NUR HESI NURSING HESI-RN-EXIT FINAL STUDY
GUIDE EXAM QUESTIONS AND ANSWERS 100%
CORRECTLY/VERIFIED BEST GRADED A+LATEST
UPDATE 2025
The nurse should recognize that physical dependence is
accompanied by whatfindings when alcohol consumption is first
reduced or ended?
A) Seizures
B) Withdrawal
C) Craving
D) Marked tolerance
Immediately following an acute battering incident in a violent
relationship, thebatterer may respond to the partner’s injuries by
A) Seeking medical help for the victim's injuries
B) Minimizing the episode and underestimating the victim’s injuries
C) Contacting a close friend and asking for help
D) Being very remorseful and assisting the victim with medical care
A client with pneumococcal pneumonia had been started on antibiotics 16 hours
ago.
During the nurse’s initial evening rounds the nurse notices a foul smell in the room.
The client makes all of these statements during their conversation. Which
statement would alert the nurse toa complication?
,A) "I have a sharp pain in my chest when I take a breath."
B) "I have been coughing up foul-tasting, brown, thick sputum."
C) "I have been sweating all day."
D) "I feel hot off and on."
The nurse is performing an assessment on a client in congestive
heart failure.Auscultation of the heart is most likely to reveal
A) S3 ventricular gallop
B) Apical click
C) Systolic murmur
D) Split S2
Which of these observations made by the nurse during an excretory
urogram indicate acomplicaton?
A) The client complains of a salty taste in the mouth when the dye is injected
B) The client’s entire body turns a bright red color
C) The client states “I have a feeling of getting warm.”
D) The client gags and complains “ I am getting sick.”
A client is diagnosed with a spontaneous pneumothorax necessitating the
insertion of a chesttube. What is the best explanation for the nurse to provide
this client?
A) "The tube will drain fluid from your chest."
B) "The tube will remove excess air from your chest."
C) "The tube controls the amount of air that enters your chest."
D) "The tube will seal the hole in your lung."
, The nurse is reviewing laboratory results on a client with acute renal failure.
Which one ofthe following should be reported immediately?
A) Blood urea nitrogen 50 mg/dl
B) Hemoglobin of 10.3 mg/dl
C) Venous blood pH 7.30
D) Serum potassium 6 mEq/L
The nurse is caring for a client undergoing the placement of a central
venous catheter line.Which of the following would require the nurse’s
immediate attention?
A) Pallor
B) Increased temperature
C) Dyspnea
D) Involuntary muscle spasms
The nurse is performing a physical assessment on a client who just had an
endotracheal tubeinserted. Which finding would call for immediate action by the
nurse?
A) Breath sounds can be heard bilaterally
B) Mist is visible in the T-Piece
C) Pulse oximetry of 88
D) Client is unable to speak
A nurse checks a client who is on a volume-cycled ventilator. Which finding
indicates thatthe client may need suctioning?
A) Drowsiness
, B) Complaint of nausea
C) Pulse rate of 92
D) Restlessness
During the evaluation phase for a client, the nurse should focus on
A) All finding of physical and psychosocial stressors of the client and in the
family
B) The client's status, progress toward goal achievement, and ongoing re-
evaluation
C) Setting short and long-term goals to insure continuity of care from
hospital to home
D) Select interventions that are measurable and achievable within selected
timeframes
A client has a deep vein thrombosis (DVT). What comfort measure does
the nurse delegate tothe unlicensed assistive personnel (UAP)?
a. Ambulate the client.
b. Apply a warm moist pack.
c. Massage the client’s leg.
d. Provide an ice pack.
A client has been diagnosed with a deep vein thrombosis and is to be
discharged on warfarin(Coumadin). The client is adamant about refusing
the drug because “it’s dangerous.” What action by the nurse is best?
a. Assess the reason behind the client’s fear.
b. Remind the client about laboratory monitoring.
c. Tell the client drugs are safer today than before.
GUIDE EXAM QUESTIONS AND ANSWERS 100%
CORRECTLY/VERIFIED BEST GRADED A+LATEST
UPDATE 2025
The nurse should recognize that physical dependence is
accompanied by whatfindings when alcohol consumption is first
reduced or ended?
A) Seizures
B) Withdrawal
C) Craving
D) Marked tolerance
Immediately following an acute battering incident in a violent
relationship, thebatterer may respond to the partner’s injuries by
A) Seeking medical help for the victim's injuries
B) Minimizing the episode and underestimating the victim’s injuries
C) Contacting a close friend and asking for help
D) Being very remorseful and assisting the victim with medical care
A client with pneumococcal pneumonia had been started on antibiotics 16 hours
ago.
During the nurse’s initial evening rounds the nurse notices a foul smell in the room.
The client makes all of these statements during their conversation. Which
statement would alert the nurse toa complication?
,A) "I have a sharp pain in my chest when I take a breath."
B) "I have been coughing up foul-tasting, brown, thick sputum."
C) "I have been sweating all day."
D) "I feel hot off and on."
The nurse is performing an assessment on a client in congestive
heart failure.Auscultation of the heart is most likely to reveal
A) S3 ventricular gallop
B) Apical click
C) Systolic murmur
D) Split S2
Which of these observations made by the nurse during an excretory
urogram indicate acomplicaton?
A) The client complains of a salty taste in the mouth when the dye is injected
B) The client’s entire body turns a bright red color
C) The client states “I have a feeling of getting warm.”
D) The client gags and complains “ I am getting sick.”
A client is diagnosed with a spontaneous pneumothorax necessitating the
insertion of a chesttube. What is the best explanation for the nurse to provide
this client?
A) "The tube will drain fluid from your chest."
B) "The tube will remove excess air from your chest."
C) "The tube controls the amount of air that enters your chest."
D) "The tube will seal the hole in your lung."
, The nurse is reviewing laboratory results on a client with acute renal failure.
Which one ofthe following should be reported immediately?
A) Blood urea nitrogen 50 mg/dl
B) Hemoglobin of 10.3 mg/dl
C) Venous blood pH 7.30
D) Serum potassium 6 mEq/L
The nurse is caring for a client undergoing the placement of a central
venous catheter line.Which of the following would require the nurse’s
immediate attention?
A) Pallor
B) Increased temperature
C) Dyspnea
D) Involuntary muscle spasms
The nurse is performing a physical assessment on a client who just had an
endotracheal tubeinserted. Which finding would call for immediate action by the
nurse?
A) Breath sounds can be heard bilaterally
B) Mist is visible in the T-Piece
C) Pulse oximetry of 88
D) Client is unable to speak
A nurse checks a client who is on a volume-cycled ventilator. Which finding
indicates thatthe client may need suctioning?
A) Drowsiness
, B) Complaint of nausea
C) Pulse rate of 92
D) Restlessness
During the evaluation phase for a client, the nurse should focus on
A) All finding of physical and psychosocial stressors of the client and in the
family
B) The client's status, progress toward goal achievement, and ongoing re-
evaluation
C) Setting short and long-term goals to insure continuity of care from
hospital to home
D) Select interventions that are measurable and achievable within selected
timeframes
A client has a deep vein thrombosis (DVT). What comfort measure does
the nurse delegate tothe unlicensed assistive personnel (UAP)?
a. Ambulate the client.
b. Apply a warm moist pack.
c. Massage the client’s leg.
d. Provide an ice pack.
A client has been diagnosed with a deep vein thrombosis and is to be
discharged on warfarin(Coumadin). The client is adamant about refusing
the drug because “it’s dangerous.” What action by the nurse is best?
a. Assess the reason behind the client’s fear.
b. Remind the client about laboratory monitoring.
c. Tell the client drugs are safer today than before.
