HESI RN EXIT EXAM (V7) Actual Questions
and Answers to Pass the Exam
1. A group of nursing students is touring an in-patient psychiatric unit
when a male client who is in a manic state shouts, "Want to see a
crazy person?" and begins to jump up and down, flap his arms, and
cluck like a chicken. Which action is best for the nurse to take?
A Direct the students to continue the tour without responding to the
client's behavior.
B Medicate the client with a PRN prescription for an antianxiety agent.
C Restrict the client to his room until he can control his behaviors.
D Redirect the client's acting out behavior by asking him to perform
a unit task.
Answer Redirect the client's acting out behavior by asking him to perform a unit task.
2. An adult male client is brought to the emergency department
(ED) by am- bulance following a motorcycle collision. He was not
wearing a helmet and presents with periorbital bruising and bloody
drainage from both ears. Which assessment finding warrants
immediate intervention by the nurse?
A Rebound abdominal tenderness.
B Diminished bilateral breath sounds.
,C Nausea with projectile vomiting.
D Rib pain with deep inspiration.
Answer Nausea with projectile vomiting.
3. A client diagnosed with Parkinson's disease receives a
prescription for car- bidopa-levodopa, controlled release (CR) 25/100
mg PO daily each morning. Which information should the nurse
include in the client's teaching plan? Select all that apply.
A Parkinson symptoms should diminish within one week.
B Avoid sunlight and wear sunglasses while outdoors.
C A change in urine color to dark red often occurs while taking this
drug.
D An upset stomach may occur as a side effect of this medication.
E The medication should only be taken during a meal.
Answer C A change in urine color to dark
red often occurs while taking this drug.
D An upset stomach may occur as a side effect of this medication.
4. The healthcare provider (HCP) prescribes 500 mL of 0.45% normal
saline with 100 units regular insulin to infuse at 15 units/hour. The
drop factor is 20 gtt/mL. The nurse should regulate the IV to deliver
how many gtt/minute? (Enter numerical value only.)
Answer 25 gtt/min
,5. A client with generalized anxiety disorder does not want to
communicate with friends, smokes 2 to 3 packages of cigarettes a
day, and describes difficulty concentrating at work. Which coping
strategy should the nurse include in the plan of care (POC)?
A Focus on small achievable tasks, not taxing problems.
B Concentrate on and ventilate emotions when distressed.
C Relax and reduce the amount of effort to solve the problem.
D Analyze past hurts and resentments to identify the source.
Answer Focus on small achievable tasks, not taxing problems.
6. The nurse is caring for a client who reports sudden right sided
numbness and weakness of the arm and leg. The nurse also
observes a distinct right sided facial droop. After reporting the
findings to the healthcare provider (HCP), the nurse receives several
prescriptions for the client, including a STAT computer- ized
tomography (CT) scan of the head. Which action should the nurse
take first?
•A Raise the head of the bed to 30° keeping head and neck in
neutral align- ment.
•B Start two large bore peripheral IV (PIV) catheters and review
inclusion criteria for IV fibrinolytic therapy.
•C Administer aspirin to prevent further clot formation and platelet
clumping.
•D Begin continuous observation for transient episodes of neurologic
, dysfunction.
Answer A Raise the head of the bed to 30° keeping head and neck in neutral alignment.
7. An older adult client is admitted with pneumonia, and the healthcare
provider (HCP) prescribes penicillinG potassium IV. Which assessment
finding increases the risk of adverse reactions in this client?
A Previous treatment with penicillin for pneumonia.
B Daily use of spironolactone for hypertension.
C Documented allergy to sulfonamides.
D Sputum culture results of Streptococcus pneumoniae.
Answer Daily use of spironolactone for hypertension.
8. The nurse is preparing to administer 1.6 mL of
medication IM to a 4-month-old infant. Which action
should the nurse include?
A Select a 22 gauge 1 1/2 inch (3.8 cm) needle for the intramuscular
injection.
B Administer into the deltoid muscle while the parent holds the infant
secure- ly.
C Use a quick dart like motion to inject into the dorsogluteal site
D Divide the medication into two injections with volumes under 1 mL.
Answer Divide the medication into two injections with volumes under 1 mL.
9. An infant who weighs 22 Ibs. receives a prescription for
and Answers to Pass the Exam
1. A group of nursing students is touring an in-patient psychiatric unit
when a male client who is in a manic state shouts, "Want to see a
crazy person?" and begins to jump up and down, flap his arms, and
cluck like a chicken. Which action is best for the nurse to take?
A Direct the students to continue the tour without responding to the
client's behavior.
B Medicate the client with a PRN prescription for an antianxiety agent.
C Restrict the client to his room until he can control his behaviors.
D Redirect the client's acting out behavior by asking him to perform
a unit task.
Answer Redirect the client's acting out behavior by asking him to perform a unit task.
2. An adult male client is brought to the emergency department
(ED) by am- bulance following a motorcycle collision. He was not
wearing a helmet and presents with periorbital bruising and bloody
drainage from both ears. Which assessment finding warrants
immediate intervention by the nurse?
A Rebound abdominal tenderness.
B Diminished bilateral breath sounds.
,C Nausea with projectile vomiting.
D Rib pain with deep inspiration.
Answer Nausea with projectile vomiting.
3. A client diagnosed with Parkinson's disease receives a
prescription for car- bidopa-levodopa, controlled release (CR) 25/100
mg PO daily each morning. Which information should the nurse
include in the client's teaching plan? Select all that apply.
A Parkinson symptoms should diminish within one week.
B Avoid sunlight and wear sunglasses while outdoors.
C A change in urine color to dark red often occurs while taking this
drug.
D An upset stomach may occur as a side effect of this medication.
E The medication should only be taken during a meal.
Answer C A change in urine color to dark
red often occurs while taking this drug.
D An upset stomach may occur as a side effect of this medication.
4. The healthcare provider (HCP) prescribes 500 mL of 0.45% normal
saline with 100 units regular insulin to infuse at 15 units/hour. The
drop factor is 20 gtt/mL. The nurse should regulate the IV to deliver
how many gtt/minute? (Enter numerical value only.)
Answer 25 gtt/min
,5. A client with generalized anxiety disorder does not want to
communicate with friends, smokes 2 to 3 packages of cigarettes a
day, and describes difficulty concentrating at work. Which coping
strategy should the nurse include in the plan of care (POC)?
A Focus on small achievable tasks, not taxing problems.
B Concentrate on and ventilate emotions when distressed.
C Relax and reduce the amount of effort to solve the problem.
D Analyze past hurts and resentments to identify the source.
Answer Focus on small achievable tasks, not taxing problems.
6. The nurse is caring for a client who reports sudden right sided
numbness and weakness of the arm and leg. The nurse also
observes a distinct right sided facial droop. After reporting the
findings to the healthcare provider (HCP), the nurse receives several
prescriptions for the client, including a STAT computer- ized
tomography (CT) scan of the head. Which action should the nurse
take first?
•A Raise the head of the bed to 30° keeping head and neck in
neutral align- ment.
•B Start two large bore peripheral IV (PIV) catheters and review
inclusion criteria for IV fibrinolytic therapy.
•C Administer aspirin to prevent further clot formation and platelet
clumping.
•D Begin continuous observation for transient episodes of neurologic
, dysfunction.
Answer A Raise the head of the bed to 30° keeping head and neck in neutral alignment.
7. An older adult client is admitted with pneumonia, and the healthcare
provider (HCP) prescribes penicillinG potassium IV. Which assessment
finding increases the risk of adverse reactions in this client?
A Previous treatment with penicillin for pneumonia.
B Daily use of spironolactone for hypertension.
C Documented allergy to sulfonamides.
D Sputum culture results of Streptococcus pneumoniae.
Answer Daily use of spironolactone for hypertension.
8. The nurse is preparing to administer 1.6 mL of
medication IM to a 4-month-old infant. Which action
should the nurse include?
A Select a 22 gauge 1 1/2 inch (3.8 cm) needle for the intramuscular
injection.
B Administer into the deltoid muscle while the parent holds the infant
secure- ly.
C Use a quick dart like motion to inject into the dorsogluteal site
D Divide the medication into two injections with volumes under 1 mL.
Answer Divide the medication into two injections with volumes under 1 mL.
9. An infant who weighs 22 Ibs. receives a prescription for
