HESI RN COMPREHENSIVE EXIT EXAM VERSION III- 75+ QUESTIONS AND
ANSWERS|WELL STRUCTURED|A+ GRADED|
QUESTIONS ANSWERS
A male client with stomach cancer returns to the unit following a
total gastrectomy. He has a
nasogastric tube to suction and is receiving Lactated Ringer's
solution at 75 mL/hour IV. One
hour after admission to the unit, the nurse notes 300 mL of blood
in the suction canister, the
client's heart rate is 155 beats/minute, and his blood pressure is
d. Increase the infusion rate of Lactated Ringer's solution
78/48 mmHg. In addition to
reporting the finding to the surgeon.Which action should the nurse
implement first?
a. Measure and document the client's urinary output.
b. Request the client's reserved unit if packed red blood cells.
c. Prepare the placement of a central venous catheter.
d. Increase the infusion rate of Lactated Ringer's solution
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 de-
partment 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
a. Add sterile water to the suction control chamber.
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
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 c. Begin supplemental oxygen.
of 89%. Which action should the nurse take first?
a. Elevate the foot of the bed.
b. Restrict the client's fluid.
c. Begin supplemental oxygen.
d. Prepare the client for hemodialysis.
A client with Addison's crisis is admitted for treatment with adrenal
cortical supplementation.
Based on the client's admitting diagnosis, which findings require
immediate action by the nurse?
a. Headache and tremors
(Select all that apply)
b. Irregular heart rate
a. Headache and tremors
b. Irregular heart rate e. Pallor and diaphoresis
c. Skin hyperpigmentation
d. Postural hypotension
e. Pallor and diaphoresis
An older client is admitted with fluid volume deficit and dehydra-
tion. 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 d. Skin tenting occurs when the client's forearm is pinched.
b. Systolic blood pressure decreases 10 points when standing.
c. The client denies being thirsty.
d. Skin tenting occurs when the client's forearm is pinched.
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
, HESI RN COMPREHENSIVE EXIT EXAM VERSION III- 75+ QUESTIONS AND
ANSWERS|WELL STRUCTURED|A+ GRADED|
QUESTIONS ANSWERS
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. a. File a detailed incident report with the specific hiring facility.
c. Comment anonymously about the action of a staff discussion
board.
d. Communicate the colleague's actions to the unit charge nurse
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. c. Clients who incurred disease complications promptly received
b. Clients reported having new confidence in making healthy food rehabilitation.
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.
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
d. Assess the delivery mechanism of the oxygen tank, tubing, and
should the nurse implement first?
a. Determine if the client is experiencing any anxiety. cannula.
b. Auscultate the client's bilateral lung sounds and oxygen satu-
ration.
c. Notify the healthcare provider about the client's distress.
d. Assess the delivery mechanism of the oxygen tank, tubing, and
cannula.
Which statement by a client who is 24 hours post-subtotal thy-
roidectomy requires an
immediate investigation by the nurse?
a. "When I get out of bed quickly, I feel a little dizzy." a. "When I get out of bed quickly, I feel a little dizzy."
b. "The dressing over my incision feels like it is too tight."
c. "I'm most comfortable when the head of the bed is raised."
d. "This IV infusion makes me urinate more often than usual.
An older adult male who is in his early 70's 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 spouse's wife, who is 30 years
younger than the client, asks the
nurse to stop the procedure and provide the nurse a copy of the b. Notify the healthcare provider of the client's wishes.
client's living will. Which action
should the nurse take?
a. Facilitate a family meeting with the palliative care team.
b. Notify the healthcare provider of the client's wishes.
c. Place a certified copy of the living will in the client's record.
d. Alert the nursing staff of the client's don't resuscitate status.
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 c. Advice the client to maintain bedrest so that safety can be
client in transferring from the bed ensured.
to the bedside commode. How should the nurse respond?
a. Determine the client's level of mobility and need for assistance.
b. Instruct the UAP that all clients deserve equal care.
, HESI RN COMPREHENSIVE EXIT EXAM VERSION III- 75+ QUESTIONS AND
ANSWERS|WELL STRUCTURED|A+ GRADED|
QUESTIONS ANSWERS
c. Advice the client to maintain bedrest so that safety can be
ensured.
d. Assign another UAP to care for the client
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. c. Distribute a shopping list of suggested healthy snack items.
b. Have several teachers talk about health risks associated with
obesity.
c. Distribute a shopping list of suggested healthy snack items.
d. Determine the parents' degree of concern about their children's
weight.
After several months of chronic fatigue, morning stiffness, and join
pain, a young adult is
diagnosed with rheumatoid arthritis, and the healthcare provider
prescribes prednisone. Which
education should the nurse provide the client with regard to taking
c. If sequential doses are missed, notify the healthcare provider.
prednisone?
a. Take prednisone doses before meals on an empty stomach.
b. Wear sunglasses when exposed to bright sunlight.
c. If sequential doses are missed, notify the healthcare provider.
d. Schedule a monthly laboratory visit for a complete blood count.
The psychiatric nurse is caring for clients on an adolescent unit.
Which client requires the
nurse's immediate attention?
a. A 16-year-old client diagnosed with major depression who
refuses to participate in group.
c. An 18-year-old client with antisocial behavior who is being yelled
b. A 14-year-old client with anorexia nervosa who is refusing to eat
at by other clients
the evening snack.
c. An 18-year-old client with antisocial behavior who is being yelled
at by other clients
d. A 17-year-old client diagnosed with bipolar disorder who is
pacing around the lobby.
The nurse caring for a child with mononucleosis can expect the
child to exhibit which symptoms?
a. Positive Epstein-Barr, and malaise.
b. Ear pain and fever. b. Ear pain and fever.
c. Elevated WBC and sedimentation rate.
d. Increased BUN and serum creatinine
A client arrives for an annual physical exam and complains of
having calf pain. The client's health
history reveals peripheral atrial disease. Which question should
the nurse ask the client about
expected finding related to chronic arterial symptoms? b. Does the calf pain occur when walking short distances?
a. Were your legs ever suddenly swollen, red, warm, and painful?
b. Does the calf pain occur when walking short distances?
c. Did you receive treatment for weeping ulcers on lower legs?
d. Have you experienced ankle edema and varicose veins
The nurse is preparing to send a client to the cardiac catheteri-
zation lab for an angioplasty.
Which client report is most important for them to explore further
prior to the start of the
procedure? d. Experience facial swelling after eating crab.
a. Drank a glass of water in the past 2 hours.
b. Reports left chest wall pain prior to admission.
c. Verbalize a fear of being in a confined space.
d. Experience facial swelling after eating crab.
ANSWERS|WELL STRUCTURED|A+ GRADED|
QUESTIONS ANSWERS
A male client with stomach cancer returns to the unit following a
total gastrectomy. He has a
nasogastric tube to suction and is receiving Lactated Ringer's
solution at 75 mL/hour IV. One
hour after admission to the unit, the nurse notes 300 mL of blood
in the suction canister, the
client's heart rate is 155 beats/minute, and his blood pressure is
d. Increase the infusion rate of Lactated Ringer's solution
78/48 mmHg. In addition to
reporting the finding to the surgeon.Which action should the nurse
implement first?
a. Measure and document the client's urinary output.
b. Request the client's reserved unit if packed red blood cells.
c. Prepare the placement of a central venous catheter.
d. Increase the infusion rate of Lactated Ringer's solution
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 de-
partment 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
a. Add sterile water to the suction control chamber.
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
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 c. Begin supplemental oxygen.
of 89%. Which action should the nurse take first?
a. Elevate the foot of the bed.
b. Restrict the client's fluid.
c. Begin supplemental oxygen.
d. Prepare the client for hemodialysis.
A client with Addison's crisis is admitted for treatment with adrenal
cortical supplementation.
Based on the client's admitting diagnosis, which findings require
immediate action by the nurse?
a. Headache and tremors
(Select all that apply)
b. Irregular heart rate
a. Headache and tremors
b. Irregular heart rate e. Pallor and diaphoresis
c. Skin hyperpigmentation
d. Postural hypotension
e. Pallor and diaphoresis
An older client is admitted with fluid volume deficit and dehydra-
tion. 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 d. Skin tenting occurs when the client's forearm is pinched.
b. Systolic blood pressure decreases 10 points when standing.
c. The client denies being thirsty.
d. Skin tenting occurs when the client's forearm is pinched.
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
, HESI RN COMPREHENSIVE EXIT EXAM VERSION III- 75+ QUESTIONS AND
ANSWERS|WELL STRUCTURED|A+ GRADED|
QUESTIONS ANSWERS
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. a. File a detailed incident report with the specific hiring facility.
c. Comment anonymously about the action of a staff discussion
board.
d. Communicate the colleague's actions to the unit charge nurse
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. c. Clients who incurred disease complications promptly received
b. Clients reported having new confidence in making healthy food rehabilitation.
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.
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
d. Assess the delivery mechanism of the oxygen tank, tubing, and
should the nurse implement first?
a. Determine if the client is experiencing any anxiety. cannula.
b. Auscultate the client's bilateral lung sounds and oxygen satu-
ration.
c. Notify the healthcare provider about the client's distress.
d. Assess the delivery mechanism of the oxygen tank, tubing, and
cannula.
Which statement by a client who is 24 hours post-subtotal thy-
roidectomy requires an
immediate investigation by the nurse?
a. "When I get out of bed quickly, I feel a little dizzy." a. "When I get out of bed quickly, I feel a little dizzy."
b. "The dressing over my incision feels like it is too tight."
c. "I'm most comfortable when the head of the bed is raised."
d. "This IV infusion makes me urinate more often than usual.
An older adult male who is in his early 70's 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 spouse's wife, who is 30 years
younger than the client, asks the
nurse to stop the procedure and provide the nurse a copy of the b. Notify the healthcare provider of the client's wishes.
client's living will. Which action
should the nurse take?
a. Facilitate a family meeting with the palliative care team.
b. Notify the healthcare provider of the client's wishes.
c. Place a certified copy of the living will in the client's record.
d. Alert the nursing staff of the client's don't resuscitate status.
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 c. Advice the client to maintain bedrest so that safety can be
client in transferring from the bed ensured.
to the bedside commode. How should the nurse respond?
a. Determine the client's level of mobility and need for assistance.
b. Instruct the UAP that all clients deserve equal care.
, HESI RN COMPREHENSIVE EXIT EXAM VERSION III- 75+ QUESTIONS AND
ANSWERS|WELL STRUCTURED|A+ GRADED|
QUESTIONS ANSWERS
c. Advice the client to maintain bedrest so that safety can be
ensured.
d. Assign another UAP to care for the client
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. c. Distribute a shopping list of suggested healthy snack items.
b. Have several teachers talk about health risks associated with
obesity.
c. Distribute a shopping list of suggested healthy snack items.
d. Determine the parents' degree of concern about their children's
weight.
After several months of chronic fatigue, morning stiffness, and join
pain, a young adult is
diagnosed with rheumatoid arthritis, and the healthcare provider
prescribes prednisone. Which
education should the nurse provide the client with regard to taking
c. If sequential doses are missed, notify the healthcare provider.
prednisone?
a. Take prednisone doses before meals on an empty stomach.
b. Wear sunglasses when exposed to bright sunlight.
c. If sequential doses are missed, notify the healthcare provider.
d. Schedule a monthly laboratory visit for a complete blood count.
The psychiatric nurse is caring for clients on an adolescent unit.
Which client requires the
nurse's immediate attention?
a. A 16-year-old client diagnosed with major depression who
refuses to participate in group.
c. An 18-year-old client with antisocial behavior who is being yelled
b. A 14-year-old client with anorexia nervosa who is refusing to eat
at by other clients
the evening snack.
c. An 18-year-old client with antisocial behavior who is being yelled
at by other clients
d. A 17-year-old client diagnosed with bipolar disorder who is
pacing around the lobby.
The nurse caring for a child with mononucleosis can expect the
child to exhibit which symptoms?
a. Positive Epstein-Barr, and malaise.
b. Ear pain and fever. b. Ear pain and fever.
c. Elevated WBC and sedimentation rate.
d. Increased BUN and serum creatinine
A client arrives for an annual physical exam and complains of
having calf pain. The client's health
history reveals peripheral atrial disease. Which question should
the nurse ask the client about
expected finding related to chronic arterial symptoms? b. Does the calf pain occur when walking short distances?
a. Were your legs ever suddenly swollen, red, warm, and painful?
b. Does the calf pain occur when walking short distances?
c. Did you receive treatment for weeping ulcers on lower legs?
d. Have you experienced ankle edema and varicose veins
The nurse is preparing to send a client to the cardiac catheteri-
zation lab for an angioplasty.
Which client report is most important for them to explore further
prior to the start of the
procedure? d. Experience facial swelling after eating crab.
a. Drank a glass of water in the past 2 hours.
b. Reports left chest wall pain prior to admission.
c. Verbalize a fear of being in a confined space.
d. Experience facial swelling after eating crab.
