HESI RN Exit Exam Latest Updated 2024 Verified with All
correct Answers Solved By Expert. Assured A+,,
The34nurse34is34completing34the34admission34assessment34of34a343-
year34old34who34is34admitted34with34bacterial34meningitis34and34hydrocephalus.34Which34assessment3
4finding34is34evidence34that34the34child34is34experiencing34increased34intracranial34pressure34(ICP)?
A. Tachycardia34and34tachypnea
B. Sluggish34and34unequal34pupillary34responses
C. Increased34head34circumference34and34bulging34fontanels
D. Blood34pressure34fluctuations34and34syncope34-34✅✅B.34Sluggish34and34unequal34pupillary34responses
A34client34with34acute34pancreatitis34is34admitted34with34severe,34piercing34abdominal34pain34and34an34
elevated34serum34amylase.34Which34additional34information34is34the34client34most34likely34to34report3
4to34the34nurse?
A. Abdominal34pain34decreases34when34lying34supine
B. Pain34lasts34an34hour34and34leaves34the34abdomen34tender
C. Right34upper34quadrant34pain34refers34to34right34scapula
D. Drinks34alcohol34until34intoxicated34at34least34twice34weekly.34-
34✅✅A.34Abdominal34pain34decreases34when34lying34supine
A34child34newly34diagnosed34with34sickle34cell34anemia34(SCA)34is34being34discharged34from34the34hospi
tal.34Which34information34is34most34important34for34the34nurse34to34provide34the34parents34prior34to3
4discharge?
A. Instructions34about34how34much34fluid34the34child34should34drink34daily.
B. Signs34of34addiction34to34opioid34pain34medications
C. Information34about34non-pharmaceutical34pain34relief34measures
D. Referral34for34social34services34for34the34child34and34family34-
34✅✅A.34Instructions34about34how34much34fluid34the34child34should34drink34daily
To34auscultate34for34a34carotid34bruit,34the34nurse34places34the34stethoscope34at34what34location.34(Sel
ect34the34location34on34the34image34with34a34red34dot).34-
P a g e 1 | 80
,34✅✅I34placed34the34red34dot34on34the34base34of34the34neck34on34the34right34side
P a g e 2 | 80
,After34receiving34report34on34an34inpatient34acute34care34unit,34which34client34should34the34nurse34assess34fi
rst?
A. The34client34with34an34obstruction34of34the34large34intestine34who34is34experiencing34abdominal34distenti
on
B. The34client34who34had34surgery34yesterday34and34is34experiencing34a34paralytic34ileus34with34absent34bow
el34sounds
C. The34client34with34a34small34bowel34obstruction34who34has34a34nasogastric34tube34that34is34draining34gree
nish34fluid
D. The34client34with34a34bowel34obstruction34due34to34a34volvulus34who34is34experiencing34abdominal34rigidi
ty34-
✅✅D.34The34client34with34a34bowel34obstruction34due34to34a34volvulus34who34is34experiencing34abdomin
al34rigidity
A34teenager34presents34to34the34emergency34department34with34palpitations34after34vaping34at34a34par
ty.34The34client34is34anxious,34fearful,34and34hyperventilating.34The34nurse34anticipates34the34client34d
eveloping34which34acid34base
imbalance?
A. Respiratory34acidosis
B. Metabolic34alkalosis
C. Metabolic34acidosis
D. Respiratory34alkalosis34-34✅✅D.34Respiratory34alkalosis
A34client34with34dyspnea34is34being34admitted34to34the34medical34unit.34To34best34prepare34for34the34cli
ent's34arrival,34the34nurse34should34ensure34that34the34client's34bed34is34in34which34position?
A. Supine
B. supine;34feet34elevated34higher34than34head
C. supine;34head34elevated34higher34than34feet
D. Fowlers34-34✅✅Fowlers
The34nurse34is34taking34the34blood34pressure34measurement34of34a34client34with34Parkinson's34diseas
e.34Which34information34in34the34client's34admission34assessment34is34relevant34to34the34nurse's34plan3
4for34taking34the34blood34pressure34reading?34(Select34all34the34apply)
P a g e 3 | 80
, A. Frequent34syncope
B. Occasional34nocturia
C. Flat34affect
D. Blurred34vision
P a g e 4 | 80
correct Answers Solved By Expert. Assured A+,,
The34nurse34is34completing34the34admission34assessment34of34a343-
year34old34who34is34admitted34with34bacterial34meningitis34and34hydrocephalus.34Which34assessment3
4finding34is34evidence34that34the34child34is34experiencing34increased34intracranial34pressure34(ICP)?
A. Tachycardia34and34tachypnea
B. Sluggish34and34unequal34pupillary34responses
C. Increased34head34circumference34and34bulging34fontanels
D. Blood34pressure34fluctuations34and34syncope34-34✅✅B.34Sluggish34and34unequal34pupillary34responses
A34client34with34acute34pancreatitis34is34admitted34with34severe,34piercing34abdominal34pain34and34an34
elevated34serum34amylase.34Which34additional34information34is34the34client34most34likely34to34report3
4to34the34nurse?
A. Abdominal34pain34decreases34when34lying34supine
B. Pain34lasts34an34hour34and34leaves34the34abdomen34tender
C. Right34upper34quadrant34pain34refers34to34right34scapula
D. Drinks34alcohol34until34intoxicated34at34least34twice34weekly.34-
34✅✅A.34Abdominal34pain34decreases34when34lying34supine
A34child34newly34diagnosed34with34sickle34cell34anemia34(SCA)34is34being34discharged34from34the34hospi
tal.34Which34information34is34most34important34for34the34nurse34to34provide34the34parents34prior34to3
4discharge?
A. Instructions34about34how34much34fluid34the34child34should34drink34daily.
B. Signs34of34addiction34to34opioid34pain34medications
C. Information34about34non-pharmaceutical34pain34relief34measures
D. Referral34for34social34services34for34the34child34and34family34-
34✅✅A.34Instructions34about34how34much34fluid34the34child34should34drink34daily
To34auscultate34for34a34carotid34bruit,34the34nurse34places34the34stethoscope34at34what34location.34(Sel
ect34the34location34on34the34image34with34a34red34dot).34-
P a g e 1 | 80
,34✅✅I34placed34the34red34dot34on34the34base34of34the34neck34on34the34right34side
P a g e 2 | 80
,After34receiving34report34on34an34inpatient34acute34care34unit,34which34client34should34the34nurse34assess34fi
rst?
A. The34client34with34an34obstruction34of34the34large34intestine34who34is34experiencing34abdominal34distenti
on
B. The34client34who34had34surgery34yesterday34and34is34experiencing34a34paralytic34ileus34with34absent34bow
el34sounds
C. The34client34with34a34small34bowel34obstruction34who34has34a34nasogastric34tube34that34is34draining34gree
nish34fluid
D. The34client34with34a34bowel34obstruction34due34to34a34volvulus34who34is34experiencing34abdominal34rigidi
ty34-
✅✅D.34The34client34with34a34bowel34obstruction34due34to34a34volvulus34who34is34experiencing34abdomin
al34rigidity
A34teenager34presents34to34the34emergency34department34with34palpitations34after34vaping34at34a34par
ty.34The34client34is34anxious,34fearful,34and34hyperventilating.34The34nurse34anticipates34the34client34d
eveloping34which34acid34base
imbalance?
A. Respiratory34acidosis
B. Metabolic34alkalosis
C. Metabolic34acidosis
D. Respiratory34alkalosis34-34✅✅D.34Respiratory34alkalosis
A34client34with34dyspnea34is34being34admitted34to34the34medical34unit.34To34best34prepare34for34the34cli
ent's34arrival,34the34nurse34should34ensure34that34the34client's34bed34is34in34which34position?
A. Supine
B. supine;34feet34elevated34higher34than34head
C. supine;34head34elevated34higher34than34feet
D. Fowlers34-34✅✅Fowlers
The34nurse34is34taking34the34blood34pressure34measurement34of34a34client34with34Parkinson's34diseas
e.34Which34information34in34the34client's34admission34assessment34is34relevant34to34the34nurse's34plan3
4for34taking34the34blood34pressure34reading?34(Select34all34the34apply)
P a g e 3 | 80
, A. Frequent34syncope
B. Occasional34nocturia
C. Flat34affect
D. Blurred34vision
P a g e 4 | 80
