HESI RN EXIT EXAM V1-V7 (LATEST 2025) - RN EXIT HESI EXAM
V1,V2,V3,V4,V5,V6,V7 A+ GRADED
1. Following |discharge |teaching, |a | male |client |with |duodenal | ulcer |tells |the |nurse |the | he |will
|drink |plenty |o f |dairy |products, |such |as | milk, | to | help |coat |and |protect | his | ulcer. |What | is |the
|best |follow-up |action |by |the |nurse?
• Review |with |the |client |the |need |to |avoid |foods |that |are |rich |in |milk |and |cream
2. A |male |client |with |hypertension, |who |received |new |antihypertensive |prescriptions |at |his |last
|visit |returns |to |the |clinic |two |weeks |later |to |evaluate |his |blood |pressure |(BP). |His |BP |is
|158/106 |and |he |admits |that |he |has |not |been |taking |the |prescribed |medication |because |the
|drugs |make |him |“feel |bad”. |In |explaining |the |need |for |hypertension |control, |the |nurse
|should |stress |that |an |elevated |BP |places |the |client |at |risk |for |which |pathophysiological
|condition?
• Stroke |secondary |to |hemorrhage
3. The |nurse |observes |an |unlicensed |assistive |personnel |(UAP) |positioning |a |newly |admitted
|client | who | has |a | seizure |disorder. | The |client | is |supine |and |the |UAP | is |placing |soft |pillows
|along |the |side |rails. |What |action |should |the |nurse |implement?
• Instruct |the |UAP |to |obtain |soft |blankets |to |secure |to |the |side |rails | instead |of
|pillows.
4. An |adolescent |with |major |depressive |disorder |has |been |taking |duloxetine |(Cymbalta) |for
|the |past |12 |days. |Which |assessment |finding |requires |immediate |follow-up?
• Describes |life |without |purpose
5. A |60-year-old |female |client |with |a |positive |family |history |of |ovarian |cancer |has |developed |an
|abdominal |mass |and |is |being |evaluated |for |possible |ovarian |cancer. |Her |Papanicolau |(Pap)
|smear |results |are |negative. |What |information |should |the |nurse |include |in |the |client’s
|teaching |plan?
• Further |evaluation |involving |surgery |may |be |needed
6. A |client |who |recently |underwear |a |tracheostomy |is |being |prepared |for |discharge |to |home.
|Which |instructions |is |most |important |for |the |nurse |to |include |in |the |discharge |plan?
• Teach |tracheal |suctioning |techniques
7. In |assessing |an |adult |client |with |a |partial |rebreather |mask, |the |nurse |notes |that |the |oxygen
|reservoir |bag |does |not |deflate |completely |during |inspiration |and |the |client’s |respiratory
|rate |is |14 |breaths |/ |minute. |What |action |should |the |nurse |implement?
• Document |the |assessment |data
• Rational: |reservoir |bag |should |not |deflate |completely |during |inspiration |and |the |client’s
|respiratory |rate |is |within |normal |limits.
8. During |shift |report, |the |central |electrocardiogram |(EKG) |monitoring |system |alarms.
|Which |client |alarm |should |the |nurse |investigate |firs?
, • Respiratory |apnea |of |30 |seconds
9. During | a |home | visit, |the | nurse |observed |an |elderly |client | with |diabetes |slip | and | fall. |What
|action |should |the |nurse |take |first?
• Check |the |client |for |lacerations |or |fractures
10. At |0600 | while |admitting |a | woman | for | a |schedule |repeat |cesarean |section | (C-Section), | the
|client |tells |the | nurse |that |she |drank |a |cup |a |coffee |at |0400 |because |she | wanted |to |avoid
|getting |a |headache. |Which |action |should |the |nurse |take |first?
• Inform |the |anesthesia |care |provider
11. After |placing |a |stethoscope |as |seen | in |the |picture, |the | nurse |auscultates |S1 |and |S2 | heart
|sounds. | To |determine | if |an |S3 | heart |sound | is |present, | what |action | should | the | nurse | take
|first?
• Listen |with |the |bell |at |the |same |location
12. A |66-year-old | woman | is |retiring |and | will | no | longer | have | a |health | insurance |through | her
|place |of |employment. |Which |agency |should | the |client |be |referred |to |by | the |employee
|health |nurse |for |health |insurance |needs?
• Medicare
13. A |client | who | is |taking |an |oral |dose |of |a |tetracycline |complains |of | gastrointestinal | upset.
|What |snack |should |the |nurse |instruct |the |client |to |take |with |the |tetracycline?
• Toasted |wheat |bread |and |jelly
14. Following |a |lumbar |puncture, |a |client |voices |several |complaints. |What |complaint
|indicated |to |the |nurse |that |the |client |is |experiencing |a |complication?
• “I | have |a | headache | that |gets | worse |when | I | sit |up”
• “I |am |having |pain |in |my |lower |back |when |I |move |my |legs”
• “My |throat |hurts |when |I |swallow”
• “I |feel |sick |to |my |stomach |and |am |going |to |throw |up”
15. An |elderly |client |seems |confused |and |reports | the |onset |of | nausea, |dysuria, |and | urgency
|with | incontinence. |Which |action |should |the | nurse | implement? |• | Obtain |a |clean |catch
|mid-stream |specimen
16. The |nurse |is |assisting |the |mother |of |a |child |with |phenylketonuria |(PKU) |to |select |foods
|that |are |in |keeping |with |the |child’s |dietary |restrictions. |Which |foods |are |contraindicated
|for |this |child?
• Foods |sweetened |with |aspartame
17. Before |preparing |a |client |for |the |first |surgical |case |of |the |day, |a |part-time |scrub |nurse
|asks |the |circulating |nurse |if |a |3 |minute |surgical |hand |scrub |is |adequate |preparation |for
|this |client. |Which |response |should |the |circulating |nurse |provide?
• Direct |the |nurse |to |continue |the |surgical |hand |scrub |for |a |5 |minute |duration
18. Which |breakfast |selection |indicates |that |the |client |understands |the |nurse’s |instructions
|about |the |dietary |management |of |osteoporosis?
, Stuvia.com | - |The |Marketplace |to |Buy |and |Sell |your |Study |Material
• Bagel |with |jelly a| nd |skim |milk
19. The |charge |nurse |of |a |critical |care |unit |is |informed |at |the |beginning |of |the |shift |that |less |than |the
|optimal |number |of |registered |nurses |will |be |working |that |shift. |In |planning |assignments, |which |client
|should |receive |the |most |care |hours |by |a |registered |nurse |(RN)?
• An |82-year-old |client |with |Alzheimer’s |disease |newly-fractures |femur |who |has |a |Foley
|catheter |and |soft |wrist |restrains |applied
, 20. A |mother |brings |her |6-year-old |child, |who |has |just |stepped |on |a |rusty |nail, |to |the
|pediatrician’s |office. |Upon |inspection, |the |nurse |notes |that |the |nail |went |through |the |shoe
|and |pierced |the |bottom |of |the |child’s |foot. |Which |action |should |the |nurse |implement |first?
• Cleanse |the |foot |with |soap |and |water | and |apply |an |antibiotic |ointment | •
Provide |teaching |about |the |need |for |a |tetanus |booster |within |the |next |72 |hours.
• have |the |mother |check |the |child's |temperature |q4h |for |the |next |24 |hours
• transfer |the |child |to |the |emergency |department |to |receive |a |gamma |globulin
|injection
21. The |mother |of |an |adolescent |tells |the |clinic |nurse, |“My |son |has |athlete’s |foot, |I |have |been
|applying |triple |antibiotic |ointment |for |two |days, |but |there |has |been |no |improvement.”
|What |instruction |should |the |nurse |provide?
• Stop |using |the |ointment |and |encourage |complete |drying |of |the |feet |and |wearing
|clean |socks.
22. A |26-year-old |female |client |is |admitted |to |the |hospital |for |treatment |of |a |simple |goiter,
|and |levothyroxine |sodium |(Synthroid) |is |prescribed. |Which |symptoms |indicate |to |the
|nurse |that |the |prescribed |dosage |is |too |high |for |this |client? |The |client |experiences
• Bradycardia |and |constipation
• Lethargy |and |lack |of |appetite
• Muscle |cramping |and |dry, |flushed |skin
• Palpitations |and |shortness |of |breath
23. A |client |with |a |history |of |heart |failure |presents |to |the |clinic |with |a |nausea, |vomiting, |yellow
|vision |and |palpitations. |Which |finding |is |most |important |for |the |nurse |to |assess |to |the
|client?
• Obtain |a |list |of |medications |taken |for |cardiac |history
24. The | healthcare |provider |prescribes |an |IV |solution |of | isoproterenol | (Isuprel) |1 | mg | in |250 | ml
|of |D5 W |at |300 |mcg/hour. |The | nurse |should |program | the |infusion |pump | to |deliver | how
|many |ml/hour? |(Enter |numeric |value |only.)
• 75
• Rationale: |Convert |mg |to |mcg |and |use |the |formula |D/H |x |Q. |300 |mcg/hour |/
|1,000 |mcg |x |250 |ml |= |3/1 |x |25 |= |75 |ml/hour
25. The |pathophysiological |mechanism |are |responsible |for |ascites |related |to |liver |failure?
|(Select |all |that |apply)
• Fluid |shifts |from |intravascular |to |interstitial |area |due |to |decreased |serum |protein
• Increased |hydrostatic |pressure |in |portal |circulation |increases |fluid |shifts |into
|abdomen
• Increased |circulating |aldosterone |levels |that |increase |sodium |and |water |retention
26. The | nurse | is |auscultating |a |client’s |heart | sounds. |Which |description |should | the | nurse | use |to
|document |this |sound? |(Please |listen |to |the |audio |first |to |select |the |option |that |applies)
V1,V2,V3,V4,V5,V6,V7 A+ GRADED
1. Following |discharge |teaching, |a | male |client |with |duodenal | ulcer |tells |the |nurse |the | he |will
|drink |plenty |o f |dairy |products, |such |as | milk, | to | help |coat |and |protect | his | ulcer. |What | is |the
|best |follow-up |action |by |the |nurse?
• Review |with |the |client |the |need |to |avoid |foods |that |are |rich |in |milk |and |cream
2. A |male |client |with |hypertension, |who |received |new |antihypertensive |prescriptions |at |his |last
|visit |returns |to |the |clinic |two |weeks |later |to |evaluate |his |blood |pressure |(BP). |His |BP |is
|158/106 |and |he |admits |that |he |has |not |been |taking |the |prescribed |medication |because |the
|drugs |make |him |“feel |bad”. |In |explaining |the |need |for |hypertension |control, |the |nurse
|should |stress |that |an |elevated |BP |places |the |client |at |risk |for |which |pathophysiological
|condition?
• Stroke |secondary |to |hemorrhage
3. The |nurse |observes |an |unlicensed |assistive |personnel |(UAP) |positioning |a |newly |admitted
|client | who | has |a | seizure |disorder. | The |client | is |supine |and |the |UAP | is |placing |soft |pillows
|along |the |side |rails. |What |action |should |the |nurse |implement?
• Instruct |the |UAP |to |obtain |soft |blankets |to |secure |to |the |side |rails | instead |of
|pillows.
4. An |adolescent |with |major |depressive |disorder |has |been |taking |duloxetine |(Cymbalta) |for
|the |past |12 |days. |Which |assessment |finding |requires |immediate |follow-up?
• Describes |life |without |purpose
5. A |60-year-old |female |client |with |a |positive |family |history |of |ovarian |cancer |has |developed |an
|abdominal |mass |and |is |being |evaluated |for |possible |ovarian |cancer. |Her |Papanicolau |(Pap)
|smear |results |are |negative. |What |information |should |the |nurse |include |in |the |client’s
|teaching |plan?
• Further |evaluation |involving |surgery |may |be |needed
6. A |client |who |recently |underwear |a |tracheostomy |is |being |prepared |for |discharge |to |home.
|Which |instructions |is |most |important |for |the |nurse |to |include |in |the |discharge |plan?
• Teach |tracheal |suctioning |techniques
7. In |assessing |an |adult |client |with |a |partial |rebreather |mask, |the |nurse |notes |that |the |oxygen
|reservoir |bag |does |not |deflate |completely |during |inspiration |and |the |client’s |respiratory
|rate |is |14 |breaths |/ |minute. |What |action |should |the |nurse |implement?
• Document |the |assessment |data
• Rational: |reservoir |bag |should |not |deflate |completely |during |inspiration |and |the |client’s
|respiratory |rate |is |within |normal |limits.
8. During |shift |report, |the |central |electrocardiogram |(EKG) |monitoring |system |alarms.
|Which |client |alarm |should |the |nurse |investigate |firs?
, • Respiratory |apnea |of |30 |seconds
9. During | a |home | visit, |the | nurse |observed |an |elderly |client | with |diabetes |slip | and | fall. |What
|action |should |the |nurse |take |first?
• Check |the |client |for |lacerations |or |fractures
10. At |0600 | while |admitting |a | woman | for | a |schedule |repeat |cesarean |section | (C-Section), | the
|client |tells |the | nurse |that |she |drank |a |cup |a |coffee |at |0400 |because |she | wanted |to |avoid
|getting |a |headache. |Which |action |should |the |nurse |take |first?
• Inform |the |anesthesia |care |provider
11. After |placing |a |stethoscope |as |seen | in |the |picture, |the | nurse |auscultates |S1 |and |S2 | heart
|sounds. | To |determine | if |an |S3 | heart |sound | is |present, | what |action | should | the | nurse | take
|first?
• Listen |with |the |bell |at |the |same |location
12. A |66-year-old | woman | is |retiring |and | will | no | longer | have | a |health | insurance |through | her
|place |of |employment. |Which |agency |should | the |client |be |referred |to |by | the |employee
|health |nurse |for |health |insurance |needs?
• Medicare
13. A |client | who | is |taking |an |oral |dose |of |a |tetracycline |complains |of | gastrointestinal | upset.
|What |snack |should |the |nurse |instruct |the |client |to |take |with |the |tetracycline?
• Toasted |wheat |bread |and |jelly
14. Following |a |lumbar |puncture, |a |client |voices |several |complaints. |What |complaint
|indicated |to |the |nurse |that |the |client |is |experiencing |a |complication?
• “I | have |a | headache | that |gets | worse |when | I | sit |up”
• “I |am |having |pain |in |my |lower |back |when |I |move |my |legs”
• “My |throat |hurts |when |I |swallow”
• “I |feel |sick |to |my |stomach |and |am |going |to |throw |up”
15. An |elderly |client |seems |confused |and |reports | the |onset |of | nausea, |dysuria, |and | urgency
|with | incontinence. |Which |action |should |the | nurse | implement? |• | Obtain |a |clean |catch
|mid-stream |specimen
16. The |nurse |is |assisting |the |mother |of |a |child |with |phenylketonuria |(PKU) |to |select |foods
|that |are |in |keeping |with |the |child’s |dietary |restrictions. |Which |foods |are |contraindicated
|for |this |child?
• Foods |sweetened |with |aspartame
17. Before |preparing |a |client |for |the |first |surgical |case |of |the |day, |a |part-time |scrub |nurse
|asks |the |circulating |nurse |if |a |3 |minute |surgical |hand |scrub |is |adequate |preparation |for
|this |client. |Which |response |should |the |circulating |nurse |provide?
• Direct |the |nurse |to |continue |the |surgical |hand |scrub |for |a |5 |minute |duration
18. Which |breakfast |selection |indicates |that |the |client |understands |the |nurse’s |instructions
|about |the |dietary |management |of |osteoporosis?
, Stuvia.com | - |The |Marketplace |to |Buy |and |Sell |your |Study |Material
• Bagel |with |jelly a| nd |skim |milk
19. The |charge |nurse |of |a |critical |care |unit |is |informed |at |the |beginning |of |the |shift |that |less |than |the
|optimal |number |of |registered |nurses |will |be |working |that |shift. |In |planning |assignments, |which |client
|should |receive |the |most |care |hours |by |a |registered |nurse |(RN)?
• An |82-year-old |client |with |Alzheimer’s |disease |newly-fractures |femur |who |has |a |Foley
|catheter |and |soft |wrist |restrains |applied
, 20. A |mother |brings |her |6-year-old |child, |who |has |just |stepped |on |a |rusty |nail, |to |the
|pediatrician’s |office. |Upon |inspection, |the |nurse |notes |that |the |nail |went |through |the |shoe
|and |pierced |the |bottom |of |the |child’s |foot. |Which |action |should |the |nurse |implement |first?
• Cleanse |the |foot |with |soap |and |water | and |apply |an |antibiotic |ointment | •
Provide |teaching |about |the |need |for |a |tetanus |booster |within |the |next |72 |hours.
• have |the |mother |check |the |child's |temperature |q4h |for |the |next |24 |hours
• transfer |the |child |to |the |emergency |department |to |receive |a |gamma |globulin
|injection
21. The |mother |of |an |adolescent |tells |the |clinic |nurse, |“My |son |has |athlete’s |foot, |I |have |been
|applying |triple |antibiotic |ointment |for |two |days, |but |there |has |been |no |improvement.”
|What |instruction |should |the |nurse |provide?
• Stop |using |the |ointment |and |encourage |complete |drying |of |the |feet |and |wearing
|clean |socks.
22. A |26-year-old |female |client |is |admitted |to |the |hospital |for |treatment |of |a |simple |goiter,
|and |levothyroxine |sodium |(Synthroid) |is |prescribed. |Which |symptoms |indicate |to |the
|nurse |that |the |prescribed |dosage |is |too |high |for |this |client? |The |client |experiences
• Bradycardia |and |constipation
• Lethargy |and |lack |of |appetite
• Muscle |cramping |and |dry, |flushed |skin
• Palpitations |and |shortness |of |breath
23. A |client |with |a |history |of |heart |failure |presents |to |the |clinic |with |a |nausea, |vomiting, |yellow
|vision |and |palpitations. |Which |finding |is |most |important |for |the |nurse |to |assess |to |the
|client?
• Obtain |a |list |of |medications |taken |for |cardiac |history
24. The | healthcare |provider |prescribes |an |IV |solution |of | isoproterenol | (Isuprel) |1 | mg | in |250 | ml
|of |D5 W |at |300 |mcg/hour. |The | nurse |should |program | the |infusion |pump | to |deliver | how
|many |ml/hour? |(Enter |numeric |value |only.)
• 75
• Rationale: |Convert |mg |to |mcg |and |use |the |formula |D/H |x |Q. |300 |mcg/hour |/
|1,000 |mcg |x |250 |ml |= |3/1 |x |25 |= |75 |ml/hour
25. The |pathophysiological |mechanism |are |responsible |for |ascites |related |to |liver |failure?
|(Select |all |that |apply)
• Fluid |shifts |from |intravascular |to |interstitial |area |due |to |decreased |serum |protein
• Increased |hydrostatic |pressure |in |portal |circulation |increases |fluid |shifts |into
|abdomen
• Increased |circulating |aldosterone |levels |that |increase |sodium |and |water |retention
26. The | nurse | is |auscultating |a |client’s |heart | sounds. |Which |description |should | the | nurse | use |to
|document |this |sound? |(Please |listen |to |the |audio |first |to |select |the |option |that |applies)
