
D.60Initiate60prescribed60intravenous60fluids60-
60ansD.60Initiate60prescribed60intravenous60fluids
A60client60diagnosed60with60calcium60kidney60stones60has60a60history60of60gout.60A60new
60prescription60for60aluminum60hydroxide60is60scheduled60to60begin60at600730.60Which60
client60medication60should60the60nurse60bring60to60the60healthcare60provider's60attention
?
A.60Esinapril60
B.60Allopurinol
C.60Furosemide
D.60Aspirin,60low60dose60-60ansB.60Allopurinol
A60client60fell60in60the60bathroom60when60left60unattended60by60the60unlicensed60assistiv
e60personnel60(UAP).60Which60information60should60the60nurse60include60in60the60client'
s60health60record?
A.60The60UAP60left60the60client60to60assist60another60client
B.60The60last60time60client60was60assisted60to60the60bathroom
C.60The60unit60was60understaffed60when60the60client60fell
D.60The60client60fell60sustaining60a60fracture60to60the60left60hip60-
60ansD.60The60client60fell60sustaining60a60fracture60to60the60left60hip
A60client60in60the60emergency60center60demonstrates60rapid60speech,60flight60of60ideas,6
0and60reports60sleeping60only60three60hours60during60the60past604860hours.60Based60on6
0these60findings,60it60is60most60important60for60the60nurse60to60review60the60laboratory60v
alue60for60which60medication?
A.60Lorazepam
B.60Fluoxetine
C.60Divalproex
D.60Olanzapine60-60ansC.60Divalproex
A60client60in60the60third60trimester60of60pregnancy60reports60that60she60fells60some60"lum
py60places"60in60her60breasts60and60that60her60nipples60sometimes60leak60a60yellowish60f
luid.60She60has60an60appointment60with60her60healthcare60provider60in60two60weeks.60W
hat60action60should60the60nurse60take?
A.60Tell60the60client60to60begin60nipple60stimulation60to60prepare60for60breast60feeding.60
B.60Reschedule60the60client's60prenatal60appointment60for60the60following60day
C.60Explain60that60this60normal60secretion60can60be60assessed60at60the60next60visit
D.60Recommend60that60the60client60start60wearing60a60supportive60brassiere60-
60ansC.60Explain60that60this60normal60secretion60can60be60assessed60at60the60next60visit
A60client60is60admitted60with60a60diagnosis60of60urolithiasis.60Which60finding60is60most60i
mportant60for60the60nurse60to60report60to60the60healthcare60provider?
A.60Volume60of60each60voiding60is60more60than60300mL
B.60Serum60potassium60that60is60elevated
,HESI60RN60EXIT60EXAM60NEXT60GENERATION60202460SCREENSHOTS-
QUESTIONS60&60ANSWERS60(NGN60HESI60RN60EXIT)
C.60Relief60of60flank60pain60that60radiated60into60the60groin
D.60Hematuria60that60is60beginning60to60turn60pink60-
60ansD.60Hematuria60that60is60beginning60to60turn60pink
A60client60is60diagnosed60with60Meniere's60disease.60Which60problem60should60the60nurs
e60identify60as60most60important60in60the60plan60of60care?60
A.60Risk60for60ineffective60self-health60management60related60to60deficient60knowledge
B.60Ineffective60coping60related60to60personal60vulnerability60
C.60Risk60for60injury60related60to60vertigo60
D.60Anxiety60related60to60disruption60of60lifestyle60-
60ansC.60Risk60for60injury60related60to60vertigo.
A60client60is60receiving60enoxaparin6030mg60subcutaneously60twice60a60day.60In60assess
ing60for60adverse60effects60of60the60medication,60which60serum60laboratory60value60is60m
ost60important60for60the60nurse60to60monitor?60
A.60Glucose60
B.60Calcium
C.60Platelet60count
D.60White60blood60cell60count60-60ansC.60Platelet60count
A60client60is60recovering60in60the60critical60care60unit60following60a60cardiac60catheterizati
on.60IV60nitroglycerin60and60heparin60are60infusing.60The60client60is60sedated60but60resp
onds60to60verbal60instructions.60After60changing60positions,60the60client60complains60of60
pain60at60the60right60groin60insertion60site.60What60action60should60the60nurse60implemen
t?60
A.60Check60femoral60site60for60hematoma60formation
B.60Stimulate60the60client60to60take60deep60breaths
C.60Evaluate60the60integrity60of60the60IV60insertion60site
D.60Assess60distal60lower60extremity60capillary60refill60-
60ansB.60Stimulate60the60client60to60take60deep60breaths
A60client60is60scheduled60for60a60spiral60computed60tomography60(CT)60scan60with60cont
rast60to60evaluate60for60pulmonary60embolism.60Which60information60in60the60client's60hi
story60requires60follow-up60by60the60nurse?
A.60CT60scan60that60was60performed60660months60earlier
B.60Metal60hip60prosthesis60was60placed602060years60ago
C.60Report60of60client's60sobriety60for60the60last60560years
D.60Takes60metformin60for60type60260diabetes60mellitus60-
60ansD.60Takes60metformin60for60type60260diabetes60mellitus
A60client60presents60to60the60emergency60department60with60muscle60aches,60headache
,60fever,60and60describes60a60recent60loss60of60taste60and60smell.60The60nurse60obtains60
a60nasal60swab60for60COVID-
1960testing.60Which60action60is60most60important60for60the60nurse60to60take?60
A.60Place60the60nasal60swab60specimen60for60COVID-
1960directly60into60a60biohazard60bag
, HESI60RN60EXIT60EXAM60NEXT60GENERATION60202460SCREENSHOTS-
QUESTIONS60&60ANSWERS60(NGN60HESI60RN60EXIT)
B.60Move60the60client60to60a60private60room,60keep60the60door60closed,60and60initiate60dr
oplet60precautions.60
C.60Teach60the60client60to60wear60a60mask,60hand60wash,60and60social60distance60to60pr
event60spreading60the60virus60
D.60Explain60to60the60client60to60inform60others60that60they60may60have60been60potentiall
y60exposed60in60the60last601460days.60-
60ansA.60Place60the60nasal60swab60specimen60for60COVID-
1960directly60into60a60biohazard60bag
A60client60presents60to60the60labor60and60delivery60unit60with60a60report60of60leaking60flui
d60that60is60greenish-
brown60vaginal60discharge.60Which60action60should60the60nurse60take60first?
A.60Start60an60intravenous60infusion60
B.60Administer60oxygen60via60facemask
C.60Perform60a60vaginal60exam
D.60Begin60continuous60fetal60monitoring60-
60ansD.60Begin60continuous60fetal60monitoring
A60client60presses60the60call60bell60and60requests60pain60medication60for60a60severe60he
adache.60To60assess60the60quality60of60the60client's60pain,60which60approach60should60th
e60nurse60use?
A.60Ask60the60client60to60describe60the60pain
B.60Observe60body60language60and60movement60
C.60Identify60effective60pain60relief60measures
D.60Provide60a60numeric60pain60scale60-
60ansA.60Ask60the60client60to60describe60the60pain
A60client60taking60clopidogrel60reports60the60onset60of60diarrhea.60Which60nursing60actio
n60should60the60nurse60implement60first?
A.60Observe60the60appearance60of60the60stool
B.60Assess60the60elasticity60of60the60client's60skin
C.60Review60the60client's60laboratory60values
D.60Auscultate60the60client's60bowel60sounds60-
60ansA.60Observe60the60appearance60of60the60stool
A60client60tells60the60nurse60about60working60out60with60a60personal60trainer60and60swim
ming60three60times60a60week60in60an60effort60to60lose60weight60and60sleep60better.60The6
0client60states60that60it60still60is60taking60hours60to60fall60asleep60at60night.60Which60actio
n60should60the60nurse60implement?
A.60Advise60the60client60that60lifestyle60changes60often60take60several60weeks60to60be60e
ffective
B.60Encourage60the60client60to60exercise60everyday60to60eliminate60bedtime60wakefulnes
s
C.60Ask60the60client60for60a60description60of60the60exercise60schedule60that60is60being60fo
llowed
