HESI RN COMPREHENSIVE EXIT EXAM VERSION VI- 160+ QUESTIONS AND
ANSWERS|WELL STRUCTURE|A+ GRADED|
QUESTIONS ANSWERS
A parent tells the nurse that their 6 year-old child who normally
enjoys school, has not been doing well since the grandmother
died 2 months ago. Which statement most accurately describes
thoughts ondeath and dying at this age?
A
A) Death is personified as the bogeyman or devil
B) Death is perceived as being irreversible
C) The child feels guilty for the grandmother's death
D) The child is worried that he, too, might die
A 67 year-old client with non-insulin dependent diabetes should
be instructed to contact the out-patient clinic immediately if the
following findings are present
A) B
Temperature of 37.5 degrees Celsius with painful urination
B) An open wound on their heel
C) Insomnia and daytime fatigue
D) Nausea with 2 episodes of vomiting
The nurse admits an elderly Mexican-American migrant worker
after an accident that occurred during work. To facilitate commu-
nication the nurse should initially
A) D
Request a Spanish interpreter
B) Speak through the family or co-workers
C) Use pictures, letter boards, or monitoring
D) Assess the client's ability to speak English
In assessing a post partum client, the nurse palpates a firm fundus
and observes a constant trickle of bright red blood from the vagina.
What is the most likely cause of these findings?
A) B
Uterine atony
B) Genital lacerations
C) Retained placenta
D) Clotting disorder
The nurse notes an abrupt onset of confusion in an elderly patient.
Which of the following recently-ordered medications would most
likely contribute to this change?
A) C
Anticoagulant
B) Liquid antacid
C) Antihistamine
D) Cardiac glycoside
The nurse is caring for a client with active tuberculosis who has
a history of noncompliance. Which of the following actions by the
nurse would represent appropriate care for this client?
A) Instruct the client to wear a high efficiency particulate air mask
B
in public places.
B) Ask a family member to supervise daily compliance
C) Schedule weekly clinic visits for the client
D) Ask the health care provider to change the regimen to fewer
medications
The nurse manager identifies that time spent by staff in charting is
excessive, requiring overtime for completion. The nurse manager
states that "staff will form a task force to investigate and develop
potential solutions to the problem, and report on this at the next
staff meeting." The nurse manager's leadership style is best de- C
scribed as
A) Laissez-faire
B) Autocratic
, HESI RN COMPREHENSIVE EXIT EXAM VERSION VI- 160+ QUESTIONS AND
ANSWERS|WELL STRUCTURE|A+ GRADED|
QUESTIONS ANSWERS
C) Participative
D) Group
A nursing student asks the nurse manager to explain the forces
that drive health care reform. The appropriate response by the
nurse manager should include
A) The escalation of fees with a decreased reimbursement per-
centage A
B) High costs of diagnostic and end-of-life treatment procedures
C) Increased numbers of elderly and of the chronically ill of all
ages
D) A steep rise in health care provider fees and in insurance
premiums
A client with hepatitis A (HAV) is newly admitted to the unit. Which
action would be the priority to include in the plan of care within the
initial 24 hours for this client?
A) C
Wear masks with shields if potential splash
B) Use disposable utensils and plates for meals
C) Wear gown and gloves during client contact
D) Provide soft easily digested food with frequent snacks
A client has been taking alprazolam (Xanax) for 3 days. Nursing
assessment should reveal which expected effect of the drug?
A) Tranquilization, numbing of emotions A
B) Sedation, analgesia
C) Relief of insomnia and phobias
D) Diminished tachycardia and tremors associated with anxiety
The nurse observes a staff member caring for a client with a left
unilateral mastectomy. The nurse would intervene if she notices
the staff member is
A) B
Advising client to restrict sodium intake
B) Taking the blood pressure in the left arm
C) Elevating her left arm above heart level
D) Compressing the drainage device
A 70 year-old post-operative client has elevated serum BUN, Hct,
Cl, and Na+. Creatinine and K+ are within normal limits. The nurse
should perform additional assessments to confirm that an actual
problem is:
D
A) Impaired gas exchange
B) Metabolic acidosis
C) Renal insufficiency
D) Fluid volume deficit
The nurse is providing foot care instructions to a client with arterial
insufficiency. The nurse would identify the need for additional
teaching if the client stated
A) C
"I can only wear cotton socks."
B) "I cannot go barefoot around my house."
C) "I will trim corns and calluses regularly."
D) "I should ask a family member to inspect my feet daily."
A woman who delivered 5 days ago and had been diagnosed
with preeclampsia calls the hospital triage nurse hotline to ask for
advice. She states " I have had the worst headache for the past
2 days. It pounds and by the middle of the afternoon everything I
look at looks wavy. Nothing I have taken helps." What should the
nurse do next?
, HESI RN COMPREHENSIVE EXIT EXAM VERSION VI- 160+ QUESTIONS AND
ANSWERS|WELL STRUCTURE|A+ GRADED|
QUESTIONS ANSWERS
A) Advise the client that the swings in her hormones may have that
effect. However, suggest for her to call her health care provider
within the next day.
B) Advise the client to have someone bring her to the emergency
room as soon as possible C
C) Ask the client to stay on the line, get the address and send an
ambulance to the home
D) Ask what the client has taken? How often? Ask about other
specific complaints.
The primary teaching for a client following an extracorporeal
shock-wave lithotripsy (ESWL) procedure is
A) Drink 3000 to 4000 cc of fluid each day for one month A
B) Limit fluid intake to 1000 cc each day for one month
C) Increase intake of citrus fruits to three servings per day
D) Restrict milk and dairy products for one month
A client on warfarin therapy following coronary artery stent place-
ment calls the clinic to ask if he can take Alka-Seltzer for an upset
stomach. What is the best response by the nurse?
A) A
Avoid Alka-Seltzer because it contains aspirin
B) Take Alka-Seltzer at a different time of day than the warfarin
C) Select another antacid that does not inactivate warfarin
D) Use on-half the recommended dose of Alka-Seltzer
The nurse is working with parents to plan home care for a 2
year-old with a heart problem. A priority nursing intervention would
be to
A) Encourage the parents to enroll in cardiopulmonary resuscita- A
tion class
B) Assist the parents to plan quiet play activities at home
C) Stress to the parents that they will need relief care givers
D) Instruct the parents to avoid contact with persons with infection
The nurse is caring for a client with Rheumatoid Arthritis. Which
nursing diagnosis should receive priority in the plan of care?
A) Risk for injury C
B) Self care deficit
C) Alteration in comfort
D) Alteration in mobility
An unlicensed assistive staff member asks the nurse manager to
explain the beliefs of a Christian Scientist who refuses admission
to the hospital after a motor vehicle accident. The best response
of the nurse would be which of these statements?
A) "Spiritual healing is emphasized and the mind contributes to
A
the cure."
B) "The primary belief is that dietary practices result in health or
illness."
C) "Fasting and prayer are initial actions to take in physical injury."
D) "Meditation is intensive in the initial 48 hours and daily there-
after."
In order to be effective in administering cardiopulmonary resusci-
tation to a 5 year- old, the nurse must
A) Assess the brachial pulses B
B) Breathe once every 5 compressions
C) Use both hands to apply chest pressure
D) Compress 80-90 times per minute
ANSWERS|WELL STRUCTURE|A+ GRADED|
QUESTIONS ANSWERS
A parent tells the nurse that their 6 year-old child who normally
enjoys school, has not been doing well since the grandmother
died 2 months ago. Which statement most accurately describes
thoughts ondeath and dying at this age?
A
A) Death is personified as the bogeyman or devil
B) Death is perceived as being irreversible
C) The child feels guilty for the grandmother's death
D) The child is worried that he, too, might die
A 67 year-old client with non-insulin dependent diabetes should
be instructed to contact the out-patient clinic immediately if the
following findings are present
A) B
Temperature of 37.5 degrees Celsius with painful urination
B) An open wound on their heel
C) Insomnia and daytime fatigue
D) Nausea with 2 episodes of vomiting
The nurse admits an elderly Mexican-American migrant worker
after an accident that occurred during work. To facilitate commu-
nication the nurse should initially
A) D
Request a Spanish interpreter
B) Speak through the family or co-workers
C) Use pictures, letter boards, or monitoring
D) Assess the client's ability to speak English
In assessing a post partum client, the nurse palpates a firm fundus
and observes a constant trickle of bright red blood from the vagina.
What is the most likely cause of these findings?
A) B
Uterine atony
B) Genital lacerations
C) Retained placenta
D) Clotting disorder
The nurse notes an abrupt onset of confusion in an elderly patient.
Which of the following recently-ordered medications would most
likely contribute to this change?
A) C
Anticoagulant
B) Liquid antacid
C) Antihistamine
D) Cardiac glycoside
The nurse is caring for a client with active tuberculosis who has
a history of noncompliance. Which of the following actions by the
nurse would represent appropriate care for this client?
A) Instruct the client to wear a high efficiency particulate air mask
B
in public places.
B) Ask a family member to supervise daily compliance
C) Schedule weekly clinic visits for the client
D) Ask the health care provider to change the regimen to fewer
medications
The nurse manager identifies that time spent by staff in charting is
excessive, requiring overtime for completion. The nurse manager
states that "staff will form a task force to investigate and develop
potential solutions to the problem, and report on this at the next
staff meeting." The nurse manager's leadership style is best de- C
scribed as
A) Laissez-faire
B) Autocratic
, HESI RN COMPREHENSIVE EXIT EXAM VERSION VI- 160+ QUESTIONS AND
ANSWERS|WELL STRUCTURE|A+ GRADED|
QUESTIONS ANSWERS
C) Participative
D) Group
A nursing student asks the nurse manager to explain the forces
that drive health care reform. The appropriate response by the
nurse manager should include
A) The escalation of fees with a decreased reimbursement per-
centage A
B) High costs of diagnostic and end-of-life treatment procedures
C) Increased numbers of elderly and of the chronically ill of all
ages
D) A steep rise in health care provider fees and in insurance
premiums
A client with hepatitis A (HAV) is newly admitted to the unit. Which
action would be the priority to include in the plan of care within the
initial 24 hours for this client?
A) C
Wear masks with shields if potential splash
B) Use disposable utensils and plates for meals
C) Wear gown and gloves during client contact
D) Provide soft easily digested food with frequent snacks
A client has been taking alprazolam (Xanax) for 3 days. Nursing
assessment should reveal which expected effect of the drug?
A) Tranquilization, numbing of emotions A
B) Sedation, analgesia
C) Relief of insomnia and phobias
D) Diminished tachycardia and tremors associated with anxiety
The nurse observes a staff member caring for a client with a left
unilateral mastectomy. The nurse would intervene if she notices
the staff member is
A) B
Advising client to restrict sodium intake
B) Taking the blood pressure in the left arm
C) Elevating her left arm above heart level
D) Compressing the drainage device
A 70 year-old post-operative client has elevated serum BUN, Hct,
Cl, and Na+. Creatinine and K+ are within normal limits. The nurse
should perform additional assessments to confirm that an actual
problem is:
D
A) Impaired gas exchange
B) Metabolic acidosis
C) Renal insufficiency
D) Fluid volume deficit
The nurse is providing foot care instructions to a client with arterial
insufficiency. The nurse would identify the need for additional
teaching if the client stated
A) C
"I can only wear cotton socks."
B) "I cannot go barefoot around my house."
C) "I will trim corns and calluses regularly."
D) "I should ask a family member to inspect my feet daily."
A woman who delivered 5 days ago and had been diagnosed
with preeclampsia calls the hospital triage nurse hotline to ask for
advice. She states " I have had the worst headache for the past
2 days. It pounds and by the middle of the afternoon everything I
look at looks wavy. Nothing I have taken helps." What should the
nurse do next?
, HESI RN COMPREHENSIVE EXIT EXAM VERSION VI- 160+ QUESTIONS AND
ANSWERS|WELL STRUCTURE|A+ GRADED|
QUESTIONS ANSWERS
A) Advise the client that the swings in her hormones may have that
effect. However, suggest for her to call her health care provider
within the next day.
B) Advise the client to have someone bring her to the emergency
room as soon as possible C
C) Ask the client to stay on the line, get the address and send an
ambulance to the home
D) Ask what the client has taken? How often? Ask about other
specific complaints.
The primary teaching for a client following an extracorporeal
shock-wave lithotripsy (ESWL) procedure is
A) Drink 3000 to 4000 cc of fluid each day for one month A
B) Limit fluid intake to 1000 cc each day for one month
C) Increase intake of citrus fruits to three servings per day
D) Restrict milk and dairy products for one month
A client on warfarin therapy following coronary artery stent place-
ment calls the clinic to ask if he can take Alka-Seltzer for an upset
stomach. What is the best response by the nurse?
A) A
Avoid Alka-Seltzer because it contains aspirin
B) Take Alka-Seltzer at a different time of day than the warfarin
C) Select another antacid that does not inactivate warfarin
D) Use on-half the recommended dose of Alka-Seltzer
The nurse is working with parents to plan home care for a 2
year-old with a heart problem. A priority nursing intervention would
be to
A) Encourage the parents to enroll in cardiopulmonary resuscita- A
tion class
B) Assist the parents to plan quiet play activities at home
C) Stress to the parents that they will need relief care givers
D) Instruct the parents to avoid contact with persons with infection
The nurse is caring for a client with Rheumatoid Arthritis. Which
nursing diagnosis should receive priority in the plan of care?
A) Risk for injury C
B) Self care deficit
C) Alteration in comfort
D) Alteration in mobility
An unlicensed assistive staff member asks the nurse manager to
explain the beliefs of a Christian Scientist who refuses admission
to the hospital after a motor vehicle accident. The best response
of the nurse would be which of these statements?
A) "Spiritual healing is emphasized and the mind contributes to
A
the cure."
B) "The primary belief is that dietary practices result in health or
illness."
C) "Fasting and prayer are initial actions to take in physical injury."
D) "Meditation is intensive in the initial 48 hours and daily there-
after."
In order to be effective in administering cardiopulmonary resusci-
tation to a 5 year- old, the nurse must
A) Assess the brachial pulses B
B) Breathe once every 5 compressions
C) Use both hands to apply chest pressure
D) Compress 80-90 times per minute
