2024 RN HESI EXIT EXAM NEXT GENERATION V4 ACTUAL
QUESTIONS AND ANSWERS A COMPLETE SOLUTION COVERS
2024/2025 ALL ANSWERS CORRECT CONFIRMED BEST
GRADED A+ FOR PASS
Which self care measure is most important for the nurse to include in the plan of care of a
client recently diagnosed with type 2 diabetes mellitus?
A. Self-injection techniques
B. Blood glucose monitoring
C. Diabetic diet meal planning
D. A realistic exercise plan - CORRECT ANSWERS B. Blood glucose monitoring
A client who gave birth 48 hours ago has decided to bottle feed the infant. During the
assessment, the nurse observes that both breasts are swollen, warm, and tender on palpation.
Which instruction should the nurse provide?
A. Apply ice to the breasts for comfort
B. Wear a loose-fitting bra during the day to prevent nipple irritation
C. Run warm water over breasts
D. Express small amounts of milk from the breasts to relieve pressure - CORRECT ANSWERS A.
Apply ice to the breasts for comfort
The nurse is preparing a client who had a below-the-knee (BKA) amputation for discharge to
home. Which recommendations should the nurse provide this client? (Select all that apply)
A. Avoid range of motion exercises
B. Use a residual limb shrinker
C. Apply alcohol to the stump after bathing
D. Inspect skin for redness
E. Wash the stump with soap and water - CORRECT ANSWERS B. Use a residual limb shrinker
D. Inspect skin for redness
E. Wash the stump with soap and water
,2024 RN HESI EXIT EXAM NEXT GENERATION V4 ACTUAL
QUESTIONS AND ANSWERS A COMPLETE SOLUTION COVERS
2024/2025 ALL ANSWERS CORRECT CONFIRMED BEST
GRADED A+ FOR PASS
A toddler presenting with a history of intermittent skin rashes, hives, abdominal pain, and
vomiting that occurs after ingesting of milk products arrives to the clinic accompanied by the
parents. Which type of testing should the nurse provide education to the toddler's family
about?
A. Serum immunoglobulin E (IgE)
B. Intradermal test
C. Atopy patch test
D. Placebo-controlled food challenge - CORRECT ANSWERS A. Serum immunoglobulin E (IgE)
A client who is scheduled for a bronchoscopy in the morning is anxious and asking the nurse
numerous questions about the procedure. In preparing the client for the procedure, which
intervention has the highest priority?
A. Allow client to gargle with warm salt water
B. Administer a sedative to alleviate anxiety
C. Instruct client to write down the questions
D. Deny client's request for a midnight snack - CORRECT ANSWERS C. Instruct client to write
down the questions
The nurse assesses a client one hour after starting a transfusion of packed red blood cells and
determines that there are no indications of a transfusion reaction. What instruction should the
nurse provide the unlicensed assistive personnel (UAP) who is working with the nurse?
A. Notify the nurse when the transfusion has finished, so further client assessment can be done
B. Continue to measure the client's vital signs every thirty minutes until the transfusion is
complete
C. Monitor the client carefully for the next three hours and report the onset of a reaction
immediately
,2024 RN HESI EXIT EXAM NEXT GENERATION V4 ACTUAL
QUESTIONS AND ANSWERS A COMPLETE SOLUTION COVERS
2024/2025 ALL ANSWERS CORRECT CONFIRMED BEST
GRADED A+ FOR PASS
D. Since a reaction did not occur, the priority is to maintain client comfort during the
transfusion - CORRECT ANSWERS B. Continue to measure the client's vital signs every thirty
minutes until the transfusion is complete
The healthcare provider prescribes a sepsis protocol for a client with multi-organ failure caused
by a ruptured appendix. Which intervention is most important for the nurse to include in the
plan of care?
A. Assess warmth of extremities
B. Keep head of bed raised 45 degrees
C. Monitor blood glucose level
D. Maintain strict intake and output - CORRECT ANSWERS D. Maintain strict intake and output
A client presses the call bell and requests pain medication for a severe headache. To assess the
quality of the client's pain, which approach should the nurse use?
A. Ask the client to describe the pain
B. Observe body language and movement
C. Identify effective pain relief measures
D. Provide a numeric pain scale - CORRECT ANSWERS A. Ask the client to describe the pain
A client presents to the labor and delivery unit with a report of leaking fluid that is greenish-
brown vaginal discharge. Which action should the nurse take first?
A. Start an intravenous infusion
B. Administer oxygen via facemask
C. Perform a vaginal exam
D. Begin continuous fetal monitoring - CORRECT ANSWERS D. Begin continuous fetal
monitoring
, 2024 RN HESI EXIT EXAM NEXT GENERATION V4 ACTUAL
QUESTIONS AND ANSWERS A COMPLETE SOLUTION COVERS
2024/2025 ALL ANSWERS CORRECT CONFIRMED BEST
GRADED A+ FOR PASS
A client asks the nurse for information about how to reduce risk factors for benign prostatic
hyperplasia (BPH). Which information should the nurse provide?
A. Consume a high protein diet
B. Increase physical activity
C. Take vitamin supplements
D. Obtain a prostate-specific antigen blood level test - CORRECT ANSWERS B. Increase physical
activity
The healthcare provider prescribes a fluid challenge of 0.9% sodium chloride 1,000 mL to be
infused intravenously over 4 hours. The IV administration set delivers 10gtt/mL. How many
gtt/minute should the nurse regulate the infusion? (Round to the nearest whole number) -
CORRECT ANSWERS 42 gtt/min
Following a cardiac catheterization and placement of a stent in the right coronary artery, the
nurse administers prasugrel, a platelet inhibitor, to the client. To monitor for adverse effects
from the medication, which assessment is most important for the nurse to include in this
client's plan of care?
A. observe color of urine
B. Measure body temperature
C. Assess skin turgor
D. Check for pedal edema - CORRECT ANSWERS A. Observe color of urine
A client fell in the bathroom when left unattended by the unlicensed assistive personnel (UAP).
Which information should the nurse include in the client's health record?
A. The UAP left the client to assist another client
B. The last time client was assisted to the bathroom
QUESTIONS AND ANSWERS A COMPLETE SOLUTION COVERS
2024/2025 ALL ANSWERS CORRECT CONFIRMED BEST
GRADED A+ FOR PASS
Which self care measure is most important for the nurse to include in the plan of care of a
client recently diagnosed with type 2 diabetes mellitus?
A. Self-injection techniques
B. Blood glucose monitoring
C. Diabetic diet meal planning
D. A realistic exercise plan - CORRECT ANSWERS B. Blood glucose monitoring
A client who gave birth 48 hours ago has decided to bottle feed the infant. During the
assessment, the nurse observes that both breasts are swollen, warm, and tender on palpation.
Which instruction should the nurse provide?
A. Apply ice to the breasts for comfort
B. Wear a loose-fitting bra during the day to prevent nipple irritation
C. Run warm water over breasts
D. Express small amounts of milk from the breasts to relieve pressure - CORRECT ANSWERS A.
Apply ice to the breasts for comfort
The nurse is preparing a client who had a below-the-knee (BKA) amputation for discharge to
home. Which recommendations should the nurse provide this client? (Select all that apply)
A. Avoid range of motion exercises
B. Use a residual limb shrinker
C. Apply alcohol to the stump after bathing
D. Inspect skin for redness
E. Wash the stump with soap and water - CORRECT ANSWERS B. Use a residual limb shrinker
D. Inspect skin for redness
E. Wash the stump with soap and water
,2024 RN HESI EXIT EXAM NEXT GENERATION V4 ACTUAL
QUESTIONS AND ANSWERS A COMPLETE SOLUTION COVERS
2024/2025 ALL ANSWERS CORRECT CONFIRMED BEST
GRADED A+ FOR PASS
A toddler presenting with a history of intermittent skin rashes, hives, abdominal pain, and
vomiting that occurs after ingesting of milk products arrives to the clinic accompanied by the
parents. Which type of testing should the nurse provide education to the toddler's family
about?
A. Serum immunoglobulin E (IgE)
B. Intradermal test
C. Atopy patch test
D. Placebo-controlled food challenge - CORRECT ANSWERS A. Serum immunoglobulin E (IgE)
A client who is scheduled for a bronchoscopy in the morning is anxious and asking the nurse
numerous questions about the procedure. In preparing the client for the procedure, which
intervention has the highest priority?
A. Allow client to gargle with warm salt water
B. Administer a sedative to alleviate anxiety
C. Instruct client to write down the questions
D. Deny client's request for a midnight snack - CORRECT ANSWERS C. Instruct client to write
down the questions
The nurse assesses a client one hour after starting a transfusion of packed red blood cells and
determines that there are no indications of a transfusion reaction. What instruction should the
nurse provide the unlicensed assistive personnel (UAP) who is working with the nurse?
A. Notify the nurse when the transfusion has finished, so further client assessment can be done
B. Continue to measure the client's vital signs every thirty minutes until the transfusion is
complete
C. Monitor the client carefully for the next three hours and report the onset of a reaction
immediately
,2024 RN HESI EXIT EXAM NEXT GENERATION V4 ACTUAL
QUESTIONS AND ANSWERS A COMPLETE SOLUTION COVERS
2024/2025 ALL ANSWERS CORRECT CONFIRMED BEST
GRADED A+ FOR PASS
D. Since a reaction did not occur, the priority is to maintain client comfort during the
transfusion - CORRECT ANSWERS B. Continue to measure the client's vital signs every thirty
minutes until the transfusion is complete
The healthcare provider prescribes a sepsis protocol for a client with multi-organ failure caused
by a ruptured appendix. Which intervention is most important for the nurse to include in the
plan of care?
A. Assess warmth of extremities
B. Keep head of bed raised 45 degrees
C. Monitor blood glucose level
D. Maintain strict intake and output - CORRECT ANSWERS D. Maintain strict intake and output
A client presses the call bell and requests pain medication for a severe headache. To assess the
quality of the client's pain, which approach should the nurse use?
A. Ask the client to describe the pain
B. Observe body language and movement
C. Identify effective pain relief measures
D. Provide a numeric pain scale - CORRECT ANSWERS A. Ask the client to describe the pain
A client presents to the labor and delivery unit with a report of leaking fluid that is greenish-
brown vaginal discharge. Which action should the nurse take first?
A. Start an intravenous infusion
B. Administer oxygen via facemask
C. Perform a vaginal exam
D. Begin continuous fetal monitoring - CORRECT ANSWERS D. Begin continuous fetal
monitoring
, 2024 RN HESI EXIT EXAM NEXT GENERATION V4 ACTUAL
QUESTIONS AND ANSWERS A COMPLETE SOLUTION COVERS
2024/2025 ALL ANSWERS CORRECT CONFIRMED BEST
GRADED A+ FOR PASS
A client asks the nurse for information about how to reduce risk factors for benign prostatic
hyperplasia (BPH). Which information should the nurse provide?
A. Consume a high protein diet
B. Increase physical activity
C. Take vitamin supplements
D. Obtain a prostate-specific antigen blood level test - CORRECT ANSWERS B. Increase physical
activity
The healthcare provider prescribes a fluid challenge of 0.9% sodium chloride 1,000 mL to be
infused intravenously over 4 hours. The IV administration set delivers 10gtt/mL. How many
gtt/minute should the nurse regulate the infusion? (Round to the nearest whole number) -
CORRECT ANSWERS 42 gtt/min
Following a cardiac catheterization and placement of a stent in the right coronary artery, the
nurse administers prasugrel, a platelet inhibitor, to the client. To monitor for adverse effects
from the medication, which assessment is most important for the nurse to include in this
client's plan of care?
A. observe color of urine
B. Measure body temperature
C. Assess skin turgor
D. Check for pedal edema - CORRECT ANSWERS A. Observe color of urine
A client fell in the bathroom when left unattended by the unlicensed assistive personnel (UAP).
Which information should the nurse include in the client's health record?
A. The UAP left the client to assist another client
B. The last time client was assisted to the bathroom
