RN HESI EXIT HESI EXIT RN EXAM VERSION 6(V6) REA
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L ACTUAL &AUTHENTIC EXAM QUESTIONS WITH CO
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RRECT ANSWERS F F
1. A mother runs into the emergency department with a toddler in her arms and
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tells the nurse that her child got into some cleaning products. the child smells
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of chemicals on the hands, face, and on the front of the child's clothes. after
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ensuring the airway is patent, what action should the nurse implement first?
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a. Assess the child for altered sensorium
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b. Determine type of chemical exposure
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c. Obtain equipment for gastric lavage
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d. Call poison control emergency number - CORRECT ANSWER-
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b. Determine type of chemical exposure
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2. Which conditions are most likely to respond to treatment with
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antihistamines? Select all that apply. f f f f
a. Bronchitis
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b. Allergic rhinitis
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c. Otitis media
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d. Contact dermatitis
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e. Myocarditis - CORRECT ANSWER-b. Allergic rhinitis
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d. Contact dermatitis
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3. An older client's daughter calls the home health nurse and reports that her
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,mother has become forgetful and is very confused at night. The daughter
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states that her mother's behavior changed suddenly a few days ago and is
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now getting worse. Which action should the nurse take? Select all that apply.
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a. Ask if the mother is experiencing any pain with urination
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b. Encourage increased intake of high protein foods
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c. Instruct the daughter to check her mother's temperature
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d. Review the client's current food and medication allergies
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e. Determine if the mother has recently experienced a fall - CORRECT ANSWER-
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a. Ask if the mother is experiencing any pain with urination
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c. Instruct the daughter to check her mother's temperature
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e. Determine if the mother has recently experienced a fall
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4. The nurse is assessing a male with a history of Addison's disease. The client
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has flu-like symptoms and nausea with vomiting over the past week. The
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client's spouse reports that he acted confused and was extremely weak when
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he awoke this morning. The client is febrile and has tachycardia. The health
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care provider diagnoses acute adrenal insufficiency. Which medication will
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most likely be prescribed?
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a. Hypertonic saline solution at 100 ml/hr until all edema disappears
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b. Hydrocortisone 100 mg IV every six hours until systolic BP reaches 110
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mmHg
c. Potassium chloride 20 mEq IV to infuse over 2 hours until confusion
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resolves
d. Regular insulin drip to keep blood glucose around 100 mg/dl (5.55
f f f f f f f f f f f
RNfHESIfEXITfHESIfExitfRNfExamfVersionf6(V6)fRealfActualf&AuthenticfExamfQUESTIONSfWITHfCORRECTfAN
SWERSf
,mmol/L) - CORRECT ANSWER- f f f
b. Hydrocortisone 100 mg IV every six hours until systolic BP reaches 110
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mmHg
5. A client with a history of mitral valve prolapse is admitted because of fever
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and dyspnea on exertion, and is diagnosed with acute infective endocarditis.
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During the admission assessment, the nurse observes multiple areas of
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petechiae on the client's skin. Which intervention should the nurse include in
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the client's plan of care? Select all that apply.
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a. Monitor cardiac rhythm via telemetry
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b. Report changes in pre-existing murmurs
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c. Schedule rest periods between activities
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d. Maintain record of fluid intake and output
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e. Initiate contact transmission precautions - CORRECT ANSWER-
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a. Monitor cardiac rhythm via telemetry
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b. Report changes in pre-existing murmurs
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6. The nurse is planning an educational session for new parents on ways to
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prevent sudden infant death syndrome (SIDS). Which information is most
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important to provide parents of newborns and infants?
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a. Remove pillows and soft toys from the crib at bedtime
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b. Keep a bulb syringe accessible for use for an infant
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c. Position the infant in a supine position while sleeping
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d. Do not prop bottles for an infant during naps and bedtime - CORRECT ANSWER-
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c. Position the infant in a supine position while sleeping
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SWERSf
, 7. The healthcare provider prescribes methylergonovine maleate for a
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postpartum client with uterine atony. What findings should indicate to the
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nurse to withhold the next dose of medication?
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a. Hypertension
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b. Difficulty locating the uterine fundus
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c. Saturation of more than one pad per hour
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d. Excessive lochia - CORRECT ANSWER-a. Hypertension
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8. The nurse notes that an older adult client has a moist cough that increases in
f f f f f f f f f f f f f f f
severity during and after meals. Based on this finding, which action should
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the nurse take?
f f
a. Collect a sputum specimen immediately
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b. Request a consultation to confirm dysphasia
f f f f f f
c. Offer the client additional clear liquids frequently
f f f f f f f
d. Encourage the client to do deep breathing exercises daily - CORRECT ANSWER-
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b. Request a consultation to confirm dysphasia
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9. A multiparous client who delivered her infant 3 hours ago asks the nurse if
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she can take a warm sitz bath because it helped reduce perennial pain after
f f f f f f f f f f f f f
her last delivery. What action should the nurse implement?
f f f f f f f f
a. Using analgesic spray to the perennial area to reduce pain
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b. Apply an ice pack to the perineum for the first 24 hours
f f f f f f f f f f f f
c. Teach the client how to practice Kegel exercises
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RNfHESIfEXITfHESIfExitfRNfExamfVersionf6(V6)fRealfActualf&AuthenticfExamfQUESTIONSfWITHfCORRECTfAN
SWERSf
F F F F F F F F F
L ACTUAL &AUTHENTIC EXAM QUESTIONS WITH CO
F F F F F F
RRECT ANSWERS F F
1. A mother runs into the emergency department with a toddler in her arms and
f f f f f f f f f f f f f f
tells the nurse that her child got into some cleaning products. the child smells
f f f f f f f f f f f f f
of chemicals on the hands, face, and on the front of the child's clothes. after
f f f f f f f f f f f f f f
ensuring the airway is patent, what action should the nurse implement first?
f f f f f f f f f f f
a. Assess the child for altered sensorium
f f f f f f
b. Determine type of chemical exposure
f f f f f
c. Obtain equipment for gastric lavage
f f f f f
d. Call poison control emergency number - CORRECT ANSWER-
f f f f f f f f
b. Determine type of chemical exposure
f f f f f
2. Which conditions are most likely to respond to treatment with
f f f f f f f f f f
antihistamines? Select all that apply. f f f f
a. Bronchitis
f
b. Allergic rhinitis
f f
c. Otitis media
f f
d. Contact dermatitis
f f
e. Myocarditis - CORRECT ANSWER-b. Allergic rhinitis
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d. Contact dermatitis
f f
3. An older client's daughter calls the home health nurse and reports that her
f f f f f f f f f f f f f
RNfHESIfEXITfHESIfExitfRNfExamfVersionf6(V6)fRealfActualf&AuthenticfExamfQUESTIONSfWITHfCORRECTfAN
SWERSf
,mother has become forgetful and is very confused at night. The daughter
f f f f f f f f f f f
states that her mother's behavior changed suddenly a few days ago and is
f f f f f f f f f f f f
now getting worse. Which action should the nurse take? Select all that apply.
f f f f f f f f f f f f
a. Ask if the mother is experiencing any pain with urination
f f f f f f f f f f
b. Encourage increased intake of high protein foods
f f f f f f f
c. Instruct the daughter to check her mother's temperature
f f f f f f f f
d. Review the client's current food and medication allergies
f f f f f f f f
e. Determine if the mother has recently experienced a fall - CORRECT ANSWER-
f f f f f f f f f f f f
a. Ask if the mother is experiencing any pain with urination
f f f f f f f f f f
c. Instruct the daughter to check her mother's temperature
f f f f f f f f
e. Determine if the mother has recently experienced a fall
f f f f f f f f f
4. The nurse is assessing a male with a history of Addison's disease. The client
f f f f f f f f f f f f f f
has flu-like symptoms and nausea with vomiting over the past week. The
f f f f f f f f f f f
client's spouse reports that he acted confused and was extremely weak when
f f f f f f f f f f f
he awoke this morning. The client is febrile and has tachycardia. The health
f f f f f f f f f f f f
care provider diagnoses acute adrenal insufficiency. Which medication will
f f f f f f f f
most likely be prescribed?
f f f
a. Hypertonic saline solution at 100 ml/hr until all edema disappears
f f f f f f f f f f
b. Hydrocortisone 100 mg IV every six hours until systolic BP reaches 110
f f f f f f f f f f f f
mmHg
c. Potassium chloride 20 mEq IV to infuse over 2 hours until confusion
f f f f f f f f f f f f
resolves
d. Regular insulin drip to keep blood glucose around 100 mg/dl (5.55
f f f f f f f f f f f
RNfHESIfEXITfHESIfExitfRNfExamfVersionf6(V6)fRealfActualf&AuthenticfExamfQUESTIONSfWITHfCORRECTfAN
SWERSf
,mmol/L) - CORRECT ANSWER- f f f
b. Hydrocortisone 100 mg IV every six hours until systolic BP reaches 110
f f f f f f f f f f f f
mmHg
5. A client with a history of mitral valve prolapse is admitted because of fever
f f f f f f f f f f f f f f
and dyspnea on exertion, and is diagnosed with acute infective endocarditis.
f f f f f f f f f f
During the admission assessment, the nurse observes multiple areas of
f f f f f f f f f
petechiae on the client's skin. Which intervention should the nurse include in
f f f f f f f f f f f
the client's plan of care? Select all that apply.
f f f f f f f f
a. Monitor cardiac rhythm via telemetry
f f f f f
b. Report changes in pre-existing murmurs
f f f f f
c. Schedule rest periods between activities
f f f f f
d. Maintain record of fluid intake and output
f f f f f f f
e. Initiate contact transmission precautions - CORRECT ANSWER-
f f f f f f f
a. Monitor cardiac rhythm via telemetry
f f f f f
b. Report changes in pre-existing murmurs
f f f f f
6. The nurse is planning an educational session for new parents on ways to
f f f f f f f f f f f f f
prevent sudden infant death syndrome (SIDS). Which information is most
f f f f f f f f f
important to provide parents of newborns and infants?
f f f f f f f
a. Remove pillows and soft toys from the crib at bedtime
f f f f f f f f f f
b. Keep a bulb syringe accessible for use for an infant
f f f f f f f f f f
c. Position the infant in a supine position while sleeping
f f f f f f f f f
d. Do not prop bottles for an infant during naps and bedtime - CORRECT ANSWER-
f f f f f f f f f f f f f f
c. Position the infant in a supine position while sleeping
f f f f f f f f f
RNfHESIfEXITfHESIfExitfRNfExamfVersionf6(V6)fRealfActualf&AuthenticfExamfQUESTIONSfWITHfCORRECTfAN
SWERSf
, 7. The healthcare provider prescribes methylergonovine maleate for a
f f f f f f f f
postpartum client with uterine atony. What findings should indicate to the
f f f f f f f f f f
nurse to withhold the next dose of medication?
f f f f f f f
a. Hypertension
f
b. Difficulty locating the uterine fundus
f f f f f
c. Saturation of more than one pad per hour
f f f f f f f f
d. Excessive lochia - CORRECT ANSWER-a. Hypertension
f f f f f f
8. The nurse notes that an older adult client has a moist cough that increases in
f f f f f f f f f f f f f f f
severity during and after meals. Based on this finding, which action should
f f f f f f f f f f f
the nurse take?
f f
a. Collect a sputum specimen immediately
f f f f f
b. Request a consultation to confirm dysphasia
f f f f f f
c. Offer the client additional clear liquids frequently
f f f f f f f
d. Encourage the client to do deep breathing exercises daily - CORRECT ANSWER-
f f f f f f f f f f f f
b. Request a consultation to confirm dysphasia
f f f f f f
9. A multiparous client who delivered her infant 3 hours ago asks the nurse if
f f f f f f f f f f f f f f
she can take a warm sitz bath because it helped reduce perennial pain after
f f f f f f f f f f f f f
her last delivery. What action should the nurse implement?
f f f f f f f f
a. Using analgesic spray to the perennial area to reduce pain
f f f f f f f f f f
b. Apply an ice pack to the perineum for the first 24 hours
f f f f f f f f f f f f
c. Teach the client how to practice Kegel exercises
f f f f f f f f
RNfHESIfEXITfHESIfExitfRNfExamfVersionf6(V6)fRealfActualf&AuthenticfExamfQUESTIONSfWITHfCORRECTfAN
SWERSf
