HESI RN EXIT EXAM 2023
COMPREHENSIVE PRACTICE QUESTIONS
AND ANSWERS COMPLETE RN EXIT EXAM
PREPARATION RESOURCE
COMPREHENSIVE NURSING REVIEW,
CLINICAL JUDGMENT, NGN-STYLE
PRACTICE TESTS, DETAILED RATIONALES
AND FINAL EXAM STUDY GUIDE
A client is receiving enoxaparin 30mg subcutaneously twice a day. In
assessing for adverse effects of the medication, which serum laboratory
value is most important for the nurse to monitor?
A. Glucose
B. Calcium
C. Platelet count
D. White blood cell count - CORRECT ANSWER -C. Platelet count
The nurse is caring for a 24-month-old toddler who has sensory sensitivity,
difficulty engaging in social interactions, and has not yet spoken two-word
phrases. Which assessment should the nurse administer?
A. The modified checklist for autism in toddlers (M-CHAT)
B. Psychology Systems Questionnaire (PHQ-2)
C. Behavioral Style Questionnaire (BSQ)
,D. The Ages and Stages Questionnaire (ASQ) - CORRECT ANSWER -A. The
Modified Checklist for Autism in Toddlers (M-CHAT)
Prior to surgery, written consent must be obtained. Which is the nurse's
legal responsibility with regard to obtaining written consent?
A. Explain the surgical procedure to the client and ask the client to sign the
consent form
B. Ask the client or a family member to sign the surgical consent form
C. Determine that the surgical consent form has been signed and is
included in the client's record.
D. Validate the client's understanding of the surgical procedure to be
conducted - CORRECT ANSWER -C. Determine that the surgical consent
form has been signed and is included in the client's record
A client with hyperthyroidism is admitted to the postoperative unit after a
subtotal thyroidectomy. Which of the client's serum laboratory values
requires intervention by the nurse?
A. T3- uptake at 50%
B. Glucose 150 mg/dL
C. Total calcium 5.0 mg/dL
D. Thyroxine 12 mcg/dL - CORRECT ANSWER -C. Total calcium 5.0 mg/dL
A client in the third trimester of pregnancy reports that she fells some
"lumpy places" in her breasts and that her nipples sometimes leak a
yellowish fluid. She has an appointment with her healthcare provider in two
weeks. What action should the nurse take?
A. Tell the client to begin nipple stimulation to prepare for breast feeding.
,B. Reschedule the client's prenatal appointment for the following day
C. Explain that this normal secretion can be assessed at the next visit
D. Recommend that the client start wearing a supportive brassiere -
CORRECT ANSWER -C. Explain that this normal secretion can be assessed at
the next visit
While the nurse is assessing an older client's fall risk, the client reports
living at home alone and never falling. Which action should the nurse take?
A. Inform the client that falls occur more often in the hospital than at home
B. Record a minimal risk for falls, documenting the client's statement
C. Continue to obtain client data needed to complete the fall risk survey
D. Place the client on a high fall risk protocol because of advanced age -
CORRECT ANSWER -C. Continue to obtain client data needed to complete
the fall risk survey
The nurse is providing education to a client who experiences recurrent
levels of moderate anxiety to situations and perceived stress. In addition to
information about prescribed medication and administration, which
instruction should the nurse include in the teaching?
A. Find outlets for more social interaction
B. Practice using muscle relaxation techniques
C. Center attention on positive upbeat music
D. Think about reasons the episodes occur - CORRECT ANSWER -B. Practice
using muscle relaxation techniques
A young woman with multiple sclerosis just received several immunizations
in preparation for moving into a college dormitory. Two days later, she
, reports to the nurse that she is experiencing increasing fatigue and visual
problems. What teaching should the nurse provide?
A. Plans to move into the dormitory need to be postponed for at least a
semester
B. These are common side effects of the vaccines and will resolve in a few
days
C. Immunizations can trigger a relapse of the disease, so get plenty of extra
rest
D. these early signs of an infection may require medical treatment with
antibiotics - CORRECT ANSWER -C. Immunizations can trigger a relapse of
the disease, so get plenty of extra rest
The nurse is caring for a preterm newborn with nasal flaring, grunting, and
sternal retractions. After administering surfactant, which assessment is
most important for the nurse to monitor?
A. Arterial blood gasses
B. Breath sounds
C. Oxygen saturation
D. Respiratory rate - CORRECT ANSWER -A. Arterial blood gasses
An S3 heart sound is auscultated in a client in her third trimester of
pregnancy. What intervention should the nurse take?
A. Prepare the client for an echocardiogram
B. Document in the client's record
C. Notify the healthcare provider
D. Limit the client's fluids - CORRECT ANSWER -B. Document in the client's
record
COMPREHENSIVE PRACTICE QUESTIONS
AND ANSWERS COMPLETE RN EXIT EXAM
PREPARATION RESOURCE
COMPREHENSIVE NURSING REVIEW,
CLINICAL JUDGMENT, NGN-STYLE
PRACTICE TESTS, DETAILED RATIONALES
AND FINAL EXAM STUDY GUIDE
A client is receiving enoxaparin 30mg subcutaneously twice a day. In
assessing for adverse effects of the medication, which serum laboratory
value is most important for the nurse to monitor?
A. Glucose
B. Calcium
C. Platelet count
D. White blood cell count - CORRECT ANSWER -C. Platelet count
The nurse is caring for a 24-month-old toddler who has sensory sensitivity,
difficulty engaging in social interactions, and has not yet spoken two-word
phrases. Which assessment should the nurse administer?
A. The modified checklist for autism in toddlers (M-CHAT)
B. Psychology Systems Questionnaire (PHQ-2)
C. Behavioral Style Questionnaire (BSQ)
,D. The Ages and Stages Questionnaire (ASQ) - CORRECT ANSWER -A. The
Modified Checklist for Autism in Toddlers (M-CHAT)
Prior to surgery, written consent must be obtained. Which is the nurse's
legal responsibility with regard to obtaining written consent?
A. Explain the surgical procedure to the client and ask the client to sign the
consent form
B. Ask the client or a family member to sign the surgical consent form
C. Determine that the surgical consent form has been signed and is
included in the client's record.
D. Validate the client's understanding of the surgical procedure to be
conducted - CORRECT ANSWER -C. Determine that the surgical consent
form has been signed and is included in the client's record
A client with hyperthyroidism is admitted to the postoperative unit after a
subtotal thyroidectomy. Which of the client's serum laboratory values
requires intervention by the nurse?
A. T3- uptake at 50%
B. Glucose 150 mg/dL
C. Total calcium 5.0 mg/dL
D. Thyroxine 12 mcg/dL - CORRECT ANSWER -C. Total calcium 5.0 mg/dL
A client in the third trimester of pregnancy reports that she fells some
"lumpy places" in her breasts and that her nipples sometimes leak a
yellowish fluid. She has an appointment with her healthcare provider in two
weeks. What action should the nurse take?
A. Tell the client to begin nipple stimulation to prepare for breast feeding.
,B. Reschedule the client's prenatal appointment for the following day
C. Explain that this normal secretion can be assessed at the next visit
D. Recommend that the client start wearing a supportive brassiere -
CORRECT ANSWER -C. Explain that this normal secretion can be assessed at
the next visit
While the nurse is assessing an older client's fall risk, the client reports
living at home alone and never falling. Which action should the nurse take?
A. Inform the client that falls occur more often in the hospital than at home
B. Record a minimal risk for falls, documenting the client's statement
C. Continue to obtain client data needed to complete the fall risk survey
D. Place the client on a high fall risk protocol because of advanced age -
CORRECT ANSWER -C. Continue to obtain client data needed to complete
the fall risk survey
The nurse is providing education to a client who experiences recurrent
levels of moderate anxiety to situations and perceived stress. In addition to
information about prescribed medication and administration, which
instruction should the nurse include in the teaching?
A. Find outlets for more social interaction
B. Practice using muscle relaxation techniques
C. Center attention on positive upbeat music
D. Think about reasons the episodes occur - CORRECT ANSWER -B. Practice
using muscle relaxation techniques
A young woman with multiple sclerosis just received several immunizations
in preparation for moving into a college dormitory. Two days later, she
, reports to the nurse that she is experiencing increasing fatigue and visual
problems. What teaching should the nurse provide?
A. Plans to move into the dormitory need to be postponed for at least a
semester
B. These are common side effects of the vaccines and will resolve in a few
days
C. Immunizations can trigger a relapse of the disease, so get plenty of extra
rest
D. these early signs of an infection may require medical treatment with
antibiotics - CORRECT ANSWER -C. Immunizations can trigger a relapse of
the disease, so get plenty of extra rest
The nurse is caring for a preterm newborn with nasal flaring, grunting, and
sternal retractions. After administering surfactant, which assessment is
most important for the nurse to monitor?
A. Arterial blood gasses
B. Breath sounds
C. Oxygen saturation
D. Respiratory rate - CORRECT ANSWER -A. Arterial blood gasses
An S3 heart sound is auscultated in a client in her third trimester of
pregnancy. What intervention should the nurse take?
A. Prepare the client for an echocardiogram
B. Document in the client's record
C. Notify the healthcare provider
D. Limit the client's fluids - CORRECT ANSWER -B. Document in the client's
record
