Pagec1cofc53
HESI EXIT RN EXAM/ RN HESI EXIT PRACTICE EXAM
c c c c c c c c
LATEST, COMPLETE AND VERIFIED VERSION ALL 1
c c c c c c c
60 QUESTION AND CORRECT ANSWERS/ BEST GRA
c c c c c c
DED A+ c
The nurse is completing the admission assessment of a 3-
c c c c c c c c c
year old who is admitted with bacterial meningitis and hydrocephalus. Which assess
c c c c c c c c c c c
ment finding is evidence that the child is experiencing increased intracranial pressur
c c c c c c c c c c c
e (ICP)?
c
A. Tachycardia and tachypnea c c
B. Sluggish and unequal pupillary responses c c c c
C. Increased head circumference and bulging fontanels c c c c c
D. Blood pressure fluctuations and syncope -
c c c c c
ANSWER: B. Sluggish and unequal pupillary responses
c c c c c c c
A client with acute pancreatitis is admitted with severe, piercing abdominal pain an
c c c c c c c c c c c c
d an elevated serum amylase. Which additional information is the client most likel
c c c c c c c c c c c c
y to report to the nurse?
c c c c c
A. Abdominal pain decreases when lying supine c c c c c
B. Pain lasts an hour and leaves the abdomen tender
c c c c c c c c
C. Right upper quadrant pain refers to right scapula
c c c c c c c
D. Drinks alcohol until intoxicated at least twice weekly. -
c c c c c c c c
ANSWER: A. Abdominal pain decreases when lying supine
c c c c c c c c
A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the
c c c c c c c c c c c c c c
hospital. Which information is most important for the nurse to provide the parents pr
c c c c c c c c c c c c c
ior to discharge?
c c
A. Instructions about how much fluid the child should drink daily. c c c c c c c c c
B. Signs of addiction to opioid pain medications
c c c c c c
C. Information about non-pharmaceutical pain relief measures c c c c c
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D. Referral for social services for the child and family -
c c c c c c c c c
ANSWER: A. Instructions about how much fluid the child should drink daily
c c c c c c c c c c c c
To auscultate for a carotid bruit, the nurse places the stethoscope at what location. (S
c c c c c c c c c c c c c c
elect the location on the image with a red dot). -
c c c c c c c c c c
ANSWER: I placed the red dot on the base of the neck on the right side
c c c c c c c c c c c c c c c c
After receiving report on an inpatient acute care unit, which client should the nurse asse
c c c c c c c c c c c c c c
ss first?
c
A. The client with an obstruction of the large intestine who is experiencing ab
c c c c c c c c c c c c
dominal distention c
B. The client who had surgery yesterday and is experiencing a paralytic ileus with ab
c c c c c c c c c c c c c
sent bowel sounds
c c
C. The client with a small bowel obstruction who has a nasogastric tube that is dr
c c c c c c c c c c c c c c
aining greenish fluid c c
D. The client with a bowel obstruction due to a volvulus who is experiencing abdo
c c c c c c c c c c c c c
minal rigidity - c c
ANSWER: D. The client with a bowel obstruction due to a volvulus who is experi
c c c c c c c c c c c c c c c
encing abdominal rigidity c c
A teenager presents to the emergency department with palpitations after vaping at a
c c c c c c c c c c c c c
party. The client is anxious, fearful, and hyperventilating. The nurse anticipates the
c c c c c c c c c c c c
client developing which acid base imbalance?
c c c c c
A. Respiratory acidosis c
B. Metabolic alkalosis c
C. Metabolic acidosis c
D. Respiratory alkalosis - ANSWER: D. Respiratory alkalosis c c c c c c
A client with dyspnea is being admitted to the medical unit. To best prepare for the clien
c c c c c c c c c c c c c c c c
t's arrival, the nurse should ensure that the client's bed is in which position?
c c c c c c c c c c c c c
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A. Supine
B. supine; feet elevated higher than head c c c c c
C. supine; head elevated higher than feet c c c c c
D. Fowlers - ANSWER: Fowlers c c c
The nurse is taking the blood pressure measurement of a client with Parkinson's diseas
c c c c c c c c c c c c c
e. Which information in the client's admission assessment is relevant to the nurse's plan
c c c c c c c c c c c c c c
for taking the blood pressure reading? (Select all the apply)
c c c c c c c c c
A. Frequent syncope c
B. Occasional nocturia c
C. Flat affect c
D. Blurred vision c
E. Frequent drooling - ANSWER: A. Frequent syncope c c c c c c
C. Flat affect
c c
D. Blurred vision
c c
While caring for a client's postoperative dressing, the nurse observes purulent drainage
c c c c c c c c c c c
at the wound. Before reporting this finding to the healthcare provider, the nurse should
c c c c c c c c c c c c c c c
review which of the client's laboratory values?
c c c c c c
A. Serum albumin
c c
B. Culture for sensitive organisms
c c c c
C. Serum blood glucose level
c c c c
D. Creatinine level - ANSWER: B. Culture for sensitive organisms
c c c c c c c c c
A preschool-
c
aged boy is admitted to the pediatric unit following successful resuscitation from a near
c c c c c c c c c c c c c
-
drowning incident. While providing care to the child, the nurse begins talking with his p
c c c c c c c c c c c c c c
readolescent brother who rescued the child from the swimming pool and initiated resus
c c c c c c c c c c c c
citation. The nurse notices the older boy
c c c c c c
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becomes withdrawn when asked about what happened. Which action should the nurse t
c c c c c c c c c c c c
ake?
A. Develop a water safety teaching plan for the family
c c c c c c c c c
B. Ask the older brother how he felt during the incident
c c c c c c c c c c
C. Tell the older brother that he seems depressed
c c c c c c c c
D. Commend the older brother for his heroic actions -
c c c c c c c c c
ANSWER: B. Ask the older brother how he felt during the incident
c c c c c c c c c c c c
A male client with cirrhosis has jaundice and pruritus. He tells the nurse that he has bee
c c c c c c c c c c c c c c c c
n soaking in hot baths at night with no relief of his discomfort. Which action should the
c c c c c c c c c c c c c c c c c
nurse take? c
A. Encourage the client to use cooler water and apply calamine lotion after soaking
c c c c c c c c c c c c c
B. Obtain a PRN prescription for an analgesic that the client can use for symptom relief
c c c c c c c c c c c c c c c
C. Suggest that the client take brief showers and apply oil-based lotion after showering
c c c c c c c c c c c c c
D. Explain that the symptoms are caused by liver damage and cannot be relieved -
c c c c c c c c c c c c c c
cANSWER: A. Encourage the client to use cooler water and apply calamine lotion af
c c c c c c c c c c c c c
ter soaking c
An older client with a long history of coronary artery disease (CAD), hypertension (H
c c c c c c c c c c c c c
TN), and heart failure (HF) arrives in the Emergency Department (ED) in respiratory
c c c c c c c c c c c c c
distress. The healthcare provider prescribes furosemide IV. Which therapeutic respon
c c c c c c c c c
se to furosemide should the nurse expected in the client with acute HF?
c c c c c c c c c c c c
A. Increased cardiac contractility
c c c
B. Reduced preload
c c
C. Relaxed vascular tone
c c c
D. Decreased afterload - ANSWER: B. Reduced preload
c c c c c c c
HESI EXIT RN EXAM/ RN HESI EXIT PRACTICE EXAM
c c c c c c c c
LATEST, COMPLETE AND VERIFIED VERSION ALL 1
c c c c c c c
60 QUESTION AND CORRECT ANSWERS/ BEST GRA
c c c c c c
DED A+ c
The nurse is completing the admission assessment of a 3-
c c c c c c c c c
year old who is admitted with bacterial meningitis and hydrocephalus. Which assess
c c c c c c c c c c c
ment finding is evidence that the child is experiencing increased intracranial pressur
c c c c c c c c c c c
e (ICP)?
c
A. Tachycardia and tachypnea c c
B. Sluggish and unequal pupillary responses c c c c
C. Increased head circumference and bulging fontanels c c c c c
D. Blood pressure fluctuations and syncope -
c c c c c
ANSWER: B. Sluggish and unequal pupillary responses
c c c c c c c
A client with acute pancreatitis is admitted with severe, piercing abdominal pain an
c c c c c c c c c c c c
d an elevated serum amylase. Which additional information is the client most likel
c c c c c c c c c c c c
y to report to the nurse?
c c c c c
A. Abdominal pain decreases when lying supine c c c c c
B. Pain lasts an hour and leaves the abdomen tender
c c c c c c c c
C. Right upper quadrant pain refers to right scapula
c c c c c c c
D. Drinks alcohol until intoxicated at least twice weekly. -
c c c c c c c c
ANSWER: A. Abdominal pain decreases when lying supine
c c c c c c c c
A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the
c c c c c c c c c c c c c c
hospital. Which information is most important for the nurse to provide the parents pr
c c c c c c c c c c c c c
ior to discharge?
c c
A. Instructions about how much fluid the child should drink daily. c c c c c c c c c
B. Signs of addiction to opioid pain medications
c c c c c c
C. Information about non-pharmaceutical pain relief measures c c c c c
,Pagec2cofc53
D. Referral for social services for the child and family -
c c c c c c c c c
ANSWER: A. Instructions about how much fluid the child should drink daily
c c c c c c c c c c c c
To auscultate for a carotid bruit, the nurse places the stethoscope at what location. (S
c c c c c c c c c c c c c c
elect the location on the image with a red dot). -
c c c c c c c c c c
ANSWER: I placed the red dot on the base of the neck on the right side
c c c c c c c c c c c c c c c c
After receiving report on an inpatient acute care unit, which client should the nurse asse
c c c c c c c c c c c c c c
ss first?
c
A. The client with an obstruction of the large intestine who is experiencing ab
c c c c c c c c c c c c
dominal distention c
B. The client who had surgery yesterday and is experiencing a paralytic ileus with ab
c c c c c c c c c c c c c
sent bowel sounds
c c
C. The client with a small bowel obstruction who has a nasogastric tube that is dr
c c c c c c c c c c c c c c
aining greenish fluid c c
D. The client with a bowel obstruction due to a volvulus who is experiencing abdo
c c c c c c c c c c c c c
minal rigidity - c c
ANSWER: D. The client with a bowel obstruction due to a volvulus who is experi
c c c c c c c c c c c c c c c
encing abdominal rigidity c c
A teenager presents to the emergency department with palpitations after vaping at a
c c c c c c c c c c c c c
party. The client is anxious, fearful, and hyperventilating. The nurse anticipates the
c c c c c c c c c c c c
client developing which acid base imbalance?
c c c c c
A. Respiratory acidosis c
B. Metabolic alkalosis c
C. Metabolic acidosis c
D. Respiratory alkalosis - ANSWER: D. Respiratory alkalosis c c c c c c
A client with dyspnea is being admitted to the medical unit. To best prepare for the clien
c c c c c c c c c c c c c c c c
t's arrival, the nurse should ensure that the client's bed is in which position?
c c c c c c c c c c c c c
,Pagec3cofc53
A. Supine
B. supine; feet elevated higher than head c c c c c
C. supine; head elevated higher than feet c c c c c
D. Fowlers - ANSWER: Fowlers c c c
The nurse is taking the blood pressure measurement of a client with Parkinson's diseas
c c c c c c c c c c c c c
e. Which information in the client's admission assessment is relevant to the nurse's plan
c c c c c c c c c c c c c c
for taking the blood pressure reading? (Select all the apply)
c c c c c c c c c
A. Frequent syncope c
B. Occasional nocturia c
C. Flat affect c
D. Blurred vision c
E. Frequent drooling - ANSWER: A. Frequent syncope c c c c c c
C. Flat affect
c c
D. Blurred vision
c c
While caring for a client's postoperative dressing, the nurse observes purulent drainage
c c c c c c c c c c c
at the wound. Before reporting this finding to the healthcare provider, the nurse should
c c c c c c c c c c c c c c c
review which of the client's laboratory values?
c c c c c c
A. Serum albumin
c c
B. Culture for sensitive organisms
c c c c
C. Serum blood glucose level
c c c c
D. Creatinine level - ANSWER: B. Culture for sensitive organisms
c c c c c c c c c
A preschool-
c
aged boy is admitted to the pediatric unit following successful resuscitation from a near
c c c c c c c c c c c c c
-
drowning incident. While providing care to the child, the nurse begins talking with his p
c c c c c c c c c c c c c c
readolescent brother who rescued the child from the swimming pool and initiated resus
c c c c c c c c c c c c
citation. The nurse notices the older boy
c c c c c c
, Pagec4cofc53
becomes withdrawn when asked about what happened. Which action should the nurse t
c c c c c c c c c c c c
ake?
A. Develop a water safety teaching plan for the family
c c c c c c c c c
B. Ask the older brother how he felt during the incident
c c c c c c c c c c
C. Tell the older brother that he seems depressed
c c c c c c c c
D. Commend the older brother for his heroic actions -
c c c c c c c c c
ANSWER: B. Ask the older brother how he felt during the incident
c c c c c c c c c c c c
A male client with cirrhosis has jaundice and pruritus. He tells the nurse that he has bee
c c c c c c c c c c c c c c c c
n soaking in hot baths at night with no relief of his discomfort. Which action should the
c c c c c c c c c c c c c c c c c
nurse take? c
A. Encourage the client to use cooler water and apply calamine lotion after soaking
c c c c c c c c c c c c c
B. Obtain a PRN prescription for an analgesic that the client can use for symptom relief
c c c c c c c c c c c c c c c
C. Suggest that the client take brief showers and apply oil-based lotion after showering
c c c c c c c c c c c c c
D. Explain that the symptoms are caused by liver damage and cannot be relieved -
c c c c c c c c c c c c c c
cANSWER: A. Encourage the client to use cooler water and apply calamine lotion af
c c c c c c c c c c c c c
ter soaking c
An older client with a long history of coronary artery disease (CAD), hypertension (H
c c c c c c c c c c c c c
TN), and heart failure (HF) arrives in the Emergency Department (ED) in respiratory
c c c c c c c c c c c c c
distress. The healthcare provider prescribes furosemide IV. Which therapeutic respon
c c c c c c c c c
se to furosemide should the nurse expected in the client with acute HF?
c c c c c c c c c c c c
A. Increased cardiac contractility
c c c
B. Reduced preload
c c
C. Relaxed vascular tone
c c c
D. Decreased afterload - ANSWER: B. Reduced preload
c c c c c c c
