HESI RN EXIT Exam Questions and Verified
Answers 2024
The nurse is discussing nutritional requirements with the parents of an 18
month-old
child. Which of these statements about milk consumption is correct?
A) May drink as much milk as desired
B) Can have milk mixed with other foods
C) Will benefit from fat-free cow's milk
D) Should be limited to 3-4 cups of milk daily
D) Should be limited to 3-4 cups of milk daily
The nurse is talking with a client. The client abruptly says to the nurse, "The
moon is full. Astronauts walk on the moon. Walking is a good health habit." The
client's behavior most likely indicates
A) Neologisms
B) Dissociation
C) Flight of ideas
D) Word salad
C) Flight of ideas
A mother asks about expected motor skills for a 3 year-old child. Which of the
following would the nurse emphasize as normal at this age? A) Jumping rope
B) Tying shoelaces
C) Riding a tricycle
D) Playing hopscotch
C) Riding a tricycle
A home health nurse is caring for a client with a pressure sore that is red, with
serous drainage, is 2 inches in diameter with loss of subcutaneous tissue. The
,appropriate dressing for this wound is
A) A transparent film dressing
B) Wet dressing with debridement granules
C) Wet to dry with hydrogen peroxide
D) Moist saline dressing
D) Moist saline dressing
The nurse enters a 2 year-old child's hospital room in order to administer an oral
medication. When the child is asked if he is ready to take his medicine, he
immediately says, "No!" What would be the most appropriate next action?
A) Leave the room and return five minutes later and give the medicine
B) Explain to the child that the medicine must be taken now C) Give the
medication to the father and ask him to give it
D) Mix the medication with ice cream or applesauce
A) Leave the room and return five minutes later and give the medicine
A nurse is doing pre conceptual counseling with a woman who is planning a
pregnancy. Which of the following statements suggests that the client
understands the connection between alcohol consumption and fetal alcohol
syndrome?
A) "I understand that a glass of wine with dinner is healthy.
"B) "Beer is not really hard alcohol, so I guess I can drink some.
"C) "If I drink, my baby may be harmed before I know I am pregnant.
" D) "Drinking with meals reduces the effects of alcohol."
"C) "If I drink, my baby may be harmed before I know I am pregnant.
A client has returned from a cardiac catheterization. Which one of the following
assessments would indicate the client is experiencing a complication from the
procedure?
A) Increased blood pressure
B) Increased heart rate
C) Loss of pulse in the extremity
D) Decreased urine output
C) Loss of pulse in the extremity
,A 60 year-old male client had a hernia repair in an outpatient surgery clinic. He
is awake and alert, but has not been able to void since he returned from surgery
6 hours ago.He received 1000 mL of IV fluid. Which action would be most likely
to help him void?
A) Have him drink several glasses of water
B) Crede' the bladder from the bottom to the top
C) Assist him to stand by the side of the bed to void
D) Wait 2 hours and have him try to void again
C) Assist him to stand by the side of the bed to void
The nurse is caring for a client who requires a mechanical ventilator for
breathing.The high pressure alarm goes off on the ventilator. What is the first
action the nurse should perform?
A) Disconnect the client from the ventilator and use a manual resuscitation bag
B) Perform a quick assessment of the client's condition
C) Call the respiratory therapist for help
D) Press the alarm re-set button on the ventilator
B) Perform a quick assessment of the client's condition
The nurse is preparing a client who will undergo a myelogram. Which of the
following statements by the client indicates a contraindication for this test?
A) "I can't lie in 1 position for more than thirty minutes.
"B) "I am allergic to shrimp."
C) "I suffer from claustrophobia.
"D) "I developed a severe headache after a spinal tap."
"B) "I am allergic to shrimp."
The health care provider order reads "aspirate nasogastric feeding (NG) tuber
every 4 hours and check pH of aspirate." The pH of the aspirate is 10. Which
action should the nurse take?
A) Hold the tube feeding and notify the provider
B) Administer the tube feeding as scheduled
C) Irrigate the tube with diet cola soda
D) Apply intermittent suction to the feeding tube
A) Hold the tube feeding and notify the provider
, To prevent unnecessary hypoxia during suctioning of a tracheostomy, the nurse
must
A) Apply suction for no more than 10 seconds
B) Maintain sterile technique
C) Lubricate 3 to 4 inches of the catheter tip
D) Withdraw catheter in a circular motion
A) Apply suction for no more than 10 seconds
An antibiotic IM injection for a 2 year-old child is ordered. The total volume of
the injection equals 2.0 ml The correct action is to
A) Administer the medication in 2 separate injections
B) Give the medication in the dorsal gluteal site
C) Call to get a smaller volume ordered
D) Check with pharmacy for a liquid form of the medication skip
A) Administer the medication in 2 separate injections
The nurse receives an order to give a client iron by deep injection. The nurse
know that the reason for this route is to
A) Enhance absorption of the medication
B) Ensure that the entire dose of medication is given
C) Provide more even distribution of the drug
D) Prevent the drug from tissue irritation Skip
D) Prevent the drug from tissue irritation Skip
A client with heart failure has Lanoxin (digoxin) ordered. What would the nurse
expect to find when evaluating for the therapeutic effectiveness of this drug?
A) Diaphoresis with decreased urinary output
B) Increased heart rate with increase respirations
C) Improved respiratory status and increased urinary output D) Decreased chest
pain and decreased blood pressure
C) Improved respiratory status and increased urinary output
While providing home care to a client with congestive heart failure, the nurse is
asked how long diuretics must be taken. What is the nurse's best response?
A) "As you urinate more, you will need less medication to control fluid.
Answers 2024
The nurse is discussing nutritional requirements with the parents of an 18
month-old
child. Which of these statements about milk consumption is correct?
A) May drink as much milk as desired
B) Can have milk mixed with other foods
C) Will benefit from fat-free cow's milk
D) Should be limited to 3-4 cups of milk daily
D) Should be limited to 3-4 cups of milk daily
The nurse is talking with a client. The client abruptly says to the nurse, "The
moon is full. Astronauts walk on the moon. Walking is a good health habit." The
client's behavior most likely indicates
A) Neologisms
B) Dissociation
C) Flight of ideas
D) Word salad
C) Flight of ideas
A mother asks about expected motor skills for a 3 year-old child. Which of the
following would the nurse emphasize as normal at this age? A) Jumping rope
B) Tying shoelaces
C) Riding a tricycle
D) Playing hopscotch
C) Riding a tricycle
A home health nurse is caring for a client with a pressure sore that is red, with
serous drainage, is 2 inches in diameter with loss of subcutaneous tissue. The
,appropriate dressing for this wound is
A) A transparent film dressing
B) Wet dressing with debridement granules
C) Wet to dry with hydrogen peroxide
D) Moist saline dressing
D) Moist saline dressing
The nurse enters a 2 year-old child's hospital room in order to administer an oral
medication. When the child is asked if he is ready to take his medicine, he
immediately says, "No!" What would be the most appropriate next action?
A) Leave the room and return five minutes later and give the medicine
B) Explain to the child that the medicine must be taken now C) Give the
medication to the father and ask him to give it
D) Mix the medication with ice cream or applesauce
A) Leave the room and return five minutes later and give the medicine
A nurse is doing pre conceptual counseling with a woman who is planning a
pregnancy. Which of the following statements suggests that the client
understands the connection between alcohol consumption and fetal alcohol
syndrome?
A) "I understand that a glass of wine with dinner is healthy.
"B) "Beer is not really hard alcohol, so I guess I can drink some.
"C) "If I drink, my baby may be harmed before I know I am pregnant.
" D) "Drinking with meals reduces the effects of alcohol."
"C) "If I drink, my baby may be harmed before I know I am pregnant.
A client has returned from a cardiac catheterization. Which one of the following
assessments would indicate the client is experiencing a complication from the
procedure?
A) Increased blood pressure
B) Increased heart rate
C) Loss of pulse in the extremity
D) Decreased urine output
C) Loss of pulse in the extremity
,A 60 year-old male client had a hernia repair in an outpatient surgery clinic. He
is awake and alert, but has not been able to void since he returned from surgery
6 hours ago.He received 1000 mL of IV fluid. Which action would be most likely
to help him void?
A) Have him drink several glasses of water
B) Crede' the bladder from the bottom to the top
C) Assist him to stand by the side of the bed to void
D) Wait 2 hours and have him try to void again
C) Assist him to stand by the side of the bed to void
The nurse is caring for a client who requires a mechanical ventilator for
breathing.The high pressure alarm goes off on the ventilator. What is the first
action the nurse should perform?
A) Disconnect the client from the ventilator and use a manual resuscitation bag
B) Perform a quick assessment of the client's condition
C) Call the respiratory therapist for help
D) Press the alarm re-set button on the ventilator
B) Perform a quick assessment of the client's condition
The nurse is preparing a client who will undergo a myelogram. Which of the
following statements by the client indicates a contraindication for this test?
A) "I can't lie in 1 position for more than thirty minutes.
"B) "I am allergic to shrimp."
C) "I suffer from claustrophobia.
"D) "I developed a severe headache after a spinal tap."
"B) "I am allergic to shrimp."
The health care provider order reads "aspirate nasogastric feeding (NG) tuber
every 4 hours and check pH of aspirate." The pH of the aspirate is 10. Which
action should the nurse take?
A) Hold the tube feeding and notify the provider
B) Administer the tube feeding as scheduled
C) Irrigate the tube with diet cola soda
D) Apply intermittent suction to the feeding tube
A) Hold the tube feeding and notify the provider
, To prevent unnecessary hypoxia during suctioning of a tracheostomy, the nurse
must
A) Apply suction for no more than 10 seconds
B) Maintain sterile technique
C) Lubricate 3 to 4 inches of the catheter tip
D) Withdraw catheter in a circular motion
A) Apply suction for no more than 10 seconds
An antibiotic IM injection for a 2 year-old child is ordered. The total volume of
the injection equals 2.0 ml The correct action is to
A) Administer the medication in 2 separate injections
B) Give the medication in the dorsal gluteal site
C) Call to get a smaller volume ordered
D) Check with pharmacy for a liquid form of the medication skip
A) Administer the medication in 2 separate injections
The nurse receives an order to give a client iron by deep injection. The nurse
know that the reason for this route is to
A) Enhance absorption of the medication
B) Ensure that the entire dose of medication is given
C) Provide more even distribution of the drug
D) Prevent the drug from tissue irritation Skip
D) Prevent the drug from tissue irritation Skip
A client with heart failure has Lanoxin (digoxin) ordered. What would the nurse
expect to find when evaluating for the therapeutic effectiveness of this drug?
A) Diaphoresis with decreased urinary output
B) Increased heart rate with increase respirations
C) Improved respiratory status and increased urinary output D) Decreased chest
pain and decreased blood pressure
C) Improved respiratory status and increased urinary output
While providing home care to a client with congestive heart failure, the nurse is
asked how long diuretics must be taken. What is the nurse's best response?
A) "As you urinate more, you will need less medication to control fluid.
