HESI Exit RN EXIT EXAM
HESI Exit RN EXIT EXAM Version 4 Complete
160 Recent Questions and Correct Verified
Answers/ RN Hesi Exit Exam V4 for the RN
Hesi Exit Prep (New!)
Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which assessment does the
nurse perform as a priority before administering the medication?
A) Checking the client's blood pressure
B) checking the client's peripheral pulses
C) checking the most recent potassium level
D) checking the client's intake and output record for the last 24 hours –
Correct Answer :A) Checking the client's blood pressure
A+ TEST BANK 1
, HESI Exit RN EXIT EXAM
Rationale--enalapril maleate is an angiotensin-converting enzyme (ACE) inhibitor used to treat
hypertension. One common side effect is postural hypotension. Therefore the nurse would
check the client's blood pressure immediately before administering each dose.
A client is scheduled to undergo an upper gastrointestinal (GI) series, and the nurse provides
instructions to the client about the test. Which statement by the client indicates a need for
further instruction?
A) "The test will take about 30 minutes"
B) "I need to fast for 8 hours before the test"
C) "I need to drink citrate of magnesia the night before the test and give myself a Fleet enema on
the morning of the test."
D) "I need to take a laxative after the test is completed, because the liquid that I'll have to drink
for the test can be constipating." - Correct Answer :C) "I need to drink citrate of magnesia the
night before the test and give myself a Fleet enema on the morning of the test."
Rationale
An upper GI series involves visualization of the esophagus, duodenum, and upper
jejunum by means of the use of a contrast medium. It involves swallowing a contrast
medium (usually barium), which is administered in a flavored milkshake. Films are taken
at intervals during the test, which takes about 30 minutes. No special preparation is
necessary before a GI series, except that NPO status must be maintained for 8 hours
before the test. After an upper GI series, the client is prescribed a laxative to hasten
elimination of the barium. Barium that remains in the colon may become hard and
difficult to expel, leading to fecal impaction.
A+ TEST BANK 2
, HESI Exit RN EXIT EXAM
A 60-year-old female client with a positive family history of ovarian cancer has developed an
abdominal mass and is being evaluated for possible ovarian cancer. Her Papanicolau (Pap) smear
results are negative. What information should the nurse include in the client's teaching plan
a. Further evaluation involving surgery may be needed
b. A pelvic exam is also needed before cancer is ruled out
c. Pap smear evaluation should be continued every six month
d. One additional negative pap smear in six months is needed.
Further evaluation involving surgery may be needed
Rationale: An abdominal mass in a client with a family history for ovarian cancer should be
evaluated carefully
A client who recently underwent a tracheostomy is being prepared for discharge to home. Which
instructions is most important for the nurse to include in the discharge plan?
a. Explain how to use communication tools.
b. Teach tracheal suctioning techniques
c. Encourage self-care and independence.
d. Demonstrate how to clean tracheostomy site.
Teach tracheal suctioning techniques
Rationale: Suctioning helps to clear secretions and maintain an open airway, which is critical.
In assessing an adult client with a partial rebreather mask, the nurse notes that the oxygen
reservoir bag does not deflate completely during inspiration and the client's respiratory rate is 14
breaths / minute. What action should the nurse implement
a. Encourage the client to take deep breaths
b. Remove the mask to deflate the bag
c. Increase the liter flow of oxygen
d. Document the assessment data
Document the assessment data
Rational: reservoir bag should not deflate completely during inspiration and the client's
respiratory rate is within normal limits.
During shift report, the central electrocardiogram (EKG) monitoring system alarms. Which client
alarm should the nurse investigate first?
A+ TEST BANK 3
, HESI Exit RN EXIT EXAM
a. Respiratory apnea of 30 seconds
b. Oxygen saturation rate of 88%
c. Eight premature ventricular beats every minute
d. Disconnected monitor signal for the last 6 minutes.
Respiratory apnea of 30 seconds
Rationale: The priority is the client whose alarm indicating respiratory apnea that should be
assessed first.
During a home visit, the nurse observed an elderly client with diabetes slip and fall. What action
should the nurse take first?
a. Give the client 4 ounces of orange juice
b. Call 911 to summon emergency assistance
c. Check the client for lacerations or fractures
d. Asses clients blood sugar level
Check the client for lacerations or fractures
Rationale: After the client falls, the nurse should immediately assess for the possibility of injuries
and provide first aid as needed
At 0600 while admitting a woman for a schedule repeat cesarean section (C-Section), the client
tells the nurse that she drank a cup a coffee at 0400 because she wanted to avoid getting a
headache. Which action should the nurse take first?
a. Ensure preoperative lab results are available
b. Start prescribed IV with lactated Ringer's
c. Inform the anesthesia care provider
d. Contact the client's obstetrician.
Inform the anesthesia care provider
Rationale: Surgical preoperative instruction includes NPO after midnight the day of surgery to
decrease the risk of aspiration should vomiting occur during anesthesia. While it is possible the
C-section will be done on schedule or rescheduled for later in the day, the anesthesia provider
should be notified first.
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 heart sounds.
To determine if an S3 heart sound is present, what action should the nurse take first
A+ TEST BANK 4
HESI Exit RN EXIT EXAM Version 4 Complete
160 Recent Questions and Correct Verified
Answers/ RN Hesi Exit Exam V4 for the RN
Hesi Exit Prep (New!)
Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which assessment does the
nurse perform as a priority before administering the medication?
A) Checking the client's blood pressure
B) checking the client's peripheral pulses
C) checking the most recent potassium level
D) checking the client's intake and output record for the last 24 hours –
Correct Answer :A) Checking the client's blood pressure
A+ TEST BANK 1
, HESI Exit RN EXIT EXAM
Rationale--enalapril maleate is an angiotensin-converting enzyme (ACE) inhibitor used to treat
hypertension. One common side effect is postural hypotension. Therefore the nurse would
check the client's blood pressure immediately before administering each dose.
A client is scheduled to undergo an upper gastrointestinal (GI) series, and the nurse provides
instructions to the client about the test. Which statement by the client indicates a need for
further instruction?
A) "The test will take about 30 minutes"
B) "I need to fast for 8 hours before the test"
C) "I need to drink citrate of magnesia the night before the test and give myself a Fleet enema on
the morning of the test."
D) "I need to take a laxative after the test is completed, because the liquid that I'll have to drink
for the test can be constipating." - Correct Answer :C) "I need to drink citrate of magnesia the
night before the test and give myself a Fleet enema on the morning of the test."
Rationale
An upper GI series involves visualization of the esophagus, duodenum, and upper
jejunum by means of the use of a contrast medium. It involves swallowing a contrast
medium (usually barium), which is administered in a flavored milkshake. Films are taken
at intervals during the test, which takes about 30 minutes. No special preparation is
necessary before a GI series, except that NPO status must be maintained for 8 hours
before the test. After an upper GI series, the client is prescribed a laxative to hasten
elimination of the barium. Barium that remains in the colon may become hard and
difficult to expel, leading to fecal impaction.
A+ TEST BANK 2
, HESI Exit RN EXIT EXAM
A 60-year-old female client with a positive family history of ovarian cancer has developed an
abdominal mass and is being evaluated for possible ovarian cancer. Her Papanicolau (Pap) smear
results are negative. What information should the nurse include in the client's teaching plan
a. Further evaluation involving surgery may be needed
b. A pelvic exam is also needed before cancer is ruled out
c. Pap smear evaluation should be continued every six month
d. One additional negative pap smear in six months is needed.
Further evaluation involving surgery may be needed
Rationale: An abdominal mass in a client with a family history for ovarian cancer should be
evaluated carefully
A client who recently underwent a tracheostomy is being prepared for discharge to home. Which
instructions is most important for the nurse to include in the discharge plan?
a. Explain how to use communication tools.
b. Teach tracheal suctioning techniques
c. Encourage self-care and independence.
d. Demonstrate how to clean tracheostomy site.
Teach tracheal suctioning techniques
Rationale: Suctioning helps to clear secretions and maintain an open airway, which is critical.
In assessing an adult client with a partial rebreather mask, the nurse notes that the oxygen
reservoir bag does not deflate completely during inspiration and the client's respiratory rate is 14
breaths / minute. What action should the nurse implement
a. Encourage the client to take deep breaths
b. Remove the mask to deflate the bag
c. Increase the liter flow of oxygen
d. Document the assessment data
Document the assessment data
Rational: reservoir bag should not deflate completely during inspiration and the client's
respiratory rate is within normal limits.
During shift report, the central electrocardiogram (EKG) monitoring system alarms. Which client
alarm should the nurse investigate first?
A+ TEST BANK 3
, HESI Exit RN EXIT EXAM
a. Respiratory apnea of 30 seconds
b. Oxygen saturation rate of 88%
c. Eight premature ventricular beats every minute
d. Disconnected monitor signal for the last 6 minutes.
Respiratory apnea of 30 seconds
Rationale: The priority is the client whose alarm indicating respiratory apnea that should be
assessed first.
During a home visit, the nurse observed an elderly client with diabetes slip and fall. What action
should the nurse take first?
a. Give the client 4 ounces of orange juice
b. Call 911 to summon emergency assistance
c. Check the client for lacerations or fractures
d. Asses clients blood sugar level
Check the client for lacerations or fractures
Rationale: After the client falls, the nurse should immediately assess for the possibility of injuries
and provide first aid as needed
At 0600 while admitting a woman for a schedule repeat cesarean section (C-Section), the client
tells the nurse that she drank a cup a coffee at 0400 because she wanted to avoid getting a
headache. Which action should the nurse take first?
a. Ensure preoperative lab results are available
b. Start prescribed IV with lactated Ringer's
c. Inform the anesthesia care provider
d. Contact the client's obstetrician.
Inform the anesthesia care provider
Rationale: Surgical preoperative instruction includes NPO after midnight the day of surgery to
decrease the risk of aspiration should vomiting occur during anesthesia. While it is possible the
C-section will be done on schedule or rescheduled for later in the day, the anesthesia provider
should be notified first.
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 heart sounds.
To determine if an S3 heart sound is present, what action should the nurse take first
A+ TEST BANK 4
