HESI EXIT EXAM RN QUESTIONS & ANSWERS ALL ANSWERS
100% CORRECT(UPDATED 2025)- TEST BANK GRADED A+
A nurse is providing discharge teaching to a client who has a new prescription for
phenelzine. The nurse should instruct the client that it is safe to eat which of the
following foods while taking this medication?
a. Avocados
b. Whole grain bread
c. Pepperoni pizza
d. Smoked salmon
Rationale: MAOIs = antidepressants; avoid foods with high tyramine content (egg, aged cheeses,
sour cream, red wines, beer, bologna, pepperoni, salami, summer sausage, pickled herring, liver,
meat prepared with tenderizers, canned figs, raisins, bananas, avocados, soy sauce, fava beans, yeast
extracts), drink alcohol, or consume large quantities of caffeine (coffee, tea, chocolate, or cola)
50. A nurse enters a client’s room and sees a small fire in the client’s bathroom.
Identify the sequence of steps the nurse should take. (Move the steps into the box on the
right, placing them in the selected order of performance. Use all steps)
a. Transport the client to another area of the nursing unit (1)
b. Activate the facility’s fire alarm system (2)
c. Close all nearby windows and doors (3)
d. Use the unit’s fire extinguisher to attempt to put out the fire (4)
Rationale: RACE
*52. A nurse is caring for a client who is experiencing
mild anxiety. Which of the following findings should the
nurse expect? Ch 4 p. 23 funds
a. Heightened perceptual field
b. Rapid speech -severe
c. Feelings of dread
d. Purposeless activity
53. Anurse is caring for a client who has type 1 diabetes
mellitus. The client reports that she is not feeling well.
Which of the following findings should indicate to the
nurse that the client is hypoglycemic? (Select all that
apply.) CONFIRMED
a. Tremors
b. Polydipsia = hyperglycemia
c. Acetone Breath odor = DKA
d. Diaphoresis
e. Inability to concentrate
54.A nurse is caring for an infant who has coarctation
of the aorta. Which of the following should the nurse
identify as an expected finding?
, a. Upper extremity hypotension (Upper HYPERtension)
b. Increased intracranial pressure
c. Frequent nosebleeds
d. Weak femoral pulses
Rationale: Pg.112 (Pediatrics) A narrowing of the major
artery (theaorta) that carries blood to the body.
This narrowing affects blood flow where the arteries branch out to carry blood along separate
vessels to the upper and lower parts of the body. CoA can cause high blood pressure or heart damage.
*55. A community health nurse is planning primary prevention activities to reduce the occurrence of
abuse. Which of the following strategies should the nurse include in the plan?
a. Instruct healthcare professionals to identify abusive situations (screening=secondary
prevention)
b. Locate financial support to open a shelter for abuse survivors (3rd)
c. Teach parenting skills to families at risk for abuse
d. Connect abuse survivors with legal counsel (3rd)
,Primary prevention aims to prevent disease or injury before it ever occurs. This is done by
preventing exposures to hazards that cause disease or injury, altering unhealthy or unsafe
behaviors that can lead to disease or injury, and increasing resistance to disease or injury
should exposure occur. Examples include:
● legislation and enforcement to ban or control the use of hazardous products (e.g.
asbestos) or to mandate safe and healthy practices (e.g. use of seatbelts and bike
helmets)
● education about healthy and safe habits (e.g. eating well, exercising regularly, not
smoking)
● immunization against infectious diseases.
56. A nurse and an assistive personnel (AP) are caring for a group of clients. Which
of the following tasks is appropriate for the nurse to delegate to the AP?
a. Documenting the report of pain for a client who is postoperative = ASSESSMENT=
RN
b. Administering oral fluids to a client who has dysphagia- RN- complex patient
who is also UNSTABLE + basic nursing skills
c. Applying a condom catheter for a client who has a spinal cord injury
d. Reviewing active range-of-motion exercise with a client who had a stroke-
Assessment = RN
57. A nurse is providing teaching to an adolescent who has peptic ulcer disease.
Which of the following statements by the client indicates an understanding of the
teaching?
a. “I will take sucralfate with meals three times per day”
b. “I will avoid food and beverages that contain caffeine”
c. “I will decrease my daily protein intake to 15 grams per day”
d. “I will use ibuprofen as needed to control abdominal pain”
: Pg. 315 (Med/surg) Drink alcohol in moderation. Stop smoking. Avoid NSAIDs. Limit Caffeine-
containing.
58. A nurse is caring for a client who reports xerostomia following radiation
therapy to the mandible. Which of the following is an appropriate action by the
nurse?
a. Offer the client saltine crackers between meals
b. Suggest rinsing his mouth with an alcohol-based mouthwash
c. Provide humidification of the room air
d. Instruct the client on the use of
esophageal speechRationale: dry mouth
59. A nurse is caring for four clients. Which of the following tasks can the nurse delegate
to an assistive personnel?
CONFIRMED
a. Assess effectiveness of antiemetic medication- ASSESS = RN
, b. Perform chest compressions during cardiac resuscitation- BASIC LIFE
SUPPORT- CNA can do
c. Perform a dressing change for a new amputee- BASIC NURSING SKILLS= LVN
d. Apply a transdermal nicotine patch- BASIC NURSING SKILLS =LVN
*60. A nurse is caring for a client who states he recently purchased lavender oil to use when
he gets the flu. The nurse should recognize which of the following findings as a potential
contraindication for using lavender?
a. The client takes vitamin C daily
b. The client has a history of alcohol use disorder
c. The client has a history of asthma
d. The client takes furosemide twice daily
61. A nurse is caring for a client who has major depressive disorder and a new
prescription for amitriptyline. The nurse should monitor for which of the following
adverse effects? P. 57 pharm
a. Increased salivation- dry it will cause - anticholinergic effects
b. Weight loss
100% CORRECT(UPDATED 2025)- TEST BANK GRADED A+
A nurse is providing discharge teaching to a client who has a new prescription for
phenelzine. The nurse should instruct the client that it is safe to eat which of the
following foods while taking this medication?
a. Avocados
b. Whole grain bread
c. Pepperoni pizza
d. Smoked salmon
Rationale: MAOIs = antidepressants; avoid foods with high tyramine content (egg, aged cheeses,
sour cream, red wines, beer, bologna, pepperoni, salami, summer sausage, pickled herring, liver,
meat prepared with tenderizers, canned figs, raisins, bananas, avocados, soy sauce, fava beans, yeast
extracts), drink alcohol, or consume large quantities of caffeine (coffee, tea, chocolate, or cola)
50. A nurse enters a client’s room and sees a small fire in the client’s bathroom.
Identify the sequence of steps the nurse should take. (Move the steps into the box on the
right, placing them in the selected order of performance. Use all steps)
a. Transport the client to another area of the nursing unit (1)
b. Activate the facility’s fire alarm system (2)
c. Close all nearby windows and doors (3)
d. Use the unit’s fire extinguisher to attempt to put out the fire (4)
Rationale: RACE
*52. A nurse is caring for a client who is experiencing
mild anxiety. Which of the following findings should the
nurse expect? Ch 4 p. 23 funds
a. Heightened perceptual field
b. Rapid speech -severe
c. Feelings of dread
d. Purposeless activity
53. Anurse is caring for a client who has type 1 diabetes
mellitus. The client reports that she is not feeling well.
Which of the following findings should indicate to the
nurse that the client is hypoglycemic? (Select all that
apply.) CONFIRMED
a. Tremors
b. Polydipsia = hyperglycemia
c. Acetone Breath odor = DKA
d. Diaphoresis
e. Inability to concentrate
54.A nurse is caring for an infant who has coarctation
of the aorta. Which of the following should the nurse
identify as an expected finding?
, a. Upper extremity hypotension (Upper HYPERtension)
b. Increased intracranial pressure
c. Frequent nosebleeds
d. Weak femoral pulses
Rationale: Pg.112 (Pediatrics) A narrowing of the major
artery (theaorta) that carries blood to the body.
This narrowing affects blood flow where the arteries branch out to carry blood along separate
vessels to the upper and lower parts of the body. CoA can cause high blood pressure or heart damage.
*55. A community health nurse is planning primary prevention activities to reduce the occurrence of
abuse. Which of the following strategies should the nurse include in the plan?
a. Instruct healthcare professionals to identify abusive situations (screening=secondary
prevention)
b. Locate financial support to open a shelter for abuse survivors (3rd)
c. Teach parenting skills to families at risk for abuse
d. Connect abuse survivors with legal counsel (3rd)
,Primary prevention aims to prevent disease or injury before it ever occurs. This is done by
preventing exposures to hazards that cause disease or injury, altering unhealthy or unsafe
behaviors that can lead to disease or injury, and increasing resistance to disease or injury
should exposure occur. Examples include:
● legislation and enforcement to ban or control the use of hazardous products (e.g.
asbestos) or to mandate safe and healthy practices (e.g. use of seatbelts and bike
helmets)
● education about healthy and safe habits (e.g. eating well, exercising regularly, not
smoking)
● immunization against infectious diseases.
56. A nurse and an assistive personnel (AP) are caring for a group of clients. Which
of the following tasks is appropriate for the nurse to delegate to the AP?
a. Documenting the report of pain for a client who is postoperative = ASSESSMENT=
RN
b. Administering oral fluids to a client who has dysphagia- RN- complex patient
who is also UNSTABLE + basic nursing skills
c. Applying a condom catheter for a client who has a spinal cord injury
d. Reviewing active range-of-motion exercise with a client who had a stroke-
Assessment = RN
57. A nurse is providing teaching to an adolescent who has peptic ulcer disease.
Which of the following statements by the client indicates an understanding of the
teaching?
a. “I will take sucralfate with meals three times per day”
b. “I will avoid food and beverages that contain caffeine”
c. “I will decrease my daily protein intake to 15 grams per day”
d. “I will use ibuprofen as needed to control abdominal pain”
: Pg. 315 (Med/surg) Drink alcohol in moderation. Stop smoking. Avoid NSAIDs. Limit Caffeine-
containing.
58. A nurse is caring for a client who reports xerostomia following radiation
therapy to the mandible. Which of the following is an appropriate action by the
nurse?
a. Offer the client saltine crackers between meals
b. Suggest rinsing his mouth with an alcohol-based mouthwash
c. Provide humidification of the room air
d. Instruct the client on the use of
esophageal speechRationale: dry mouth
59. A nurse is caring for four clients. Which of the following tasks can the nurse delegate
to an assistive personnel?
CONFIRMED
a. Assess effectiveness of antiemetic medication- ASSESS = RN
, b. Perform chest compressions during cardiac resuscitation- BASIC LIFE
SUPPORT- CNA can do
c. Perform a dressing change for a new amputee- BASIC NURSING SKILLS= LVN
d. Apply a transdermal nicotine patch- BASIC NURSING SKILLS =LVN
*60. A nurse is caring for a client who states he recently purchased lavender oil to use when
he gets the flu. The nurse should recognize which of the following findings as a potential
contraindication for using lavender?
a. The client takes vitamin C daily
b. The client has a history of alcohol use disorder
c. The client has a history of asthma
d. The client takes furosemide twice daily
61. A nurse is caring for a client who has major depressive disorder and a new
prescription for amitriptyline. The nurse should monitor for which of the following
adverse effects? P. 57 pharm
a. Increased salivation- dry it will cause - anticholinergic effects
b. Weight loss
