HESI RN EXIT EXAM QUESTIONS WITH
VERIFIED ANSWERS
To prevent unnecessary hypoxia during suctioning of a tracheostomy, the nurse
must
A) Apply suction for no more than 10 seconds
B) Maintain sterile technique
C) Lubricate 3 to 4 inches of the catheter tip
D) Withdraw catheter in a circular motion - Answer-A) Apply suction for no more than
10 seconds
An antibiotic IM injection for a 2 year-old child is ordered. The total volume of the
injection equals 2.0 ml The correct action is to
A) Administer the medication in 2 separate injections
B) Give the medication in the dorsal gluteal site
C) Call to get a smaller volume ordered
D) Check with pharmacy for a liquid form of the medication skip - Answer-A)
Administer the medication in 2 separate injections
The nurse receives an order to give a client iron by deep injection. The nurse know
that the reason for this route is to
A) Enhance absorption of the medication
B) Ensure that the entire dose of medication is given
C) Provide more even distribution of the drug
D) Prevent the drug from tissue irritation Skip - Answer-D) Prevent the drug from
tissue irritation Skip
A client with heart failure has Lanoxin (digoxin) ordered. What would the nurse
expect to find when evaluating for the therapeutic effectiveness of this drug?
A) Diaphoresis with decreased urinary output
B) Increased heart rate with increase respirations
C) Improved respiratory status and increased urinary output D) Decreased chest
pain and decreased blood pressure - Answer-C) Improved respiratory status and
increased urinary output
While providing home care to a client with congestive heart failure, the nurse is
asked how long diuretics must be taken. What is the nurse's best response?
A) "As you urinate more, you will need less medication to control fluid.
"B) "You will have to take this medication for about a year."
C) "The medication must be continued so the fluid problem is controlled.
"D) "Please talk to your health care provider about medications and treatments." -
Answer-C) "The medication must be continued so the fluid problem is controlled.
A client is being discharged with a prescription for chlorpromazine
(Thorazine).Before leaving for home, which of these findings should the nurse teach
the client to report? A) Change in libido, breast enlargement
B) Sore throat, fever
C) Abdominal pain, nausea, diarrhea
,D) Dsypnea, nasal congestion - Answer-B) Sore throat, fever
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?
A. Cleanse the foot with soap and water and apply an antibiotic ointment
B. Provide teaching about the need for a tetanus booster within the next 72 hours.
C. have the mother check the child's temperature q4h for the next 24 hours
D. transfer the child to the emergency department to receive a gamma globulin
injection - Answer-A. Cleanse the foot with soap and water and apply an antibiotic
ointment
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:
A. Bradycardia and constipation
B. Lethargy and lack of appetite
C. Muscle cramping and dry, flushed skin
D. Palpitations and shortness of breath - Answer-D. 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 history
The pathophysiological mechanism are responsible for ascites related to liver
failure? (Select all that apply) - Answer-A. Fluid shifts from intravascular to interstitial
area due to decreased serum
protein
B. Increased hydrostatic pressure in portal circulation increases
fluid shifts into abdomen
C. 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
A client is admitted with a pressure ulcer in the sacral area. The partial thickness
wound is 4cm by 7cm, the wound base is red and moist with no exudate and the
surrounding skin is intact. Which of the following coverings is most appropriate for
this wound?
A) Transparent dressing
B) Dry sterile dressing with antibiotic ointment
C) Wet to dry dressing
D) Occlusive moist dressing - Answer-D) Occlusive moist dressing
, A 30 month-old child is admitted to the hospital unit. Which of the following toys
would be appropriate for the nurse to select from the toy room for this child?
A) Cartoon stickers
B) Large wooden puzzle
C) Blunt scissors and paper
D) Beach ball - Answer-B) Large wooden puzzle
A nurse is to present information about Chinese folk medicine to a group of student
nurses. Based on this cultural belief, the nurse would explain that illness is attributed
to the
A) Yang, the positive force that represents light, warmth, and fullness
B) Yin, the negative force that represents darkness, cold, and emptiness
C) Use of improper hot foods, herbs and plants
D) A failure to keep life in balance with nature and others - Answer-B) Yin, the
negative force that represents darkness, cold, and emptiness
A 2 year-old child has just been diagnosed with cystic fibrosis. The child's father asks
the nurse "What is our major concern now, and what will we have to deal with in the
future?" Which of the following is the best response?
A) "There is a probability of life-long complications."
B) "Cystic fibrosis results in nutritional concerns that can be dealt with."
C) "Thin, tenacious secretions from the lungs are a constant struggle in cystic
fibrosis."
D) "You will work with a team of experts and also have access to a support group
that the family can attend." - Answer-C) "Thin, tenacious secretions from the lungs
are a constant struggle in cystic fibrosis."
Which type of accidental poisoning would the nurse expect to occur in children under
age 6?
A) Oral ingestion
B) Topical contact
C) Inhalation
D) Eye splashes - Answer-A) Oral ingestion
A client was admitted to the psychiatric unit with a diagnosis of bipolar disorder. He
constantly bothers other clients, tries to help the housekeeping staff, demonstrates
pressured speech and demands constant attention from the staff. Which activity
would be best for the client?
A) Reading
B) Checkers
C) Cards
D) Ping-pong - Answer-D) Ping-pong
The nurse is caring for a client who has developed cardiac tamponade. Which
finding
would the nurse anticipate?
A) Widening pulse pressure
B) Pleural friction rub
C) Distended neck veins
D) Bradycardia - Answer-C) Distended neck veins
VERIFIED ANSWERS
To prevent unnecessary hypoxia during suctioning of a tracheostomy, the nurse
must
A) Apply suction for no more than 10 seconds
B) Maintain sterile technique
C) Lubricate 3 to 4 inches of the catheter tip
D) Withdraw catheter in a circular motion - Answer-A) Apply suction for no more than
10 seconds
An antibiotic IM injection for a 2 year-old child is ordered. The total volume of the
injection equals 2.0 ml The correct action is to
A) Administer the medication in 2 separate injections
B) Give the medication in the dorsal gluteal site
C) Call to get a smaller volume ordered
D) Check with pharmacy for a liquid form of the medication skip - Answer-A)
Administer the medication in 2 separate injections
The nurse receives an order to give a client iron by deep injection. The nurse know
that the reason for this route is to
A) Enhance absorption of the medication
B) Ensure that the entire dose of medication is given
C) Provide more even distribution of the drug
D) Prevent the drug from tissue irritation Skip - Answer-D) Prevent the drug from
tissue irritation Skip
A client with heart failure has Lanoxin (digoxin) ordered. What would the nurse
expect to find when evaluating for the therapeutic effectiveness of this drug?
A) Diaphoresis with decreased urinary output
B) Increased heart rate with increase respirations
C) Improved respiratory status and increased urinary output D) Decreased chest
pain and decreased blood pressure - Answer-C) Improved respiratory status and
increased urinary output
While providing home care to a client with congestive heart failure, the nurse is
asked how long diuretics must be taken. What is the nurse's best response?
A) "As you urinate more, you will need less medication to control fluid.
"B) "You will have to take this medication for about a year."
C) "The medication must be continued so the fluid problem is controlled.
"D) "Please talk to your health care provider about medications and treatments." -
Answer-C) "The medication must be continued so the fluid problem is controlled.
A client is being discharged with a prescription for chlorpromazine
(Thorazine).Before leaving for home, which of these findings should the nurse teach
the client to report? A) Change in libido, breast enlargement
B) Sore throat, fever
C) Abdominal pain, nausea, diarrhea
,D) Dsypnea, nasal congestion - Answer-B) Sore throat, fever
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?
A. Cleanse the foot with soap and water and apply an antibiotic ointment
B. Provide teaching about the need for a tetanus booster within the next 72 hours.
C. have the mother check the child's temperature q4h for the next 24 hours
D. transfer the child to the emergency department to receive a gamma globulin
injection - Answer-A. Cleanse the foot with soap and water and apply an antibiotic
ointment
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:
A. Bradycardia and constipation
B. Lethargy and lack of appetite
C. Muscle cramping and dry, flushed skin
D. Palpitations and shortness of breath - Answer-D. 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 history
The pathophysiological mechanism are responsible for ascites related to liver
failure? (Select all that apply) - Answer-A. Fluid shifts from intravascular to interstitial
area due to decreased serum
protein
B. Increased hydrostatic pressure in portal circulation increases
fluid shifts into abdomen
C. 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
A client is admitted with a pressure ulcer in the sacral area. The partial thickness
wound is 4cm by 7cm, the wound base is red and moist with no exudate and the
surrounding skin is intact. Which of the following coverings is most appropriate for
this wound?
A) Transparent dressing
B) Dry sterile dressing with antibiotic ointment
C) Wet to dry dressing
D) Occlusive moist dressing - Answer-D) Occlusive moist dressing
, A 30 month-old child is admitted to the hospital unit. Which of the following toys
would be appropriate for the nurse to select from the toy room for this child?
A) Cartoon stickers
B) Large wooden puzzle
C) Blunt scissors and paper
D) Beach ball - Answer-B) Large wooden puzzle
A nurse is to present information about Chinese folk medicine to a group of student
nurses. Based on this cultural belief, the nurse would explain that illness is attributed
to the
A) Yang, the positive force that represents light, warmth, and fullness
B) Yin, the negative force that represents darkness, cold, and emptiness
C) Use of improper hot foods, herbs and plants
D) A failure to keep life in balance with nature and others - Answer-B) Yin, the
negative force that represents darkness, cold, and emptiness
A 2 year-old child has just been diagnosed with cystic fibrosis. The child's father asks
the nurse "What is our major concern now, and what will we have to deal with in the
future?" Which of the following is the best response?
A) "There is a probability of life-long complications."
B) "Cystic fibrosis results in nutritional concerns that can be dealt with."
C) "Thin, tenacious secretions from the lungs are a constant struggle in cystic
fibrosis."
D) "You will work with a team of experts and also have access to a support group
that the family can attend." - Answer-C) "Thin, tenacious secretions from the lungs
are a constant struggle in cystic fibrosis."
Which type of accidental poisoning would the nurse expect to occur in children under
age 6?
A) Oral ingestion
B) Topical contact
C) Inhalation
D) Eye splashes - Answer-A) Oral ingestion
A client was admitted to the psychiatric unit with a diagnosis of bipolar disorder. He
constantly bothers other clients, tries to help the housekeeping staff, demonstrates
pressured speech and demands constant attention from the staff. Which activity
would be best for the client?
A) Reading
B) Checkers
C) Cards
D) Ping-pong - Answer-D) Ping-pong
The nurse is caring for a client who has developed cardiac tamponade. Which
finding
would the nurse anticipate?
A) Widening pulse pressure
B) Pleural friction rub
C) Distended neck veins
D) Bradycardia - Answer-C) Distended neck veins
