HESI RN Exit Exam Questions and
Answers
Which information is a priority for the RN to reinforce to an older client after intravenous
pylegraphy?
A. Eat a light diet for the rest of the day
B. Rest for the next 24 hours since the preparation and the test is tiring
C. During waking hours drink at least 1-8 ounce glass of fluid every hour for the next 2 days
D. Measure the urine output for the next day and immediately notify the health care provider if
it should decrease - Ans D. Measure the urine output for the next day and immediately notify
the health care provider if it should decrease
A client has altered renal function and its being treated at home. The nurse recognizes that the
most accurate indicator of fluid balance during the weekly visits is
A. Difference in the intake and output
B. Changes in the mucous membranes
C. Skin turgor
D. Weekly weight - Ans D. Weekly weight
A client has been diagnosed with Zollinger-Ellison syndrome. Which information is most
important for the nurse to reinforce with the client?
A. It is a condition in which one or more tumors called gastrinomas form in the pancreas or in
the upper part of the small intestine
B. It is critical to report promptly to your health care provider any findings of peptic ulcers
C. Treatment consists of medications to reduce acid and heal any peptic ulcers, and if possible,
surgery to remove any tumors
D. With the average age at diagnosis at 50 years the peptic ulcers may occur at unusual areas of
the stomach or intestine - Ans B. it its critical to report promptly to your health care provider
any findings of peptic ulcers
,A primigravida in the third semester is hospitalized for preeclampsia. The nurse determines the
the client's blood pressure is increasing. Which action should the nurse take first?
A. Check the protein level in the urine
B. Have the client turn to the left side
C. Take the temperature
D. Monitor the urine output - Ans B. Have the client turn to the left side
The nurse is caring for a client in atrial fibrillation. The atrial heart rate is 250 and the
ventricular rate is controlled at 75. Which of the following findings is cause for the most
concern?
A. Diminished bowel sounds
B. Loss of appetite
C. A cold, pale lower leg
D. Tachypnea - Ans C. A cold, pale lower leg
The client with ineffective endocarditis must be assessed frequently by the home health nurse.
Which finding suggests that antibiotic therapy is not effective, and must be reported by the
nurse immediately to the health care provider?
A. Nausea and vomiting
B. Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
C. Diffuse macular rash
D. Muscle tenderness - Ans B. Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
A client who had a vasectomy is in the post recovery unit at an outpatient clinic. Which of these
points is most important to be reinforced by the nurse?
A. Until the health care provider has determined that your ejaculate doesn't contain sperm
B. This procedure doesn't impede the production of male hormones or the production of sperm
in the testicles. The sperm can no longer enter your semen and no sperm are in your ejaculate.
,C. After your vasectomy, strenuous activity needs to be avoided for at least 48 hours. If your
work doesn't involve hard physical labor, you can return to your job as soon as you feel up to it.
The stitches generally dissolve in seven to ten days.
D. The health care provider at this clinic recommends rest, ice, an athletic supporter or over the
counter pain medication to relieve any discomfort - Ans A. Until the health care provider has
determined that your ejcaculate doesn't contain sperm
A client who is to have antineoplastic chemotherapy tells the nurse of a fear of being sick all the
time and wishes to try acupuncture. Which of these beliefs stated by the client would be
incorrect about acupuncture?
A. Some needles go as deep as 3 inches, depending on where they're placed in the body and
what the treatment is for. The needles usually are left in for 15 to 30 minutes
B. In traditional Chinese medicine, imbalances in the basic energetic flow of life-known as qi or
chi-are thought to cause illness
C. The flow of life is believed to flow through major pathways or nerve clusters in your body
D. By inserting extremely fine needles into some of the 400 acupuncture points in various
combinations it is believed that energy flow will rebalance to allow the body's natural healing
mechanisms to take over - Ans C. The flow of life is believed to flow through major pathways or
nerve clusters in the body
The nurse is discussing with a group of students the disease Kawasaki. What statement made
by a student about Kawasaki disease is incorrect?
A. It is also called mucocutaneous lymph node syndrome because it affects the mucous
membranes (inside the mouth, throat, or nose), skin and lymph nodes.
B. In the second phase of the disease, findings include peeling of the skin on the hands and feet
with joint and abdominal pain
C. Kawasaki disease occurs most often in boys, children younger than age 5 and children of
hispanic descent
D. Initially findings are a sudden high fever, usually about 104 degrees Fahrenheit, which lasts 1
to 2 weeks - Ans C. Kawasaki disease occurs most often in boys, children younger than age 5
and children of Hispanic descent
, A client has viral pneumonia affecting 2/3 of the right lung. What would be the best position to
teach the client to lie in every other hour during first 12 hours after admission?
A. Side-lying on the left with the head elevated 10 degrees
B. Side-lying on the left with the head elevated 35 degrees
C. Side-lying on the right with the head elevated 10 degrees
D. Side-lying on the right with the head elevated 35 degrees - Ans A. Side-lying on the left with
the head elevated 10 degrees
A client has an indwelling catheter with continuous bladder irrigation after undergoing a
transurethral resection of the prostate (TURP) 12 hours ago. Which finding at this time should
be reported to the health care provider?
A. Light, pink urine
B. Occasional suprapubic cramping
C. Minimal drainage into the urinary collection bag
D. Complaints of the feeling of pulling on the urinary catheter - Ans C. Minimal drainage into
the urinary collection bag
A nurse is performing CPR on an adult who went into cardiopulmonary arrest. Another nurse
enters the room in response to the call. After checking the client's pulse and respirations, what
should be the function of the second nurse?
A. - Ans
1. Which information is a priority for the RN to reinforce to an older client after intravenous
pylegraphy?
A) Eat a light diet for the rest of the day
B) Rest for the next 24 hours since the preparation and the test is tiring.
C) During waking hours drink at least 1 8-ounce glass of fluid every hour for the next 2 days
D) Measure the urine output for the next day and immediately notify the health care provider if
it should decrease. - Ans The correct answer is D: Measure the urine output for the next day
and immediately notify the health care provider if it should decrease
Answers
Which information is a priority for the RN to reinforce to an older client after intravenous
pylegraphy?
A. Eat a light diet for the rest of the day
B. Rest for the next 24 hours since the preparation and the test is tiring
C. During waking hours drink at least 1-8 ounce glass of fluid every hour for the next 2 days
D. Measure the urine output for the next day and immediately notify the health care provider if
it should decrease - Ans D. Measure the urine output for the next day and immediately notify
the health care provider if it should decrease
A client has altered renal function and its being treated at home. The nurse recognizes that the
most accurate indicator of fluid balance during the weekly visits is
A. Difference in the intake and output
B. Changes in the mucous membranes
C. Skin turgor
D. Weekly weight - Ans D. Weekly weight
A client has been diagnosed with Zollinger-Ellison syndrome. Which information is most
important for the nurse to reinforce with the client?
A. It is a condition in which one or more tumors called gastrinomas form in the pancreas or in
the upper part of the small intestine
B. It is critical to report promptly to your health care provider any findings of peptic ulcers
C. Treatment consists of medications to reduce acid and heal any peptic ulcers, and if possible,
surgery to remove any tumors
D. With the average age at diagnosis at 50 years the peptic ulcers may occur at unusual areas of
the stomach or intestine - Ans B. it its critical to report promptly to your health care provider
any findings of peptic ulcers
,A primigravida in the third semester is hospitalized for preeclampsia. The nurse determines the
the client's blood pressure is increasing. Which action should the nurse take first?
A. Check the protein level in the urine
B. Have the client turn to the left side
C. Take the temperature
D. Monitor the urine output - Ans B. Have the client turn to the left side
The nurse is caring for a client in atrial fibrillation. The atrial heart rate is 250 and the
ventricular rate is controlled at 75. Which of the following findings is cause for the most
concern?
A. Diminished bowel sounds
B. Loss of appetite
C. A cold, pale lower leg
D. Tachypnea - Ans C. A cold, pale lower leg
The client with ineffective endocarditis must be assessed frequently by the home health nurse.
Which finding suggests that antibiotic therapy is not effective, and must be reported by the
nurse immediately to the health care provider?
A. Nausea and vomiting
B. Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
C. Diffuse macular rash
D. Muscle tenderness - Ans B. Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
A client who had a vasectomy is in the post recovery unit at an outpatient clinic. Which of these
points is most important to be reinforced by the nurse?
A. Until the health care provider has determined that your ejaculate doesn't contain sperm
B. This procedure doesn't impede the production of male hormones or the production of sperm
in the testicles. The sperm can no longer enter your semen and no sperm are in your ejaculate.
,C. After your vasectomy, strenuous activity needs to be avoided for at least 48 hours. If your
work doesn't involve hard physical labor, you can return to your job as soon as you feel up to it.
The stitches generally dissolve in seven to ten days.
D. The health care provider at this clinic recommends rest, ice, an athletic supporter or over the
counter pain medication to relieve any discomfort - Ans A. Until the health care provider has
determined that your ejcaculate doesn't contain sperm
A client who is to have antineoplastic chemotherapy tells the nurse of a fear of being sick all the
time and wishes to try acupuncture. Which of these beliefs stated by the client would be
incorrect about acupuncture?
A. Some needles go as deep as 3 inches, depending on where they're placed in the body and
what the treatment is for. The needles usually are left in for 15 to 30 minutes
B. In traditional Chinese medicine, imbalances in the basic energetic flow of life-known as qi or
chi-are thought to cause illness
C. The flow of life is believed to flow through major pathways or nerve clusters in your body
D. By inserting extremely fine needles into some of the 400 acupuncture points in various
combinations it is believed that energy flow will rebalance to allow the body's natural healing
mechanisms to take over - Ans C. The flow of life is believed to flow through major pathways or
nerve clusters in the body
The nurse is discussing with a group of students the disease Kawasaki. What statement made
by a student about Kawasaki disease is incorrect?
A. It is also called mucocutaneous lymph node syndrome because it affects the mucous
membranes (inside the mouth, throat, or nose), skin and lymph nodes.
B. In the second phase of the disease, findings include peeling of the skin on the hands and feet
with joint and abdominal pain
C. Kawasaki disease occurs most often in boys, children younger than age 5 and children of
hispanic descent
D. Initially findings are a sudden high fever, usually about 104 degrees Fahrenheit, which lasts 1
to 2 weeks - Ans C. Kawasaki disease occurs most often in boys, children younger than age 5
and children of Hispanic descent
, A client has viral pneumonia affecting 2/3 of the right lung. What would be the best position to
teach the client to lie in every other hour during first 12 hours after admission?
A. Side-lying on the left with the head elevated 10 degrees
B. Side-lying on the left with the head elevated 35 degrees
C. Side-lying on the right with the head elevated 10 degrees
D. Side-lying on the right with the head elevated 35 degrees - Ans A. Side-lying on the left with
the head elevated 10 degrees
A client has an indwelling catheter with continuous bladder irrigation after undergoing a
transurethral resection of the prostate (TURP) 12 hours ago. Which finding at this time should
be reported to the health care provider?
A. Light, pink urine
B. Occasional suprapubic cramping
C. Minimal drainage into the urinary collection bag
D. Complaints of the feeling of pulling on the urinary catheter - Ans C. Minimal drainage into
the urinary collection bag
A nurse is performing CPR on an adult who went into cardiopulmonary arrest. Another nurse
enters the room in response to the call. After checking the client's pulse and respirations, what
should be the function of the second nurse?
A. - Ans
1. Which information is a priority for the RN to reinforce to an older client after intravenous
pylegraphy?
A) Eat a light diet for the rest of the day
B) Rest for the next 24 hours since the preparation and the test is tiring.
C) During waking hours drink at least 1 8-ounce glass of fluid every hour for the next 2 days
D) Measure the urine output for the next day and immediately notify the health care provider if
it should decrease. - Ans The correct answer is D: Measure the urine output for the next day
and immediately notify the health care provider if it should decrease
