HESI RN EXIT EXAM QUESTIONS AND VERIFIED
ANSWERS LATEST VERSION RATIONALE GRADED
A+
would the nurse anticipate?
Why is it important for the nurse to monitor blood pressure in clients receiving antipsychotic
drugs?
While teaching a client about their medications, the client asks how long it will take before the
effects of lithium take place. What is the best response of the nurse?
While providing home care to a client with congestive heart failure, the nurse is asked how long
diuretics must be taken. What is the nurse's best response?
While planning care for a preschool aged child, the nurse understands needs. Which of the
following would be of the most concern to the nurse?
While caring for a toddler with croup, which initial sign of croup requires the nurse's immediate
attention?
While caring for a client who was admitted with myocardial infarction (MI) 2 days ago, the
nurse notes today's temperature is 101.1 degrees Fahrenheit (38.5 degreesCelsius). The
appropriate nursing intervention is to
Which type of accidental poisoning would the nurse expect to occur in children under
Which these findings would the nurse more closely associate with anemia in a 10 month-old
infant?
Which task could be safely delegated by the nurse to an unlicensed assistive personnel (UAP)?
Which statement made by a client to the admitting nurse suggests that the client is experiencing a
manic episode?
Which statement by the nurse is appropriate when asking an unlicensed assistive personnel
(UAP) to assist a 69 year-old surgical client to ambulate for the first time?
Which of these statements by the nurse reflects the best use of therapeutic interaction
techniques?
Which of these parents' comment for a newborn would most likely reveal an initial finding of a
suspected pyloric stenosis?
Which of these observations made by the nurse during an excretory urogram indicate a
complicaton?
Which of these nursing diagnoses of 4 elderly clients would place 1 client at the greatest risk for
falls?
Which of these clients with associated lab reports is a priority for the nurse to report to the public
health department within the next 24 hours?
Which of these clients who call the community health clinic would the nurse ask to come in that
day to be seen by the health care provider?
Which of these clients who are all in the terminal stage of cancer is least appropriate to suggest
the use of patient controlled analgesia (PCA) with a pump?
Which of the actions suggested to the RN by the PN during a planning conference for a 10
month-old infant admitted 2 hours ago with bacterial meningitis would be acceptable to add to
the plan of care?
Which nursing action is a priority as the plan of care is developed for a 7 year-old
Which factor would the nurse recognize as cause for the findings?
Which bed position is preferred for use with a client in an extended care facility on falls risk
prevention protocol?
,HESI RN EXIT EXAM QUESTIONS AND VERIFIED
ANSWERS LATEST VERSION RATIONALE GRADED
A+
When assessing a client, it is important for the nurse to be informed about cultural issues related
to the client's background because
When assessing a client who has just undergone a cardioversion, the nurse finds the respirations
are 12. Which action should the nurse take first?
What principle of HIV disease should the nurse keep in mind when planning care for a newborn
who was infected in utero?
What nursing assessment of a paralyzed client would indicate the probable presence of a fecal
impaction?
What is the most important consideration when teaching parents how to reduce risks in the
home?
What is the best way for the nurse to accomplish a health history on a 14 year-old client?
To prevent unnecessary hypoxia during suctioning of a tracheostomy, the nurse must
these situations would the nurse make an exception to this practice?
The school nurse suspects that a third grade child might have Attention Deficit Hyperactivity
Disorder. Prior to referring the child for further evaluation, the nurse should
The school nurse is teaching the faculty the most effective methods to prevent the spread of lice
in the school. The information that would be most important to include would be which of these
statements?
The primary nursing diagnosis for a client with congestive heart failure with pulmonary edema is
The pathophysiological mechanism are responsible for ascites related to liver failure? (Select all
that apply) - ansA. Fluid shifts from intravascular to interstitial area due to decreased serum
The nursing student is discussing with a preceptor the delegation of tasks to an unlicensed
assistive personnel (UAP). Which tasks, delegated to a UAP, indicates the student needs further
teaching about the delegation process?
The nursing intervention that best describes treatment to deal with the behaviors of clients with
personality disorders include
The nurse would expect the cystic fibrosis client to receive supplemental pancreatic
The nurse walks into a client's room and finds the client lying still and silent on the floor. The
nurse should first
The nurse should recognize that physical dependence is accompanied by what
The nurse receives an order to give a client iron by deep injection. The nurse know that the
reason for this route is to
The nurse receives a report on an older adult client with middle stage dementia.What information
suggests the nurse should do immediate follow up rather than delegate care to the nursing
assistant? The client
The nurse is teaching the client to select foods rich in potassium to help prevent digitalis toxicity.
Which choice indicates the client understands dietary needs?
The nurse is teaching a smoking cessation class and notices there are 2 pregnant women in the
group. Which information is a priority for these women?
The nurse is teaching a client with dysrhythmia about the electrical pathway of an impulse as it
travels through the heart. Which of these demonstrates the normal pathway?
The nurse is talking with a client. The client abruptly says to the nurse, "The moon is full.
Astronauts walk on the moon. Walking is a good health habit." The client's behavior most likely
indicates
, HESI RN EXIT EXAM QUESTIONS AND VERIFIED
ANSWERS LATEST VERSION RATIONALE GRADED
A+
The nurse is talking to parents about nutrition in school aged children. Which of the following is
the most common nutritional disorder in this age group?
The nurse is reviewing laboratory results on a client with acute renal failure. Which one of the
following should be reported immediately?
The nurse is responsible for several elderly clients, including a client on bed rest with a skin tear
and hematoma from a fall 2 days ago. What is the best care assignment for this client?
The nurse is preparing a client who will undergo a myelogram. Which of the following
statements by the client indicates a contraindication for this test?
The nurse is planning care for a client with a CVA. Which of the following measures planned by
the nurse would be most effective in preventing skin breakdown?
The nurse is performing an assessment on a client in congestive heart failure. Auscultation of the
heart is most likely to reveal
The nurse is performing a physical assessment on a client who just had an endotracheal tube
inserted. Which finding would call for immediate action by the nurse?
The nurse is performing a developmental assessment on an 8 month-old. Which finding should
be reported to the health care provider?
The nurse is making a home visit to a client with chronic obstructive pulmonary disease (COPD).
The client tells the nurse that he used to be able to walk from the house to the mailbox without
difficulty. Now, he has to pause to catch his breath halfway through the trip. Which diagnosis
would be most appropriate for this client based on this assessment?
The nurse is instructing a 65 year-old female client diagnosed with osteoporosis. The most
important instruction regarding exercise would be to
The nurse is discussing nutritional requirements with the parents of an 18 month-old
The nurse is caring for residents in a long term care setting for the elderly. Which of the
following activities will be most effective in meeting the growth and development needs for
persons in this age group?
The nurse is caring for a post myocardial infarction client in an intensive care unit. It is noted
that urinary output has dropped from 60 -70 ml per hour to 30 ml per hour. This change is most
likely due to
The nurse is caring for a client who requires a mechanical ventilator for breathing.The high
pressure alarm goes off on the ventilator. What is the first action the nurse should perform?
The nurse is caring for a client who is in the late stage of multiple myeloma. Which of
The nurse is caring for a client who has developed cardiac tamponade. Which finding
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?
The nurse is caring for a client in hypertensive crisis in an intensive care unit. The priority
assessment in the first hour of care is
The nurse is caring for a client 2 hours after a right lower lobectomy. During the evaluation of
the water-seal chest drainage system, it is noted that the fluid level bubbles constantly in the
water seal chamber. On inspection of the chest dressing and tubing, the nurse does not find any
air leaks in the system. The next best action for the nurse is to
The nurse is caring for a child receiving chest physiotherapy (CPT). Which of the
The nurse is caring for 2 children who have had surgical repair of congenital heart defects. For
which defect is it a priority to assess for findings of heart conduction disturbance?
ANSWERS LATEST VERSION RATIONALE GRADED
A+
would the nurse anticipate?
Why is it important for the nurse to monitor blood pressure in clients receiving antipsychotic
drugs?
While teaching a client about their medications, the client asks how long it will take before the
effects of lithium take place. What is the best response of the nurse?
While providing home care to a client with congestive heart failure, the nurse is asked how long
diuretics must be taken. What is the nurse's best response?
While planning care for a preschool aged child, the nurse understands needs. Which of the
following would be of the most concern to the nurse?
While caring for a toddler with croup, which initial sign of croup requires the nurse's immediate
attention?
While caring for a client who was admitted with myocardial infarction (MI) 2 days ago, the
nurse notes today's temperature is 101.1 degrees Fahrenheit (38.5 degreesCelsius). The
appropriate nursing intervention is to
Which type of accidental poisoning would the nurse expect to occur in children under
Which these findings would the nurse more closely associate with anemia in a 10 month-old
infant?
Which task could be safely delegated by the nurse to an unlicensed assistive personnel (UAP)?
Which statement made by a client to the admitting nurse suggests that the client is experiencing a
manic episode?
Which statement by the nurse is appropriate when asking an unlicensed assistive personnel
(UAP) to assist a 69 year-old surgical client to ambulate for the first time?
Which of these statements by the nurse reflects the best use of therapeutic interaction
techniques?
Which of these parents' comment for a newborn would most likely reveal an initial finding of a
suspected pyloric stenosis?
Which of these observations made by the nurse during an excretory urogram indicate a
complicaton?
Which of these nursing diagnoses of 4 elderly clients would place 1 client at the greatest risk for
falls?
Which of these clients with associated lab reports is a priority for the nurse to report to the public
health department within the next 24 hours?
Which of these clients who call the community health clinic would the nurse ask to come in that
day to be seen by the health care provider?
Which of these clients who are all in the terminal stage of cancer is least appropriate to suggest
the use of patient controlled analgesia (PCA) with a pump?
Which of the actions suggested to the RN by the PN during a planning conference for a 10
month-old infant admitted 2 hours ago with bacterial meningitis would be acceptable to add to
the plan of care?
Which nursing action is a priority as the plan of care is developed for a 7 year-old
Which factor would the nurse recognize as cause for the findings?
Which bed position is preferred for use with a client in an extended care facility on falls risk
prevention protocol?
,HESI RN EXIT EXAM QUESTIONS AND VERIFIED
ANSWERS LATEST VERSION RATIONALE GRADED
A+
When assessing a client, it is important for the nurse to be informed about cultural issues related
to the client's background because
When assessing a client who has just undergone a cardioversion, the nurse finds the respirations
are 12. Which action should the nurse take first?
What principle of HIV disease should the nurse keep in mind when planning care for a newborn
who was infected in utero?
What nursing assessment of a paralyzed client would indicate the probable presence of a fecal
impaction?
What is the most important consideration when teaching parents how to reduce risks in the
home?
What is the best way for the nurse to accomplish a health history on a 14 year-old client?
To prevent unnecessary hypoxia during suctioning of a tracheostomy, the nurse must
these situations would the nurse make an exception to this practice?
The school nurse suspects that a third grade child might have Attention Deficit Hyperactivity
Disorder. Prior to referring the child for further evaluation, the nurse should
The school nurse is teaching the faculty the most effective methods to prevent the spread of lice
in the school. The information that would be most important to include would be which of these
statements?
The primary nursing diagnosis for a client with congestive heart failure with pulmonary edema is
The pathophysiological mechanism are responsible for ascites related to liver failure? (Select all
that apply) - ansA. Fluid shifts from intravascular to interstitial area due to decreased serum
The nursing student is discussing with a preceptor the delegation of tasks to an unlicensed
assistive personnel (UAP). Which tasks, delegated to a UAP, indicates the student needs further
teaching about the delegation process?
The nursing intervention that best describes treatment to deal with the behaviors of clients with
personality disorders include
The nurse would expect the cystic fibrosis client to receive supplemental pancreatic
The nurse walks into a client's room and finds the client lying still and silent on the floor. The
nurse should first
The nurse should recognize that physical dependence is accompanied by what
The nurse receives an order to give a client iron by deep injection. The nurse know that the
reason for this route is to
The nurse receives a report on an older adult client with middle stage dementia.What information
suggests the nurse should do immediate follow up rather than delegate care to the nursing
assistant? The client
The nurse is teaching the client to select foods rich in potassium to help prevent digitalis toxicity.
Which choice indicates the client understands dietary needs?
The nurse is teaching a smoking cessation class and notices there are 2 pregnant women in the
group. Which information is a priority for these women?
The nurse is teaching a client with dysrhythmia about the electrical pathway of an impulse as it
travels through the heart. Which of these demonstrates the normal pathway?
The nurse is talking with a client. The client abruptly says to the nurse, "The moon is full.
Astronauts walk on the moon. Walking is a good health habit." The client's behavior most likely
indicates
, HESI RN EXIT EXAM QUESTIONS AND VERIFIED
ANSWERS LATEST VERSION RATIONALE GRADED
A+
The nurse is talking to parents about nutrition in school aged children. Which of the following is
the most common nutritional disorder in this age group?
The nurse is reviewing laboratory results on a client with acute renal failure. Which one of the
following should be reported immediately?
The nurse is responsible for several elderly clients, including a client on bed rest with a skin tear
and hematoma from a fall 2 days ago. What is the best care assignment for this client?
The nurse is preparing a client who will undergo a myelogram. Which of the following
statements by the client indicates a contraindication for this test?
The nurse is planning care for a client with a CVA. Which of the following measures planned by
the nurse would be most effective in preventing skin breakdown?
The nurse is performing an assessment on a client in congestive heart failure. Auscultation of the
heart is most likely to reveal
The nurse is performing a physical assessment on a client who just had an endotracheal tube
inserted. Which finding would call for immediate action by the nurse?
The nurse is performing a developmental assessment on an 8 month-old. Which finding should
be reported to the health care provider?
The nurse is making a home visit to a client with chronic obstructive pulmonary disease (COPD).
The client tells the nurse that he used to be able to walk from the house to the mailbox without
difficulty. Now, he has to pause to catch his breath halfway through the trip. Which diagnosis
would be most appropriate for this client based on this assessment?
The nurse is instructing a 65 year-old female client diagnosed with osteoporosis. The most
important instruction regarding exercise would be to
The nurse is discussing nutritional requirements with the parents of an 18 month-old
The nurse is caring for residents in a long term care setting for the elderly. Which of the
following activities will be most effective in meeting the growth and development needs for
persons in this age group?
The nurse is caring for a post myocardial infarction client in an intensive care unit. It is noted
that urinary output has dropped from 60 -70 ml per hour to 30 ml per hour. This change is most
likely due to
The nurse is caring for a client who requires a mechanical ventilator for breathing.The high
pressure alarm goes off on the ventilator. What is the first action the nurse should perform?
The nurse is caring for a client who is in the late stage of multiple myeloma. Which of
The nurse is caring for a client who has developed cardiac tamponade. Which finding
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?
The nurse is caring for a client in hypertensive crisis in an intensive care unit. The priority
assessment in the first hour of care is
The nurse is caring for a client 2 hours after a right lower lobectomy. During the evaluation of
the water-seal chest drainage system, it is noted that the fluid level bubbles constantly in the
water seal chamber. On inspection of the chest dressing and tubing, the nurse does not find any
air leaks in the system. The next best action for the nurse is to
The nurse is caring for a child receiving chest physiotherapy (CPT). Which of the
The nurse is caring for 2 children who have had surgical repair of congenital heart defects. For
which defect is it a priority to assess for findings of heart conduction disturbance?
