HESI RN EXIT EXAM 2024 LATEST
VERSIONS V1-V6 COMPLETE TEST
BANK (WELL ORGANISED)/RN HESI
EXIT TEST BANK QUESTIONS AND
CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED
A+(SCORE 1200)
, VERSION 1 x
1. Which information is most concerning to the nurse when caring for an older client with
x x x x x x x x x x x x x x
bilateral cataracts?
x x
a. States having difficulty with color perception x x x x x
b. Presents with opacity of the lens upon assessment x x x x x x x
c. Complains of seeing a cobweb-type structure in the visual field x x x x x x x x x
d. Reports the need to use a magnifying glass to see small print x x x x x x x x x x x
Rationale:
Visualization of a cobweb- or hairnet-type structure is a sign of a retinal detachment, which
x x x x x x x x x x x x x x
constitutes a medical emergency. Clients with cataracts are at increased risk for retinal
x x x x x x x x x x x x x
detachment. Distorted color perception, opacity of the lens, and gradual vision loss are expected
x x x x x x x x x x x x x x
signs and symptoms of cataracts but do not need immediate attention.
x x x x x x x x x x x
2. When caring for a client hospitalized with Guillain-Barré syndrome, which
x x x x x x x x x
x informationis most important for the nurse to report to the primary health care provider?
x x x x x x x x x x x x x x
a. Decrease in cognitive status of the client
x x x x x x x
Rationale:
A decline in cognitive status in a client is indicative of symptoms of hypoxia and a possible
x x x x x x x x x x x x x x x x
needto assist the client with mechanical ventilation. A primary health care provider will need
x x x x x x x x x x x x x x x
to becontacted immediately. Options A, C, and D are findings associated with Guillain-Barré
x x x x x x x x x x x x x x
syndrome that should also be reported but are not as critical as the client's hypoxic status.
x x x x x x x x x x x x x x x x
3. A client is admitted with a diagnosis of leukemia. This condition is manifested
x x x x x x x x x x x x
x bywhich of the following?
x x x x
a. Hyperplasia of the gums, elevated white blood count, weakness
x x x x x x x x x
Rationale:
Hyperplastic gums, weakness, and elevated white blood count are classic signs of leukemia.
x x x x x x x x x x x x
Options A, B, and D state incorrect information for symptoms of leukemia.
x x x x x x x x x x x x
4. The nurse enters the examination room of a client who has been told by her health care
x x x x x x x x x x x x x x x x
provider that she has advanced ovarian cancer. Which response by the nurse is likely to be most
x x x x x x x x x x x x x x x x x
supportive for the client?
x x x x
, a. "Tell me about what you are feeling right now."
x x x x x x x x x
Rationale:
The most therapeutic action for the nurse is to be an active listener and to encourage the client to
x x x x x x x x x x x x x x x x x x
explore her feelings. Giving false reassurance or personal suggestions are not therapeutic
x x x x x x x x x x x x
communication for the client.
x x x x
5. A nurse working in the emergency department admits a client with full thickness
x x x x x x x x x x x x
x burnsto 50% of the body. Assessment findings indicate high-pitched wheezing, heart rate of
x x x x x x x x x x x x x
x 120 beats/min, and disorientation. Which action should the nurse take first?
x x x x x x x x x x
a. Prepare to assist with maintaining the airway.
x x x x x x x
Rationale:
High-pitched wheezing indicates laryngeal stridor, a sign of laryngeal edema associated with
x x x x x x x x x x x
lung injury. Airway management is the first priority of care. Options A, C, and D are all
x x x x x x x x x x x x x x x x x
appropriate interventions in managing the client with a burn but are not as critical as
x x x x x x x x x x x x x x x
establishingan airway.
x x x
6. The nurse walks into the room and observes the client experiencing a tonic- clonic
x x x x x x x x x x x x x
seizure. Which intervention should the nurse implement first?
x x x x x x x x
a. Turn the client on the side to aid ventilation.
x x x x x x x x x
Rationale:
Maintaining the airway during a seizure is the priority for safety. Options A, B, and C are
x x x x x x x x x x x x x x x x
contraindicated during a seizure and may cause further injury to the client.
x x x x x x x x x x x x
7. Which intervention should be included in the plan of care for a client admitted to the
x x x x x x x x x x x x x x x
hospital with ulcerative colitis?
x x x x
a. Provide a low-residue diet.
x x x x
Rationale:
A low-residue diet will help decrease symptoms of diarrhea, which are clinical manifestations of
x x x x x x x x x x x x x
ulcerative colitis.
x x
8. A nurse implements an education program to reduce hospital readmissions for
x x x x x x x x x x
clientswith heart failure. Which statement by the client indicates that teaching has been
x x x x x x x x x x x x x x
effective?
x
a. "I will not take my digoxin if my heart rate is higher than 100 beats/min."
x x x x x x x x x x x x x x
b. "I should weigh myself once a week and report any increases."
x x x x x x x x x x
c. "It is important to increase my fluid intake whenever possible."
x x x x x x x x x
d. "I should report an increase of swelling in my feet or ankles."
x x x x x x x x x x x
Rationale:
An increase in edema indicates worsening right-sided heart failure and should be reported to the
x x x x x x x x x x x x x x
primary health care provider. Digitalis should be held when the heart rate is lower than 60
x x x x x x x x x x x x x x x x
beats/min. The client with heart failure should weigh himself or herself daily and report a gain
x x x x x x x x x x x x x x x x
of2 to 3 lb. An increase in fluid can worsen heart failure.
x x x x x x x x x x x x x
Downloaded at Knoowy - Upload your own study documents and earn money x x x x x x x x x x x
, 9. After assessing a 26-year-old client with type 1 diabetes mellitus, which data
x x x x x x x x x x x
x mayindicate that the client is experiencing chronic complications of diabetes?
x x x x x x x x x x
a. Blood pressure, 159/98 mm Hg
x x x x x
Rationale:
A blood pressure of 159/98 mm Hg is hypertensive and increases the client's risk for acute
x x x x x x x x x x x x x x x
coronary syndrome and/or stroke.
x x x x
10. When caring for a client with a tracheostomy, which intervention should the
x x x x x x x x x x x
x nursedelegate to the unlicensed assistive personnel (UAP)?
x x x x x x x
a. Take the vital signs and obtain an O2 saturation level.
x x x x x x x x x x
Rationale:
The nurse may delegate obtaining vital signs and O2 saturation; however, the nurse is
x x x x x x x x x x x x x
responsible for following up on any reported data.
x x x x x x x x
11. The charge nurse is making assignments for the upcoming shift. Which client is
x x x x x x x x x x x x
x mostappropriate to assign to the practical nurse (PN)?
x x x x x x x x
a. A client with nausea who needs a nasogastric tube inserted
x x x x x x x x x
b. A client in hypertensive crisis who needs titration of IV nitroglycerin
x x x x x x x x x x
c. A newly admitted client who needs to have a plan of care established
x x x x x x x x x x x x
d. A client who is ready for discharge who needs discharge teaching
x x x x x x x x x x
Rationale:
The client mentioned in option A has a need for a skill that is within the scope of practice for the
x x x x x x x x x x x x x x x x x x x x
PN. Titration of an IV drip, establishing care plans, and discharge teaching are within the scope
x x x x x x x x x x x x x x x x
of practice of a registered nurse (RN) and are not delegated.
x x x x x x x x x x x
12. A nurse performs an initial admission assessment of a 56-year-old client. Which
x x x x x x x x x x x
x factor(s) would indicate that the client is at risk for metabolic syndrome? (Select all that
x x x x x x x x x x x x x x
x apply.)
a. Abdominal obesity x
b. Sedentary lifestyle x
c. Hispanic or Asian ethnicity x x x
d. Increased triglycerides x
Rationale:
Metabolic syndrome is a name for a group of risk factors that increase the risk for coronary
x x x x x x x x x x x x x x x x
artery disease, type 2 diabetes, and stroke (A, B, D, and E).
x x x x x x x x x x x x
13. Which clinical manifestation in the client with hyperthyroidism is most The x x x x x x x x x x
apicalheart rate of 130 beats/min is a critical finding that could lead to heart failure or other
x x x x x x x x x x x x x x x x x x
cardiac disorders. Options A, B, and D are all expected findings that should also be reported
x x x x x x x x x x x x x x x x
but are notas critical.
x x x x x
a. Apical heart rate of 130 beats/min
x x x x x x
Rationale:
Downloaded at Knoowy - Upload your own study documents and earn money x x x x x x x x x x x
VERSIONS V1-V6 COMPLETE TEST
BANK (WELL ORGANISED)/RN HESI
EXIT TEST BANK QUESTIONS AND
CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED
A+(SCORE 1200)
, VERSION 1 x
1. Which information is most concerning to the nurse when caring for an older client with
x x x x x x x x x x x x x x
bilateral cataracts?
x x
a. States having difficulty with color perception x x x x x
b. Presents with opacity of the lens upon assessment x x x x x x x
c. Complains of seeing a cobweb-type structure in the visual field x x x x x x x x x
d. Reports the need to use a magnifying glass to see small print x x x x x x x x x x x
Rationale:
Visualization of a cobweb- or hairnet-type structure is a sign of a retinal detachment, which
x x x x x x x x x x x x x x
constitutes a medical emergency. Clients with cataracts are at increased risk for retinal
x x x x x x x x x x x x x
detachment. Distorted color perception, opacity of the lens, and gradual vision loss are expected
x x x x x x x x x x x x x x
signs and symptoms of cataracts but do not need immediate attention.
x x x x x x x x x x x
2. When caring for a client hospitalized with Guillain-Barré syndrome, which
x x x x x x x x x
x informationis most important for the nurse to report to the primary health care provider?
x x x x x x x x x x x x x x
a. Decrease in cognitive status of the client
x x x x x x x
Rationale:
A decline in cognitive status in a client is indicative of symptoms of hypoxia and a possible
x x x x x x x x x x x x x x x x
needto assist the client with mechanical ventilation. A primary health care provider will need
x x x x x x x x x x x x x x x
to becontacted immediately. Options A, C, and D are findings associated with Guillain-Barré
x x x x x x x x x x x x x x
syndrome that should also be reported but are not as critical as the client's hypoxic status.
x x x x x x x x x x x x x x x x
3. A client is admitted with a diagnosis of leukemia. This condition is manifested
x x x x x x x x x x x x
x bywhich of the following?
x x x x
a. Hyperplasia of the gums, elevated white blood count, weakness
x x x x x x x x x
Rationale:
Hyperplastic gums, weakness, and elevated white blood count are classic signs of leukemia.
x x x x x x x x x x x x
Options A, B, and D state incorrect information for symptoms of leukemia.
x x x x x x x x x x x x
4. The nurse enters the examination room of a client who has been told by her health care
x x x x x x x x x x x x x x x x
provider that she has advanced ovarian cancer. Which response by the nurse is likely to be most
x x x x x x x x x x x x x x x x x
supportive for the client?
x x x x
, a. "Tell me about what you are feeling right now."
x x x x x x x x x
Rationale:
The most therapeutic action for the nurse is to be an active listener and to encourage the client to
x x x x x x x x x x x x x x x x x x
explore her feelings. Giving false reassurance or personal suggestions are not therapeutic
x x x x x x x x x x x x
communication for the client.
x x x x
5. A nurse working in the emergency department admits a client with full thickness
x x x x x x x x x x x x
x burnsto 50% of the body. Assessment findings indicate high-pitched wheezing, heart rate of
x x x x x x x x x x x x x
x 120 beats/min, and disorientation. Which action should the nurse take first?
x x x x x x x x x x
a. Prepare to assist with maintaining the airway.
x x x x x x x
Rationale:
High-pitched wheezing indicates laryngeal stridor, a sign of laryngeal edema associated with
x x x x x x x x x x x
lung injury. Airway management is the first priority of care. Options A, C, and D are all
x x x x x x x x x x x x x x x x x
appropriate interventions in managing the client with a burn but are not as critical as
x x x x x x x x x x x x x x x
establishingan airway.
x x x
6. The nurse walks into the room and observes the client experiencing a tonic- clonic
x x x x x x x x x x x x x
seizure. Which intervention should the nurse implement first?
x x x x x x x x
a. Turn the client on the side to aid ventilation.
x x x x x x x x x
Rationale:
Maintaining the airway during a seizure is the priority for safety. Options A, B, and C are
x x x x x x x x x x x x x x x x
contraindicated during a seizure and may cause further injury to the client.
x x x x x x x x x x x x
7. Which intervention should be included in the plan of care for a client admitted to the
x x x x x x x x x x x x x x x
hospital with ulcerative colitis?
x x x x
a. Provide a low-residue diet.
x x x x
Rationale:
A low-residue diet will help decrease symptoms of diarrhea, which are clinical manifestations of
x x x x x x x x x x x x x
ulcerative colitis.
x x
8. A nurse implements an education program to reduce hospital readmissions for
x x x x x x x x x x
clientswith heart failure. Which statement by the client indicates that teaching has been
x x x x x x x x x x x x x x
effective?
x
a. "I will not take my digoxin if my heart rate is higher than 100 beats/min."
x x x x x x x x x x x x x x
b. "I should weigh myself once a week and report any increases."
x x x x x x x x x x
c. "It is important to increase my fluid intake whenever possible."
x x x x x x x x x
d. "I should report an increase of swelling in my feet or ankles."
x x x x x x x x x x x
Rationale:
An increase in edema indicates worsening right-sided heart failure and should be reported to the
x x x x x x x x x x x x x x
primary health care provider. Digitalis should be held when the heart rate is lower than 60
x x x x x x x x x x x x x x x x
beats/min. The client with heart failure should weigh himself or herself daily and report a gain
x x x x x x x x x x x x x x x x
of2 to 3 lb. An increase in fluid can worsen heart failure.
x x x x x x x x x x x x x
Downloaded at Knoowy - Upload your own study documents and earn money x x x x x x x x x x x
, 9. After assessing a 26-year-old client with type 1 diabetes mellitus, which data
x x x x x x x x x x x
x mayindicate that the client is experiencing chronic complications of diabetes?
x x x x x x x x x x
a. Blood pressure, 159/98 mm Hg
x x x x x
Rationale:
A blood pressure of 159/98 mm Hg is hypertensive and increases the client's risk for acute
x x x x x x x x x x x x x x x
coronary syndrome and/or stroke.
x x x x
10. When caring for a client with a tracheostomy, which intervention should the
x x x x x x x x x x x
x nursedelegate to the unlicensed assistive personnel (UAP)?
x x x x x x x
a. Take the vital signs and obtain an O2 saturation level.
x x x x x x x x x x
Rationale:
The nurse may delegate obtaining vital signs and O2 saturation; however, the nurse is
x x x x x x x x x x x x x
responsible for following up on any reported data.
x x x x x x x x
11. The charge nurse is making assignments for the upcoming shift. Which client is
x x x x x x x x x x x x
x mostappropriate to assign to the practical nurse (PN)?
x x x x x x x x
a. A client with nausea who needs a nasogastric tube inserted
x x x x x x x x x
b. A client in hypertensive crisis who needs titration of IV nitroglycerin
x x x x x x x x x x
c. A newly admitted client who needs to have a plan of care established
x x x x x x x x x x x x
d. A client who is ready for discharge who needs discharge teaching
x x x x x x x x x x
Rationale:
The client mentioned in option A has a need for a skill that is within the scope of practice for the
x x x x x x x x x x x x x x x x x x x x
PN. Titration of an IV drip, establishing care plans, and discharge teaching are within the scope
x x x x x x x x x x x x x x x x
of practice of a registered nurse (RN) and are not delegated.
x x x x x x x x x x x
12. A nurse performs an initial admission assessment of a 56-year-old client. Which
x x x x x x x x x x x
x factor(s) would indicate that the client is at risk for metabolic syndrome? (Select all that
x x x x x x x x x x x x x x
x apply.)
a. Abdominal obesity x
b. Sedentary lifestyle x
c. Hispanic or Asian ethnicity x x x
d. Increased triglycerides x
Rationale:
Metabolic syndrome is a name for a group of risk factors that increase the risk for coronary
x x x x x x x x x x x x x x x x
artery disease, type 2 diabetes, and stroke (A, B, D, and E).
x x x x x x x x x x x x
13. Which clinical manifestation in the client with hyperthyroidism is most The x x x x x x x x x x
apicalheart rate of 130 beats/min is a critical finding that could lead to heart failure or other
x x x x x x x x x x x x x x x x x x
cardiac disorders. Options A, B, and D are all expected findings that should also be reported
x x x x x x x x x x x x x x x x
but are notas critical.
x x x x x
a. Apical heart rate of 130 beats/min
x x x x x x
Rationale:
Downloaded at Knoowy - Upload your own study documents and earn money x x x x x x x x x x x
