, HESI RN Exit V7
1. A charge nurse is assigning clients on a medical-surgical unit. Which client should be assigned
to an LPN?
A Client with new-onset chest pain and ST elevation
B Client on an IV insulin drip for hyperglycemia
C Client with a UTI receiving oral antibiotics
D Client post-cardiac arrest with unstable vitals
Correct Answer: C
Rationale: Stable clients with predictable outcomes (UTI on oral antibiotics) can be assigned to
an LPN. Unstable clients (A, B, D) require RN assessment and complex decision-making .
2. A nurse witnesses a colleague taking a photo of a client's wound on a personal phone. What
is the priority action?
A Report to nursing supervisor immediately
B Confront colleague privately
C Ignore if no identifiers visible
D Delete the photo
Correct Answer: A
Rationale: Taking photos of a client without consent on a personal device violates HIPAA. The
nurse must report immediately. Confronting privately may not ensure the issue is properly
addressed .
3. A client post-total hip arthroplasty says, "I will bend at the waist to put on my shoes." What is
the nurse's best response?
A "That is fine as long as you go slowly."
B "Avoid bending past 90 degrees at the waist."
C "Bending is encouraged to increase flexibility."
D "You should have someone else put on your shoes permanently."
Correct Answer: B
,Rationale: Bending >90 degrees after hip arthroplasty increases dislocation risk. The client
should use a long-handled shoehorn to avoid this position .
4. The charge nurse is making assignments for one Practical Nurse (PN) and three Registered
Nurses (RNs) caring for neurologically compromised clients. Which client with which change in
status is best to assign to the PN?
A A subdural hematoma client whose blood pressure changed from 150/80 to 170/100
B A viral meningitis client whose temperature changed from 101.5°F to 102°F
C A diabetic ketoacidosis client whose Glasgow Coma Scale (GCS) score changed from 10 to 7
D A myxedema client whose blood pressure changed from 80/50 to 70/40
Correct Answer: B
Rationale: A PN can safely monitor a temperature increase in viral meningitis, continuing
routine care and reporting further deviations. Clients with major changes in neurological status
or hemodynamic instability (such as sharp drops in blood pressure or a drop in GCS) typically
require the RN's higher-level critical assessment and intervention skills .
5. A client is being transferred to long-term care. What must be included in the hand-off report?
A Complete medical history since birth
B Current medications, allergies, code status
C Family's personal opinions
D Financial status and insurance
Correct Answer: B
Rationale: Essential hand-off includes current clinical status, medications, allergies, code status,
and pending tests. Family opinions and financial information are not part of the clinical hand-
off .
6. A client with a severe allergic reaction has stridor and drooling. What is the priority?
A Administer epinephrine
B Start an IV line
C Prepare for intubation or cricothyroidotomy
D Give diphenhydramine
, Correct Answer: C
Rationale: Stridor and drooling indicate impending airway obstruction from angioedema.
Airway intervention is priority before other treatments .
7. A newly licensed nurse states, "The nurse is responsible for obtaining informed consent."
How should the preceptor respond?
A "That is correct."
B "The provider is responsible for explaining risks and benefits."
C "The family gives consent if the client is over 65."
D "Only a physician can obtain consent."
Correct Answer: B
Rationale: The provider explains risks, benefits, and alternatives. The nurse witnesses the
signature .
8. A client with a new colostomy says, "Can you show me how to clean the stoma?" This
indicates:
A Denial
B Readiness to learn
C Dependence on spouse
D Anger about the ostomy
Correct Answer: B
Rationale: The client's question demonstrates readiness to learn about self-care. This is a
positive sign of adaptation and acceptance .
9. A client is 2 hours post-bowel resection and reports pain 7/10. What should the nurse do
FIRST?
A Administer morphine 2 mg IV push
B Reposition the client
C Assess surgical incision and vital signs
D Apply a heating pad
Correct Answer: C
1. A charge nurse is assigning clients on a medical-surgical unit. Which client should be assigned
to an LPN?
A Client with new-onset chest pain and ST elevation
B Client on an IV insulin drip for hyperglycemia
C Client with a UTI receiving oral antibiotics
D Client post-cardiac arrest with unstable vitals
Correct Answer: C
Rationale: Stable clients with predictable outcomes (UTI on oral antibiotics) can be assigned to
an LPN. Unstable clients (A, B, D) require RN assessment and complex decision-making .
2. A nurse witnesses a colleague taking a photo of a client's wound on a personal phone. What
is the priority action?
A Report to nursing supervisor immediately
B Confront colleague privately
C Ignore if no identifiers visible
D Delete the photo
Correct Answer: A
Rationale: Taking photos of a client without consent on a personal device violates HIPAA. The
nurse must report immediately. Confronting privately may not ensure the issue is properly
addressed .
3. A client post-total hip arthroplasty says, "I will bend at the waist to put on my shoes." What is
the nurse's best response?
A "That is fine as long as you go slowly."
B "Avoid bending past 90 degrees at the waist."
C "Bending is encouraged to increase flexibility."
D "You should have someone else put on your shoes permanently."
Correct Answer: B
,Rationale: Bending >90 degrees after hip arthroplasty increases dislocation risk. The client
should use a long-handled shoehorn to avoid this position .
4. The charge nurse is making assignments for one Practical Nurse (PN) and three Registered
Nurses (RNs) caring for neurologically compromised clients. Which client with which change in
status is best to assign to the PN?
A A subdural hematoma client whose blood pressure changed from 150/80 to 170/100
B A viral meningitis client whose temperature changed from 101.5°F to 102°F
C A diabetic ketoacidosis client whose Glasgow Coma Scale (GCS) score changed from 10 to 7
D A myxedema client whose blood pressure changed from 80/50 to 70/40
Correct Answer: B
Rationale: A PN can safely monitor a temperature increase in viral meningitis, continuing
routine care and reporting further deviations. Clients with major changes in neurological status
or hemodynamic instability (such as sharp drops in blood pressure or a drop in GCS) typically
require the RN's higher-level critical assessment and intervention skills .
5. A client is being transferred to long-term care. What must be included in the hand-off report?
A Complete medical history since birth
B Current medications, allergies, code status
C Family's personal opinions
D Financial status and insurance
Correct Answer: B
Rationale: Essential hand-off includes current clinical status, medications, allergies, code status,
and pending tests. Family opinions and financial information are not part of the clinical hand-
off .
6. A client with a severe allergic reaction has stridor and drooling. What is the priority?
A Administer epinephrine
B Start an IV line
C Prepare for intubation or cricothyroidotomy
D Give diphenhydramine
, Correct Answer: C
Rationale: Stridor and drooling indicate impending airway obstruction from angioedema.
Airway intervention is priority before other treatments .
7. A newly licensed nurse states, "The nurse is responsible for obtaining informed consent."
How should the preceptor respond?
A "That is correct."
B "The provider is responsible for explaining risks and benefits."
C "The family gives consent if the client is over 65."
D "Only a physician can obtain consent."
Correct Answer: B
Rationale: The provider explains risks, benefits, and alternatives. The nurse witnesses the
signature .
8. A client with a new colostomy says, "Can you show me how to clean the stoma?" This
indicates:
A Denial
B Readiness to learn
C Dependence on spouse
D Anger about the ostomy
Correct Answer: B
Rationale: The client's question demonstrates readiness to learn about self-care. This is a
positive sign of adaptation and acceptance .
9. A client is 2 hours post-bowel resection and reports pain 7/10. What should the nurse do
FIRST?
A Administer morphine 2 mg IV push
B Reposition the client
C Assess surgical incision and vital signs
D Apply a heating pad
Correct Answer: C
