2023 RN HESI EXIT EXAM NEXT GENERATION V4
ACTUAL EXAM ALL 160 QUESTIONS AND
CORRECT DETAILED ANSWERS|ALREADY
GRADED A+
1. The nurse is caring for a client in atrial fibrillation. The atrial heart rate is 250 and the
ventricular rate is controlled at 75. Which of the following findings is cause for the most
concern?
A) Diminished bowel sounds
B) Loss of appetite
C) A cold, pale lower leg
D) Tachypnea
The correct answer is C: A cold, pale lower leg
2. The client with infective endocarditis must be assessed frequently by the home health nurse.
Which finding suggests that antibiotic therapy is not effective, and must be reported by the nurse
immediately to the healthcare provider?
A) Nausea and vomiting
B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
C) Diffuse macular rash
D) Muscle tenderness
The correct answer is B: Fever of 103 degrees F (39.5 degrees C)
3. A client who had a vasectomy is in the post recovery unit at an outpatient clinic. Which of
these points is most important to be reinforced by the nurse?
,A) Until the health care provider has determined that your ejaculate doesn't contain sperm,
continue to use another form of contraception.
B) This procedure doesn't impede the production of male hormones or the production of sperm in
the testicles. The sperm can no longer enter your semen and no sperm are in your ejaculate.
C) After your vasectomy, strenuous activity needs to be avoided for at least 48 hours. If your
work doesn't involve hard physical labor, you can return to your job as soon as you feel up to it.
The stitches generally dissolve in seven to ten days.
D) The health care provider at this clinic recommends rest, ice, an athletic supporter or over-the-
counter pain medication to relieve any discomfort.
The correct answer is A: Until the health care provider has determined that your ejaculate doesn't
contain sperm, continue to use another form of contraception.
4. A client who is to have antineoplastic chemotherapy tells the nurses of a fear of being sick all
the time and wishes to try acupuncture. Which of these beliefs stated by the client would be
incorrect about acupuncture?
A) Some needles go as deep as 3 inches, depending on where they're placed in the body and what
the treatment is for. The needles usually are left in for 15 to 30 minutes.
B) In traditional Chinese medicine, imbalances in the basic energetic flow of life — known as qi
or chi — are thought to cause illness.
C) The flow of life is believed to flow through major pathways or nerve clusters in your body.
,D) By inserting extremely fine needles into some of the over 400 acupuncture points in various
combinations it is believed that energy flow will rebalance to allow the body's natural healing
mechanisms to take over.
The correct answer is C: The flow of life is believed to flow through major pathways or nerve
clusters in your body.
5. The nurse is discussing with a group of students the disease Kawasaki. What statement made
by a student about Kawasaki disease is incorrect?
A) It also called mucocutaneous lymph node syndrome because it affects the mucous membranes
(inside the mouth, throat and nose), skin and lymph nodes.
B) In the second phase of the disease, findings include peeling of the skin on the hands and feet
with joint and abdominal pain
C) Kawasaki disease occurs most often in boys, children younger than age 5 and children of
Hispanic descent
D) Initially findings are a sudden high fever, usually above 104 degrees Fahrenheit, which lasts 1
to2 weeks
The correct answer is C: Kawasaki disease occurs most often in boys, children younger than age
5 and children of Hispanic descent
6. A client has viral pneumonia affecting 2/3 of the right lung. What would be the best position
to teach the client to lie in every other hour during first 12 hours after admission?
A) Side-lying on the left with the head elevated 10 degrees
, B) Side-lying on the left with the head elevated 35 degrees
C) Side-lying on the right wil the head elevated 10 degrees
D) Side-lying on the right with the head elevated 35 degrees
The correct answer is A: Side-lying on the left with the head elevated 10 degrees
7. A client has an indwelling catheter with continuous bladder irrigation after undergoing a
transurethral resection of the prostate (TURP) 12 hours ago. Which finding at this time should be
reported to the health care provider?
A) Light, pink urine
B) Occasional suprapubic cramping
C) Minimal drainage into the urinary collection bag
D) Complaints of the feeling of pulling on the urinary catheter
The correct answer is C: minimal drainage into the urinary collection bag
8. A nurse is performing CPR on an adult who went into cardiopulmonary arrest.
Another nurse enters the room in response to the call. After checking the client’s pulse and
respirations, what should be the function of the second nurse?
A) Relieve the nurse performing CPR
B) Go get the code cart
C) Participate with the compressions or breathing
D) Validate the client's advanced directive
ACTUAL EXAM ALL 160 QUESTIONS AND
CORRECT DETAILED ANSWERS|ALREADY
GRADED A+
1. The nurse is caring for a client in atrial fibrillation. The atrial heart rate is 250 and the
ventricular rate is controlled at 75. Which of the following findings is cause for the most
concern?
A) Diminished bowel sounds
B) Loss of appetite
C) A cold, pale lower leg
D) Tachypnea
The correct answer is C: A cold, pale lower leg
2. The client with infective endocarditis must be assessed frequently by the home health nurse.
Which finding suggests that antibiotic therapy is not effective, and must be reported by the nurse
immediately to the healthcare provider?
A) Nausea and vomiting
B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
C) Diffuse macular rash
D) Muscle tenderness
The correct answer is B: Fever of 103 degrees F (39.5 degrees C)
3. A client who had a vasectomy is in the post recovery unit at an outpatient clinic. Which of
these points is most important to be reinforced by the nurse?
,A) Until the health care provider has determined that your ejaculate doesn't contain sperm,
continue to use another form of contraception.
B) This procedure doesn't impede the production of male hormones or the production of sperm in
the testicles. The sperm can no longer enter your semen and no sperm are in your ejaculate.
C) After your vasectomy, strenuous activity needs to be avoided for at least 48 hours. If your
work doesn't involve hard physical labor, you can return to your job as soon as you feel up to it.
The stitches generally dissolve in seven to ten days.
D) The health care provider at this clinic recommends rest, ice, an athletic supporter or over-the-
counter pain medication to relieve any discomfort.
The correct answer is A: Until the health care provider has determined that your ejaculate doesn't
contain sperm, continue to use another form of contraception.
4. A client who is to have antineoplastic chemotherapy tells the nurses of a fear of being sick all
the time and wishes to try acupuncture. Which of these beliefs stated by the client would be
incorrect about acupuncture?
A) Some needles go as deep as 3 inches, depending on where they're placed in the body and what
the treatment is for. The needles usually are left in for 15 to 30 minutes.
B) In traditional Chinese medicine, imbalances in the basic energetic flow of life — known as qi
or chi — are thought to cause illness.
C) The flow of life is believed to flow through major pathways or nerve clusters in your body.
,D) By inserting extremely fine needles into some of the over 400 acupuncture points in various
combinations it is believed that energy flow will rebalance to allow the body's natural healing
mechanisms to take over.
The correct answer is C: The flow of life is believed to flow through major pathways or nerve
clusters in your body.
5. The nurse is discussing with a group of students the disease Kawasaki. What statement made
by a student about Kawasaki disease is incorrect?
A) It also called mucocutaneous lymph node syndrome because it affects the mucous membranes
(inside the mouth, throat and nose), skin and lymph nodes.
B) In the second phase of the disease, findings include peeling of the skin on the hands and feet
with joint and abdominal pain
C) Kawasaki disease occurs most often in boys, children younger than age 5 and children of
Hispanic descent
D) Initially findings are a sudden high fever, usually above 104 degrees Fahrenheit, which lasts 1
to2 weeks
The correct answer is C: Kawasaki disease occurs most often in boys, children younger than age
5 and children of Hispanic descent
6. A client has viral pneumonia affecting 2/3 of the right lung. What would be the best position
to teach the client to lie in every other hour during first 12 hours after admission?
A) Side-lying on the left with the head elevated 10 degrees
, B) Side-lying on the left with the head elevated 35 degrees
C) Side-lying on the right wil the head elevated 10 degrees
D) Side-lying on the right with the head elevated 35 degrees
The correct answer is A: Side-lying on the left with the head elevated 10 degrees
7. A client has an indwelling catheter with continuous bladder irrigation after undergoing a
transurethral resection of the prostate (TURP) 12 hours ago. Which finding at this time should be
reported to the health care provider?
A) Light, pink urine
B) Occasional suprapubic cramping
C) Minimal drainage into the urinary collection bag
D) Complaints of the feeling of pulling on the urinary catheter
The correct answer is C: minimal drainage into the urinary collection bag
8. A nurse is performing CPR on an adult who went into cardiopulmonary arrest.
Another nurse enters the room in response to the call. After checking the client’s pulse and
respirations, what should be the function of the second nurse?
A) Relieve the nurse performing CPR
B) Go get the code cart
C) Participate with the compressions or breathing
D) Validate the client's advanced directive
