HESI RN EXIT Exam Questions AND Correct Answers
- ✔✔
A 12 year old client who had an appendectomy two days ago
is receiving 0.9% normal saline at 50 ml/hr. The clients urine
specific gravity is 1.035. What action should the nurse
implement - ✔✔Encourage popsicles and fluids of choice
A 24 hour urine collection is in progress. The client tells the
nurse that the last voiding was accidentally flushed instead of
saving in the container. What intervention should the nurse
initiate? - ✔✔Discard the urine and start another 24 hour
period
a 25 year old client unresponsive after a motor vehicle
accident is being transferred from the hospital to a longterm
care facility. To which staff should the charge nurse assign the
client? - ✔✔RN
A 30 year old patient had a subtotal thyroidectomy this
morning. During the evening the nurse records his vital signs
and has a temp of 105, tachycardia,and appears restless.
,What is most likely the cause of these signs? - ✔✔thyroid
crisis
A 35 year old patient with liver cirrhosis developed ascites and
now requires paracentesis. Before her procedure you instruct
the patient to - ✔✔empty their bladder - patient safety to
prevent puncture, full bladder can displace and become
punctured
A 36 year old patient has been diagnosed with scleroderma
and has breathing difficulties including wheezing and dry
cough. Which of the following skin changes would the nurse
expect to see upon assessment of this pt - ✔✔Stiff, tight skin
that i slighter or darker than the surrounding skin
A 54 year old male client and his wife were informed this
morning that he has terminal cancer. Which nursing
intervention is likely to be most effective - ✔✔Refer her to
support group for family members dying of cancer
a 65 year old patient with pneumonia is receiving gentamicin.
It would be most important for the nurse to monitor which of
the following lab values - ✔✔BUN and Creatinine: cleared by
the kidneys gentamicin is nephrotic
,A 7 year old is admitted to the hospital with persistent
vomiting, and ng tube attached to low intermittent suction is
applied. Which finding is most important for the nurse to
report to the healthcare provider - ✔✔serum potassium 3.0
A boy was riding his bike to school when he hit the curb. He
fell and hurt his leg. The school nurse was called and found
him alert and conscious, but in severe pain with a possible
fracture to the right femur. Which of the following is the first
action the nurse should take - ✔✔Check the pedal pulse and
blanching sign in both legs
A cardiac catherization of a client with heart disease indicates
the following blockages 95% LAD 99% proximal circumflex and
95% proximal RCA. The client later asks the nurse "what does
all that mean for me" - ✔✔3 main arteries have major
blockages with only 1 to 5% of blood flow getting through to
the heart muscle
A charge nurse working in a long term care facility is making
out assignments. Which assignment to an unlicensed assistive
personnel if made by the nurse requires intervention from the
, supervisor - ✔✔Teaching a family intermittent bolus feedings
via g tube before discharge
A child is admitted with DKA is demonstrating Kussmaul
respirations. The nurse determines that the increased
respiratory rate is a compensatory mechanism for which acid
base alteration - ✔✔Metabolic acidoses
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? - ✔✔Instructions about how much the child should
drink daily
A client at an outpatient clinic submits a clean catch
midstream urine specimen for a routine urinalysis. In later
review of the client's medical record, which data indicates to
the nurse that the specimen collection should be repeated? -
✔✔The urine specimen shows multiple organisms in low
colony counts
A client diagnosed with Hep C discusses his health history with
the admitting nurse. The nurse should recognize which
- ✔✔
A 12 year old client who had an appendectomy two days ago
is receiving 0.9% normal saline at 50 ml/hr. The clients urine
specific gravity is 1.035. What action should the nurse
implement - ✔✔Encourage popsicles and fluids of choice
A 24 hour urine collection is in progress. The client tells the
nurse that the last voiding was accidentally flushed instead of
saving in the container. What intervention should the nurse
initiate? - ✔✔Discard the urine and start another 24 hour
period
a 25 year old client unresponsive after a motor vehicle
accident is being transferred from the hospital to a longterm
care facility. To which staff should the charge nurse assign the
client? - ✔✔RN
A 30 year old patient had a subtotal thyroidectomy this
morning. During the evening the nurse records his vital signs
and has a temp of 105, tachycardia,and appears restless.
,What is most likely the cause of these signs? - ✔✔thyroid
crisis
A 35 year old patient with liver cirrhosis developed ascites and
now requires paracentesis. Before her procedure you instruct
the patient to - ✔✔empty their bladder - patient safety to
prevent puncture, full bladder can displace and become
punctured
A 36 year old patient has been diagnosed with scleroderma
and has breathing difficulties including wheezing and dry
cough. Which of the following skin changes would the nurse
expect to see upon assessment of this pt - ✔✔Stiff, tight skin
that i slighter or darker than the surrounding skin
A 54 year old male client and his wife were informed this
morning that he has terminal cancer. Which nursing
intervention is likely to be most effective - ✔✔Refer her to
support group for family members dying of cancer
a 65 year old patient with pneumonia is receiving gentamicin.
It would be most important for the nurse to monitor which of
the following lab values - ✔✔BUN and Creatinine: cleared by
the kidneys gentamicin is nephrotic
,A 7 year old is admitted to the hospital with persistent
vomiting, and ng tube attached to low intermittent suction is
applied. Which finding is most important for the nurse to
report to the healthcare provider - ✔✔serum potassium 3.0
A boy was riding his bike to school when he hit the curb. He
fell and hurt his leg. The school nurse was called and found
him alert and conscious, but in severe pain with a possible
fracture to the right femur. Which of the following is the first
action the nurse should take - ✔✔Check the pedal pulse and
blanching sign in both legs
A cardiac catherization of a client with heart disease indicates
the following blockages 95% LAD 99% proximal circumflex and
95% proximal RCA. The client later asks the nurse "what does
all that mean for me" - ✔✔3 main arteries have major
blockages with only 1 to 5% of blood flow getting through to
the heart muscle
A charge nurse working in a long term care facility is making
out assignments. Which assignment to an unlicensed assistive
personnel if made by the nurse requires intervention from the
, supervisor - ✔✔Teaching a family intermittent bolus feedings
via g tube before discharge
A child is admitted with DKA is demonstrating Kussmaul
respirations. The nurse determines that the increased
respiratory rate is a compensatory mechanism for which acid
base alteration - ✔✔Metabolic acidoses
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? - ✔✔Instructions about how much the child should
drink daily
A client at an outpatient clinic submits a clean catch
midstream urine specimen for a routine urinalysis. In later
review of the client's medical record, which data indicates to
the nurse that the specimen collection should be repeated? -
✔✔The urine specimen shows multiple organisms in low
colony counts
A client diagnosed with Hep C discusses his health history with
the admitting nurse. The nurse should recognize which
