HESI RN EXIT EXAM WITH NGN LATEST
VERSION B /HESI EXIT RN NEXT
GENERATION EXAM WITH 100% VERIFIED
SOLUTIONS
An adolescent who was diagnosed with diabetes mellitus Type 1 at the age of 9, is
admitted to the hospital in diabetic ketoacidosis. Which occurrence is the most
likely cause of the ketoacidosis?
A. Ate an extra peanut butter sandwich before gym class
B. incorrectly administered too much insulin
C. Had a cold and ear infection for the past two days
D. Skipped eating lunch - ANSWER -C. Had a cold and ear infection for the past
two days
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?
A. The impending signs of death should be documented
B. The client's status should be conveyed to the chaplain
C. The client's need for pain medication should be determined
D. The nurse manager should be updated on the client's status - ANSWER -C. 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?
A. Self-injection techniques
B. Blood glucose monitoring
C. Diabetic diet meal planning
D. A realistic exercise plan - ANSWER -B. Blood glucose monitoring
A client who gave birth 48 hours ago has decided to bottle feed the infant. During
the assessment, the nurse observes that both breasts are swollen, warm, and tender
on palpation. Which instruction should the nurse provide?
A. Apply ice to the breasts for comfort
B. Wear a loose-fitting bra during the day to prevent nipple irritation
C. Run warm water over breasts
D. Express small amounts of milk from the breasts to relieve pressure - ANSWER
-A. Apply ice to the breasts 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)
A. Avoid range of motion exercises
B. Use a residual limb shrinker
C. Apply alcohol to the stump after bathing
D. Inspect skin for redness
E. Wash the stump with soap and water - ANSWER -B. Use a residual limb
shrinker
D. Inspect skin for redness
E. 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 parents. Which type of testing should the nurse provide
education to the toddler's family about?
A. Serum immunoglobulin E (IgE)
B. Intradermal test
C. Atopy patch test
D. Placebo-controlled food challenge - ANSWER -A. Serum immunoglobulin E
(IgE)
A client who is scheduled for a bronchoscopy in the morning is anxious and
asking the nurse numerous questions about the procedure. In preparing the client
for the procedure, which intervention has the highest priority?
A. Allow client to gargle with warm salt water
B. Administer a sedative to alleviate anxiety
C. Instruct client to write down the questions
D. Deny client's request for a midnight snack - ANSWER -C. Instruct client to
write down the questions
The nurse assesses a client one hour after starting a transfusion of packed red
blood cells and determines that there are no indications of a transfusion reaction.
What instruction should the nurse provide the unlicensed assistive personnel
(UAP) who is working with the nurse?
A. Notify the nurse when the transfusion has finished, so further client assessment
can be done
B. Continue to measure the client's vital signs every thirty minutes until the
transfusion is complete
,C. Monitor the client carefully for the next three hours and report the onset of a
reaction immediately
D. Since a reaction did not occur, the priority is to maintain client comfort during
the transfusion - ANSWER -B. Continue to measure the client's vital signs every
thirty minutes until the transfusion is complete
The healthcare provider prescribes a sepsis protocol for a client with multi-organ
failure caused by a ruptured appendix. Which intervention is most important for
the nurse to include in the plan of care?
A. Assess warmth of extremities
B. Keep head of bed raised 45 degrees
C. Monitor blood glucose level
D. Maintain strict intake and output - ANSWER -D. Maintain strict intake and
output
A client presses the call bell and requests pain medication for a severe headache.
To assess the quality of the client's pain, which approach should the nurse use?
A. Ask the client to describe the pain
B. Observe body language and movement
C. Identify effective pain relief measures
D. Provide a numeric pain scale - ANSWER -A. Ask the client to describe the pain
A client presents to the labor and delivery unit with a report of leaking fluid that is
greenish-brown vaginal discharge. Which action should the nurse take first?
A. Start an intravenous infusion
B. Administer oxygen via facemask
C. Perform a vaginal exam
D. Begin continuous fetal monitoring - ANSWER -D. Begin continuous fetal
monitoring
A client asks the nurse for information about how to reduce risk factors for benign
prostatic hyperplasia (BPH). Which information should the nurse provide?
A. Consume a high protein diet
B. Increase physical activity
C. Take vitamin supplements
D. Obtain a prostate-specific antigen blood level test - ANSWER -B. Increase
physical activity
The healthcare provider prescribes a fluid challenge of 0.9% sodium chloride
1,000 mL to be infused intravenously over 4 hours. The IV administration set
, delivers 10gtt/mL. How many gtt/minute should the nurse regulate the infusion?
(Round to the nearest whole number) - ANSWER -42 gtt/min
Following a cardiac catheterization and placement of a stent in the right coronary
artery, the nurse administers prasugrel, a platelet inhibitor, to the client. To monitor
for adverse effects from the medication, which assessment is most important for
the nurse to include in this client's plan of care?
A. observe color of urine
B. Measure body temperature
C. Assess skin turgor
D. Check for pedal edema - ANSWER -A. Observe color of urine
A client fell in the bathroom when left unattended by the unlicensed assistive
personnel (UAP). Which information should the nurse include in the client's health
record?
A. The UAP left the client to assist another client
B. The last time client was assisted to the bathroom
C. The unit was understaffed when the client fell
D. The client fell sustaining a fracture to the left hip - ANSWER -D. The client fell
sustaining a fracture to the left hip
The nurse is reviewing the diagnostic tests prescribed for a client with a positive
skin test. Which subjective findings reported by the client supports the diagnosis of
tuberculosis?
A. Barking cough and vomiting
B. Mucopurulent cough and night sweats
C. Dry cough and chest tightness
D. Chronic cough and fatty stools - ANSWER -B. Mucopurulent cough and night
sweats
In assessing a client with type 1 diabetes mellitus, the nurse notes that the client's
respirations have changed from 16 breaths/min with a normal depth to 32
breaths/min and deep, and the client become lethargic. Which assessment data
should the nurse obtain next?
A. Temperature
B. Breath sounds
C. Blood glucose
D. White blood cell count - ANSWER -C. Blood glucose
VERSION B /HESI EXIT RN NEXT
GENERATION EXAM WITH 100% VERIFIED
SOLUTIONS
An adolescent who was diagnosed with diabetes mellitus Type 1 at the age of 9, is
admitted to the hospital in diabetic ketoacidosis. Which occurrence is the most
likely cause of the ketoacidosis?
A. Ate an extra peanut butter sandwich before gym class
B. incorrectly administered too much insulin
C. Had a cold and ear infection for the past two days
D. Skipped eating lunch - ANSWER -C. Had a cold and ear infection for the past
two days
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?
A. The impending signs of death should be documented
B. The client's status should be conveyed to the chaplain
C. The client's need for pain medication should be determined
D. The nurse manager should be updated on the client's status - ANSWER -C. 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?
A. Self-injection techniques
B. Blood glucose monitoring
C. Diabetic diet meal planning
D. A realistic exercise plan - ANSWER -B. Blood glucose monitoring
A client who gave birth 48 hours ago has decided to bottle feed the infant. During
the assessment, the nurse observes that both breasts are swollen, warm, and tender
on palpation. Which instruction should the nurse provide?
A. Apply ice to the breasts for comfort
B. Wear a loose-fitting bra during the day to prevent nipple irritation
C. Run warm water over breasts
D. Express small amounts of milk from the breasts to relieve pressure - ANSWER
-A. Apply ice to the breasts 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)
A. Avoid range of motion exercises
B. Use a residual limb shrinker
C. Apply alcohol to the stump after bathing
D. Inspect skin for redness
E. Wash the stump with soap and water - ANSWER -B. Use a residual limb
shrinker
D. Inspect skin for redness
E. 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 parents. Which type of testing should the nurse provide
education to the toddler's family about?
A. Serum immunoglobulin E (IgE)
B. Intradermal test
C. Atopy patch test
D. Placebo-controlled food challenge - ANSWER -A. Serum immunoglobulin E
(IgE)
A client who is scheduled for a bronchoscopy in the morning is anxious and
asking the nurse numerous questions about the procedure. In preparing the client
for the procedure, which intervention has the highest priority?
A. Allow client to gargle with warm salt water
B. Administer a sedative to alleviate anxiety
C. Instruct client to write down the questions
D. Deny client's request for a midnight snack - ANSWER -C. Instruct client to
write down the questions
The nurse assesses a client one hour after starting a transfusion of packed red
blood cells and determines that there are no indications of a transfusion reaction.
What instruction should the nurse provide the unlicensed assistive personnel
(UAP) who is working with the nurse?
A. Notify the nurse when the transfusion has finished, so further client assessment
can be done
B. Continue to measure the client's vital signs every thirty minutes until the
transfusion is complete
,C. Monitor the client carefully for the next three hours and report the onset of a
reaction immediately
D. Since a reaction did not occur, the priority is to maintain client comfort during
the transfusion - ANSWER -B. Continue to measure the client's vital signs every
thirty minutes until the transfusion is complete
The healthcare provider prescribes a sepsis protocol for a client with multi-organ
failure caused by a ruptured appendix. Which intervention is most important for
the nurse to include in the plan of care?
A. Assess warmth of extremities
B. Keep head of bed raised 45 degrees
C. Monitor blood glucose level
D. Maintain strict intake and output - ANSWER -D. Maintain strict intake and
output
A client presses the call bell and requests pain medication for a severe headache.
To assess the quality of the client's pain, which approach should the nurse use?
A. Ask the client to describe the pain
B. Observe body language and movement
C. Identify effective pain relief measures
D. Provide a numeric pain scale - ANSWER -A. Ask the client to describe the pain
A client presents to the labor and delivery unit with a report of leaking fluid that is
greenish-brown vaginal discharge. Which action should the nurse take first?
A. Start an intravenous infusion
B. Administer oxygen via facemask
C. Perform a vaginal exam
D. Begin continuous fetal monitoring - ANSWER -D. Begin continuous fetal
monitoring
A client asks the nurse for information about how to reduce risk factors for benign
prostatic hyperplasia (BPH). Which information should the nurse provide?
A. Consume a high protein diet
B. Increase physical activity
C. Take vitamin supplements
D. Obtain a prostate-specific antigen blood level test - ANSWER -B. Increase
physical activity
The healthcare provider prescribes a fluid challenge of 0.9% sodium chloride
1,000 mL to be infused intravenously over 4 hours. The IV administration set
, delivers 10gtt/mL. How many gtt/minute should the nurse regulate the infusion?
(Round to the nearest whole number) - ANSWER -42 gtt/min
Following a cardiac catheterization and placement of a stent in the right coronary
artery, the nurse administers prasugrel, a platelet inhibitor, to the client. To monitor
for adverse effects from the medication, which assessment is most important for
the nurse to include in this client's plan of care?
A. observe color of urine
B. Measure body temperature
C. Assess skin turgor
D. Check for pedal edema - ANSWER -A. Observe color of urine
A client fell in the bathroom when left unattended by the unlicensed assistive
personnel (UAP). Which information should the nurse include in the client's health
record?
A. The UAP left the client to assist another client
B. The last time client was assisted to the bathroom
C. The unit was understaffed when the client fell
D. The client fell sustaining a fracture to the left hip - ANSWER -D. The client fell
sustaining a fracture to the left hip
The nurse is reviewing the diagnostic tests prescribed for a client with a positive
skin test. Which subjective findings reported by the client supports the diagnosis of
tuberculosis?
A. Barking cough and vomiting
B. Mucopurulent cough and night sweats
C. Dry cough and chest tightness
D. Chronic cough and fatty stools - ANSWER -B. Mucopurulent cough and night
sweats
In assessing a client with type 1 diabetes mellitus, the nurse notes that the client's
respirations have changed from 16 breaths/min with a normal depth to 32
breaths/min and deep, and the client become lethargic. Which assessment data
should the nurse obtain next?
A. Temperature
B. Breath sounds
C. Blood glucose
D. White blood cell count - ANSWER -C. Blood glucose
