age 1 of 149
RN HESI EXIT/HESI EXIT RN EXAM VERSION 6(V6)
REAL/ACTUAL/AUTHENTIC EXAM
1. A male client with stomach cancer returns to the unit following
a total gastrectomy. He has a nasogastric tube to suction and is
receiving Lactated Ringer's solution at 75 mL/hour IV. One hour
after admission to the unit, the nurse notes 300 mL of blood in
the suction canister, the client's heart rate is 155 beats/minute,
and his blood pressure is 78/48 mmHg. In addition to reporting
the finding to the surgeon. Which action should the nurse
implement first? ......ANSWER........d. Increase the infusion rate of
Lactated Ringer's solution.
2. an adult male who fell 20 feet from the roof of this home has
multiple injuries, including a right pneumothorax. Chest tubes
were inserted in the emergency department prior to his transfer
,age 2 of 149
to the intensive care unit (ICU). the nurse notes that the suction
control chamber is bubbling at the
- 10 cm H2O mark, with fluctuation in the water seal, and over
the past hour 75 ml of bright red blood is measured in the
collection chamber. Which intervention should the nurse
implement? ......ANSWER........a. Add sterile water to the suction
control chamber.
3. A client who received hemodialysis yesterday is experiencing
a blood pressure of 200/100 mmHg, heart rate 110
beats/minute, and respiratory rate 36 breaths/minute. The client
is manifesting shortness of breath, bilateral 2+ pedal edema,
and an oxygen saturation on room air of 89%. Which action
should the nurse take first? ......ANSWER........c. Begin
supplemental oxygen.
,age 3 of 149
4. A client with Addison's crisis is admitted for treatment with
adrenal cortical supplementation. Based on the client's admitting
diagnosis, which findings require immediate action by the nurse?
(Select all that apply) ......ANSWER........Headache and tremors
Irregular heart rate
pallor and diaphoresis
5. An older client is admitted with fluid volume deficit and
dehydration. Which assessment finding is the best indicator of
hydration that the nurse should report to the healthcare
provider? ......ANSWER........d. Skin tenting occurs when the client's
forearm is pinched.
6. After an inservice about electronic health record (EHR) security
and safeguarding client information, the nurse observes a
colleague going home with printed copies of client information in
, age 4 of 149
a uniform pocket. Which action should the nurse take?
......ANSWER........a. File a detailed incident report with the
specific hiring facility.
7. The nurse is evaluating a tertiary prevention program for
clients with cardiovascular disease implemented in a rural health
clinic. Which outcome indicate the program is effective?
......ANSWER........c. Clients who incurred disease complications
promptly received rehabilitation.
8. The nurse is caring for a client with chronic obstructive
pulmonary disease (COPD) who uses oxygen at 2 L/minute per
nasal cannula continuously. The nurse observes that the client is
having increased shortness of breath with respirations at 23
breaths/minute. Which action should the nurse implement first?
......ANSWER........d. Assess the delivery mechanism of the oxygen
tank, tubing, and cannula.
RN HESI EXIT/HESI EXIT RN EXAM VERSION 6(V6)
REAL/ACTUAL/AUTHENTIC EXAM
1. A male client with stomach cancer returns to the unit following
a total gastrectomy. He has a nasogastric tube to suction and is
receiving Lactated Ringer's solution at 75 mL/hour IV. One hour
after admission to the unit, the nurse notes 300 mL of blood in
the suction canister, the client's heart rate is 155 beats/minute,
and his blood pressure is 78/48 mmHg. In addition to reporting
the finding to the surgeon. Which action should the nurse
implement first? ......ANSWER........d. Increase the infusion rate of
Lactated Ringer's solution.
2. an adult male who fell 20 feet from the roof of this home has
multiple injuries, including a right pneumothorax. Chest tubes
were inserted in the emergency department prior to his transfer
,age 2 of 149
to the intensive care unit (ICU). the nurse notes that the suction
control chamber is bubbling at the
- 10 cm H2O mark, with fluctuation in the water seal, and over
the past hour 75 ml of bright red blood is measured in the
collection chamber. Which intervention should the nurse
implement? ......ANSWER........a. Add sterile water to the suction
control chamber.
3. A client who received hemodialysis yesterday is experiencing
a blood pressure of 200/100 mmHg, heart rate 110
beats/minute, and respiratory rate 36 breaths/minute. The client
is manifesting shortness of breath, bilateral 2+ pedal edema,
and an oxygen saturation on room air of 89%. Which action
should the nurse take first? ......ANSWER........c. Begin
supplemental oxygen.
,age 3 of 149
4. A client with Addison's crisis is admitted for treatment with
adrenal cortical supplementation. Based on the client's admitting
diagnosis, which findings require immediate action by the nurse?
(Select all that apply) ......ANSWER........Headache and tremors
Irregular heart rate
pallor and diaphoresis
5. An older client is admitted with fluid volume deficit and
dehydration. Which assessment finding is the best indicator of
hydration that the nurse should report to the healthcare
provider? ......ANSWER........d. Skin tenting occurs when the client's
forearm is pinched.
6. After an inservice about electronic health record (EHR) security
and safeguarding client information, the nurse observes a
colleague going home with printed copies of client information in
, age 4 of 149
a uniform pocket. Which action should the nurse take?
......ANSWER........a. File a detailed incident report with the
specific hiring facility.
7. The nurse is evaluating a tertiary prevention program for
clients with cardiovascular disease implemented in a rural health
clinic. Which outcome indicate the program is effective?
......ANSWER........c. Clients who incurred disease complications
promptly received rehabilitation.
8. The nurse is caring for a client with chronic obstructive
pulmonary disease (COPD) who uses oxygen at 2 L/minute per
nasal cannula continuously. The nurse observes that the client is
having increased shortness of breath with respirations at 23
breaths/minute. Which action should the nurse implement first?
......ANSWER........d. Assess the delivery mechanism of the oxygen
tank, tubing, and cannula.
