HESI Exit RN EXIT EXAM V4
HESI Exit RN EXIT EXAM 1 V4 Complete
Verified Questions and Correct Verified
Answers/ RN Hesi Exit Exam V4 for the RN
Hesi Exit Prep (New!)
HESI RN EXIT EXAM 2025/2026
Which problem reported by a client taking lovastatin requires the most immediate fallow up by
the nurse?
a. Diarrhea and flatulence
b. Abdominal cramps
c. Muscle pain
d. Altered taste
A+ TEST BANK 1
, HESI Exit RN EXIT EXAM V4
Muscle pain
Rationale: statins can cause rhabdomyolysis, a potentially fatal disease of skeletal muscle
characterized by myoglobinuria and manifested with muscle pain, so this symptom should
immediately be reported to the HCP.
Before leaving the room of a confused client, the nurse notes that a half bow knot was used to
attach the client's wrist restraints to the movable portion of the client's bed frame. What action
should the nurse take before leaving the room?
a. Ensure that the knot can be quickly released.
b. Tie the knot with a double turn or square knot.
c. Move the ties so the restraints are secured to the side rails.
d. Ensure that the restraints are snug against the client's wrist.
Ensure that the knot can be quickly released.
While assessing a client's chest tube (CT), the nurse discovers bubbling in the water seal
chamber of the chest tube collection device. The client's vital signs are: blood pressure of 80/40
mmHg, heart rate 120 beats/minutes, respiratory rate 32 breaths/minutes, oxygen saturation
88%. Which interventions should the nurse implement?
a. Provide supplemental oxygen
b. Auscultate bilateral lung fields
c. Administer a nebulizer treatment
d. Reinforce occlusive CT dressing
e. Give PRN dose of pain medication
ABD
Rationale: The air bubbles indicate an air leak from the lungs, the chest tube site, or the chest
tube collection system. Providing oxygen improves the oxygen saturation until the leak has been
resolved. Auscultating the lung fields helps to identify absent or decrease lung sound due to
collapsing lung.
Oral antibiotics are prescribed for an 18-month-old toddler with severe otitis media. An
antipyrine and benzocaine-otic also prescribed for pain and inflammation. What instruction
should the nurse emphasize concerning the installation of the antipyrine/ benzocaine otic
solution?
a. Place the dropper on the upper outer ear canal and instill the medication slowly.
b. Warm the medication in the microwave for 10 seconds before instilling.
A+ TEST BANK 2
, HESI Exit RN EXIT EXAM V4
c. Keep the medication refrigerated between administrations.
d. Have the child lie with the ear up for one to two minutes after installation.
D
An older adult male is admitted with complications related to chronic obstructive pulmonary
disease (COPD). He reports progressive dyspnea that worsens on exertion and his weakness has
increased over the past month. The nurse notes that he has dependent edema in both lower
legs. Based on these assessment findings, which dietary instruction should the nurse provide?
a. Limit the intake of high calorie foods.
b. Eat meals at the same time daily.
c. Maintain a low protein diet.
d. Restrict daily fluid intake.
Restrict daily fluid intake.
Rationale: the client is exhibiting signs of Cor pulmonale, a complication of COPD that causes the
right side of the heart to fail. Restricting fluid intake to 1000 to 2000 ml/day, eating a high-
calorie diet at small frequent meals with foods that are high in protein and low in sodium can
help relieve the edema and decrease workload on the right-side of the heart.
The nurse inserts an indwelling urinary catheter as seen in the video what action should the
nurse take next?
a. Remove the catheter and insert into urethral opening
b. Observe for urine flow and then inflate the balloon.
c. Insert the catheter further and observe for discomfort.
d. Leave the catheter in place and obtain a sterile catheter.
Leave the catheter in place and obtain a sterile catheter.
A client with coronary artery disease who is experiencing syncopal episodes is admitted for an
electrophysiology study (EPS) and possible cardiac ablation therapy. Which intervention should
the nurse delegate to the unlicensed assistive personnel (UAP)?
a. Prepare the skin for procedure.
b. Identify client's pulse points
c. Witness consent for procedure
d. Check telemetry monitoring
Prepare the skin for procedure.
Following an outbreak of measles involving 5 students in an elementary school, which action is
most important for the school nurse to take?
a. Review the immunization records of all children in the elementary school
A+ TEST BANK 3
, HESI Exit RN EXIT EXAM V4
b. Report the measles outbreak to all community health organizations
c. Schedule a mobile public health vehicle to offer measles inoculations to unvaccinated children.
d. Restrict unvaccinated children from attending school until measles outbreak is resolved.
Restrict unvaccinated children from attending school until measles outbreak is resolved.
A preeclamptic client who delivered 24h ago remains in the labor and delivery recovery room.
She continues to receive magnesium sulfate at 2 grams per hour. Her total input is limited to 125
ml per hour, and her urinary output for the last hour was 850 ml. What intervention should the
nurse implement?
a. discontinue the magnesium sulfate immediately
b. Decrease the client's iv rate to 50 ml per hour
c. Continue with the plan of care for this client
d. Change the client's to NPO status
C
Rationale: continue with the plan. Diuresis in 24 to 48h after birth is a sign of improvement in the
preeclamptic client. As relaxation of arteriolar spasms occurs, kidney perfusion increases. With
improvement perfusion, fluid is drawn into the intravascular bed from the interstitial tissue and
then cleared by the kidneys
The nurse is planning care for a client who admits having suicidal thoughts. Which client
behavior indicates the highest risk for the client acting on these suicidal thoughts?
a. Express feelings of sadness and loneliness
b. Neglects personal hygiene and has no appetite
c. Lacks interest in the activity of the family and friends
d. Begin to show signs of improvement in affect
Begin to show signs of improvement in affect
When assessing a multigravida the first postpartum day, the nurse finds a moderate amount of
lochia rubra, with the uterus firm, and three fingerbreadths above the umbilicus. What action
should the nurse implement first?
a. Massage the uterus to decrease atony
b. Check for a distended bladder
c. Increase intravenous infusion
d. Review the hemoglobin to determined hemorrhage
C
Rationale: a fundus that is dextroverted (up to the right) and elevated above the umbilicus is
indicative of bladder distension/urine retention.
A+ TEST BANK 4
HESI Exit RN EXIT EXAM 1 V4 Complete
Verified Questions and Correct Verified
Answers/ RN Hesi Exit Exam V4 for the RN
Hesi Exit Prep (New!)
HESI RN EXIT EXAM 2025/2026
Which problem reported by a client taking lovastatin requires the most immediate fallow up by
the nurse?
a. Diarrhea and flatulence
b. Abdominal cramps
c. Muscle pain
d. Altered taste
A+ TEST BANK 1
, HESI Exit RN EXIT EXAM V4
Muscle pain
Rationale: statins can cause rhabdomyolysis, a potentially fatal disease of skeletal muscle
characterized by myoglobinuria and manifested with muscle pain, so this symptom should
immediately be reported to the HCP.
Before leaving the room of a confused client, the nurse notes that a half bow knot was used to
attach the client's wrist restraints to the movable portion of the client's bed frame. What action
should the nurse take before leaving the room?
a. Ensure that the knot can be quickly released.
b. Tie the knot with a double turn or square knot.
c. Move the ties so the restraints are secured to the side rails.
d. Ensure that the restraints are snug against the client's wrist.
Ensure that the knot can be quickly released.
While assessing a client's chest tube (CT), the nurse discovers bubbling in the water seal
chamber of the chest tube collection device. The client's vital signs are: blood pressure of 80/40
mmHg, heart rate 120 beats/minutes, respiratory rate 32 breaths/minutes, oxygen saturation
88%. Which interventions should the nurse implement?
a. Provide supplemental oxygen
b. Auscultate bilateral lung fields
c. Administer a nebulizer treatment
d. Reinforce occlusive CT dressing
e. Give PRN dose of pain medication
ABD
Rationale: The air bubbles indicate an air leak from the lungs, the chest tube site, or the chest
tube collection system. Providing oxygen improves the oxygen saturation until the leak has been
resolved. Auscultating the lung fields helps to identify absent or decrease lung sound due to
collapsing lung.
Oral antibiotics are prescribed for an 18-month-old toddler with severe otitis media. An
antipyrine and benzocaine-otic also prescribed for pain and inflammation. What instruction
should the nurse emphasize concerning the installation of the antipyrine/ benzocaine otic
solution?
a. Place the dropper on the upper outer ear canal and instill the medication slowly.
b. Warm the medication in the microwave for 10 seconds before instilling.
A+ TEST BANK 2
, HESI Exit RN EXIT EXAM V4
c. Keep the medication refrigerated between administrations.
d. Have the child lie with the ear up for one to two minutes after installation.
D
An older adult male is admitted with complications related to chronic obstructive pulmonary
disease (COPD). He reports progressive dyspnea that worsens on exertion and his weakness has
increased over the past month. The nurse notes that he has dependent edema in both lower
legs. Based on these assessment findings, which dietary instruction should the nurse provide?
a. Limit the intake of high calorie foods.
b. Eat meals at the same time daily.
c. Maintain a low protein diet.
d. Restrict daily fluid intake.
Restrict daily fluid intake.
Rationale: the client is exhibiting signs of Cor pulmonale, a complication of COPD that causes the
right side of the heart to fail. Restricting fluid intake to 1000 to 2000 ml/day, eating a high-
calorie diet at small frequent meals with foods that are high in protein and low in sodium can
help relieve the edema and decrease workload on the right-side of the heart.
The nurse inserts an indwelling urinary catheter as seen in the video what action should the
nurse take next?
a. Remove the catheter and insert into urethral opening
b. Observe for urine flow and then inflate the balloon.
c. Insert the catheter further and observe for discomfort.
d. Leave the catheter in place and obtain a sterile catheter.
Leave the catheter in place and obtain a sterile catheter.
A client with coronary artery disease who is experiencing syncopal episodes is admitted for an
electrophysiology study (EPS) and possible cardiac ablation therapy. Which intervention should
the nurse delegate to the unlicensed assistive personnel (UAP)?
a. Prepare the skin for procedure.
b. Identify client's pulse points
c. Witness consent for procedure
d. Check telemetry monitoring
Prepare the skin for procedure.
Following an outbreak of measles involving 5 students in an elementary school, which action is
most important for the school nurse to take?
a. Review the immunization records of all children in the elementary school
A+ TEST BANK 3
, HESI Exit RN EXIT EXAM V4
b. Report the measles outbreak to all community health organizations
c. Schedule a mobile public health vehicle to offer measles inoculations to unvaccinated children.
d. Restrict unvaccinated children from attending school until measles outbreak is resolved.
Restrict unvaccinated children from attending school until measles outbreak is resolved.
A preeclamptic client who delivered 24h ago remains in the labor and delivery recovery room.
She continues to receive magnesium sulfate at 2 grams per hour. Her total input is limited to 125
ml per hour, and her urinary output for the last hour was 850 ml. What intervention should the
nurse implement?
a. discontinue the magnesium sulfate immediately
b. Decrease the client's iv rate to 50 ml per hour
c. Continue with the plan of care for this client
d. Change the client's to NPO status
C
Rationale: continue with the plan. Diuresis in 24 to 48h after birth is a sign of improvement in the
preeclamptic client. As relaxation of arteriolar spasms occurs, kidney perfusion increases. With
improvement perfusion, fluid is drawn into the intravascular bed from the interstitial tissue and
then cleared by the kidneys
The nurse is planning care for a client who admits having suicidal thoughts. Which client
behavior indicates the highest risk for the client acting on these suicidal thoughts?
a. Express feelings of sadness and loneliness
b. Neglects personal hygiene and has no appetite
c. Lacks interest in the activity of the family and friends
d. Begin to show signs of improvement in affect
Begin to show signs of improvement in affect
When assessing a multigravida the first postpartum day, the nurse finds a moderate amount of
lochia rubra, with the uterus firm, and three fingerbreadths above the umbilicus. What action
should the nurse implement first?
a. Massage the uterus to decrease atony
b. Check for a distended bladder
c. Increase intravenous infusion
d. Review the hemoglobin to determined hemorrhage
C
Rationale: a fundus that is dextroverted (up to the right) and elevated above the umbilicus is
indicative of bladder distension/urine retention.
A+ TEST BANK 4
