2024 RN HESI EXIT EXAM WITH QUESTIONS AND WELL DETAILED VERIFIED ANSWERS | GRADED A+ | LATEST

2024 RN HESI EXIT EXAM WITH
QUESTIONS AND WELL DETAILED
VERIFIED ANSWERS | GRADED A+ |
LATEST 2024-2025
QUESTION; A nurse in the emergency department suspects domestic violence as the cause of a client's
injuries. What action should the nurse take first?

A) Ask client if there are any old injuries also present

B) Interview the client without the persons who came with the client

C) Gain client's trust by not being hurried during the intake process

D) Photograph the specific injuries in question - ANSWER-B) Interview the client without the persons
who came with the client

QUESTION; In planning care for a 6 month-old infant, what must the nurse provide to assist in the
development of trust?

A) Food

B) Warmth

C) Security

D) Comfort - ANSWER-C) Security



QUESTION; A nurse has just received a medication order which is not legible. Which statement best
reflects assertive communication?

A) "I cannot give this medication as it is written. I have no idea of what you mean."

B) "Would you please clarify what you have written so I am sure I am reading it

correctly?"

C) "I am having difficulty reading your handwriting. It would save me time if you would be more careful."

D) "Please print in the future so I do not have to spend extra time attempting to read your writing." -
ANSWER-B) "Would you please clarify what you have written so I am sure I am reading it

correctly?"

,QUESTION; What is the most important consideration when teaching parents how to reduce risks in the
home?

A) Age and knowledge level of the parents

B) Proximity to emergency services

C) Number of children in the home

D) Age of children in the home - ANSWER-D) Age of children in the home



QUESTION; A 35 year-old client with sickle cell crisis is talking on the telephone but stops as the nurse
enters the room to request something for pain. The nurse should

A) Administer a placebo

B) Encourage increased fluid intake

C) Administer the prescribed analgesia

D) Recommend relaxation exercises for pain control - ANSWER-C) Administer the prescribed analgesia



QUESTION; While caring for a toddler with croup, which initial sign of croup requires the nurse's
immediate attention?

A) Respiratory rate of 42

B) Lethargy for the past hour

C) Apical pulse of 54

D) Coughing up copious secretions - ANSWER-A) Respiratory rate of 42



QUESTION; A client is admitted with low T3 and T4 levels and an elevated TSH level. On initial
assessment, the nurse would anticipate which of the following assessment findings?

A) Lethargy

B) Heat intolerance

C) Diarrhea

D) Skin eruptions - ANSWER-A) Lethargy



QUESTION; The emergency room nurse admits a child who experienced a seizure at school. The father
comments that this is the first occurrence, and denies any family history of epilepsy. What is the best
response by the nurse?

,A) "Do not worry. Epilepsy can be treated with medications."

B) "The seizure may or may not mean your child has epilepsy."

C) "Since this was the first convulsion, it may not happen again."

D) "Long term treatment will prevent future seizures." - ANSWER-B) "The seizure may or may not mean
your child has epilepsy."



QUESTION; Alcohol and drug abuse impairs judgment and increases risk taking behavior. What nursing
diagnosis best applies?

A) Risk for injury

B) Risk for knowledge deficit

C) Altered thought process

D) Disturbance in self-esteem - ANSWER-A) Risk for injury



QUESTION; Which these findings would the nurse more closely associate with anemia in a 10 month-old
infant?

A) Hemoglobin level of 12 g/dI

B) Pale mucosa of the eyelids and lips

C) Hypoactivity

D) A heart rate between 140 to 160 - ANSWER-B) Pale mucosa of the eyelids and lips



QUESTION; The nurse is caring for a client in hypertensive crisis in an intensive care unit. The priority
assessment in the first hour of care is

A) Heart rate

B) Pedal pulses

C) Lung sounds

D) Pupil responses - ANSWER-D) Pupil responses



QUESTION; Which of these clients who are all in the terminal stage of cancer is least appropriate to
suggest the use of patient controlled analgesia (PCA) with a pump?

A) A young adult with a history of Down's syndrome

, B) A teenager who reads at a 4th grade level

C) An elderly client with numerous arthritic nodules on the hands

D) A preschooler with intermittent episodes of alertness - ANSWER-D) A preschooler with intermittent
episodes of alertness



QUESTION; The nurse is about to assess a 6 month-old child with nonorganic failure-to thrive (NOFTT).
Upon entering the room, the nurse would expect the baby to be

A) Irritable and "colicky" with no attempts to pull to standing

B) Alert, laughing and playing with a rattle, sitting with support

C) Skin color dusky with poor skin turgor over abdomen

D) Pale, thin arms and legs, uninterested in surroundings - ANSWER-D) Pale, thin arms and legs,
uninterested in surroundings



QUESTION; As the nurse is speaking with a group of teens which of these side effects of chemotherapy
for cancer would the nurse expect this group to be more interested in during the discussion?

A) Mouth sores

B) Fatigue

C) Diarrhea

D) Hair loss - ANSWER-D) Hair loss



QUESTION; While caring for a client who was admitted with myocardial infarction (MI) 2 days ago, the
nurse notes today's temperature is 101.1 degrees Fahrenheit (38.5 degreesCelsius). The appropriate
nursing intervention is to

A) Call the health care provider immediately

B) Administer acetaminophen as ordered as this is normal at this time

C) Send blood, urine and sputum for culture

D) Increase the client's fluid intake - ANSWER-B) Administer acetaminophen as ordered as this is normal
at this time



QUESTION; A client is admitted for first and second degree burns on the face, neck, anterior chest and
hands. The nurse's priority should be

A) Cover the areas with dry sterile dressings