RN HESI EXIT EXAM 2023-2024 - VERSION 1
,2,3,4 ALL WITH 160 QUESTIONS & ANSWERS
EACH INCLUDED - GUARANTEED PASS A+!!!
ALL BRAND NEW NEXT GEN FORMAT
Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink
plenty of dairy products, such as milk, to help coat and protect his ulcer. What is the best
follow-up action by the nurse? - ANSWER>>Review with the client the need to avoid foods that
are rich in milk and cream
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? - ANSWER>>Stroke
secondary to hemorrhage
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? - ANSWER>>Instruct the UAP to obtain soft
blankets to secure to the side rails instead of pillows.
An adolescent with major depressive disorder the past 12 days. Which assessment finding
requires immediate follow-up? has been taking duloxetine (Cymbalta) for -
ANSWER>>Describes life without purpose
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? - ANSWER>>Further evaluation involving surgery may be needed
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? -
ANSWER>>Teach tracheal suctioning techniques
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? - ANSWER>>Document the
assessment data
During shift report, the central electrocardiogram (EKG) monitoring system alarms. Which client
alarm should the nurse investigate firs? - ANSWER>>Respiratory apnea of 30 seconds
,During a home visit, the nurse observed an elderly client with diabetes slip action should the
nurse take first? - ANSWER>>Check the client for lacerations or fractures
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? - ANSWER>>Inform the anesthesia care
provider
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 heart
sounds. To determine if an $3 heart sound is present, what action should the nurse take first? -
ANSWER>>Listen with the bell at the same location
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? - ANSWER>>Medicare
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? - ANSWER>>Toasted
wheat bread and jelly
Following a lumbar puncture, a client voices several complaints. What complaint indicated to
the nurse that the client is experiencing a complication? - ANSWER>>"I have a headache that
gets worse when I sit up"
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? -
ANSWER>>.Obtain a clean catch mid-stream specimen
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? -
ANSWER>>Foods sweetened with aspartame
Before preparing a client for the first surgical case of the day, a part-time scrub nurse the
circulating nurse if a 3 minute surgical hand scrub is adequate preparation for this client. Which
response should the circulating nurse provide? - ANSWER>>Direct the nurse to continue the
surgical hand scrub for a 5 minute duration
Which breakfast selection indicates that the client understands the nurse's instructions about
the dietary management of osteoporosis? - ANSWER>>Bagel with jelly and skim milk
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)? - ANSWER>>.An 82-
,year-old client with Alzheimer's disease newly-fractures femur who has a Foley catheter and
soft wrist restrains applied
and pierced the bottom of the child's foot. Which action should the nurse implement
pediatrician's office. Upon inspection, the nurse notes that the nail went through the shoe A
mother brings her 6-year-old child, who has just stepped on a rusty nail, to the first? -
ANSWER>>Cleanse the foot with soap and water and apply an antibiotic ointment
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? - ANSWER>>Stop using the ointment and encourage
complete drying of the feet and wearing clean socks.
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 - ANSWER>>Palpitations
and shortness of breath
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? -
ANSWER>>Obtain a list of medications taken for cardiac histony
The healthcare provider prescribes an IV solution of isoproterenol (Isupre) 1 mg in 250 ml of
DsW at 300 mcghour. The nurse should program the infusion pump to deliver how many
ml/hour? (Enter numeric value only.) - ANSWER>>75
The pathophysiological mechanism are responsible for ascites related to liver failure? (Select all
that apply - ANSWER>>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
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) -
ANSWER>>Murmur
The healthcare provider prescribes celtazidime (Eortax) 35 mg every 8 hours IM for an
concentration of 100 mg/ml. How many ml should the nurse administered for each dose?
infant. The 500 mg vial is labeled with the instruction to add 5.3 ml diluent to provide a (Enter
numeric value only. If rounding is required, round to the nearest tenth) - ANSWER>>0.4
The nurse notes that a client has been receiving hydromorphone (Dilaudid) every six hours for
four days. What assessment is most important for the nurse to complete? -
ANSWER>>Auscultate the client 's bowel sounds
, A female client is admitted with end stage pulmonary disease is alert, oriented, and
complaining of shortness of breath. The client tells the nurse that she wants "no heroic
measures" taken if she stops breathing, and she asks the nurse to document this in her medical
record. What action should the nurse implement? - ANSWER>>Ask the client to discuss "do not
resuscitate" with her healthcare provider
client is receiving a full strength continuous enteral tube feeding at 50 ml/hour and has
developed diarrhea. The client has a new prescription to change the feeding to half strength.
What intervention should the nurse implement? - ANSWER>>Add equal amounts of water and
feeding to a feeding bag and infuse at 50ml/hour
A female client reports that her hair is becoming coarse and breaking off, that the outer part of
her eyebrows have disappeared, and that her eyes are all puffy. Which follow-up question is
best for the nurse to ask? - ANSWER>>Have you noticed any changes in your fingernails?
A female client reports that her hair is becoming coarse and breaking off, that the outer part of
her eyebrows have disappeared, and that her eyes are all puffy. Which follow-up question is
best for the nurse to ask? - ANSWER>>Have you noticed any changes in your fingernails?
After a third hospitalization 6 months ago, a client is admitted to the hospital with ascites and
malnutrition. The client is drowsy but responding to verbal stimuli and reports recently spitting
up blood. What assessment finding warrants immediate intervention by the nurse? -
ANSWER>>Capillary refill of 8 seconds
After the nurse witnesses a preoperative client sign the surgical consent form, the nurse signs
the form as a witness. What are the legal implications of the nurse's signature on the client's
surgical consent form? (Select all that apply) - ANSWER>>The client voluntarily grants
permission for the procedure to be done The client is competent to sign the consent without
impairment of judgment The client understands the risks and benefits associated with the
procedure
Following surgery, a male client with antisocial personality disorder frequently requests that a
specific nurse be assigned to his care and is belligerent when another nurse i assigned. What
action should the charge nurse implement? - ANSWER>>Advise the client that assignments are
not based on clients requests
A client with cervical cancer is hospitalized for insertion of a sealed internal cervical radiation
implant. While providing care, the nurse finds the radiation implant in the bed What action
should the nurse take? - ANSWER>>Place the implant in a lead container using long-handled
forceps
The client with which type of wound is most likely to need immediate intervention by the
nurse? - ANSWER>>Laceration
,2,3,4 ALL WITH 160 QUESTIONS & ANSWERS
EACH INCLUDED - GUARANTEED PASS A+!!!
ALL BRAND NEW NEXT GEN FORMAT
Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink
plenty of dairy products, such as milk, to help coat and protect his ulcer. What is the best
follow-up action by the nurse? - ANSWER>>Review with the client the need to avoid foods that
are rich in milk and cream
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? - ANSWER>>Stroke
secondary to hemorrhage
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? - ANSWER>>Instruct the UAP to obtain soft
blankets to secure to the side rails instead of pillows.
An adolescent with major depressive disorder the past 12 days. Which assessment finding
requires immediate follow-up? has been taking duloxetine (Cymbalta) for -
ANSWER>>Describes life without purpose
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? - ANSWER>>Further evaluation involving surgery may be needed
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? -
ANSWER>>Teach tracheal suctioning techniques
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? - ANSWER>>Document the
assessment data
During shift report, the central electrocardiogram (EKG) monitoring system alarms. Which client
alarm should the nurse investigate firs? - ANSWER>>Respiratory apnea of 30 seconds
,During a home visit, the nurse observed an elderly client with diabetes slip action should the
nurse take first? - ANSWER>>Check the client for lacerations or fractures
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? - ANSWER>>Inform the anesthesia care
provider
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 heart
sounds. To determine if an $3 heart sound is present, what action should the nurse take first? -
ANSWER>>Listen with the bell at the same location
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? - ANSWER>>Medicare
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? - ANSWER>>Toasted
wheat bread and jelly
Following a lumbar puncture, a client voices several complaints. What complaint indicated to
the nurse that the client is experiencing a complication? - ANSWER>>"I have a headache that
gets worse when I sit up"
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? -
ANSWER>>.Obtain a clean catch mid-stream specimen
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? -
ANSWER>>Foods sweetened with aspartame
Before preparing a client for the first surgical case of the day, a part-time scrub nurse the
circulating nurse if a 3 minute surgical hand scrub is adequate preparation for this client. Which
response should the circulating nurse provide? - ANSWER>>Direct the nurse to continue the
surgical hand scrub for a 5 minute duration
Which breakfast selection indicates that the client understands the nurse's instructions about
the dietary management of osteoporosis? - ANSWER>>Bagel with jelly and skim milk
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)? - ANSWER>>.An 82-
,year-old client with Alzheimer's disease newly-fractures femur who has a Foley catheter and
soft wrist restrains applied
and pierced the bottom of the child's foot. Which action should the nurse implement
pediatrician's office. Upon inspection, the nurse notes that the nail went through the shoe A
mother brings her 6-year-old child, who has just stepped on a rusty nail, to the first? -
ANSWER>>Cleanse the foot with soap and water and apply an antibiotic ointment
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? - ANSWER>>Stop using the ointment and encourage
complete drying of the feet and wearing clean socks.
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 - ANSWER>>Palpitations
and shortness of breath
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? -
ANSWER>>Obtain a list of medications taken for cardiac histony
The healthcare provider prescribes an IV solution of isoproterenol (Isupre) 1 mg in 250 ml of
DsW at 300 mcghour. The nurse should program the infusion pump to deliver how many
ml/hour? (Enter numeric value only.) - ANSWER>>75
The pathophysiological mechanism are responsible for ascites related to liver failure? (Select all
that apply - ANSWER>>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
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) -
ANSWER>>Murmur
The healthcare provider prescribes celtazidime (Eortax) 35 mg every 8 hours IM for an
concentration of 100 mg/ml. How many ml should the nurse administered for each dose?
infant. The 500 mg vial is labeled with the instruction to add 5.3 ml diluent to provide a (Enter
numeric value only. If rounding is required, round to the nearest tenth) - ANSWER>>0.4
The nurse notes that a client has been receiving hydromorphone (Dilaudid) every six hours for
four days. What assessment is most important for the nurse to complete? -
ANSWER>>Auscultate the client 's bowel sounds
, A female client is admitted with end stage pulmonary disease is alert, oriented, and
complaining of shortness of breath. The client tells the nurse that she wants "no heroic
measures" taken if she stops breathing, and she asks the nurse to document this in her medical
record. What action should the nurse implement? - ANSWER>>Ask the client to discuss "do not
resuscitate" with her healthcare provider
client is receiving a full strength continuous enteral tube feeding at 50 ml/hour and has
developed diarrhea. The client has a new prescription to change the feeding to half strength.
What intervention should the nurse implement? - ANSWER>>Add equal amounts of water and
feeding to a feeding bag and infuse at 50ml/hour
A female client reports that her hair is becoming coarse and breaking off, that the outer part of
her eyebrows have disappeared, and that her eyes are all puffy. Which follow-up question is
best for the nurse to ask? - ANSWER>>Have you noticed any changes in your fingernails?
A female client reports that her hair is becoming coarse and breaking off, that the outer part of
her eyebrows have disappeared, and that her eyes are all puffy. Which follow-up question is
best for the nurse to ask? - ANSWER>>Have you noticed any changes in your fingernails?
After a third hospitalization 6 months ago, a client is admitted to the hospital with ascites and
malnutrition. The client is drowsy but responding to verbal stimuli and reports recently spitting
up blood. What assessment finding warrants immediate intervention by the nurse? -
ANSWER>>Capillary refill of 8 seconds
After the nurse witnesses a preoperative client sign the surgical consent form, the nurse signs
the form as a witness. What are the legal implications of the nurse's signature on the client's
surgical consent form? (Select all that apply) - ANSWER>>The client voluntarily grants
permission for the procedure to be done The client is competent to sign the consent without
impairment of judgment The client understands the risks and benefits associated with the
procedure
Following surgery, a male client with antisocial personality disorder frequently requests that a
specific nurse be assigned to his care and is belligerent when another nurse i assigned. What
action should the charge nurse implement? - ANSWER>>Advise the client that assignments are
not based on clients requests
A client with cervical cancer is hospitalized for insertion of a sealed internal cervical radiation
implant. While providing care, the nurse finds the radiation implant in the bed What action
should the nurse take? - ANSWER>>Place the implant in a lead container using long-handled
forceps
The client with which type of wound is most likely to need immediate intervention by the
nurse? - ANSWER>>Laceration
