HESI EXIT RN V1 EXAM [NEW] All 100% Verified
160 Questions and Answers - Guaranteed Pass With
Grade A.,,
The nurse completing the admission assessment of a 3-year-old who is admitted with
bacterial meningitis and hydrocephalusWhich assessment evidence that the child is
experiencing increased intracranial pressure (ICP) - Sluggish and unequal pupillary
responses
A client with acute pancreatitis is admitted with severe , piercing abdominal pain and an
elevated serum amylase . Which additional information is the client most likely to report to
the nurse ? - Abdominal pain decreases when lying supine
A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the
hospitalWhich information is most important for the nurse to provide the parents prior to
discharge? - Instructions about how much fluid the child should drink daily .
To auscultate for a carotid bruitthe nurse places the stethoscope at what location (Select the
correct location on the image. To change, click on a new location) -
After receiving report on an inpatient acute care unit, which client should the nurse assess
first? - The client with a bowel obstruction due to a volvulus who is experiencing
abdominal rigidity
P a g e 1 | 36
,A teenager presents to the emergency department with palpitations after vaping at a
partyThe client is anxious, fearful, and hyperventilatingThe anticipates the developing which
acid base imbalance? - Respiratory alkalosis
A with dyspnea is being admitted to the medical unitTo best prepare for the client's arrival,
the nurse should ensure that the client's bed is in which ? - Picture with the bed sitting
up
The nurse is taking the blood pressure measurement of a client with Parkinson's disease.
Which information in the admission assessment is relevan to the nurse's plan for taking the
blood pressure reading? (Select all that apply) - Blurred vision
Flat affect
Frequent syncope
While caring for a client's postoperative dressing, the nurse observes purulent drainage at the
wound. Before reporting this finding to the healthcare provider the nurse should review
which of the client's laboratory values ? - Culture for sensitive organisms.
A preschool aged boy is admitted to the pediatric unit following successful resuscitation from
a near -drowning incident While providing to the child , the nurse begins with brother who
P a g e 2 | 36
,rescued the child from the swimming pool and initiated resuscitation The nurse notices the
older boy becomes withdrawn when asked about what happened Which action should the
nurse take ? - Ask the older brother how he felt during the incident
A male client with cirrhosis has jaundice and prunitus. He tells the nurse that he has been
soaking in hot baths at
night with no relief of his discomfort. Which action should the nurse take ? - Encourage
the client to use cooler water and apply calamine lotion after soaking
An older client with a long history of coronary artery disease (CAD), hypertension (HTN), and
heart failure (HF) arrives in the Emergency Department ED) respiratory distressThe healthcare
provider prescribes furosemide IVWhich therapeutic response to furosemide should the nurse
expected in the with acute HF? - Reduced reload
Which intervention should the nurse include in the plan of care for a child with tetanus? -
Minimize the amount of stimuli in the room
An adolescent who was diagnosed with diabetes mellitus Type 1 at the age of 9is admitted to
the hospital in diabetic ketoacidosis. Which occurrence is the most likely cause of the
ketoacidosis? - Had a cold and ear infection for the past two days
P a g e 3 | 36
, A client with a prescription for " do not resuscitate ( DNR ) begins to manifest signs of
impending death . After notifying the family of the client's status , what priority action should
the nurse implement ? - The client's need for pain medication should be determined.
Which self care measure is most important for the nurse to include in the plan of care of a
client recently diagnosed with type 2 diabetes mellitus - Blood glucose monitoring
A client who gave birth 48 hours ago has decided to bottle feed the infantDuring the
assessment, the nurse observes that both breasts are swollen, warm and tender on
palpationWhich instruction should the nurse provide? - Apply ice to the breast for
comfort
The nurse is preparing a client who had a below-the-knee (BKA) amputation for discharge to
home. Which recommendations should the nurse provide this client? (Select all that apply.) -
Inspect skin for redness
Use a residual limb shrinker
Wash the stump with soap and water
A toddler presenting with a history of Intermittent skin rashes, hives, abdominal pain, and
vomiting that occurs after ingesting of milk products arrives to the clinic accompanied by the
P a g e 4 | 36
160 Questions and Answers - Guaranteed Pass With
Grade A.,,
The nurse completing the admission assessment of a 3-year-old who is admitted with
bacterial meningitis and hydrocephalusWhich assessment evidence that the child is
experiencing increased intracranial pressure (ICP) - Sluggish and unequal pupillary
responses
A client with acute pancreatitis is admitted with severe , piercing abdominal pain and an
elevated serum amylase . Which additional information is the client most likely to report to
the nurse ? - Abdominal pain decreases when lying supine
A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the
hospitalWhich information is most important for the nurse to provide the parents prior to
discharge? - Instructions about how much fluid the child should drink daily .
To auscultate for a carotid bruitthe nurse places the stethoscope at what location (Select the
correct location on the image. To change, click on a new location) -
After receiving report on an inpatient acute care unit, which client should the nurse assess
first? - The client with a bowel obstruction due to a volvulus who is experiencing
abdominal rigidity
P a g e 1 | 36
,A teenager presents to the emergency department with palpitations after vaping at a
partyThe client is anxious, fearful, and hyperventilatingThe anticipates the developing which
acid base imbalance? - Respiratory alkalosis
A with dyspnea is being admitted to the medical unitTo best prepare for the client's arrival,
the nurse should ensure that the client's bed is in which ? - Picture with the bed sitting
up
The nurse is taking the blood pressure measurement of a client with Parkinson's disease.
Which information in the admission assessment is relevan to the nurse's plan for taking the
blood pressure reading? (Select all that apply) - Blurred vision
Flat affect
Frequent syncope
While caring for a client's postoperative dressing, the nurse observes purulent drainage at the
wound. Before reporting this finding to the healthcare provider the nurse should review
which of the client's laboratory values ? - Culture for sensitive organisms.
A preschool aged boy is admitted to the pediatric unit following successful resuscitation from
a near -drowning incident While providing to the child , the nurse begins with brother who
P a g e 2 | 36
,rescued the child from the swimming pool and initiated resuscitation The nurse notices the
older boy becomes withdrawn when asked about what happened Which action should the
nurse take ? - Ask the older brother how he felt during the incident
A male client with cirrhosis has jaundice and prunitus. He tells the nurse that he has been
soaking in hot baths at
night with no relief of his discomfort. Which action should the nurse take ? - Encourage
the client to use cooler water and apply calamine lotion after soaking
An older client with a long history of coronary artery disease (CAD), hypertension (HTN), and
heart failure (HF) arrives in the Emergency Department ED) respiratory distressThe healthcare
provider prescribes furosemide IVWhich therapeutic response to furosemide should the nurse
expected in the with acute HF? - Reduced reload
Which intervention should the nurse include in the plan of care for a child with tetanus? -
Minimize the amount of stimuli in the room
An adolescent who was diagnosed with diabetes mellitus Type 1 at the age of 9is admitted to
the hospital in diabetic ketoacidosis. Which occurrence is the most likely cause of the
ketoacidosis? - Had a cold and ear infection for the past two days
P a g e 3 | 36
, A client with a prescription for " do not resuscitate ( DNR ) begins to manifest signs of
impending death . After notifying the family of the client's status , what priority action should
the nurse implement ? - The client's need for pain medication should be determined.
Which self care measure is most important for the nurse to include in the plan of care of a
client recently diagnosed with type 2 diabetes mellitus - Blood glucose monitoring
A client who gave birth 48 hours ago has decided to bottle feed the infantDuring the
assessment, the nurse observes that both breasts are swollen, warm and tender on
palpationWhich instruction should the nurse provide? - Apply ice to the breast for
comfort
The nurse is preparing a client who had a below-the-knee (BKA) amputation for discharge to
home. Which recommendations should the nurse provide this client? (Select all that apply.) -
Inspect skin for redness
Use a residual limb shrinker
Wash the stump with soap and water
A toddler presenting with a history of Intermittent skin rashes, hives, abdominal pain, and
vomiting that occurs after ingesting of milk products arrives to the clinic accompanied by the
P a g e 4 | 36
