HESI RN EXIT EXAM QUESTIONS WITH COMPLETE
SOLUTIONS
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 Correct Answer 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? Correct Answer 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?
Correct Answer 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? Correct Answer thyroid crisis
A 35 year old patient with liver cirrhosis developed ascites and
now requires paracentesis. Before her procedure you instruct the
patient to Correct Answer 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 Correct Answer 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 Correct Answer 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 Correct Answer 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 Correct Answer 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 Correct Answer 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" Correct Answer 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 Correct Answer 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
Correct Answer 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?
Correct Answer 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? Correct Answer 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
statement by the client as the most important? Correct Answer
I had a blood transfusion 15 years ago
, A client diagnosed with primary open angle glaucoma received
a rx for miotic eye drops, what instructions should the nurse plan
to include in this client's teaching? Correct Answer Do not
allow the dropper bottle to touch the eye
A client had 20mg of Lasix PO at 10 am. Which would be
essential for the nurse to include at the change of shift report?
Correct Answer The client urine output was 1500 cc in 5 hours
A client has returned to the unit following a renal biopsy. Which
of the following nursing interventions is appropriate? Correct
Answer Monitor vital signs
A client is administered to the ED with several large kidney
stones. What is the nursing priority of this pt Correct Answer
Administer acetaminophen
A client is admitted to the hospital with a subarachnoid
hemorrhage complains of a headache, vomiting, and nuchal
rigidity. The nurse knows a lumbar puncture would be
contraindicated in the client in which of the following
circumstances Correct Answer ICP Increased
A client is admitted to the mental health unit and reports taking
extra antianxiety medication because "I'm so stressed out. I just
want to go to sleep" The RN should plan one on one observation
of the client based on which statement Correct Answer I dont
want to walk nothing matters anymore
SOLUTIONS
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 Correct Answer 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? Correct Answer 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?
Correct Answer 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? Correct Answer thyroid crisis
A 35 year old patient with liver cirrhosis developed ascites and
now requires paracentesis. Before her procedure you instruct the
patient to Correct Answer 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 Correct Answer 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 Correct Answer 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 Correct Answer 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 Correct Answer 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 Correct Answer 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" Correct Answer 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 Correct Answer 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
Correct Answer 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?
Correct Answer 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? Correct Answer 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
statement by the client as the most important? Correct Answer
I had a blood transfusion 15 years ago
, A client diagnosed with primary open angle glaucoma received
a rx for miotic eye drops, what instructions should the nurse plan
to include in this client's teaching? Correct Answer Do not
allow the dropper bottle to touch the eye
A client had 20mg of Lasix PO at 10 am. Which would be
essential for the nurse to include at the change of shift report?
Correct Answer The client urine output was 1500 cc in 5 hours
A client has returned to the unit following a renal biopsy. Which
of the following nursing interventions is appropriate? Correct
Answer Monitor vital signs
A client is administered to the ED with several large kidney
stones. What is the nursing priority of this pt Correct Answer
Administer acetaminophen
A client is admitted to the hospital with a subarachnoid
hemorrhage complains of a headache, vomiting, and nuchal
rigidity. The nurse knows a lumbar puncture would be
contraindicated in the client in which of the following
circumstances Correct Answer ICP Increased
A client is admitted to the mental health unit and reports taking
extra antianxiety medication because "I'm so stressed out. I just
want to go to sleep" The RN should plan one on one observation
of the client based on which statement Correct Answer I dont
want to walk nothing matters anymore
