RN Exit Hesi Exams| Questions with 100%
verified Answers
A client is admitted to the emergency room following an acute asthma attack. Which
of the following assessments would be expected by the nurse?
A) Diffuse expiratory wheezing
B) Loose, productive cough
C) No relief from inhalant
D) Fever and chills - ✔️✔️is A: Diffuse expiratory wheezing
3
The nurse manager hears a health care provider loudly criticize one of the staff nurses
within the hearing of others. The employee does not respond to the health care provider's
complaints. The nurse manager's next action should be to
A) Walk up to the health care provider and quietly state: "Stop this unacceptable
behavior."
B) Allow the staff nurse to handle this situation without interference
C) Notify the of the other administrative persons of a breech of professional conduct
D) Request an immediate private meeting with the health care provider and staff nurse - ✔️✔️is
D: Request an immediate private meeting with the health care
provider and staff nurse
3
A client is admitted to a voluntary hospital mental health unit due to suicidal ideation.
The client has been on the unit for 2 days and now states "I demand to be released now "
The appropriate action is for the nurse to
,A) You cannot be released because you are still suicidal.
B) You can be released only if you sign a no suicide contract.
C) Let's discuss your decision to leave and then we can prepare you for discharge.
D) You have a right to sign out as soon as we get an order from the health care provider's
discharge order. - ✔️✔️! is C: Let's discuss your decision to leave and then we can prepare you
for discharge.
3
A client is admitted with infective endocarditis (IE). Which symptom would alert the
nurse to a complication of this condition?
A) Dyspnea
B) Heart murmur
C) Macular rash
D) Hemorrhage - ✔️✔️is B: Heart murmur Large, soft, rapidly developing vegetations attach
to the heart valves.
3
A nurse admits a premature infant who has respiratory distress syndrome. In planning
care, nursing actions are based on the fact that the most likely cause of this problem
stems from the infant's inability
to
A) Stabilize thermoregulation
B) Maintain alveolar surface tension
C) Begin normal pulmonary blood flow
D) Regulate intra cardiac pressure - ✔️✔️is B: Maintain alveolar surface tension
3
,An 18 year-old client is admitted to intensive care from the emergency room
following a diving accident. The injury is suspected to be at the level of the 2nd cervical
vertebrae. The nurse's priority
assessment should be
A) Response to stimuli
B) Bladder control
C) Respiratory function
D) Muscle weakness - ✔️✔️is C: Respiratory function
4
The nurse is caring for a client who was successfully resuscitated from a pulseless
dysrhythmia. Which of the following assessments is CRITICAL for the nurse to include
in the plan of care?
A) Hourly urine output
B) White blood count
C) Blood glucose every 4 hours
D) Temperature every 2 hours - ✔️✔️is A: Hourly urine output
4
The charge nurse on the night shift at an urgent care center has to deal with admitting
clients of a higher acuity than usual because of a large fire in the area. Which style of
leadership and decision-making would be best in this circumstance?
A) Assume a decision-making role
B) Seek input from staff
C) Use a non-directive approach
D) Shared decision-making with others - ✔️✔️is A: Assume a decision making role
4
, The nurse admitting a 5 month-old who vomited 9 times in the past 6 hours should
observe for signs of which overall imbalance?
A) Metabolic acidosis
B) Metabolic alkalosis
C) Some increase in the serum hemoglobin
D) A little decrease in the serum potassium - ✔️✔️is B: Metabolic alkalosis
4
Which activity can the RN ask an unlicensed assistive personnel (UAP) to perform?
A) Take a history on a newly admitted client
B) Adjust the rate of a gastric tube feeding
C) Check the blood pressure of a 2 hours post operative client
D) Check on a client receiving chemotherapy - ✔️✔️is C: Check the blood pressure of a 2 hours
post operative client
4
A child is injured on the school playground and appears to have a fractured leg. The
first action the school nurse should take is
A) Call for emergency transport to the hospital
B) Immobilize the limb and joints above and below the injury
C) Assess the child and the extent of the injury
D) Apply cold compresses to the injured area - ✔️✔️is C: Assess the child and the extent of the
injury
4
When interviewing the parents of a child with asthma, it is most important to gather
what information about the child's environment?
verified Answers
A client is admitted to the emergency room following an acute asthma attack. Which
of the following assessments would be expected by the nurse?
A) Diffuse expiratory wheezing
B) Loose, productive cough
C) No relief from inhalant
D) Fever and chills - ✔️✔️is A: Diffuse expiratory wheezing
3
The nurse manager hears a health care provider loudly criticize one of the staff nurses
within the hearing of others. The employee does not respond to the health care provider's
complaints. The nurse manager's next action should be to
A) Walk up to the health care provider and quietly state: "Stop this unacceptable
behavior."
B) Allow the staff nurse to handle this situation without interference
C) Notify the of the other administrative persons of a breech of professional conduct
D) Request an immediate private meeting with the health care provider and staff nurse - ✔️✔️is
D: Request an immediate private meeting with the health care
provider and staff nurse
3
A client is admitted to a voluntary hospital mental health unit due to suicidal ideation.
The client has been on the unit for 2 days and now states "I demand to be released now "
The appropriate action is for the nurse to
,A) You cannot be released because you are still suicidal.
B) You can be released only if you sign a no suicide contract.
C) Let's discuss your decision to leave and then we can prepare you for discharge.
D) You have a right to sign out as soon as we get an order from the health care provider's
discharge order. - ✔️✔️! is C: Let's discuss your decision to leave and then we can prepare you
for discharge.
3
A client is admitted with infective endocarditis (IE). Which symptom would alert the
nurse to a complication of this condition?
A) Dyspnea
B) Heart murmur
C) Macular rash
D) Hemorrhage - ✔️✔️is B: Heart murmur Large, soft, rapidly developing vegetations attach
to the heart valves.
3
A nurse admits a premature infant who has respiratory distress syndrome. In planning
care, nursing actions are based on the fact that the most likely cause of this problem
stems from the infant's inability
to
A) Stabilize thermoregulation
B) Maintain alveolar surface tension
C) Begin normal pulmonary blood flow
D) Regulate intra cardiac pressure - ✔️✔️is B: Maintain alveolar surface tension
3
,An 18 year-old client is admitted to intensive care from the emergency room
following a diving accident. The injury is suspected to be at the level of the 2nd cervical
vertebrae. The nurse's priority
assessment should be
A) Response to stimuli
B) Bladder control
C) Respiratory function
D) Muscle weakness - ✔️✔️is C: Respiratory function
4
The nurse is caring for a client who was successfully resuscitated from a pulseless
dysrhythmia. Which of the following assessments is CRITICAL for the nurse to include
in the plan of care?
A) Hourly urine output
B) White blood count
C) Blood glucose every 4 hours
D) Temperature every 2 hours - ✔️✔️is A: Hourly urine output
4
The charge nurse on the night shift at an urgent care center has to deal with admitting
clients of a higher acuity than usual because of a large fire in the area. Which style of
leadership and decision-making would be best in this circumstance?
A) Assume a decision-making role
B) Seek input from staff
C) Use a non-directive approach
D) Shared decision-making with others - ✔️✔️is A: Assume a decision making role
4
, The nurse admitting a 5 month-old who vomited 9 times in the past 6 hours should
observe for signs of which overall imbalance?
A) Metabolic acidosis
B) Metabolic alkalosis
C) Some increase in the serum hemoglobin
D) A little decrease in the serum potassium - ✔️✔️is B: Metabolic alkalosis
4
Which activity can the RN ask an unlicensed assistive personnel (UAP) to perform?
A) Take a history on a newly admitted client
B) Adjust the rate of a gastric tube feeding
C) Check the blood pressure of a 2 hours post operative client
D) Check on a client receiving chemotherapy - ✔️✔️is C: Check the blood pressure of a 2 hours
post operative client
4
A child is injured on the school playground and appears to have a fractured leg. The
first action the school nurse should take is
A) Call for emergency transport to the hospital
B) Immobilize the limb and joints above and below the injury
C) Assess the child and the extent of the injury
D) Apply cold compresses to the injured area - ✔️✔️is C: Assess the child and the extent of the
injury
4
When interviewing the parents of a child with asthma, it is most important to gather
what information about the child's environment?
