HESI RN (2024_2025) EXIT EXAM QUESTIONS
WITH ANSWERS
After receiving report on an inpatient acute care unit which
client should the nurse assess first?
A) The client who had surgery yesterday and is experiencing a
paralytic ileus with absent bowel sounds.
B) The client with a small bowel obstruction who has a
nasogastric tube that is draining greenish fluid.
C) The client with an obstruction of the large intestine who is
experiencing abdominal distention.
D) The client with a bowel obstruction due to a volvulus who
is experiencing abdominal rigidity. - <<,Answers>>>D) The
client with a bowel obstruction due to a volvulus who is
experiencing abdominal rigidity.
Client presents at the emergency department reporting a raspy
voice, cold intolerance, and fatigue. Laboratory tests indicate
an elevated thyroid stimulating hormone and a low T3 and T4
levels. After the client is admitted to the telemetary unit,
which intervention is most appropriate for the nurse to
implement?
A) administer prescribed dose of level thyroxine.
B) Note clients most recent hemoglobin level.
C) Offer additional blankets and a warm drink.
, HESI RN (2024_2025) EXIT EXAM QUESTIONS
WITH ANSWERS
D) Assess for the presence of nonpitting edema. -
<<,Answers>>>A) administer prescribed dose of level
thyroxine.
A client develops your to Caria on the trunk and neck shortly
after a secondary infusion of pepper Sillen is initiated. In
which order should the nurse implement these interventions?
Document reaction of the drug.
Contact the healthcare provider.
Assess vital signs.
Stop the infusion.
Initiate an adverse event report. - <<,Answers>>>Stop the
infusion.
Assess vital signs.
Contact the healthcare provider.
Initiate an adverse event report.
Document reaction to drug.
What nursing intervention is particularly indicated for the
second stage of labor?
A) Assessing the fetal heart rate and patterns for signs of fetal
distress.
B) Monitoring effects of oxytocin administration to help
achieve cervical dilation.
, HESI RN (2024_2025) EXIT EXAM QUESTIONS
WITH ANSWERS
C) Providing pain medication to increase the clients tolerance
of labor pains.
D) Assisting the client to push effectively so that expulsion of
the fetus can be achieved. - <<,Answers>>>D) Assisting the
client to push effectively so that expulsion of the fetus can be
achieved.
Client who is having G.I. difficulties is undergoing diagnostic
procedures. The client asked the nurse about the difference
between ulcerative colitis and Crohn's disease. Which
information should the nurse offer?
A) Anal abscess and fistula rarely occur in Crohn's disease.
B) Constipation is more common in Crohn's disease.
C) Rectal bleeding is a predominant symptom and ulcerative
colitis.
D) Both disorders are distributed along the entire G.I. tract. -
<<,Answers>>>C) Rectal bleeding is a predominant symptom
and ulcerative colitis.
The nurse assesses a child in 90-90s skeletal traction. Where
should the nurse assess for signs of compartment syndrome?
Click on correct location. - <<,Answers>>>Click the lower
calf area above the ankle, for the leg in traction.
, HESI RN (2024_2025) EXIT EXAM QUESTIONS
WITH ANSWERS
The nurse receives shift report about a client with obsessive-
compulsive disorder. The nurse completes morning rounds
and approaches the client who is repeatedly washing the top
of the same table. Which intervention should the nurse
implement?
A) Teach the client thought stopping techniques and ways to
refocus behaviors.
B) Assist the client to identify stimuli that precipitate the
activity.
C) Encourage the client to be calm and relax for a little while.
D) Allow time for the behavior and then redirect the client to
other activities. - <<,Answers>>>D) Allow time for the
behavior and then redirect the client to other activities.
Following morning care, a client with a C5 spinal cord injury
who is sitting in a wheelchair becomes flushed and complains
of a headache. Which intervention should the nurse
implement first?
A) Assess the clients blood pressures every 15 minutes.
B) Relieve any kinks or obstruction in the clients Foley
tubing.
C) Teach the client to recognize symptoms of dysreflexia.
WITH ANSWERS
After receiving report on an inpatient acute care unit which
client should the nurse assess first?
A) The client who had surgery yesterday and is experiencing a
paralytic ileus with absent bowel sounds.
B) The client with a small bowel obstruction who has a
nasogastric tube that is draining greenish fluid.
C) The client with an obstruction of the large intestine who is
experiencing abdominal distention.
D) The client with a bowel obstruction due to a volvulus who
is experiencing abdominal rigidity. - <<,Answers>>>D) The
client with a bowel obstruction due to a volvulus who is
experiencing abdominal rigidity.
Client presents at the emergency department reporting a raspy
voice, cold intolerance, and fatigue. Laboratory tests indicate
an elevated thyroid stimulating hormone and a low T3 and T4
levels. After the client is admitted to the telemetary unit,
which intervention is most appropriate for the nurse to
implement?
A) administer prescribed dose of level thyroxine.
B) Note clients most recent hemoglobin level.
C) Offer additional blankets and a warm drink.
, HESI RN (2024_2025) EXIT EXAM QUESTIONS
WITH ANSWERS
D) Assess for the presence of nonpitting edema. -
<<,Answers>>>A) administer prescribed dose of level
thyroxine.
A client develops your to Caria on the trunk and neck shortly
after a secondary infusion of pepper Sillen is initiated. In
which order should the nurse implement these interventions?
Document reaction of the drug.
Contact the healthcare provider.
Assess vital signs.
Stop the infusion.
Initiate an adverse event report. - <<,Answers>>>Stop the
infusion.
Assess vital signs.
Contact the healthcare provider.
Initiate an adverse event report.
Document reaction to drug.
What nursing intervention is particularly indicated for the
second stage of labor?
A) Assessing the fetal heart rate and patterns for signs of fetal
distress.
B) Monitoring effects of oxytocin administration to help
achieve cervical dilation.
, HESI RN (2024_2025) EXIT EXAM QUESTIONS
WITH ANSWERS
C) Providing pain medication to increase the clients tolerance
of labor pains.
D) Assisting the client to push effectively so that expulsion of
the fetus can be achieved. - <<,Answers>>>D) Assisting the
client to push effectively so that expulsion of the fetus can be
achieved.
Client who is having G.I. difficulties is undergoing diagnostic
procedures. The client asked the nurse about the difference
between ulcerative colitis and Crohn's disease. Which
information should the nurse offer?
A) Anal abscess and fistula rarely occur in Crohn's disease.
B) Constipation is more common in Crohn's disease.
C) Rectal bleeding is a predominant symptom and ulcerative
colitis.
D) Both disorders are distributed along the entire G.I. tract. -
<<,Answers>>>C) Rectal bleeding is a predominant symptom
and ulcerative colitis.
The nurse assesses a child in 90-90s skeletal traction. Where
should the nurse assess for signs of compartment syndrome?
Click on correct location. - <<,Answers>>>Click the lower
calf area above the ankle, for the leg in traction.
, HESI RN (2024_2025) EXIT EXAM QUESTIONS
WITH ANSWERS
The nurse receives shift report about a client with obsessive-
compulsive disorder. The nurse completes morning rounds
and approaches the client who is repeatedly washing the top
of the same table. Which intervention should the nurse
implement?
A) Teach the client thought stopping techniques and ways to
refocus behaviors.
B) Assist the client to identify stimuli that precipitate the
activity.
C) Encourage the client to be calm and relax for a little while.
D) Allow time for the behavior and then redirect the client to
other activities. - <<,Answers>>>D) Allow time for the
behavior and then redirect the client to other activities.
Following morning care, a client with a C5 spinal cord injury
who is sitting in a wheelchair becomes flushed and complains
of a headache. Which intervention should the nurse
implement first?
A) Assess the clients blood pressures every 15 minutes.
B) Relieve any kinks or obstruction in the clients Foley
tubing.
C) Teach the client to recognize symptoms of dysreflexia.
