HESI RN EXIT EXAM (V6) Actual Questions
and Answers to Pass the Exam
1. 1. A mother runs into the emergency department with a
toddler in her arms and
tells the nurse that her child got into some cleaning products. the
child smells of chemicals on the hands, face, and on the front of
the child's clothes. after ensuring the airway is patent, what
action should the nurse implement first?
a. Assess the child for altered sensorium
b. Determine type of chemical exposure
c. Obtain equipment for gastric lavage
d. Call poison control emergency number
Answer b. Determine type of chemical exposure
2. 2. Which conditions are most likely to respond to
treatment with antihistamines? Select all that apply.
a. Bronchitis
b. Allergic rhinitis
c. Otitis media
d. Contact dermatitis
e. Myocarditis
Answer b. Allergic rhinitis
,d. Contact dermatitis
3. 3. An older client's daughter calls the home health nurse and
reports that her mother has become forgetful and is very confused
at night. The daughter states that her mother's behavior changed
suddenly a few days ago and is now getting worse. Which action
should the nurse take? Select all that apply.
a. Ask if the mother is experiencing any pain with urination
b. Encourage increased intake of high protein foods
c. Instruct the daughter to check her mother's temperature
d. Review the client's current food and medication allergies
e. Determine if the mother has recently experienced a fall
Answer a. Ask if the mother is experiencing any pain with urination
c. Instruct the daughter to check her mother's temperature
e. Determine if the mother has recently experienced a fall
4. 4. The nurse is assessing a male with a history of Addison's
disease. The client has flu-like symptoms and nausea with vomiting
over the past week. The client's spouse reports that he acted
confused and was extremely weak when
he awoke this morning. The client is febrile and has tachycardia. The
health care provider diagnoses acute adrenal insufficiency. Which
medication will most likely be prescribed?
a. Hypertonic saline solution at 100 ml/hr until all edema disappears
,b. Hydrocortisone 100 mg IV every six hours until systolic BP
reaches 110 mmHg
c. Potassium chloride 20 mEq IV to infuse over 2 hours until
confusion resolves
d. Regular insulin drip to keep blood glucose around 100
mg/dl (5.55 mmol/L)
Answer b. Hydrocortisone 100 mg IV every six hours until systolic BP reaches 110
MmHg
5. 5. A client with a history of mitral valve prolapse is admitted
because of fever and dyspnea on exertion, and is diagnosed with
acute infective endocarditis. During the admission assessment, the
nurse observes multiple areas of petechiae on the client's skin.
Which intervention should the nurse include in the client's plan of
care? Select all that apply.
a. Monitor cardiac rhythm via telemetry
b. Report changes in pre-existing murmurs
c. Schedule rest periods between activities
d. Maintain record of fluid intake and output
e. Initiate contact transmission precautions
Answer a. Monitor cardiac rhythm via telemetry
b. Report changes in pre-existing murmurs
6. 6. The nurse is planning an educational session for new parents
, on ways to prevent sudden infant death syndrome (SIDS). Which
information is most important to provide parents of newborns and
infants?
a. Remove pillows and soft toys from the crib at bedtime
b. Keep a bulb syringe accessible for use for an infant
c. Position the infant in a supine position while sleeping
d. Do not prop bottles for an infant during naps and bedtime
Answer c. Position the infant in a supine position while sleeping
7. 7. The healthcare provider prescribes methylergonovine
maleate for a postpartum client with uterine atony. What
findings should indicate to the
nurse to withhold the next dose of medication?
a. Hypertension
b. Difficulty locating the uterine fundus
c. Saturation of more than one pad per hour
d. Excessive lochia
Answer a. Hypertension
8. 8. The nurse notes that an older adult client has a moist cough
that increases in
severity during and after meals. Based on this finding, which action
should the nurse take?
a. Collect a sputum specimen immediately
and Answers to Pass the Exam
1. 1. A mother runs into the emergency department with a
toddler in her arms and
tells the nurse that her child got into some cleaning products. the
child smells of chemicals on the hands, face, and on the front of
the child's clothes. after ensuring the airway is patent, what
action should the nurse implement first?
a. Assess the child for altered sensorium
b. Determine type of chemical exposure
c. Obtain equipment for gastric lavage
d. Call poison control emergency number
Answer b. Determine type of chemical exposure
2. 2. Which conditions are most likely to respond to
treatment with antihistamines? Select all that apply.
a. Bronchitis
b. Allergic rhinitis
c. Otitis media
d. Contact dermatitis
e. Myocarditis
Answer b. Allergic rhinitis
,d. Contact dermatitis
3. 3. An older client's daughter calls the home health nurse and
reports that her mother has become forgetful and is very confused
at night. The daughter states that her mother's behavior changed
suddenly a few days ago and is now getting worse. Which action
should the nurse take? Select all that apply.
a. Ask if the mother is experiencing any pain with urination
b. Encourage increased intake of high protein foods
c. Instruct the daughter to check her mother's temperature
d. Review the client's current food and medication allergies
e. Determine if the mother has recently experienced a fall
Answer a. Ask if the mother is experiencing any pain with urination
c. Instruct the daughter to check her mother's temperature
e. Determine if the mother has recently experienced a fall
4. 4. The nurse is assessing a male with a history of Addison's
disease. The client has flu-like symptoms and nausea with vomiting
over the past week. The client's spouse reports that he acted
confused and was extremely weak when
he awoke this morning. The client is febrile and has tachycardia. The
health care provider diagnoses acute adrenal insufficiency. Which
medication will most likely be prescribed?
a. Hypertonic saline solution at 100 ml/hr until all edema disappears
,b. Hydrocortisone 100 mg IV every six hours until systolic BP
reaches 110 mmHg
c. Potassium chloride 20 mEq IV to infuse over 2 hours until
confusion resolves
d. Regular insulin drip to keep blood glucose around 100
mg/dl (5.55 mmol/L)
Answer b. Hydrocortisone 100 mg IV every six hours until systolic BP reaches 110
MmHg
5. 5. A client with a history of mitral valve prolapse is admitted
because of fever and dyspnea on exertion, and is diagnosed with
acute infective endocarditis. During the admission assessment, the
nurse observes multiple areas of petechiae on the client's skin.
Which intervention should the nurse include in the client's plan of
care? Select all that apply.
a. Monitor cardiac rhythm via telemetry
b. Report changes in pre-existing murmurs
c. Schedule rest periods between activities
d. Maintain record of fluid intake and output
e. Initiate contact transmission precautions
Answer a. Monitor cardiac rhythm via telemetry
b. Report changes in pre-existing murmurs
6. 6. The nurse is planning an educational session for new parents
, on ways to prevent sudden infant death syndrome (SIDS). Which
information is most important to provide parents of newborns and
infants?
a. Remove pillows and soft toys from the crib at bedtime
b. Keep a bulb syringe accessible for use for an infant
c. Position the infant in a supine position while sleeping
d. Do not prop bottles for an infant during naps and bedtime
Answer c. Position the infant in a supine position while sleeping
7. 7. The healthcare provider prescribes methylergonovine
maleate for a postpartum client with uterine atony. What
findings should indicate to the
nurse to withhold the next dose of medication?
a. Hypertension
b. Difficulty locating the uterine fundus
c. Saturation of more than one pad per hour
d. Excessive lochia
Answer a. Hypertension
8. 8. The nurse notes that an older adult client has a moist cough
that increases in
severity during and after meals. Based on this finding, which action
should the nurse take?
a. Collect a sputum specimen immediately
