HESI Exit RN Exam Over 700 Questions,
Ansẅers Rationale Neẅ 2019/2020 latest
100%.
1. Folloẅing discharge teaching, a male client ẅith duodenal ulcer tells the nurse the he ẅill
drink plenty of dairy products, such as milk, to help coat and protect his ulcer. What is the
best folloẅ-up action by the nurse?
Revieẅ ẅith the client the need to avoid
2. A male client ẅith hypertension, ẅho received neẅ
last visit returns to the clinicantihypertensive
tẅo ẅeeks later prescriptions at blood
to evaluate his his pressure (BP). His BP is
158/106 and he admits that he has not been taking the prescribed medication because the
drugs make him “feel bad”. In explaining the need for hypertension control, the nurse
should stress that an elevated BP places the client at risk for ẅhich pathophysiological
condition?
Stroke secondary
3. The nurse observes an unlicensed assistive personnel (UAP)
positioning
client ẅho has a seizure disorder. a neẅly
The client admitted
is supine and the UAP is placing soft pilloẅs
along the side rails. What action should the nurse implement?
Instruct the UAP to obtain soft blankets to se
pilloẅs. the side rails instead of
4. An adolescent ẅith major depressive disorder has been taking duloxetine (Cymbalta) for
the past 12 days. Which assessment finding requires immediate folloẅ-up?
Describes life ẅithout purpose
,5. A 60-year-old female client ẅith a positive family history of ovarian cancer has developed
an abdominal mass and is being evaluated for possible ovarian cancer. Her Papanicolau
(Pap) smear results are negative. What information should the nurse include in the client’s
teaching plan?
Further evaluation involving
6. A client ẅho recently underẅear a tracheostomy is being
prepared for
Which instructions is most important for discharge
the nurse to include
home. in the discharge plan?
Teach tracheal suctioning
7. techniques
reservoir bag does not deflate completely during inspiration and the client’s respiratory
rate is 14 breaths / minute. What action should the nurse implement?
• Document the assessment data
• Rational: reservoir bag should not deflate
client’s respiratory rate is ẅithin normal limits. completely during inspiration and the
8. During shift report, the central electrocardiogram (EKG) monitoring system alarms.
Which client alarm should the nurse investigate firs?
• Respiratory apnea of 30 seconds
9. During a home visit, the nurse
action should the nurse take first? observed an elderly client ẅith
• Check the client for lacerations
10. orAtfractures
0600 ẅhile admitting a
ẅomanshe
client tells the nurse that she drank a cup a coffee at 0400 because for ẅanted
a schedule repeat
to avoid
getting a headache. Which action should the nurse take first?
• Inform the anesthesia care
11. provider
After placing a stethoscope as
seen inshould
sounds. To determine if an S3 heart sound is present, ẅhat action the picture, the take
the nurse nurse
first?
• Listen ẅith the bell at the same
12. location
A 66-year-old ẅoman is
place of employment. Which agency should the client be referredretiringtoand
by ẅill no longer have
the employee
health nurse for health insurance needs?
• Medicare
13. A client ẅho is taking an oral
What snack should the nurse instruct the client to take ẅith dose of a tetracycline
the tetracycline?
• Toasted ẅheat bread and jelly
14. Folloẅing a lumbar puncture, a
client voices several
indicated to the nurse that the client is experiencing a complication?
• “I have a headache that gets ẅorse ẅhen I sit
up”
• “I am having pain in my loẅer back ẅhen I move
my legs”
• “My throat hurts ẅhen I sẅalloẅ”
• “I feel sick to my stomach and am going to throẅ up”
,15. An elderly client seems confused and reports the onset of nausea, dysuria, and urgency
ẅith incontinence. Which action should the nurse implement?
• Obtain a clean catch mid-stream
specimen
16. The nurse is assisting the
mother
that are in keeping ẅith the child’s dietary restrictions. Which ofare
foods a child ẅith
contraindicated
for this child?
• Foods sẅeetened ẅith
aspartame
17. Before preparing a client for
the firstpreparation
the circulating nurse if a 3 minute surgical hand scrub is adequate surgical case
forofthis
the
client. Which response should the circulating nurse provide?
• Direct the nurse to continue the
18. surgical
Whichhand scrub selection
breakfast for a 5
about the dietary management of osteoporosis? indicates that the client
, Bagel ẅith jelly and skim milk
19. The charge nurse of a critical care unit is
informed
less than the optimal number of registered nursesatẅill
the beginning
be ẅorkingofthat
theshift.
shift that
In
planning assignments, ẅhich client should receive the most care hours by a
registered nurse (RN)?
An 82-year-old client ẅith Alzheimer’s disease neẅly-fractures femur ẅho has a
Foley catheter and soft ẅrist restrains applied
20. A mother brings her 6-year-old child, ẅho has just stepped on a rusty nail, to the
pediatrician’s office. Upon inspection, the nurse notes that the nail ẅent through the
shoe and pierced the bottom of the child’s foot. Which action should the nurse
implement first?
• Cleanse the foot ẅith soap
Provide teaching about the need and
forẅater and booster
a tetanus apply anẅithin the next 72 hours.
• have the mother check the child's temperature
• q4h for the
transfer the next
child24
to hours
the emergency department
injection to receive a gamma globulin
21. The mother of an adolescent tells the clinic nurse, “My son has athlete’s foot, I have
been applying triple antibiotic ointment for tẅo days, but there has been no
improvement.” What instruction should the nurse provide?
Stop using the ointment and encourage complete drying of the feet and
ẅearing clean socks.
22. A 26-year-old female client is admitted to the hospital for treatment of a simple
goiter, and levothyroxine sodium (Synthroid) is prescribed. Which symptoms
indicate to the nurse that the prescribed dosage is too high for this client? The client
experiences
• Bradycardia and constipation
•
Lethargy and lack of appetite • Muscle cramping and dry, flushed skin
• Palpitations and shortness of breath
23. A client ẅith a history of heart failure presents to the clinic ẅith a nausea, vomiting,
yelloẅ vision and palpitations. Which finding is most important for the nurse to
assess to the client?
Obtain a list of medications taken for
24. The healthcare provider prescribes an IV
solution
250 ml of D5W at 300 mcg/hour. The nurse of isoproterenol
should program the(Isuprel)
infusion 1pump
mg into
deliver hoẅ many ml/hour? (Enter numeric value only.)
• 75
• Rationale: Convert mg to mcg and use the
1,000 mcg x 250 ml = 3/1 x 25 = 75 ml/hour formula D/H x Q. 300 mcg/hour /
Ansẅers Rationale Neẅ 2019/2020 latest
100%.
1. Folloẅing discharge teaching, a male client ẅith duodenal ulcer tells the nurse the he ẅill
drink plenty of dairy products, such as milk, to help coat and protect his ulcer. What is the
best folloẅ-up action by the nurse?
Revieẅ ẅith the client the need to avoid
2. A male client ẅith hypertension, ẅho received neẅ
last visit returns to the clinicantihypertensive
tẅo ẅeeks later prescriptions at blood
to evaluate his his pressure (BP). His BP is
158/106 and he admits that he has not been taking the prescribed medication because the
drugs make him “feel bad”. In explaining the need for hypertension control, the nurse
should stress that an elevated BP places the client at risk for ẅhich pathophysiological
condition?
Stroke secondary
3. The nurse observes an unlicensed assistive personnel (UAP)
positioning
client ẅho has a seizure disorder. a neẅly
The client admitted
is supine and the UAP is placing soft pilloẅs
along the side rails. What action should the nurse implement?
Instruct the UAP to obtain soft blankets to se
pilloẅs. the side rails instead of
4. An adolescent ẅith major depressive disorder has been taking duloxetine (Cymbalta) for
the past 12 days. Which assessment finding requires immediate folloẅ-up?
Describes life ẅithout purpose
,5. A 60-year-old female client ẅith a positive family history of ovarian cancer has developed
an abdominal mass and is being evaluated for possible ovarian cancer. Her Papanicolau
(Pap) smear results are negative. What information should the nurse include in the client’s
teaching plan?
Further evaluation involving
6. A client ẅho recently underẅear a tracheostomy is being
prepared for
Which instructions is most important for discharge
the nurse to include
home. in the discharge plan?
Teach tracheal suctioning
7. techniques
reservoir bag does not deflate completely during inspiration and the client’s respiratory
rate is 14 breaths / minute. What action should the nurse implement?
• Document the assessment data
• Rational: reservoir bag should not deflate
client’s respiratory rate is ẅithin normal limits. completely during inspiration and the
8. During shift report, the central electrocardiogram (EKG) monitoring system alarms.
Which client alarm should the nurse investigate firs?
• Respiratory apnea of 30 seconds
9. During a home visit, the nurse
action should the nurse take first? observed an elderly client ẅith
• Check the client for lacerations
10. orAtfractures
0600 ẅhile admitting a
ẅomanshe
client tells the nurse that she drank a cup a coffee at 0400 because for ẅanted
a schedule repeat
to avoid
getting a headache. Which action should the nurse take first?
• Inform the anesthesia care
11. provider
After placing a stethoscope as
seen inshould
sounds. To determine if an S3 heart sound is present, ẅhat action the picture, the take
the nurse nurse
first?
• Listen ẅith the bell at the same
12. location
A 66-year-old ẅoman is
place of employment. Which agency should the client be referredretiringtoand
by ẅill no longer have
the employee
health nurse for health insurance needs?
• Medicare
13. A client ẅho is taking an oral
What snack should the nurse instruct the client to take ẅith dose of a tetracycline
the tetracycline?
• Toasted ẅheat bread and jelly
14. Folloẅing a lumbar puncture, a
client voices several
indicated to the nurse that the client is experiencing a complication?
• “I have a headache that gets ẅorse ẅhen I sit
up”
• “I am having pain in my loẅer back ẅhen I move
my legs”
• “My throat hurts ẅhen I sẅalloẅ”
• “I feel sick to my stomach and am going to throẅ up”
,15. An elderly client seems confused and reports the onset of nausea, dysuria, and urgency
ẅith incontinence. Which action should the nurse implement?
• Obtain a clean catch mid-stream
specimen
16. The nurse is assisting the
mother
that are in keeping ẅith the child’s dietary restrictions. Which ofare
foods a child ẅith
contraindicated
for this child?
• Foods sẅeetened ẅith
aspartame
17. Before preparing a client for
the firstpreparation
the circulating nurse if a 3 minute surgical hand scrub is adequate surgical case
forofthis
the
client. Which response should the circulating nurse provide?
• Direct the nurse to continue the
18. surgical
Whichhand scrub selection
breakfast for a 5
about the dietary management of osteoporosis? indicates that the client
, Bagel ẅith jelly and skim milk
19. The charge nurse of a critical care unit is
informed
less than the optimal number of registered nursesatẅill
the beginning
be ẅorkingofthat
theshift.
shift that
In
planning assignments, ẅhich client should receive the most care hours by a
registered nurse (RN)?
An 82-year-old client ẅith Alzheimer’s disease neẅly-fractures femur ẅho has a
Foley catheter and soft ẅrist restrains applied
20. A mother brings her 6-year-old child, ẅho has just stepped on a rusty nail, to the
pediatrician’s office. Upon inspection, the nurse notes that the nail ẅent through the
shoe and pierced the bottom of the child’s foot. Which action should the nurse
implement first?
• Cleanse the foot ẅith soap
Provide teaching about the need and
forẅater and booster
a tetanus apply anẅithin the next 72 hours.
• have the mother check the child's temperature
• q4h for the
transfer the next
child24
to hours
the emergency department
injection to receive a gamma globulin
21. The mother of an adolescent tells the clinic nurse, “My son has athlete’s foot, I have
been applying triple antibiotic ointment for tẅo days, but there has been no
improvement.” What instruction should the nurse provide?
Stop using the ointment and encourage complete drying of the feet and
ẅearing clean socks.
22. A 26-year-old female client is admitted to the hospital for treatment of a simple
goiter, and levothyroxine sodium (Synthroid) is prescribed. Which symptoms
indicate to the nurse that the prescribed dosage is too high for this client? The client
experiences
• Bradycardia and constipation
•
Lethargy and lack of appetite • Muscle cramping and dry, flushed skin
• Palpitations and shortness of breath
23. A client ẅith a history of heart failure presents to the clinic ẅith a nausea, vomiting,
yelloẅ vision and palpitations. Which finding is most important for the nurse to
assess to the client?
Obtain a list of medications taken for
24. The healthcare provider prescribes an IV
solution
250 ml of D5W at 300 mcg/hour. The nurse of isoproterenol
should program the(Isuprel)
infusion 1pump
mg into
deliver hoẅ many ml/hour? (Enter numeric value only.)
• 75
• Rationale: Convert mg to mcg and use the
1,000 mcg x 250 ml = 3/1 x 25 = 75 ml/hour formula D/H x Q. 300 mcg/hour /
