Complete Solutions for HESI RN Exit Exam – Questions & Verified Answers

CONCEPTUALIZED HESI
RN
EXIT EXAM QUESTIONS
AND ANSWERS
The nurse is completing the admission assessment of a 3-year old who is admitted with bacterial
meningitis and hydrocephalus. Which assessment finding is evidence that the child is
experiencing increased intracranial pressure (ICP)?

A. Tachycardia and tachypnea

B. Sluggish and unequal pupillary responses

C.Increased head circumference and bulging fontanels

D. Blood pressure fluctuations and syncope - CORRECT ANSWER -B. 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?

A. Abdominal ||pain ||decreases ||when ||lying ||supine

B. Pain ||lasts ||an ||hour ||and ||leaves ||the ||abdomen ||tender

C.Right ||upper ||quadrant ||pain ||refers ||to ||right ||scapula

D. Drinks ||alcohol ||until ||intoxicated ||at ||least ||twice ||weekly. ||- ||CORRECT ||ANSWER ||-
A. ||Abdominal ||pain ||decreases ||when ||lying ||supine



A ||child ||newly ||diagnosed ||with ||sickle ||cell ||anemia ||(SCA) ||is ||being ||discharged ||from ||the
||hospital. ||Which ||information ||is ||most ||important ||for ||the ||nurse ||to ||provide ||the ||parents ||prior
||to ||discharge?

A. Instructions ||about ||how ||much ||fluid ||the ||child ||should ||drink ||daily.

B. Signs ||of ||addiction ||to ||opioid ||pain ||medications

,C.Information ||about ||non-pharmaceutical ||pain ||relief ||measures

D. Referral ||for ||social ||services ||for ||the ||child ||and ||family ||- ||CORRECT ||ANSWER ||-A.
||Instructions ||about ||how ||much ||fluid ||the ||child ||should ||drink ||daily




To ||auscultate ||for ||a ||carotid ||bruit, ||the ||nurse ||places ||the ||stethoscope ||at ||what ||location.
||(Select ||the ||location ||on ||the ||image ||with ||a ||red ||dot). ||- ||CORRECT ||ANSWER ||-I ||placed
||the ||red ||dot ||on ||the ||base ||of ||the ||neck ||on ||the ||right ||side




After ||receiving ||report ||on ||an ||inpatient ||acute ||care ||unit, ||which ||client ||should ||the ||nurse ||assess
||first?


A. The ||client ||with ||an ||obstruction ||of ||the ||large ||intestine ||who ||is ||experiencing ||abdominal
||distention


B. The ||client ||who ||had ||surgery ||yesterday ||and ||is ||experiencing ||a ||paralytic ||ileus ||with ||absent
||bowel ||sounds


C.The ||client ||with ||a ||small ||bowel ||obstruction ||who ||has ||a ||nasogastric ||tube ||that ||is ||draining
||greenish ||fluid


D. The ||client ||with ||a ||bowel ||obstruction ||due ||to ||a ||volvulus ||who ||is ||experiencing
||abdominal ||rigidity ||- ||CORRECT ||ANSWER ||-D. ||The ||client ||with ||a ||bowel ||obstruction
||due ||to ||a ||volvulus ||who ||is ||experiencing ||abdominal ||rigidity




A ||teenager ||presents ||to ||the ||emergency ||department ||with ||palpitations ||after ||vaping ||at ||a
||party. ||The ||client ||is ||anxious, ||fearful, ||and ||hyperventilating. ||The ||nurse ||anticipates ||the ||client
||developing ||which ||acid ||base ||imbalance?

A. Respiratory ||acidosis

B. Metabolic ||alkalosis

C.Metabolic ||acidosis

D. Respiratory ||alkalosis ||- ||CORRECT ||ANSWER ||-D. ||Respiratory ||alkalosis



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

A. Supine

B. supine; ||feet ||elevated ||higher ||than ||head

C.supine; ||head ||elevated ||higher ||than ||feet

,D. Fowlers ||- ||CORRECT ||ANSWER ||-Fowlers



The ||nurse ||is ||taking ||the ||blood ||pressure ||measurement ||of ||a ||client ||with ||Parkinson's
||disease. ||Which ||information ||in ||the ||client's ||admission ||assessment ||is ||relevant ||to ||the
||nurse's ||plan ||for ||taking ||the ||blood ||pressure ||reading? ||(Select ||all ||the ||apply)

A. Frequent ||syncope

B. Occasional ||nocturia

C.Flat ||affect

D. Blurred ||vision

E.Frequent ||drooling ||- ||CORRECT ||ANSWER ||-A. ||Frequent ||syncope

C. ||Flat ||affect

D. ||Blurred ||vision



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?

A. ||Serum ||albumin

B. ||Culture ||for ||sensitive ||organisms

C. ||Serum ||blood ||glucose ||level

D. ||Creatinine ||level ||- ||CORRECT ||ANSWER ||-B. ||Culture ||for ||sensitive ||organisms



A ||preschool-aged ||boy ||is ||admitted ||to ||the ||pediatric ||unit ||following ||successful ||resuscitation
||from ||a ||near- ||drowning ||incident. ||While ||providing ||care ||to ||the ||child, ||the ||nurse ||begins
||talking ||with ||his ||preadolescent ||brother ||who ||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?

A. ||Develop ||a ||water ||safety ||teaching ||plan ||for ||the ||family

B. ||Ask ||the ||older ||brother ||how ||he ||felt ||during ||the ||incident

C. ||Tell ||the ||older ||brother ||that ||he ||seems ||depressed

, D. ||Commend ||the ||older ||brother ||for ||his ||heroic ||actions ||- ||CORRECT ||ANSWER ||-B. ||Ask
||the ||older ||brother ||how ||he ||felt ||during ||the ||incident




A ||male ||client ||with ||cirrhosis ||has ||jaundice ||and ||pruritus. ||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?

A. ||Encourage ||the ||client ||to ||use ||cooler ||water ||and ||apply ||calamine ||lotion ||after ||soaking

B. ||Obtain ||a ||PRN ||prescription ||for ||an ||analgesic ||that ||the ||client ||can ||use ||for ||symptom ||relief

C. ||Suggest ||that ||the ||client ||take ||brief ||showers ||and ||apply ||oil-based ||lotion ||after ||showering

D. ||Explain ||that ||the ||symptoms ||are ||caused ||by ||liver ||damage ||and ||cannot ||be ||relieved ||-
||CORRECT ||ANSWER ||-A. ||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) ||in ||respiratory
||distress. ||The ||healthcare ||provider ||prescribes ||furosemide ||IV. ||Which ||therapeutic ||response
||to ||furosemide ||should ||the ||nurse ||expected ||in ||the ||client ||with ||acute ||HF?

A. ||Increased ||cardiac ||contractility

B. ||Reduced ||preload

C. ||Relaxed ||vascular ||tone

D. ||Decreased ||afterload ||- ||CORRECT ||ANSWER ||-B. ||Reduced ||preload



Which ||intervention ||should ||the ||nurse ||include ||in ||the ||plan ||of ||care ||for ||a ||child ||with ||tetanus?

A. ||Encourage ||coughing ||and ||deep ||breathing

B. ||Minimize ||the ||amount ||of ||stimuli ||in ||the ||room

C. ||Reposition ||from ||side ||to ||side ||every ||hour

D. ||Open ||window ||shades ||to ||provide ||natural ||light ||- ||CORRECT ||ANSWER ||-B. ||Minimize
||the ||amount ||of ||stimuli ||in ||the ||room




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?