RN HESI EXIT/HESI Exit RN Exam Version 6(V6)
Real/Actual/Authentic Exam 2024-2025 Questions
and Correct Answers
1. A mother runs into the emergency department with a toddler in
her arms and
tells the nurse that her child got into some cleaning products. the
child smells
of chemicals on the hands, face, and on the front of the child's
clothes. after
ensuring the airway is patent, what action should the nurse
implement first?
a. Assess the child for altered sensorium
b. Determine type of chemical exposure
c. Obtain equipment for gastric lavage
d. Call poison control emergency number - ✔ANASWER✔-b.
Determine type of chemical exposure
,2. Which conditions are most likely to respond to treatment with
antihistamines? Select all that apply.
a. Bronchitis
b. Allergic rhinitis
c. Otitis media
d. Contact dermatitis
e. Myocarditis - ✔ANASWER✔-b. Allergic rhinitis
d. Contact dermatitis
3. An older client's daughter calls the home health nurse and
reports that her
mother has become forgetful and is very confused at night. The
daughter
states that her mother's behavior changed suddenly a few days
ago and is
now getting worse. Which action should the nurse take? Select all
that apply.
a. Ask if the mother is experiencing any pain with urination
b. Encourage increased intake of high protein foods
c. Instruct the daughter to check her mother's temperature
d. Review the client's current food and medication allergies
,e. Determine if the mother has recently experienced a fall -
✔ANASWER✔-a. Ask if the mother is experiencing any pain with
urination
c. Instruct the daughter to check her mother's temperature
e. Determine if the mother has recently experienced a fall
4. The nurse is assessing a male with a history of Addison's
disease. The client
has flu-like symptoms and nausea with vomiting over the past
week. The
client's spouse reports that he acted confused and was extremely
weak when
he awoke this morning. The client is febrile and has tachycardia.
The health
care provider diagnoses acute adrenal insufficiency. Which
medication will
most likely be prescribed?
a. Hypertonic saline solution at 100 ml/hr until all edema
disappears
b. Hydrocortisone 100 mg IV every six hours until systolic BP
reaches 110
mmHg
, c. Potassium chloride 20 mEq IV to infuse over 2 hours until
confusion
resolves
d. Regular insulin drip to keep blood glucose around 100 mg/dl
(5.55
mmol/L) - ✔ANASWER✔-b. Hydrocortisone 100 mg IV every six
hours until systolic BP reaches 110
mmHg
5. A client with a history of mitral valve prolapse is admitted
because of fever
and dyspnea on exertion, and is diagnosed with acute infective
endocarditis.
During the admission assessment, the nurse observes multiple
areas of
petechiae on the client's skin. Which intervention should the nurse
include in
the client's plan of care? Select all that apply.
a. Monitor cardiac rhythm via telemetry
b. Report changes in pre-existing murmurs
c. Schedule rest periods between activities
d. Maintain record of fluid intake and output
Real/Actual/Authentic Exam 2024-2025 Questions
and Correct Answers
1. A mother runs into the emergency department with a toddler in
her arms and
tells the nurse that her child got into some cleaning products. the
child smells
of chemicals on the hands, face, and on the front of the child's
clothes. after
ensuring the airway is patent, what action should the nurse
implement first?
a. Assess the child for altered sensorium
b. Determine type of chemical exposure
c. Obtain equipment for gastric lavage
d. Call poison control emergency number - ✔ANASWER✔-b.
Determine type of chemical exposure
,2. Which conditions are most likely to respond to treatment with
antihistamines? Select all that apply.
a. Bronchitis
b. Allergic rhinitis
c. Otitis media
d. Contact dermatitis
e. Myocarditis - ✔ANASWER✔-b. Allergic rhinitis
d. Contact dermatitis
3. An older client's daughter calls the home health nurse and
reports that her
mother has become forgetful and is very confused at night. The
daughter
states that her mother's behavior changed suddenly a few days
ago and is
now getting worse. Which action should the nurse take? Select all
that apply.
a. Ask if the mother is experiencing any pain with urination
b. Encourage increased intake of high protein foods
c. Instruct the daughter to check her mother's temperature
d. Review the client's current food and medication allergies
,e. Determine if the mother has recently experienced a fall -
✔ANASWER✔-a. Ask if the mother is experiencing any pain with
urination
c. Instruct the daughter to check her mother's temperature
e. Determine if the mother has recently experienced a fall
4. The nurse is assessing a male with a history of Addison's
disease. The client
has flu-like symptoms and nausea with vomiting over the past
week. The
client's spouse reports that he acted confused and was extremely
weak when
he awoke this morning. The client is febrile and has tachycardia.
The health
care provider diagnoses acute adrenal insufficiency. Which
medication will
most likely be prescribed?
a. Hypertonic saline solution at 100 ml/hr until all edema
disappears
b. Hydrocortisone 100 mg IV every six hours until systolic BP
reaches 110
mmHg
, c. Potassium chloride 20 mEq IV to infuse over 2 hours until
confusion
resolves
d. Regular insulin drip to keep blood glucose around 100 mg/dl
(5.55
mmol/L) - ✔ANASWER✔-b. Hydrocortisone 100 mg IV every six
hours until systolic BP reaches 110
mmHg
5. A client with a history of mitral valve prolapse is admitted
because of fever
and dyspnea on exertion, and is diagnosed with acute infective
endocarditis.
During the admission assessment, the nurse observes multiple
areas of
petechiae on the client's skin. Which intervention should the nurse
include in
the client's plan of care? Select all that apply.
a. Monitor cardiac rhythm via telemetry
b. Report changes in pre-existing murmurs
c. Schedule rest periods between activities
d. Maintain record of fluid intake and output
