HESI RN EXIT EXAM WITH NGN LATEST VERSION B /HESI EXIT RN NEXT GENERATION EXAM ALL 160 QUESTIONS AND CORRECT DETAILED ANSWERS

HESI RN EXIT EXAM WITH NGN LATEST
VERSION B 2024-2025/HESI EXIT RN NEXT
GENERATION EXAM ALL 160 QUESTIONS
AND CORRECT DETAILED ANSWERS


160 QUESTIONS AND CORRECT DETAILED ANSWERS




1. The nurse is completing the admission assessment of a 3-year old who
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is admitted with bacterial meningitis and hydrocephalus.Which assessment
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finding is evidence that the child is experiencing increased intracranial pres- sure
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(ICP)?
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A. Tachycardiaandtachypnea r r




B. Sluggish and unequal pupillary responses r r r r




C. Increased head circumference and bulging fontanels r r r r r




D. Blood pressure fluctuations and syncope:ANS B. Sluggish and unequal
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pupillary responses
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2. A client with acute pancreatitis is admitted with severe, piercing abdominal
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pain and an elevated serum amylase. Which additional information is the client
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most likely to report to the nurse?
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,A. Abdominal pain decreases when lying supine r r r r r




B. Pain lasts an hour and leaves the abdomen tender
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C. Right upper quadrant pain refers to right scapula
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D. Drinks alcohol until intoxicated at least twice weekly.:ANS A.Abdominal
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pain decreases when lying supine
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3. A child newly diagnosed with sickle cell anemia (SCA) is being discharged
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from the hospital. Which information is most important for the nurse to provide the
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parents prior to discharge?
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A. Instructions about how much fluid the child should drink daily. r r r r r r r r r




B. Signs of addiction to opioid pain medicationsr r r r r r




C. Information about non-pharmaceutical pain relief measures r r r r r




D. Referral for social services for the child and family:ANS A.Instructions about how
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much fluid the child should drink daily
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4. To auscultate for a carotid bruit, the nurse places the stethoscope at what
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location. (Select the location on the image with a red dot).:ANS I placed the red dot
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on the base of the neck on the right side
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5. After receiving report on an inpatient acute care unit,which client should the
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nurse assess first?
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A. The client with an obstruction of the large intestine who is experiencing
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abdominal distention
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B. The client who had surgery yesterday and is experiencing a paralytic ileus
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with absent bowel sounds
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C. The client with a small bowel obstruction who has a nasogastric tube that is
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draining greenish fluid
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,D. The client with a bowel obstruction due to a volvulus who is experiencing
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, abdominal rigidity:ANSD.The client with a bowel obstruction due to a volvulus who is
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experiencing abdominal rigidity
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6. A teenager presents to the emergency department with palpitations after
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vaping at a party.The client is anxious,fearful,and hyperventilating.The nurse
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anticipates the client developing which acid base imbalance?
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A. Respiratory acidosis r




B. Metabolic alkalosis r




C. Metabolic acidosis r




D. Respiratory alkalosis:ANSD.Respiratory alkalosis r r r r




7. A client with dyspnea is being admitted to the medical unit. To best prepare for
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the client's arrival, the nurse should ensure that the client's bed is in which
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position?
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A. Supine

B. supine;feet elevated higher than head
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C. supine;head elevated higher than feet
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D. Fowlers:ANS Fowlers r




8. ThenurseistakingthebloodpressuremeasurementofaclientwithParkin-
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son's disease.Which information in the client's admission assessment is
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relevant to the nurse's plan for taking the blood pressure reading? (Select all the
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apply)
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A. Frequent syncope r




B. Occasional nocturia r