Ultimate Comprehensive Study Guide for HESI Exit RN Exam Preparation:
Essential Resource Covering Key Nursing Concepts, Critical Thinking
Skills, Clinical Judgments, Patient Safety Protocols, Pharmacology,
Evidence-Based Practice Guidelines, and Extensive Practice Questions to
Ensure Mastery and Achieve Outstanding Success in NCLEX-RN Licensing
Exams
,Question 1:
A nurse is caring for a patient who has just undergone a total hip replacement.
What is the priority nursing intervention postoperatively?
• A) Assess the patient's pain level
• B) Monitor vital signs
• C) Encourage deep breathing and coughing
• D) Assist the patient to ambulate
Correct Option: B) Monitor vital signs
Rationale: Monitoring vital signs is critical to identify any complications such as
bleeding or infection in the immediate postoperative period.
Question 2:
Which of the following assessments is most important for a patient diagnosed with
heart failure?
• A) Monitoring blood glucose levels
• B) Assessing respiratory status
• C) Measuring abdominal circumference
• D) Checking peripheral pulses
Correct Option: B) Assessing respiratory status
Rationale: Patients with heart failure are at risk for pulmonary complications, making
respiratory assessment a priority.
Question 3:
When administering medications to a pediatric patient, which principle should the
nurse consider?
• A) Dosages are the same for all age groups.
• B) Weight-based dosages are critical for safety.
• C) Pediatric patients require more frequent dosing.
• D) Oral medications are preferred over injections.
Correct Option: B) Weight-based dosages are critical for safety.
, Rationale: Pediatric patients metabolize drugs differently, so it’s essential to calculate
dosages based on their weight to ensure safety.
Question 4:
What is the best indicator of adequate hydration in an older adult patient?
• A) Urine output
• B) Skin turgor
• C) Daily weight
• D) Mucous membrane moisture
Correct Option: C) Daily weight
Rationale: A sudden change in daily weight can indicate fluid retention or loss, making
it a more reliable indicator of hydration status in older adults.
Question 5:
A patient presents with chest pain and diaphoresis. What should the nurse assess
first?
• A) Blood pressure
• B) Heart rate
• C) Respiratory rate
• D) Oxygen saturation
Correct Option: D) Oxygen saturation
Rationale: Chest pain with diaphoresis may indicate a myocardial infarction, and
assessing oxygen saturation is essential to evaluate the patient’s respiratory function.
Question 6:
Which of the following laboratory values indicates renal failure?
• A) Increased BUN and creatinine levels
• B) Decreased potassium levels
• C) Elevated white blood cell count
• D) Decreased calcium levels
Correct Option: A) Increased BUN and creatinine levels
Essential Resource Covering Key Nursing Concepts, Critical Thinking
Skills, Clinical Judgments, Patient Safety Protocols, Pharmacology,
Evidence-Based Practice Guidelines, and Extensive Practice Questions to
Ensure Mastery and Achieve Outstanding Success in NCLEX-RN Licensing
Exams
,Question 1:
A nurse is caring for a patient who has just undergone a total hip replacement.
What is the priority nursing intervention postoperatively?
• A) Assess the patient's pain level
• B) Monitor vital signs
• C) Encourage deep breathing and coughing
• D) Assist the patient to ambulate
Correct Option: B) Monitor vital signs
Rationale: Monitoring vital signs is critical to identify any complications such as
bleeding or infection in the immediate postoperative period.
Question 2:
Which of the following assessments is most important for a patient diagnosed with
heart failure?
• A) Monitoring blood glucose levels
• B) Assessing respiratory status
• C) Measuring abdominal circumference
• D) Checking peripheral pulses
Correct Option: B) Assessing respiratory status
Rationale: Patients with heart failure are at risk for pulmonary complications, making
respiratory assessment a priority.
Question 3:
When administering medications to a pediatric patient, which principle should the
nurse consider?
• A) Dosages are the same for all age groups.
• B) Weight-based dosages are critical for safety.
• C) Pediatric patients require more frequent dosing.
• D) Oral medications are preferred over injections.
Correct Option: B) Weight-based dosages are critical for safety.
, Rationale: Pediatric patients metabolize drugs differently, so it’s essential to calculate
dosages based on their weight to ensure safety.
Question 4:
What is the best indicator of adequate hydration in an older adult patient?
• A) Urine output
• B) Skin turgor
• C) Daily weight
• D) Mucous membrane moisture
Correct Option: C) Daily weight
Rationale: A sudden change in daily weight can indicate fluid retention or loss, making
it a more reliable indicator of hydration status in older adults.
Question 5:
A patient presents with chest pain and diaphoresis. What should the nurse assess
first?
• A) Blood pressure
• B) Heart rate
• C) Respiratory rate
• D) Oxygen saturation
Correct Option: D) Oxygen saturation
Rationale: Chest pain with diaphoresis may indicate a myocardial infarction, and
assessing oxygen saturation is essential to evaluate the patient’s respiratory function.
Question 6:
Which of the following laboratory values indicates renal failure?
• A) Increased BUN and creatinine levels
• B) Decreased potassium levels
• C) Elevated white blood cell count
• D) Decreased calcium levels
Correct Option: A) Increased BUN and creatinine levels
