RN HESI EXIT EXAM VERSIONS V1, V2, V3, V4, V5, V6, V7, V8, V9 & V10
(ALL 1580 QUESTIONS & ANSWERS
l
1. Which information is a priority for the RN to reinforce to an
older client after intravenous pylegraphy?
A) Eat a light diet for the rest of the day
B) Rest for the next 24 hours since the preparation and the test istiring.
C) During waking hours drink at least 1 8-ounce glass of
fluidevery hour for the next 2
daysD)
Measu re the urin e output
it should decrease.
The correct answer is D: Measure the urine output for the next dayand
immediately
notify the health care provider if it should decrease.
2. A client has altered renal function and is being treated athome.
The nurse recognizes
that the most accurate indicator of fluid balance during theweekly
visits is
A) difference in the intake and output
B) changes in the mucous membranes
C) skin turgor
D) weekly weight
The correct answer is D: weekly weight
3. A client has been diagnosed with Zollinger-
Ellison syndrome. Which information is
most important for the nurse to reinforce with the client?
A) It is a condition in which one or more tumors called
gastrinomasform in the pancreas
or in the upper part of the small intestine (duodenum)
B) It is critical to report promptly to your health care provider any
findings of peptic
ulcers
c)Treatment consists of medications to reduce acid and heal anypeptic
ulcers and, if
possible, surgery to remove any tumors
D)With the average age at diagnosis at 50 years the
pepticulcers may occur at unusual
areas of the stomach or intestine
The correct answer is B: It is critical to report promptly to yourhealth care
,provider any
findings of peptic ulcers .
4. A primigravida in the third trimester is
hospitalized for preeclampsia.
The nurse
determines that the client‘s blood pressure is increasing.
Whichaction should the nurse
take first?
A) Check the protein level in urine
B) Have the client turn to the left side
C) Take the temperature
D) Monitor the urine output
The correct answer is B: Have the client turn to the left side
5. The nurse is caring for a client in atrial fibrillation. The a trial
heart rate is 250 and the ventricular rate is controlled at 75.
Which of the following findings is cause for the most
concern?
A) Diminished bowel sounds
B) Loss of appetite
C) A cold, pale lower leg
D) Tachypnea
The correct answer is C: A cold, pale lower leg
6. The client with infective endocarditis must be
assessed frequently by the home health
nurse. Which finding suggests that antibiotic therapy is not
effective, and must be
reported by the nurse immediately to the healthcare provider?
A) Nausea and vomiting
B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
C) Diffuse macular rash
D) Muscle tenderness
The correct answer is B: Fever of 103 degrees F (39.5 degrees C)
7. A client who had a vasectomy is in the post recovery
unit at an outpatient clinic. Which
of these points is most important to be reinforced by the nurse?
A) Until the health care provider has determined that
your ejaculate doesn't contain
sperm, continue to use another form of contraception.
,B) This procedure doesn't impede the production of
male hormones or the production of
sperm in the testicles. The sperm can no longer enter your semen
and no sperm are in your ejaculate.
C) After your vasectomy, strenuous activity needs to be avoided
for at least 48 hours. If your work doesn't involve hard physical
labor, you can return to your job as soon as you feel up to it. The
stitches generally dissolve in seven to ten days.
D) The health care provider at this clinic recommends rest, ice,
an athletic supporter or over-the-counter pain medication to
relieve any discomfort.
The correct answer is A: Until the health care provider has
determined that your ejaculate
doesn't contain sperm, continue to use another form of contraception.
8. A client who is to have antineoplastic chemotherapy tells
thenurses of a fear of being sick all the time and wishes to try
acupuncture. Which of thesebeliefs stated by the client would be
incorrect about acupuncture?
A) Some needles go as deep as 3 inches, depending
onwhere they're placed in the body
and what the treatment is for. The needles usually are left in for15
to 30 minutes.
B) In traditional Chinese medicine, imbalances in the
basic energetic flow of life —
known as qi or chi — are thought to cause illness.
* C) The flow of life is believed to flow through major
pathwaysor nerve clusters in your
body.
D) By inserting extremely fine needles into some of the over
400 acupuncture points in
various combinations it is believed that energy flow will rebalanceto
allow the body's
natural healing
mechanisms to take
over.
, The correct answer is C: The flow of life is believed to flow throughmajor
pathways or
nerve clusters in your body.
9. The nurse is discussing with a group of students the
disease Kawasaki.
What statement
made by a student about Kawasaki disease is incorrect?
A) It also called mucocutaneous lymph node syndrome because
itaffects the mucous
membranes (inside the mouth, throat and nose), skin and lymphnodes.
B) In the second phase of the disease, findings include peeling
of the skin on the hands
and feet with joint and abdominal pain
C) Kawasaki disease occurs most often in boys, children
youngerthan age 5 and children
of Hispanic descent
D) Initially findings are a sudden high fever, usually above
104 degrees Fahrenheit, which
lasts 1 to2 weeks
The correct answer is C: Kawasaki disease occurs most often inboys,
children younger
than age 5 and children of Hispanic descent
10. A client has viral pneumonia affecting 2/3 of the rightlung.
What would be the best
position to teach the client to lie in every other hour during first 12hours
after admission?
A) Side-lying on the left with the head elevated 10 degrees
B) Side-lying on the left with the head elevated 35 degrees
C) Side-lying on the right wil the head elevated 10 degrees
D) Side-lying on the right with the head elevated 35
degreesThe correct answer is A: Side-lying on the left with the
head elevated 10 degrees
(ALL 1580 QUESTIONS & ANSWERS
l
1. Which information is a priority for the RN to reinforce to an
older client after intravenous pylegraphy?
A) Eat a light diet for the rest of the day
B) Rest for the next 24 hours since the preparation and the test istiring.
C) During waking hours drink at least 1 8-ounce glass of
fluidevery hour for the next 2
daysD)
Measu re the urin e output
it should decrease.
The correct answer is D: Measure the urine output for the next dayand
immediately
notify the health care provider if it should decrease.
2. A client has altered renal function and is being treated athome.
The nurse recognizes
that the most accurate indicator of fluid balance during theweekly
visits is
A) difference in the intake and output
B) changes in the mucous membranes
C) skin turgor
D) weekly weight
The correct answer is D: weekly weight
3. A client has been diagnosed with Zollinger-
Ellison syndrome. Which information is
most important for the nurse to reinforce with the client?
A) It is a condition in which one or more tumors called
gastrinomasform in the pancreas
or in the upper part of the small intestine (duodenum)
B) It is critical to report promptly to your health care provider any
findings of peptic
ulcers
c)Treatment consists of medications to reduce acid and heal anypeptic
ulcers and, if
possible, surgery to remove any tumors
D)With the average age at diagnosis at 50 years the
pepticulcers may occur at unusual
areas of the stomach or intestine
The correct answer is B: It is critical to report promptly to yourhealth care
,provider any
findings of peptic ulcers .
4. A primigravida in the third trimester is
hospitalized for preeclampsia.
The nurse
determines that the client‘s blood pressure is increasing.
Whichaction should the nurse
take first?
A) Check the protein level in urine
B) Have the client turn to the left side
C) Take the temperature
D) Monitor the urine output
The correct answer is B: Have the client turn to the left side
5. The nurse is caring for a client in atrial fibrillation. The a trial
heart rate is 250 and the ventricular rate is controlled at 75.
Which of the following findings is cause for the most
concern?
A) Diminished bowel sounds
B) Loss of appetite
C) A cold, pale lower leg
D) Tachypnea
The correct answer is C: A cold, pale lower leg
6. The client with infective endocarditis must be
assessed frequently by the home health
nurse. Which finding suggests that antibiotic therapy is not
effective, and must be
reported by the nurse immediately to the healthcare provider?
A) Nausea and vomiting
B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
C) Diffuse macular rash
D) Muscle tenderness
The correct answer is B: Fever of 103 degrees F (39.5 degrees C)
7. A client who had a vasectomy is in the post recovery
unit at an outpatient clinic. Which
of these points is most important to be reinforced by the nurse?
A) Until the health care provider has determined that
your ejaculate doesn't contain
sperm, continue to use another form of contraception.
,B) This procedure doesn't impede the production of
male hormones or the production of
sperm in the testicles. The sperm can no longer enter your semen
and no sperm are in your ejaculate.
C) After your vasectomy, strenuous activity needs to be avoided
for at least 48 hours. If your work doesn't involve hard physical
labor, you can return to your job as soon as you feel up to it. The
stitches generally dissolve in seven to ten days.
D) The health care provider at this clinic recommends rest, ice,
an athletic supporter or over-the-counter pain medication to
relieve any discomfort.
The correct answer is A: Until the health care provider has
determined that your ejaculate
doesn't contain sperm, continue to use another form of contraception.
8. A client who is to have antineoplastic chemotherapy tells
thenurses of a fear of being sick all the time and wishes to try
acupuncture. Which of thesebeliefs stated by the client would be
incorrect about acupuncture?
A) Some needles go as deep as 3 inches, depending
onwhere they're placed in the body
and what the treatment is for. The needles usually are left in for15
to 30 minutes.
B) In traditional Chinese medicine, imbalances in the
basic energetic flow of life —
known as qi or chi — are thought to cause illness.
* C) The flow of life is believed to flow through major
pathwaysor nerve clusters in your
body.
D) By inserting extremely fine needles into some of the over
400 acupuncture points in
various combinations it is believed that energy flow will rebalanceto
allow the body's
natural healing
mechanisms to take
over.
, The correct answer is C: The flow of life is believed to flow throughmajor
pathways or
nerve clusters in your body.
9. The nurse is discussing with a group of students the
disease Kawasaki.
What statement
made by a student about Kawasaki disease is incorrect?
A) It also called mucocutaneous lymph node syndrome because
itaffects the mucous
membranes (inside the mouth, throat and nose), skin and lymphnodes.
B) In the second phase of the disease, findings include peeling
of the skin on the hands
and feet with joint and abdominal pain
C) Kawasaki disease occurs most often in boys, children
youngerthan age 5 and children
of Hispanic descent
D) Initially findings are a sudden high fever, usually above
104 degrees Fahrenheit, which
lasts 1 to2 weeks
The correct answer is C: Kawasaki disease occurs most often inboys,
children younger
than age 5 and children of Hispanic descent
10. A client has viral pneumonia affecting 2/3 of the rightlung.
What would be the best
position to teach the client to lie in every other hour during first 12hours
after admission?
A) Side-lying on the left with the head elevated 10 degrees
B) Side-lying on the left with the head elevated 35 degrees
C) Side-lying on the right wil the head elevated 10 degrees
D) Side-lying on the right with the head elevated 35
degreesThe correct answer is A: Side-lying on the left with the
head elevated 10 degrees
