HESI RN Exit Exam Practice Questions with Answers and
Explanations Complete Solutions, 100% Correct | New 2026 /
2027 Update | | Complete A+ Guide
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HESI RN Exit Exam Practice
Questions with Answers and Explanations
Complete Solutions,
100% Correct
New Update
Complete A+ Guide
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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.
AnswerD: Measure the urine output for the next day and immediately notify the health care
provider if it should decrease.
*Explanation: Intravenous pyelography uses contrast dye that is excreted by the kidneys.
Decreased urine output may indicate contrast-induced nephropathy or acute kidney injury.
Monitoring output and promptly reporting any drop is the priority to prevent further renal
damage.
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
AnswerD: weekly weight
*Explanation: Daily weight is the most reliable indicator of fluid balance in renal disease. Weekly
weight gives a trend; however, in a home setting with altered renal function, serial weights help
detect fluid retention or loss more accurately than intake/output records or physical signs.
https://www.stuvia.com/user/geniusexpert
, 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)
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
AnswerB: It is critical to report promptly to your health care provider any findings of peptic
ulcers.
*Explanation: Zollinger-Ellison syndrome causes gastrin-secreting tumors leading to severe,
recurrent peptic ulcers. Prompt reporting of ulcer symptoms is essential because complications
such as bleeding, perforation, or obstruction can occur. Early treatment reduces morbidity.
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
AnswerB: Have the client turn to the left side
*Explanation: In preeclampsia with increasing blood pressure, turning the client to the left
lateral position relieves aortocaval compression, improves venous return and cardiac output,
and may help lower blood pressure. This is an immediate, non-invasive intervention to enhance
placental perfusion and maternal stability.
https://www.stuvia.com/user/geniusexpert
, 5. The nurse is caring for a client in atrial fibrillation. The atrial heart rate is 250 and the
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
AnswerC: A cold, pale lower leg
*Explanation: Atrial fibrillation increases the risk of thromboembolism. A cold, pale lower leg
suggests acute arterial occlusion from an embolus, which can lead to limb loss or death if not
treated emergently. This finding requires immediate intervention.
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?
A) Nausea and vomiting
B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
C) Diffuse macular rash
D) Muscle tenderness
AnswerB: Fever of 103 degrees F (39.5 degrees C)
*Explanation: Persistent or high fever despite antibiotic therapy indicates ongoing infection,
possible antibiotic resistance, or complications such as abscess or septic emboli. This requires
immediate reassessment and a possible change in therapy.
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?
Explanations Complete Solutions, 100% Correct | New 2026 /
2027 Update | | Complete A+ Guide
Geniusexpert stuvia
THIS DOCUMENT CONTAINS:
HESI RN Exit Exam Practice
Questions with Answers and Explanations
Complete Solutions,
100% Correct
New Update
Complete A+ Guide
, https://www.stuvia.com/user/geniusexpert
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.
AnswerD: Measure the urine output for the next day and immediately notify the health care
provider if it should decrease.
*Explanation: Intravenous pyelography uses contrast dye that is excreted by the kidneys.
Decreased urine output may indicate contrast-induced nephropathy or acute kidney injury.
Monitoring output and promptly reporting any drop is the priority to prevent further renal
damage.
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
AnswerD: weekly weight
*Explanation: Daily weight is the most reliable indicator of fluid balance in renal disease. Weekly
weight gives a trend; however, in a home setting with altered renal function, serial weights help
detect fluid retention or loss more accurately than intake/output records or physical signs.
https://www.stuvia.com/user/geniusexpert
, 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)
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
AnswerB: It is critical to report promptly to your health care provider any findings of peptic
ulcers.
*Explanation: Zollinger-Ellison syndrome causes gastrin-secreting tumors leading to severe,
recurrent peptic ulcers. Prompt reporting of ulcer symptoms is essential because complications
such as bleeding, perforation, or obstruction can occur. Early treatment reduces morbidity.
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
AnswerB: Have the client turn to the left side
*Explanation: In preeclampsia with increasing blood pressure, turning the client to the left
lateral position relieves aortocaval compression, improves venous return and cardiac output,
and may help lower blood pressure. This is an immediate, non-invasive intervention to enhance
placental perfusion and maternal stability.
https://www.stuvia.com/user/geniusexpert
, 5. The nurse is caring for a client in atrial fibrillation. The atrial heart rate is 250 and the
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
AnswerC: A cold, pale lower leg
*Explanation: Atrial fibrillation increases the risk of thromboembolism. A cold, pale lower leg
suggests acute arterial occlusion from an embolus, which can lead to limb loss or death if not
treated emergently. This finding requires immediate intervention.
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?
A) Nausea and vomiting
B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
C) Diffuse macular rash
D) Muscle tenderness
AnswerB: Fever of 103 degrees F (39.5 degrees C)
*Explanation: Persistent or high fever despite antibiotic therapy indicates ongoing infection,
possible antibiotic resistance, or complications such as abscess or septic emboli. This requires
immediate reassessment and a possible change in therapy.
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?
