HESI RN EXIT EXAM V3 (ACTUAL EXAM) INET-100%
ACTUAL PROCTORED EXAM
1. A male client with stomach cancer returns to the unit following a total gastrectomy. He has a nasogastric tube to
hour after admission to the unit, the
pressure is 78/48 mmHg. In addition to reporting the finding to the surgeon. Which action should the nurse
implement first?
a. Measure and document the urinary output.
b. Request the reserved unit if packed red blood cells.
c. Prepare the placement of a central venous catheter.
d. Increase the infusion rate of Lactated solution.
2. an adult male who fell 20 feet from the roof of this home has multiple injuries, including a right pneumothorax.
Chest tubes were inserted in the emergency department prior to his transfer to the intensive care unit (ICU). the
nurse notes that the suction control chamber is bubbling at the
- 10 cm H2O mark, with fluctuation in the water seal, and over the past hour 75 ml of bright red blood is measured
in the collection chamber. Which intervention should the nurse implement?
a. Add sterile water to the suction control chamber.
b. Give blood from the collection chamber as autotransfusion
c. Manipulate blood in tubing to drain into chamber.
d. Increase wall suction to eliminate fluctuation in water seal.
3. A client who received hemodialysis yesterday is experiencing a blood pressure of 200/100 mmHg, heart rate 110
beats/minute, and respiratory rate 36 breaths/minute. The client is manifesting shortness of breath, bilateral 2+
pedal edema, and an oxygen saturation on room air of 89%. Which action should the nurse take first?
a. Elevate the foot of the bed.
b. Restrict the fluid.
c. Begin supplemental oxygen.
d. Prepare the client for hemodialysis.
1
,HESI RN EXIT EXAM V3 (ACTUAL EXAM) INET-100%
ACTUAL PROCTORED EXAM
4. on the
admitting diagnosis, which findings require immediate action by the nurse? (Select all that apply)
a. Headache and tremors
b. Irregular heart rate
c. Skin hyperpigmentation
d. Postural hypotension
e. Pallor and diaphoresis
5. An older client is admitted with fluid volume deficit and dehydration. Which assessment finding is the best
indicator of hydration that the nurse should report to the healthcare provider?
a. Urine specific gravity is 1.040
b. Systolic blood pressure decreases 10 points when standing.
c. The client denies being thirsty.
d. Skin tenting occurs when the forearm is pinched.
6. After an inservice about electronic health record (EHR) security and safeguarding client information, the
nurse observes a colleague going home with printed copies of client information in a uniform pocket.
Which action should the nurse take?
a. File a detailed incident report with the specific hiring facility.
b. Warn the colleague that their actions are unprofessional.
c. Comment anonymously about the action of a staff discussion board.
d. Communicate the actions to the unit charge nurse.
2
,HESI RN EXIT EXAM V3 (ACTUAL EXAM) INET-100%
ACTUAL PROCTORED EXAM
7. The nurse is evaluating a tertiary prevention program for clients with cardiovascular disease implemented in a
rural health clinic. Which outcome indicate the program is effective?
a. At-risk clients received an increased number of routine health screenings.
b. Clients reported having new confidence in making healthy food choices.
c. Clients who incurred disease complications promptly received rehabilitation.
d. Client relapse rate of 30% in a 5-year community-wide anti-smoking campaign.
8. The nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who uses oxygen at 2
L/minute per nasal cannula continuously. The nurse observes that the client is having increased shortness of
breath with respirations at 23 breaths/minute. Which action should the nurse implement first?
a. Determine if the client is experiencing any anxiety.
b. Auscultate the bilateral lung sounds and oxygen saturation.
c. Notify the healthcare provider about the distress.
d. Assess the delivery mechanism of the oxygen tank, tubing, and cannula.
9. Which statement by a client who is 24 hours post-subtotal thyroidectomy requires an immediate
investigation by the nurse?
a. I get out of bed quickly, I feel a little
b. dressing over my incision feels like it is too
c. most comfortable when the head of the bed is
d. IV infusion makes me urinate more often than
3
, HESI RN EXIT EXAM V3 (ACTUAL EXAM) INET-100%
ACTUAL PROCTORED EXAM
10. An older adult male who is in his early is admitted to the emergency department because of a COPD
exacerbation. This client is struggling to breathe and the healthcare team is preparing for endotracheal intubation.
The wife, who is 30 years younger than the client, asks the nurse to stop the procedure and provide the
nurse a copy of
a. Facilitate a family meeting with the palliative care team.
b. Notify the healthcare provider of the wishes.
c. Place a certified copy of the living will in the record.
d. Alert the nursing staff of the resuscitate status.
11. An unlicensed assistive personnel (UAP) is assigned to provide personal care for a client whose prescribed activity
is bedrest with bedside commode use. The UAP reports to the nurse that the client is so obese that the UAP feels
unable to safely assist the client in transferring from the bed to the bedside commode. How should the nurse
respond?
a. Determine the level of mobility and need for assistance.
b. Instruct the UAP that all clients deserve equal care.
c. Advice the client to maintain bedrest so that safety can be ensured.
d. Assign another UAP to care for the client.
12. A nurse determines that more than 25% of the students at a middle school are overweight. The nurse presents the
information at the parent-teacher meeting. What action is most important for the nurse to include in the meeting?
a. Provide information on ways to increase activity for the family.
b. Have several teachers talk about health risks associated with obesity.
c. Distribute a shopping list of suggested healthy snack items.
d. Determine the degree of concern about their weight.
4
ACTUAL PROCTORED EXAM
1. A male client with stomach cancer returns to the unit following a total gastrectomy. He has a nasogastric tube to
hour after admission to the unit, the
pressure is 78/48 mmHg. In addition to reporting the finding to the surgeon. Which action should the nurse
implement first?
a. Measure and document the urinary output.
b. Request the reserved unit if packed red blood cells.
c. Prepare the placement of a central venous catheter.
d. Increase the infusion rate of Lactated solution.
2. an adult male who fell 20 feet from the roof of this home has multiple injuries, including a right pneumothorax.
Chest tubes were inserted in the emergency department prior to his transfer to the intensive care unit (ICU). the
nurse notes that the suction control chamber is bubbling at the
- 10 cm H2O mark, with fluctuation in the water seal, and over the past hour 75 ml of bright red blood is measured
in the collection chamber. Which intervention should the nurse implement?
a. Add sterile water to the suction control chamber.
b. Give blood from the collection chamber as autotransfusion
c. Manipulate blood in tubing to drain into chamber.
d. Increase wall suction to eliminate fluctuation in water seal.
3. A client who received hemodialysis yesterday is experiencing a blood pressure of 200/100 mmHg, heart rate 110
beats/minute, and respiratory rate 36 breaths/minute. The client is manifesting shortness of breath, bilateral 2+
pedal edema, and an oxygen saturation on room air of 89%. Which action should the nurse take first?
a. Elevate the foot of the bed.
b. Restrict the fluid.
c. Begin supplemental oxygen.
d. Prepare the client for hemodialysis.
1
,HESI RN EXIT EXAM V3 (ACTUAL EXAM) INET-100%
ACTUAL PROCTORED EXAM
4. on the
admitting diagnosis, which findings require immediate action by the nurse? (Select all that apply)
a. Headache and tremors
b. Irregular heart rate
c. Skin hyperpigmentation
d. Postural hypotension
e. Pallor and diaphoresis
5. An older client is admitted with fluid volume deficit and dehydration. Which assessment finding is the best
indicator of hydration that the nurse should report to the healthcare provider?
a. Urine specific gravity is 1.040
b. Systolic blood pressure decreases 10 points when standing.
c. The client denies being thirsty.
d. Skin tenting occurs when the forearm is pinched.
6. After an inservice about electronic health record (EHR) security and safeguarding client information, the
nurse observes a colleague going home with printed copies of client information in a uniform pocket.
Which action should the nurse take?
a. File a detailed incident report with the specific hiring facility.
b. Warn the colleague that their actions are unprofessional.
c. Comment anonymously about the action of a staff discussion board.
d. Communicate the actions to the unit charge nurse.
2
,HESI RN EXIT EXAM V3 (ACTUAL EXAM) INET-100%
ACTUAL PROCTORED EXAM
7. The nurse is evaluating a tertiary prevention program for clients with cardiovascular disease implemented in a
rural health clinic. Which outcome indicate the program is effective?
a. At-risk clients received an increased number of routine health screenings.
b. Clients reported having new confidence in making healthy food choices.
c. Clients who incurred disease complications promptly received rehabilitation.
d. Client relapse rate of 30% in a 5-year community-wide anti-smoking campaign.
8. The nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who uses oxygen at 2
L/minute per nasal cannula continuously. The nurse observes that the client is having increased shortness of
breath with respirations at 23 breaths/minute. Which action should the nurse implement first?
a. Determine if the client is experiencing any anxiety.
b. Auscultate the bilateral lung sounds and oxygen saturation.
c. Notify the healthcare provider about the distress.
d. Assess the delivery mechanism of the oxygen tank, tubing, and cannula.
9. Which statement by a client who is 24 hours post-subtotal thyroidectomy requires an immediate
investigation by the nurse?
a. I get out of bed quickly, I feel a little
b. dressing over my incision feels like it is too
c. most comfortable when the head of the bed is
d. IV infusion makes me urinate more often than
3
, HESI RN EXIT EXAM V3 (ACTUAL EXAM) INET-100%
ACTUAL PROCTORED EXAM
10. An older adult male who is in his early is admitted to the emergency department because of a COPD
exacerbation. This client is struggling to breathe and the healthcare team is preparing for endotracheal intubation.
The wife, who is 30 years younger than the client, asks the nurse to stop the procedure and provide the
nurse a copy of
a. Facilitate a family meeting with the palliative care team.
b. Notify the healthcare provider of the wishes.
c. Place a certified copy of the living will in the record.
d. Alert the nursing staff of the resuscitate status.
11. An unlicensed assistive personnel (UAP) is assigned to provide personal care for a client whose prescribed activity
is bedrest with bedside commode use. The UAP reports to the nurse that the client is so obese that the UAP feels
unable to safely assist the client in transferring from the bed to the bedside commode. How should the nurse
respond?
a. Determine the level of mobility and need for assistance.
b. Instruct the UAP that all clients deserve equal care.
c. Advice the client to maintain bedrest so that safety can be ensured.
d. Assign another UAP to care for the client.
12. A nurse determines that more than 25% of the students at a middle school are overweight. The nurse presents the
information at the parent-teacher meeting. What action is most important for the nurse to include in the meeting?
a. Provide information on ways to increase activity for the family.
b. Have several teachers talk about health risks associated with obesity.
c. Distribute a shopping list of suggested healthy snack items.
d. Determine the degree of concern about their weight.
4
