HESI RN EXIT EXAM 2023 STUDY GUIDE
PRACTICE QUESTIONS AND CORRECT
ANSWERS WITH DETAILED RATIONALES
COMPREHENSIVE RN NURSING REVIEW
NCLEX PREPARATION
An adult female client tells the nurse that though she is afraid her abusive
boyfriend might one day kill her, she keeps hoping that he will change.
Which action should the nurse take first?
A. Explore client's readiness to discuss the situation
B. Determine the frequency and type of client's abuse
C. Report the finding to the police department
D. Discuss treatment options for abusive partners - CORRECT ANSWER-
A. Explore client's readiness to discuss the situation
A client's morning assessment includes bounding peripheral pulses, weight
gain of 2 pounds (0.91 kg), pitting ankle edema, and moist crackles
bilaterally. Which intervention is most important for the nurse to include in
this client's plan of care?
A. Maintain accurate intake and output
B. Administer prescribed diuretic
C. Weigh client every morning
D. Restrict daily fluid intake to 1500mL - CORRECT ANSWER-B.
Administer prescribed diuretic
,The nurse is evaluating the chest drainage system of a client with a chest
tube inserted to treat a left hemothorax. Which finding requires
intervention by the nurse?
A. Rise and fall of water level with respiration
B. Continuous bubbling in the water-seal chamber
C. Total fluid level in water-seal chamber unchanged
D. An average collection of 50 mL/hr drainage - CORRECT ANSWER-B.
Continuous bubbling in the water-seal chamber
A client in the emergency center demonstrates rapid speech, flight of ideas,
and reports sleeping only three hours during the past 48 hours. Based on
these findings, it is most important for the nurse to review the laboratory
value for which medication?
A. Lorazepam
B. Fluoxetine
C. Divalproex
D. Olanzapine - CORRECT ANSWER-C. Divalproex
A client with bacterial meningitis is receiving phenytoin. Which assessment
finding indicates to the nurse that the client is experiencing a therapeutic
response? - CORRECT ANSWER-B. Normal electroencephalogram after
drug administration
The nurse is demonstrating correct transfer procedures to the unlicensed
assistive personnel (UAP) working on a rehabilitation unit. The UAP asks
the nurse how to safely move a physically disabled client from the
wheelchair to a bed. Which action should the nurse recommend?
,A. apply a gait belt around the client's waist once a standing position has
been assumed
B. Place the client's locked wheelchair on the client's strong side next to the
bed
C. Pull the client into position by reaching from the opposite side of the bed
D. Hold the client at arm's length while transferring to better distribute the
body weight - CORRECT ANSWER-B. Place the client's locked wheelchair
on the client's strong side next to the bed
The nurse is auscultating a client's lung sounds. Which description should
the nurse use to document this sound?
A. Stridor
B. Low pitched or coarse crackles
C. High pitched or fine crackles
D. High pitched wheeze - CORRECT ANSWER-C. High pitched or fine
crackles
A client taking clopidogrel reports the onset of diarrhea. Which nursing
action should the nurse implement first?
A. Observe the appearance of the stool
B. Assess the elasticity of the client's skin
C. Review the client's laboratory values
D. Auscultate the client's bowel sounds - CORRECT ANSWER-A. Observe
the appearance of the stool
, A female client with a history of heart failure (HF) arrives at the clinic after
what she describes as a very long trip. Following the initial physical
assessment and chart review, which priority action should the nurse
implement?
A. Administer the prescribed diuretic
B. Give a potassium supplement
C. Reteach medication regimen
D. Auscultate lung and heart sounds - CORRECT ANSWER-A. Administer
the prescribed diuretic
The nurse is preparing a client for discharge who was hospitalized with an
acute flare of systemic lupus erythematosus (SLE) symptoms. Which
instruction is most important for the nurse to include?
A. Use a walker when weakness occurs
B. Take prescribed cortisone accurately
C. Decrease daily intake of sodium in diet
D. Avoid extreme environmental temperatures - CORRECT ANSWER-D.
Avoid extreme environmental temperatures
A nurse working on an Endocrine Unit should see which client first?
A. An older client with Addison's disease whose current blood sugar level is
62 mg/dL
B. A client taking corticosteroids who has become disoriented in the last
two hours
C. An adolescent male with type 1 diabetes who is arguing about his insulin
dose
PRACTICE QUESTIONS AND CORRECT
ANSWERS WITH DETAILED RATIONALES
COMPREHENSIVE RN NURSING REVIEW
NCLEX PREPARATION
An adult female client tells the nurse that though she is afraid her abusive
boyfriend might one day kill her, she keeps hoping that he will change.
Which action should the nurse take first?
A. Explore client's readiness to discuss the situation
B. Determine the frequency and type of client's abuse
C. Report the finding to the police department
D. Discuss treatment options for abusive partners - CORRECT ANSWER-
A. Explore client's readiness to discuss the situation
A client's morning assessment includes bounding peripheral pulses, weight
gain of 2 pounds (0.91 kg), pitting ankle edema, and moist crackles
bilaterally. Which intervention is most important for the nurse to include in
this client's plan of care?
A. Maintain accurate intake and output
B. Administer prescribed diuretic
C. Weigh client every morning
D. Restrict daily fluid intake to 1500mL - CORRECT ANSWER-B.
Administer prescribed diuretic
,The nurse is evaluating the chest drainage system of a client with a chest
tube inserted to treat a left hemothorax. Which finding requires
intervention by the nurse?
A. Rise and fall of water level with respiration
B. Continuous bubbling in the water-seal chamber
C. Total fluid level in water-seal chamber unchanged
D. An average collection of 50 mL/hr drainage - CORRECT ANSWER-B.
Continuous bubbling in the water-seal chamber
A client in the emergency center demonstrates rapid speech, flight of ideas,
and reports sleeping only three hours during the past 48 hours. Based on
these findings, it is most important for the nurse to review the laboratory
value for which medication?
A. Lorazepam
B. Fluoxetine
C. Divalproex
D. Olanzapine - CORRECT ANSWER-C. Divalproex
A client with bacterial meningitis is receiving phenytoin. Which assessment
finding indicates to the nurse that the client is experiencing a therapeutic
response? - CORRECT ANSWER-B. Normal electroencephalogram after
drug administration
The nurse is demonstrating correct transfer procedures to the unlicensed
assistive personnel (UAP) working on a rehabilitation unit. The UAP asks
the nurse how to safely move a physically disabled client from the
wheelchair to a bed. Which action should the nurse recommend?
,A. apply a gait belt around the client's waist once a standing position has
been assumed
B. Place the client's locked wheelchair on the client's strong side next to the
bed
C. Pull the client into position by reaching from the opposite side of the bed
D. Hold the client at arm's length while transferring to better distribute the
body weight - CORRECT ANSWER-B. Place the client's locked wheelchair
on the client's strong side next to the bed
The nurse is auscultating a client's lung sounds. Which description should
the nurse use to document this sound?
A. Stridor
B. Low pitched or coarse crackles
C. High pitched or fine crackles
D. High pitched wheeze - CORRECT ANSWER-C. High pitched or fine
crackles
A client taking clopidogrel reports the onset of diarrhea. Which nursing
action should the nurse implement first?
A. Observe the appearance of the stool
B. Assess the elasticity of the client's skin
C. Review the client's laboratory values
D. Auscultate the client's bowel sounds - CORRECT ANSWER-A. Observe
the appearance of the stool
, A female client with a history of heart failure (HF) arrives at the clinic after
what she describes as a very long trip. Following the initial physical
assessment and chart review, which priority action should the nurse
implement?
A. Administer the prescribed diuretic
B. Give a potassium supplement
C. Reteach medication regimen
D. Auscultate lung and heart sounds - CORRECT ANSWER-A. Administer
the prescribed diuretic
The nurse is preparing a client for discharge who was hospitalized with an
acute flare of systemic lupus erythematosus (SLE) symptoms. Which
instruction is most important for the nurse to include?
A. Use a walker when weakness occurs
B. Take prescribed cortisone accurately
C. Decrease daily intake of sodium in diet
D. Avoid extreme environmental temperatures - CORRECT ANSWER-D.
Avoid extreme environmental temperatures
A nurse working on an Endocrine Unit should see which client first?
A. An older client with Addison's disease whose current blood sugar level is
62 mg/dL
B. A client taking corticosteroids who has become disoriented in the last
two hours
C. An adolescent male with type 1 diabetes who is arguing about his insulin
dose
