1|Page
HESI RN MED SURG EXIT EXAM WITH NGN/ COMPREHENSIVE HESI RN
EXIT EXAM|| ACCURATE AND FREQUENTLY TESTED QUESTIONS AND
100% CORRECT ANSWERS WITH RATIONALES|| LATEST AND
COMPLETE UPDATE WITH EXPERT VERIFIED SOLUTIONS
1. Which information is a priority for the RN to reinforce to an older client after
Intravenous pylegraphy?
A) Eat a light diet for the rest of the day
B) Rest for the next 24 hours since the preparation and the test is tiring.
C) During waking hours drink at least 1 8-ounce glass of fluid every hour for the
next 2 days
D) Measure the urine output for the next day and immediately notify the health care
provider if it should decrease. - ANSWER: The correct answer is D: Measure the urine
output for the next day and immediately notify the health care provider if it should
decrease.
2. A client has altered renal function and is being treated at home. The nurse
recognizes that the most accurate indicator of fluid balance during the weekly
visits is
A) difference in the intake and output
B) changes in the mucous membranes
C) skin turgor
D) weekly weight - ANSWER: The correct answer is D: weekly weight
3. A client has been diagnosed with Zollinger-Ellison syndrome.Which
information is most important for the nurse to reinforce with the client?
A) It is a condition in which one or more tumors called gastrinomas form in the
pancreas or in the upper part of the small intestine (duodenum)
,2|Page
B) It is critical to report promptly to your health care provider any findings of
peptic ulcers
c)Treatment consists of medications to reduce acid and heal any peptic ulcers and, if
possible, surgery to remove any tumors
D)With the average age at diagnosis at 50 years the peptic ulcers may occur at
unusual areas of the stomach or intestine - ANSWER: The correct answer is B: It is
critical to report promptly to your health care provider any findings of peptic ulcers.
4. A primigravida in the third trimester is hospitalized for preeclampsia. The nurse
determines that the client's blood pressure is increasing. Which action should the
nurse take first?
A) Check the protein level in urine
B) Have the client turn to the left side
C) Take the temperature
D) Monitor the urine output - ANSWER: The correct answer is B: Have the client turn to
the left side
5. The nurse is caring for a client in atrial fibrillation. The atrial heart rate is 250 and
th ventricular rate is controlled at 75. Which of the following findings is cause for the
most concern?
A) Diminished bowel sounds
B) Loss of appetite
C) A cold, pale lower leg
D) Tachypnea - ANSWER: The correct answer is C: A cold, pale lower leg
6. The client with infective endocarditis must be assessed frequently by the home
health nurse. Which finding suggests that antibiotic therapy is not effective, and
must be reported by the nurse immediately to the healthcare provider?
,3|Page
A) Nausea and vomiting
B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
C) Diffuse macular rash
D) Muscle tenderness - ANSWER: The correct answer is B: Fever of 103 degrees F
(39.5 degrees C)
7. A client who had a vasectomy is in the post recovery unit at an outpatient clinic.
Which of these points is most important to be reinforced by the nurse?
A) Until the health care provider has determined that your ejaculate doesn't contain
sperm, continue to use another form of contraception.
B) This procedure doesn't impede the production of male hormones or the production
of sperm in the testicles. The sperm can no longer enter your semen and no sperm are
in your ejaculate.
C) After your vasectomy, strenuous activity needs to be avoided for at least 48 hours.
If your work doesn't involve hard physical labor, you can return to your job as soon as
you feel up to it. The stitches generally dissolve in seven to ten days.
D) The health care provider at this clinic recommends rest, ice, an athletic supporter or
over-the-counter pain medication to relieve any discomfort. - ANSWER: The correct
answer is A: Until the health care provider has determined that your ejaculate doesn't
contain sperm, continue to use another form of contraception.
8. A client who is to have antineoplastic chemotherapy tells the nurses of a fear of
being sick all the time and wishes to try acupuncture. Which of these beliefs stated by
the client would be incorrect about acupuncture?
A) Some needles go as deep as 3 inches, depending on where they're placed in the
body and what the treatment is for. The needles usually are left in for 15 to 30
minutes.
B) In traditional Chinese medicine, imbalances in the basic energetic flow of life
— known as qi or chi — are thought to cause illness.
, 4|Page
* C) The flow of life is believed to flow through major pathways or nerve clusters in
your body.
D) By inserting extremely fine needles into some of the over 400 acupuncture points in
various combinations it is believed that energy flow will rebalance to allow the body's
natural healing mechanisms to take over. - ANSWER: The correct answer is C: The flow
of life is believed to flow through major pathways or nerve clusters in your body.
9. The nurse is discussing with a group of students the disease Kawasaki. What
statement made by a student about Kawasaki disease is incorrect?
A) It also called mucocutaneous lymph node syndrome because it affects the
mucous membranes (inside the mouth, throat and nose), skin and lymph nodes.
B) In the second phase of the disease, findings include peeling of the skin on the
hands and feet with joint and abdominal pain
C) Kawasaki disease occurs most often in boys, children younger than age 5 and
children of Hispanic descent
D) Initially findings are a sudden high fever, usually above 104 degrees
Fahrenheit, which lasts 1 to 2 weeks - ANSWER: The correct answer is C:
Kawasaki disease occurs most often in boys, children younger than age 5 and
children of Hispanic descent
10. A client has viral pneumonia affecting 2/3 of the right lung. What would be the
best position to teach the client to lie in every other hour during first 12 hours after
admission?
A) Side-lying on the left with the head elevated 10 degrees
B) Side-lying on the left with the head elevated 35 degrees
C) Side-lying on the right with the head elevated 10 degrees
D) Side-lying on the right with the head elevated 35 degrees - ANSWER: The
correct answer is A: Side-lying on the left with the head elevated 10 degrees
HESI RN MED SURG EXIT EXAM WITH NGN/ COMPREHENSIVE HESI RN
EXIT EXAM|| ACCURATE AND FREQUENTLY TESTED QUESTIONS AND
100% CORRECT ANSWERS WITH RATIONALES|| LATEST AND
COMPLETE UPDATE WITH EXPERT VERIFIED SOLUTIONS
1. Which information is a priority for the RN to reinforce to an older client after
Intravenous pylegraphy?
A) Eat a light diet for the rest of the day
B) Rest for the next 24 hours since the preparation and the test is tiring.
C) During waking hours drink at least 1 8-ounce glass of fluid every hour for the
next 2 days
D) Measure the urine output for the next day and immediately notify the health care
provider if it should decrease. - ANSWER: The correct answer is D: Measure the urine
output for the next day and immediately notify the health care provider if it should
decrease.
2. A client has altered renal function and is being treated at home. The nurse
recognizes that the most accurate indicator of fluid balance during the weekly
visits is
A) difference in the intake and output
B) changes in the mucous membranes
C) skin turgor
D) weekly weight - ANSWER: The correct answer is D: weekly weight
3. A client has been diagnosed with Zollinger-Ellison syndrome.Which
information is most important for the nurse to reinforce with the client?
A) It is a condition in which one or more tumors called gastrinomas form in the
pancreas or in the upper part of the small intestine (duodenum)
,2|Page
B) It is critical to report promptly to your health care provider any findings of
peptic ulcers
c)Treatment consists of medications to reduce acid and heal any peptic ulcers and, if
possible, surgery to remove any tumors
D)With the average age at diagnosis at 50 years the peptic ulcers may occur at
unusual areas of the stomach or intestine - ANSWER: The correct answer is B: It is
critical to report promptly to your health care provider any findings of peptic ulcers.
4. A primigravida in the third trimester is hospitalized for preeclampsia. The nurse
determines that the client's blood pressure is increasing. Which action should the
nurse take first?
A) Check the protein level in urine
B) Have the client turn to the left side
C) Take the temperature
D) Monitor the urine output - ANSWER: The correct answer is B: Have the client turn to
the left side
5. The nurse is caring for a client in atrial fibrillation. The atrial heart rate is 250 and
th ventricular rate is controlled at 75. Which of the following findings is cause for the
most concern?
A) Diminished bowel sounds
B) Loss of appetite
C) A cold, pale lower leg
D) Tachypnea - ANSWER: The correct answer is C: A cold, pale lower leg
6. The client with infective endocarditis must be assessed frequently by the home
health nurse. Which finding suggests that antibiotic therapy is not effective, and
must be reported by the nurse immediately to the healthcare provider?
,3|Page
A) Nausea and vomiting
B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
C) Diffuse macular rash
D) Muscle tenderness - ANSWER: The correct answer is B: Fever of 103 degrees F
(39.5 degrees C)
7. A client who had a vasectomy is in the post recovery unit at an outpatient clinic.
Which of these points is most important to be reinforced by the nurse?
A) Until the health care provider has determined that your ejaculate doesn't contain
sperm, continue to use another form of contraception.
B) This procedure doesn't impede the production of male hormones or the production
of sperm in the testicles. The sperm can no longer enter your semen and no sperm are
in your ejaculate.
C) After your vasectomy, strenuous activity needs to be avoided for at least 48 hours.
If your work doesn't involve hard physical labor, you can return to your job as soon as
you feel up to it. The stitches generally dissolve in seven to ten days.
D) The health care provider at this clinic recommends rest, ice, an athletic supporter or
over-the-counter pain medication to relieve any discomfort. - ANSWER: The correct
answer is A: Until the health care provider has determined that your ejaculate doesn't
contain sperm, continue to use another form of contraception.
8. A client who is to have antineoplastic chemotherapy tells the nurses of a fear of
being sick all the time and wishes to try acupuncture. Which of these beliefs stated by
the client would be incorrect about acupuncture?
A) Some needles go as deep as 3 inches, depending on where they're placed in the
body and what the treatment is for. The needles usually are left in for 15 to 30
minutes.
B) In traditional Chinese medicine, imbalances in the basic energetic flow of life
— known as qi or chi — are thought to cause illness.
, 4|Page
* C) The flow of life is believed to flow through major pathways or nerve clusters in
your body.
D) By inserting extremely fine needles into some of the over 400 acupuncture points in
various combinations it is believed that energy flow will rebalance to allow the body's
natural healing mechanisms to take over. - ANSWER: The correct answer is C: The flow
of life is believed to flow through major pathways or nerve clusters in your body.
9. The nurse is discussing with a group of students the disease Kawasaki. What
statement made by a student about Kawasaki disease is incorrect?
A) It also called mucocutaneous lymph node syndrome because it affects the
mucous membranes (inside the mouth, throat and nose), skin and lymph nodes.
B) In the second phase of the disease, findings include peeling of the skin on the
hands and feet with joint and abdominal pain
C) Kawasaki disease occurs most often in boys, children younger than age 5 and
children of Hispanic descent
D) Initially findings are a sudden high fever, usually above 104 degrees
Fahrenheit, which lasts 1 to 2 weeks - ANSWER: The correct answer is C:
Kawasaki disease occurs most often in boys, children younger than age 5 and
children of Hispanic descent
10. A client has viral pneumonia affecting 2/3 of the right lung. What would be the
best position to teach the client to lie in every other hour during first 12 hours after
admission?
A) Side-lying on the left with the head elevated 10 degrees
B) Side-lying on the left with the head elevated 35 degrees
C) Side-lying on the right with the head elevated 10 degrees
D) Side-lying on the right with the head elevated 35 degrees - ANSWER: The
correct answer is A: Side-lying on the left with the head elevated 10 degrees
