RN HESI EXIT EXAM 2024 All 160+ Real Exam
Questions and Correct Answers Guaranteed A+
The registered nurse is reviewing medical prescriptions for newly admitted patients. It would be a
priority for the registered nurse to follow up with the physician if a patient with
(a) a potassium level of 4.5mEq/L has Kayexalate (sodium polystyrene) prescribed
(b) a Dilantin (phenytoin) level of 8 mcg/ml is placed on seizure precautions(c)
sensitivity to Aspirin (acetylsalicylic acid) is prescribed Tylenol
(acetaminophen)
(d) sensitivity to Penicillin is prescribed Zithromax (azithromycin)
2. The registered nurse from the postpartum unit has been temporarily assigned to
the medical surgical unit. It would be most appropriate to assign this registered
nurse to the patient who* (a) has returned from right total hip replacement
surgery four hours ago
(b) is being observed for increased intracranial pressure
(c) had surgery two hours ago to remove the appendix
(d) is two weeks post partum being maintained on a mechanical ventilator
for respiratory failure
3. The registered nurse should intervene if the registered nurse notes a staff member
(a) obtaining a patients consent prior to their operative procedure after
receiving Ativan (lorazepam)
(b) placing a patient on the affected side following surgical repair of
a retinal detachment
(c) handling a wet cast with the palms of the hands
(d) using a broad base of support while transferring a patient
4. The community health registered nurse is caring for the following patients.
It would be a priority for the registered nurse to initiate a multidisciplinary
conference for the patient who is (a) 12 years old with Autism who is starting a
new school and recently had a
URI (upper respiratory tract infection)
(b) 16 years old, has type 1 Diabetes Mellitus, is unemployed and had a
recent Hemoglobin A1c of 13%
(c) 52 years old, with Myasthenia Gravis, recently prescribed
Mestinon (pyridostigmine) and employed as a mail carrier
(d) 70 years old, has schizophrenia, lives alone and reports hearing non
, threatening voices.
5. The registered nurse in a well baby clinic has assessed several children today. It
would be a priority for the registered nurse to suggest follow up for the child who is
(a) 2 months old with a positive babinski refl ex
(b) 5 months old and does not hold their own bottle
(c) 10 months old who cries around strangers
(d) 18 months old who needs support while ambulating
6. The registered nurse is caring for a mechanically ventilated patient who was
declared brain dead. An Advance Directive is not documented on the medical
record. It would be most appropriate to obtain consent for organ donation from
the
(a) patient‘s primary care provider
(b) patient‘s registered nurse manager
(c) closest living family member
(d) hospital‘s ethics committee
7. The registered nurse has received report on four patients. The registered
nurse should fi rst assess the patient who has*
(a) Chronic Obstructive Pulmonary Disease (COPD) with a pulse oximetry reading
of 90%
(b) Parkinson‘s Disease and is demanding to leave the hospital against medical
advice (AMA)
(c) been admitted with suspected Guillian-Barre´ Syndrome and has
begun plasmapheresis therapy
(d) Congestive Heart Failure (CHF) whose pitting edema has increased to 2(+)
8. It would be appropriate to assign which of these tasks to the CNA?
(a) Feeding a patient who is experiencing dysphagia
(b) One-on-one patient observation for safety
(c) Removal of an indwelling catheter
(d) Performing a simple dressing change
9. The registered nurse should intervene if a staff member is observed
(a) discussing a patient‘s diagnosis with visiting family members
(b) collaborating with another registered nurse to review a prescription for blood transfusion
(c) interrupting other staff members discussing a patient in the cafeteria
(d) reviewing a patients lab values with the nutritionist
,10. The registered nurse is preparing a staff presentation on legal and ethical
issues in nursing. The registered nurse would be correct to include which of the
following examples?
(a) Putting a patient in a geriatric chair with the lap tray in front of the patient in the
day room to watch television is false imprisonment
(b) Telling a patient that you will put in a feeding tube if the patient does not
eat is an example of battery
(c) Telling a patient with bipolar disorder who is suicidal that they have a right
to refuse to take their medications is an example of malpractice
(d) Placing hands on a patient who says ―do not touch me‖ is an example of assault
11. The registered nurse from the pediatric unit has been temporarily assigned to
the Emergency Department. It would be most appropriate to assign that
registered nurse to the patient who*
(a) reports epigastric pain that ―feels like indigestion‖
(b) has back pain and a pulsating abdominal mass
(c) is HIV+ reporting vomiting and diarrhea
(d) presents with lower abdominal pain and is six weeks pregnant
12. Four patients recently returned to the unit following invasive diagnostic testing.
The registered nurse should immediately intervene if one of the patients
(a) reports blood tinged sputum following a bronchoscopy
(b) has decreased abdominal girth following paracentesis
(c) reports a headache following a lumbar puncture
(d) is observed flexing and extending the legs two hours after cardiac catheterization
13. The registered nurse is made aware of the following situations. The registered nurse
should fi rst
check the patient who
(a) had a transurethral prostatectomy (TURP) and is reporting urinary dribbling
two hours after the indwelling catheter is removed
(b) has cervical traction and is moving the legs by fl exing and extending the feet
(c) has Alzheimer‘s disease (stage 1) and was returned to the room after
being found wandering in the hallway
(d) has a history of partial seizures and is sitting in the bed picking at the
clothing and smacking the lips
14. The registered nurse in a community health clinic is talking with the parent of
a child with Celiac Disease. Which of the following statements would require
follow-up by the registered nurse for additional teaching? (a) ―This weekend we
, are going to a seafood restaurant.‖
(b) ―I can feed my child oatmeal and eggs for breakfast.‖
(c) ―My child loves to eat rice and chicken for dinner.‖
(d) ―Last night we ate fi sh with corn for dinner.‖
15. The charge registered nurse is observing a Licensed Practical Registered
nurse (LPN) performing carefor assigned patients. Follow up will be required if
the LPN*: (a) assesses a patient‘s apical pulse before administering Digoxin
(lanoxin)
(b) elevates the patient‘s stump on a pillow eight hours after amputation
(c) dons a clean glove on the dominant hand before tracheal suctioning
(d) positions a patient on the operative side following a pneumonectomy
16. The registered nurse at a health promotion fair has taught a group of parents
about car seat and seat belt safety. Which of the following statements, if made by
the parent, would indicate a correct understanding of the information given?
(a) ―I will place my newborn infant in a rear facing car seat in the middle of
the rear seat.‖
(b) ―I will wear a lap seat belt high on my belly since I am 8 months pregnant.‖
(c) ―I can use a front-facing car seat once my baby weighs 15 pounds.‖
(d) ―I can allow my six-year-old to use a seat belt in the front passenger seat.‖
17. The registered nurse is caring for a patient being treated for
Vancomycin Resistant Enterococcus (VRE). The registered nurse
should place the patient on
(a) contact precautions
(b) droplet precautions
(c) protective precautions
(d) airborne precautions
18. The registered nurse is caring for a patient with a Vancomycin Resistant
Enterococcus (VRE) wound infection. Which of the following actions would be
appropriate for the registered nurse to take?
(a) Wear a particulate respirator mask when providing wound care
(b) Instruct visitors not to bring fl owers into the patient‘s room
(c) Place the patient in a private room with negative air pressure
(d) Wear a disposable gown when changing the patient‘s dressing
Questions and Correct Answers Guaranteed A+
The registered nurse is reviewing medical prescriptions for newly admitted patients. It would be a
priority for the registered nurse to follow up with the physician if a patient with
(a) a potassium level of 4.5mEq/L has Kayexalate (sodium polystyrene) prescribed
(b) a Dilantin (phenytoin) level of 8 mcg/ml is placed on seizure precautions(c)
sensitivity to Aspirin (acetylsalicylic acid) is prescribed Tylenol
(acetaminophen)
(d) sensitivity to Penicillin is prescribed Zithromax (azithromycin)
2. The registered nurse from the postpartum unit has been temporarily assigned to
the medical surgical unit. It would be most appropriate to assign this registered
nurse to the patient who* (a) has returned from right total hip replacement
surgery four hours ago
(b) is being observed for increased intracranial pressure
(c) had surgery two hours ago to remove the appendix
(d) is two weeks post partum being maintained on a mechanical ventilator
for respiratory failure
3. The registered nurse should intervene if the registered nurse notes a staff member
(a) obtaining a patients consent prior to their operative procedure after
receiving Ativan (lorazepam)
(b) placing a patient on the affected side following surgical repair of
a retinal detachment
(c) handling a wet cast with the palms of the hands
(d) using a broad base of support while transferring a patient
4. The community health registered nurse is caring for the following patients.
It would be a priority for the registered nurse to initiate a multidisciplinary
conference for the patient who is (a) 12 years old with Autism who is starting a
new school and recently had a
URI (upper respiratory tract infection)
(b) 16 years old, has type 1 Diabetes Mellitus, is unemployed and had a
recent Hemoglobin A1c of 13%
(c) 52 years old, with Myasthenia Gravis, recently prescribed
Mestinon (pyridostigmine) and employed as a mail carrier
(d) 70 years old, has schizophrenia, lives alone and reports hearing non
, threatening voices.
5. The registered nurse in a well baby clinic has assessed several children today. It
would be a priority for the registered nurse to suggest follow up for the child who is
(a) 2 months old with a positive babinski refl ex
(b) 5 months old and does not hold their own bottle
(c) 10 months old who cries around strangers
(d) 18 months old who needs support while ambulating
6. The registered nurse is caring for a mechanically ventilated patient who was
declared brain dead. An Advance Directive is not documented on the medical
record. It would be most appropriate to obtain consent for organ donation from
the
(a) patient‘s primary care provider
(b) patient‘s registered nurse manager
(c) closest living family member
(d) hospital‘s ethics committee
7. The registered nurse has received report on four patients. The registered
nurse should fi rst assess the patient who has*
(a) Chronic Obstructive Pulmonary Disease (COPD) with a pulse oximetry reading
of 90%
(b) Parkinson‘s Disease and is demanding to leave the hospital against medical
advice (AMA)
(c) been admitted with suspected Guillian-Barre´ Syndrome and has
begun plasmapheresis therapy
(d) Congestive Heart Failure (CHF) whose pitting edema has increased to 2(+)
8. It would be appropriate to assign which of these tasks to the CNA?
(a) Feeding a patient who is experiencing dysphagia
(b) One-on-one patient observation for safety
(c) Removal of an indwelling catheter
(d) Performing a simple dressing change
9. The registered nurse should intervene if a staff member is observed
(a) discussing a patient‘s diagnosis with visiting family members
(b) collaborating with another registered nurse to review a prescription for blood transfusion
(c) interrupting other staff members discussing a patient in the cafeteria
(d) reviewing a patients lab values with the nutritionist
,10. The registered nurse is preparing a staff presentation on legal and ethical
issues in nursing. The registered nurse would be correct to include which of the
following examples?
(a) Putting a patient in a geriatric chair with the lap tray in front of the patient in the
day room to watch television is false imprisonment
(b) Telling a patient that you will put in a feeding tube if the patient does not
eat is an example of battery
(c) Telling a patient with bipolar disorder who is suicidal that they have a right
to refuse to take their medications is an example of malpractice
(d) Placing hands on a patient who says ―do not touch me‖ is an example of assault
11. The registered nurse from the pediatric unit has been temporarily assigned to
the Emergency Department. It would be most appropriate to assign that
registered nurse to the patient who*
(a) reports epigastric pain that ―feels like indigestion‖
(b) has back pain and a pulsating abdominal mass
(c) is HIV+ reporting vomiting and diarrhea
(d) presents with lower abdominal pain and is six weeks pregnant
12. Four patients recently returned to the unit following invasive diagnostic testing.
The registered nurse should immediately intervene if one of the patients
(a) reports blood tinged sputum following a bronchoscopy
(b) has decreased abdominal girth following paracentesis
(c) reports a headache following a lumbar puncture
(d) is observed flexing and extending the legs two hours after cardiac catheterization
13. The registered nurse is made aware of the following situations. The registered nurse
should fi rst
check the patient who
(a) had a transurethral prostatectomy (TURP) and is reporting urinary dribbling
two hours after the indwelling catheter is removed
(b) has cervical traction and is moving the legs by fl exing and extending the feet
(c) has Alzheimer‘s disease (stage 1) and was returned to the room after
being found wandering in the hallway
(d) has a history of partial seizures and is sitting in the bed picking at the
clothing and smacking the lips
14. The registered nurse in a community health clinic is talking with the parent of
a child with Celiac Disease. Which of the following statements would require
follow-up by the registered nurse for additional teaching? (a) ―This weekend we
, are going to a seafood restaurant.‖
(b) ―I can feed my child oatmeal and eggs for breakfast.‖
(c) ―My child loves to eat rice and chicken for dinner.‖
(d) ―Last night we ate fi sh with corn for dinner.‖
15. The charge registered nurse is observing a Licensed Practical Registered
nurse (LPN) performing carefor assigned patients. Follow up will be required if
the LPN*: (a) assesses a patient‘s apical pulse before administering Digoxin
(lanoxin)
(b) elevates the patient‘s stump on a pillow eight hours after amputation
(c) dons a clean glove on the dominant hand before tracheal suctioning
(d) positions a patient on the operative side following a pneumonectomy
16. The registered nurse at a health promotion fair has taught a group of parents
about car seat and seat belt safety. Which of the following statements, if made by
the parent, would indicate a correct understanding of the information given?
(a) ―I will place my newborn infant in a rear facing car seat in the middle of
the rear seat.‖
(b) ―I will wear a lap seat belt high on my belly since I am 8 months pregnant.‖
(c) ―I can use a front-facing car seat once my baby weighs 15 pounds.‖
(d) ―I can allow my six-year-old to use a seat belt in the front passenger seat.‖
17. The registered nurse is caring for a patient being treated for
Vancomycin Resistant Enterococcus (VRE). The registered nurse
should place the patient on
(a) contact precautions
(b) droplet precautions
(c) protective precautions
(d) airborne precautions
18. The registered nurse is caring for a patient with a Vancomycin Resistant
Enterococcus (VRE) wound infection. Which of the following actions would be
appropriate for the registered nurse to take?
(a) Wear a particulate respirator mask when providing wound care
(b) Instruct visitors not to bring fl owers into the patient‘s room
(c) Place the patient in a private room with negative air pressure
(d) Wear a disposable gown when changing the patient‘s dressing
