Page 1 of 108
HESI RN EXIT EXAM V1 WITH COMPLETE SOLUTION A
LEVEL FULL SOLUTION PACK/ 2025 VERSION
The nurse is completing the admission assessment of a 3-year old
who is admitted with bacterial meningitis and hydrocephalus.
Which assessment finding is evidence that the child is
experiencing increased intracranial pressure (ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope .....ANSWER.....B.
Sluggish and unequal pupillary responses
A client with acute pancreatitis is admitted with severe, piercing
abdominal pain and an elevated serum amylase. Which
additional information is the client most likely to report to the
nurse?
,Page 2 of 108
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly.
.....ANSWER.....A. Abdominal pain decreases when lying supine
A child newly diagnosed with sickle cell anemia (SCA) is being
discharged from the hospital. Which information is most
important for the nurse to provide the parents prior to discharge?
A. Instructions about how much fluid the child should drink daily.
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family
.....ANSWER.....A. Instructions about how much fluid the child
should drink daily
,Page 3 of 108
To auscultate for a carotid bruit, the nurse places the stethoscope
at what location. (Select the location on the image with a red
dot). .....ANSWER.....I placed the red dot on the base of the neck
on the right side
After receiving report on an inpatient acute care unit, which client
should the nurse assess first?
A. The client with an obstruction of the large intestine who is
experiencing abdominal distention
B. The client who had surgery yesterday and is experiencing a
paralytic ileus with absent bowel sounds
C. The client with a small bowel obstruction who has a
nasogastric tube that is draining greenish fluid
D. The client with a bowel obstruction due to a volvulus who is
experiencing abdominal rigidity .....ANSWER.....D. The client with
a bowel obstruction due to a volvulus who is experiencing
abdominal rigidity
, Page 4 of 108
A teenager presents to the emergency department with
palpitations after vaping at a party. The client is anxious,
fearful, and hyperventilating. The nurse anticipates the client
developing which acid base imbalance?
A. Respiratory acidosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory alkalosis .....ANSWER.....D. Respiratory alkalosis
A client with dyspnea is being admitted to the medical unit. To
best prepare for the client's arrival, the nurse should ensure that
the client's bed is in which position?
A. Supine
B. supine; feet elevated higher than head
C. supine; head elevated higher than feet
D. Fowlers .....ANSWER.....Fowlers
HESI RN EXIT EXAM V1 WITH COMPLETE SOLUTION A
LEVEL FULL SOLUTION PACK/ 2025 VERSION
The nurse is completing the admission assessment of a 3-year old
who is admitted with bacterial meningitis and hydrocephalus.
Which assessment finding is evidence that the child is
experiencing increased intracranial pressure (ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope .....ANSWER.....B.
Sluggish and unequal pupillary responses
A client with acute pancreatitis is admitted with severe, piercing
abdominal pain and an elevated serum amylase. Which
additional information is the client most likely to report to the
nurse?
,Page 2 of 108
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly.
.....ANSWER.....A. Abdominal pain decreases when lying supine
A child newly diagnosed with sickle cell anemia (SCA) is being
discharged from the hospital. Which information is most
important for the nurse to provide the parents prior to discharge?
A. Instructions about how much fluid the child should drink daily.
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family
.....ANSWER.....A. Instructions about how much fluid the child
should drink daily
,Page 3 of 108
To auscultate for a carotid bruit, the nurse places the stethoscope
at what location. (Select the location on the image with a red
dot). .....ANSWER.....I placed the red dot on the base of the neck
on the right side
After receiving report on an inpatient acute care unit, which client
should the nurse assess first?
A. The client with an obstruction of the large intestine who is
experiencing abdominal distention
B. The client who had surgery yesterday and is experiencing a
paralytic ileus with absent bowel sounds
C. The client with a small bowel obstruction who has a
nasogastric tube that is draining greenish fluid
D. The client with a bowel obstruction due to a volvulus who is
experiencing abdominal rigidity .....ANSWER.....D. The client with
a bowel obstruction due to a volvulus who is experiencing
abdominal rigidity
, Page 4 of 108
A teenager presents to the emergency department with
palpitations after vaping at a party. The client is anxious,
fearful, and hyperventilating. The nurse anticipates the client
developing which acid base imbalance?
A. Respiratory acidosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory alkalosis .....ANSWER.....D. Respiratory alkalosis
A client with dyspnea is being admitted to the medical unit. To
best prepare for the client's arrival, the nurse should ensure that
the client's bed is in which position?
A. Supine
B. supine; feet elevated higher than head
C. supine; head elevated higher than feet
D. Fowlers .....ANSWER.....Fowlers
