HESI RN EXIT Real Exam QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) |
PROFESSOR VERIFIED | LATEST VERSION (JUST
RELEASED) 2025
The nurse discovers that an older adult client with no history of cardiac or renal disease has an elevated serum magnesium
level. To further investigate the cause of this electrolyte imbalance, which information is most important for the nurse to
obtain from the clients medical history?
A) length and frequency of the clients tobacco use.
B) Genetically inherited disorders of family members.
C) Frequency of laxative use for chronic constipation.
D) Ingestion of shellfish or fish oil capsules daily.
D) Ingestion of shellfish or fish oil capsules daily.
What principle of HIV disease should the nurse keep in mind when planning care for a newborn who was infected in utero?
A) The disease will incubate longer and progress more slowly in this infant
B) The infant is very susceptible to infections
C) Growth and development patterns will proceed at a normal rate
D) Careful monitoring of renal function is indicated
B) The infant is very susceptible to infections
While planning care for a preschool aged child, the nurse understands needs. Which of the following would be of the most
concern to the nurse?
A) Playing imaginatively
B) Expressing shame
C) Identifying with family
D) Exploring the playroom
B) Expressing shame
,A client has been receiving lithium (Lithane) for the past two weeks for the treatment of bipolar illness. When planning client
teaching, what is most important to emphasize to the client?
A) Maintain a low sodium diet
B) Take a diuretic with lithium
C) Come in for evaluation of serum lithium levels every 1-3 months
D) Have blood lithium levels drawn during the summer months
D) Have blood lithium levels drawn during the summer months
While teaching a client about their medications, the client asks how long it will take before the effects of lithium take place.
What is the best response of the nurse?
A) Immediately
B) Several days
C) 2 weeks
D) 1 month
C) 2 weeks
The nursing intervention that best describes treatment to deal with the behaviors of clients with personality disorders include
A) Pointing out inconsistencies in speech patterns to correct thought disorders
B) Accepting client and the client's behavior unconditionally
C) Encouraging dependency in order to develop ego controls
D) Consistent limit-setting enforced 24 hours per day
D) Consistent limit-setting enforced 24 hours per day
Following a cocaine high, the user commonly experiences an extremely unpleasant feeling called
A) Craving
B) Crashing
C) Outward bound
D) Nodding out
B) Crashing
,The nurse asks a client with a history of alcoholism about the client's drinking behavior. The client states "I didn't hurt
anyone. I just like to have a good time, and drinking helps me to relax." The client is using which defense mechanism?
A) Denial
B) Projection
C) Intellectualization
D) Rationalization
D) Rationalization
One reason that domestic violence remains extensively undetected is
A) Few battered victims seek medical care
B) There is typically a series of minor, vague complaints
C) Expenses due to police and court costs are prohibitive
D) Very little knowledge is currently known about batterers and battering relationships
B) There is typically a series of minor, vague complaints
A client develops volume overload from an IV that has infused too rapidly. What assessment would the nurse expect to find?
A) S3 heart sound
B) Thready pulse
C) Flattened neck veins
D) Hypoventilation
A) S3 heart sound
An explosion has occurred at a high school for children with special needs and severe developmental delays. One of the
students accompanied with a parent is seen at a community health center a day later. After the initial assessment the nurse
concludes that the student appears to be in a crisis state. Which of these interventions based on crisis intervention principles
is appropriate to do next?
A) Help the student to identify a specific problem
B) Ask the parent to identify the major problem
C) Ask the student to think of different alternatives
D) Examine with the parent a variety of options
, B) Ask the parent to identify the major problem
.
Which statement made by a client to the admitting nurse suggests that the client is experiencing a manic episode?
A) "I think all children should have their heads shaved.
"B) "I have been restricted in thought and harmed."
C) "I have powers to get you whatever you wish, no matter the cost.
" D) "I think all of my contacts last week have attempted to poison me."
C) "I have powers to get you whatever you wish, no matter the cost."
.
A client says, "It's raining outside and it's raining in my heart. Did you know that St. Patrick drove the snakes out of Ireland?
I've never been to Ireland." The nurse would document this behavior as
A) Perseveration
B) Circumstantiality
C) Neologisms
D) Flight of ideas
D) Flight of ideas
.
During the change-of-shift report the assigned nurse notes a Catholic client is scheduled to be admitted for the delivery of a
ninth child. Which comment stated angrily to a colleague by this nurse indicates an attitude of prejudice?
A) "I wonder who is paying for this trip to the hospital?
"B) "I think she needs to go to the city hospital.
"C) "All those people indulge in large families!
"D) "Doesn't she know there's such a thing as birth control?"
D) "Doesn't she know there's such a thing as birth control?"
.
CORRECT ANSWERS (VERIFIED ANSWERS) |
PROFESSOR VERIFIED | LATEST VERSION (JUST
RELEASED) 2025
The nurse discovers that an older adult client with no history of cardiac or renal disease has an elevated serum magnesium
level. To further investigate the cause of this electrolyte imbalance, which information is most important for the nurse to
obtain from the clients medical history?
A) length and frequency of the clients tobacco use.
B) Genetically inherited disorders of family members.
C) Frequency of laxative use for chronic constipation.
D) Ingestion of shellfish or fish oil capsules daily.
D) Ingestion of shellfish or fish oil capsules daily.
What principle of HIV disease should the nurse keep in mind when planning care for a newborn who was infected in utero?
A) The disease will incubate longer and progress more slowly in this infant
B) The infant is very susceptible to infections
C) Growth and development patterns will proceed at a normal rate
D) Careful monitoring of renal function is indicated
B) The infant is very susceptible to infections
While planning care for a preschool aged child, the nurse understands needs. Which of the following would be of the most
concern to the nurse?
A) Playing imaginatively
B) Expressing shame
C) Identifying with family
D) Exploring the playroom
B) Expressing shame
,A client has been receiving lithium (Lithane) for the past two weeks for the treatment of bipolar illness. When planning client
teaching, what is most important to emphasize to the client?
A) Maintain a low sodium diet
B) Take a diuretic with lithium
C) Come in for evaluation of serum lithium levels every 1-3 months
D) Have blood lithium levels drawn during the summer months
D) Have blood lithium levels drawn during the summer months
While teaching a client about their medications, the client asks how long it will take before the effects of lithium take place.
What is the best response of the nurse?
A) Immediately
B) Several days
C) 2 weeks
D) 1 month
C) 2 weeks
The nursing intervention that best describes treatment to deal with the behaviors of clients with personality disorders include
A) Pointing out inconsistencies in speech patterns to correct thought disorders
B) Accepting client and the client's behavior unconditionally
C) Encouraging dependency in order to develop ego controls
D) Consistent limit-setting enforced 24 hours per day
D) Consistent limit-setting enforced 24 hours per day
Following a cocaine high, the user commonly experiences an extremely unpleasant feeling called
A) Craving
B) Crashing
C) Outward bound
D) Nodding out
B) Crashing
,The nurse asks a client with a history of alcoholism about the client's drinking behavior. The client states "I didn't hurt
anyone. I just like to have a good time, and drinking helps me to relax." The client is using which defense mechanism?
A) Denial
B) Projection
C) Intellectualization
D) Rationalization
D) Rationalization
One reason that domestic violence remains extensively undetected is
A) Few battered victims seek medical care
B) There is typically a series of minor, vague complaints
C) Expenses due to police and court costs are prohibitive
D) Very little knowledge is currently known about batterers and battering relationships
B) There is typically a series of minor, vague complaints
A client develops volume overload from an IV that has infused too rapidly. What assessment would the nurse expect to find?
A) S3 heart sound
B) Thready pulse
C) Flattened neck veins
D) Hypoventilation
A) S3 heart sound
An explosion has occurred at a high school for children with special needs and severe developmental delays. One of the
students accompanied with a parent is seen at a community health center a day later. After the initial assessment the nurse
concludes that the student appears to be in a crisis state. Which of these interventions based on crisis intervention principles
is appropriate to do next?
A) Help the student to identify a specific problem
B) Ask the parent to identify the major problem
C) Ask the student to think of different alternatives
D) Examine with the parent a variety of options
, B) Ask the parent to identify the major problem
.
Which statement made by a client to the admitting nurse suggests that the client is experiencing a manic episode?
A) "I think all children should have their heads shaved.
"B) "I have been restricted in thought and harmed."
C) "I have powers to get you whatever you wish, no matter the cost.
" D) "I think all of my contacts last week have attempted to poison me."
C) "I have powers to get you whatever you wish, no matter the cost."
.
A client says, "It's raining outside and it's raining in my heart. Did you know that St. Patrick drove the snakes out of Ireland?
I've never been to Ireland." The nurse would document this behavior as
A) Perseveration
B) Circumstantiality
C) Neologisms
D) Flight of ideas
D) Flight of ideas
.
During the change-of-shift report the assigned nurse notes a Catholic client is scheduled to be admitted for the delivery of a
ninth child. Which comment stated angrily to a colleague by this nurse indicates an attitude of prejudice?
A) "I wonder who is paying for this trip to the hospital?
"B) "I think she needs to go to the city hospital.
"C) "All those people indulge in large families!
"D) "Doesn't she know there's such a thing as birth control?"
D) "Doesn't she know there's such a thing as birth control?"
.
