HESI RN EXIT EXAM NEW FILE V1 2024 HESI FINAL
EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) GRADED A+
The nurse determines that a postoperative client's respiratory rate has increased from
18 to 24 breaths/min. Based on this assessment finding, which intervention is most
important for the nurse to implement?
A. Encourage the client to increase ambulation in the room.
B. Offer the client a high-carbohydrate snack for energy.
C. Force fluids to thin the client's pulmonary secretions.
D. Determine if pain is causing the client's tachypnea. - -Answer-Determine if pain is
causing the client's tachypnea.
The nurse finds a client crying behind a locked bathroom door. The client will not open
the door. Which action should the nurse implement first?
A. Instruct an unlicensed assistive personnel (UAP) to stay and keep talking to the
client.
B. Sit quietly in the client's room until the client leaves the bathroom.
C. Allow the client to cry alone and leave the client in the bathroom.
D. Talk to the client and attempt to find out why the client is crying. - -Answer-Talk to the
client and attempt to find out why the client is crying.
The nurse identifies a potential for infection in a client with partial-thickness (second-
degree) and full-thickness (third-degree) burns. What intervention has the highest
priority in decreasing the client's risk of infection?
A. Administration of plasma expanders
B. Use of careful handwashing technique
C. Application of a topical antibacterial cream
D. Limiting visitors to the client with burns - -Answer-Use of careful handwashing
technique
The nurse is administering the 0900 medications to a client who was admitted during
the night. Which client statement indicates that the nurse should further assess the
medication order?
A. "At home I take my pills at 8:00 am."
B. "It costs a lot of money to buy all of these pills."
,C. "I get so tired of taking pills every day."
D. "This is a new pill I have never taken before." - -Answer-"This is a new pill I have
never taken before."
The nurse is assessing several clients prior to surgery. Which factor in a client's history
poses the greatest threat for complications to occur during surgery?
A. Taking birth control pills for the past 2 years
B. Taking anticoagulants for the past year
C. Recently completing antibiotic therapy
D. Having taken laxatives PRN for the last 6 months - -Answer-Taking anticoagulants
for the past year
A nurse is assigned to care for a close friend in the hospital setting. Which action should
the nurse take first when given the assignment?
A. Notify the friend that all medical information will be kept confidential.
A 20-year-old female client with a noticeable body odor has refused to shower for the
last 3 days. She states, "I have been told that it is harmful to bathe during my period. "
Which action should the nurse take first?
A. Accept and document the client's wish to refrain from bathing.
B. Offer to give the client a bed bath, avoiding the perineal area.
C. Obtain written brochures about menstruation to give to the client.
D. Teach the importance of personal hygiene during menstruation with the client. – -
Answer- Teach the importance of personal hygiene during menstruation with the client.
A 65-year-old client who attends an adult daycare program and is wheelchair-mobile
has redness in the sacral area. Which instruction is most important for the nurse to
provide?
A. Take a vitamin supplement tablet once a day.
B. Change positions in the chair at least every hour.
C. Increase daily intake of water or other oral fluids.
D. Purchase a newer model wheelchair – -Answer- Change positions in the chair at
least every hour.
After a needle stick occurs while removing the cap from a sterile needle, which action
should the nurse implement?
A. Complete an incident report.
B. Select another sterile needle.
C. Disinfect the needle with an alcohol swab.
D. Notify the supervisor of the department immediately. – -Answer- Select another
sterile needle.
, After receiving written and verbal instructions from a clinic nurse about a newly
prescribed medication, a client asks the nurse what to do if questions arise about the
medication after getting home. How should the nurse respond?
A. Provide the client with a list of Internet sites that -Answer- frequently asked
questions about medications.
B. Advise the client to obtain a current edition of a drug reference book from a local
bookstore or library.
C. Reassure the client that information about the medication is included in the written
instructions.
D. Encourage the client to call the clinic nurse or health care provider if any questions
arise. – -Answer- Encourage the client to call the clinic nurse or health care provider if
any questions arise.
After the nurse tells an older client that an IV line needs to be inserted, the client
becomes very apprehensive, loudly verbalizing a dislike for all health care providers and
nurses. How should the nurse respond?
A. Ask the client to remain quiet so the procedure can be performed safely.
B. Concentrate on completing the insertion as efficiently as possible.
C. Calmly reassure the client that the discomfort will be temporary.
D. Tell the client a joke as a means of distraction from the procedure. – -Answer-
Calmly reassure the client that the discomfort will be temporary.
Based on the nursing diagnosis of risk for infection, which intervention is best for the
nurse to implement when providing care for an older incontinent client?
A. Maintain standard precautions.
B. Initiate contact isolation measures.
C Insert an indwelling urinary catheter
D. Instruct client in the use of adult diapers. – -Answer- Maintain standard precautions.
By rolling contaminated gloves inside-out, the nurse is affecting which step in the chain
of infection?
A. Mode of transmission
B. Portal of entry
C. Reservoir
D. Portal of exit – -Answer- Mode of transmission
A client becomes angry while waiting for a supervised break to smoke a cigarette
outside and states, "I want to go outside now and smoke. It takes forever to get anything
done here!" Which intervention is best for the nurse to implement?
A. Encourage the client to use a nicotine patch.
B. Reassure the client that it is almost time for another break.
C. Have the client leave the unit with another staff member.
D. Review the schedule of outdoor breaks with the client. - -Answer-Review the
schedule of outdoor breaks with the client.
EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) GRADED A+
The nurse determines that a postoperative client's respiratory rate has increased from
18 to 24 breaths/min. Based on this assessment finding, which intervention is most
important for the nurse to implement?
A. Encourage the client to increase ambulation in the room.
B. Offer the client a high-carbohydrate snack for energy.
C. Force fluids to thin the client's pulmonary secretions.
D. Determine if pain is causing the client's tachypnea. - -Answer-Determine if pain is
causing the client's tachypnea.
The nurse finds a client crying behind a locked bathroom door. The client will not open
the door. Which action should the nurse implement first?
A. Instruct an unlicensed assistive personnel (UAP) to stay and keep talking to the
client.
B. Sit quietly in the client's room until the client leaves the bathroom.
C. Allow the client to cry alone and leave the client in the bathroom.
D. Talk to the client and attempt to find out why the client is crying. - -Answer-Talk to the
client and attempt to find out why the client is crying.
The nurse identifies a potential for infection in a client with partial-thickness (second-
degree) and full-thickness (third-degree) burns. What intervention has the highest
priority in decreasing the client's risk of infection?
A. Administration of plasma expanders
B. Use of careful handwashing technique
C. Application of a topical antibacterial cream
D. Limiting visitors to the client with burns - -Answer-Use of careful handwashing
technique
The nurse is administering the 0900 medications to a client who was admitted during
the night. Which client statement indicates that the nurse should further assess the
medication order?
A. "At home I take my pills at 8:00 am."
B. "It costs a lot of money to buy all of these pills."
,C. "I get so tired of taking pills every day."
D. "This is a new pill I have never taken before." - -Answer-"This is a new pill I have
never taken before."
The nurse is assessing several clients prior to surgery. Which factor in a client's history
poses the greatest threat for complications to occur during surgery?
A. Taking birth control pills for the past 2 years
B. Taking anticoagulants for the past year
C. Recently completing antibiotic therapy
D. Having taken laxatives PRN for the last 6 months - -Answer-Taking anticoagulants
for the past year
A nurse is assigned to care for a close friend in the hospital setting. Which action should
the nurse take first when given the assignment?
A. Notify the friend that all medical information will be kept confidential.
A 20-year-old female client with a noticeable body odor has refused to shower for the
last 3 days. She states, "I have been told that it is harmful to bathe during my period. "
Which action should the nurse take first?
A. Accept and document the client's wish to refrain from bathing.
B. Offer to give the client a bed bath, avoiding the perineal area.
C. Obtain written brochures about menstruation to give to the client.
D. Teach the importance of personal hygiene during menstruation with the client. – -
Answer- Teach the importance of personal hygiene during menstruation with the client.
A 65-year-old client who attends an adult daycare program and is wheelchair-mobile
has redness in the sacral area. Which instruction is most important for the nurse to
provide?
A. Take a vitamin supplement tablet once a day.
B. Change positions in the chair at least every hour.
C. Increase daily intake of water or other oral fluids.
D. Purchase a newer model wheelchair – -Answer- Change positions in the chair at
least every hour.
After a needle stick occurs while removing the cap from a sterile needle, which action
should the nurse implement?
A. Complete an incident report.
B. Select another sterile needle.
C. Disinfect the needle with an alcohol swab.
D. Notify the supervisor of the department immediately. – -Answer- Select another
sterile needle.
, After receiving written and verbal instructions from a clinic nurse about a newly
prescribed medication, a client asks the nurse what to do if questions arise about the
medication after getting home. How should the nurse respond?
A. Provide the client with a list of Internet sites that -Answer- frequently asked
questions about medications.
B. Advise the client to obtain a current edition of a drug reference book from a local
bookstore or library.
C. Reassure the client that information about the medication is included in the written
instructions.
D. Encourage the client to call the clinic nurse or health care provider if any questions
arise. – -Answer- Encourage the client to call the clinic nurse or health care provider if
any questions arise.
After the nurse tells an older client that an IV line needs to be inserted, the client
becomes very apprehensive, loudly verbalizing a dislike for all health care providers and
nurses. How should the nurse respond?
A. Ask the client to remain quiet so the procedure can be performed safely.
B. Concentrate on completing the insertion as efficiently as possible.
C. Calmly reassure the client that the discomfort will be temporary.
D. Tell the client a joke as a means of distraction from the procedure. – -Answer-
Calmly reassure the client that the discomfort will be temporary.
Based on the nursing diagnosis of risk for infection, which intervention is best for the
nurse to implement when providing care for an older incontinent client?
A. Maintain standard precautions.
B. Initiate contact isolation measures.
C Insert an indwelling urinary catheter
D. Instruct client in the use of adult diapers. – -Answer- Maintain standard precautions.
By rolling contaminated gloves inside-out, the nurse is affecting which step in the chain
of infection?
A. Mode of transmission
B. Portal of entry
C. Reservoir
D. Portal of exit – -Answer- Mode of transmission
A client becomes angry while waiting for a supervised break to smoke a cigarette
outside and states, "I want to go outside now and smoke. It takes forever to get anything
done here!" Which intervention is best for the nurse to implement?
A. Encourage the client to use a nicotine patch.
B. Reassure the client that it is almost time for another break.
C. Have the client leave the unit with another staff member.
D. Review the schedule of outdoor breaks with the client. - -Answer-Review the
schedule of outdoor breaks with the client.
