ATI RN HESI EXIT Exam Questions and Level A+ Answers
2022 2023
1. Following65discharge65teaching,65a65male65client65with65duodenal6 5 ulc
er65tells65the65nurse65the65he65will65drink65plenty65of65dairy65products,65
such65as65milk,65to65help65coat65and65protect65his65ulcer.65What65is65the65
best65follow-up65action65by65the65nurse?
a- Remind65the65client65that65it65is65also65important65to65switch65to65decaffe
inated65coffee65and65tea.
b- Suggest65that65the65client65also65plan65to65eat65frequent65small65me
als65to65reduce65discomfort
c- Review65with65the65client65the65need65to65avoid65foods65that65are6 5
rich65in65milk65and65cream.
d- Reinforce65this65teaching65by65asking65the65client65to65list6 5 a65dairy65food65
that65he65might65select.
Rationale:65Diets65rich65in65milk65and65cream65stimulate65gastric65acid65secr
etion65and65should65be65avoided.
2. A65male65client65with65hypertension,65who65received65new65antihypert
ensive65prescriptions65at65his65last65visit65returns65to65the65clinic65two65
weeks65later65to65evaluate65his65blood65pressure65(BP).65His65BP65is6515
8/10665and65he65admits65that65he65has65not65been65taking65the65prescri
bed65medication65because65the65drugs65make65him65“feel65bad”.65In65e
xplaining65the6 5 need65for65hypertension65control,65the6 5 nurse65shoul
d65stress65that65an65elevated65BP65places65the65client65at65risk65for65whi
ch65pathophysiological65condition?
, a- Blindness6 5 secondary65to65 cataracts
b- Acute65 kidney65injury65due65 to65 glomerular6 5 damage
c- Stroke6 5 secondary65to6 5 hemorrhage
d- Heart6 5 block65 due65to6 5 myocardial6 5 damage
Rationale:65Stroke65related65to65cerebral65hemorrhage65is65major65risk65for65
uncontrolled65hypertension.
3. The65nurse65observes65an65unlicensed65assistive65personnel65(UAP)
65positioning65a65newly65admitted65client65who65has65a65seizure65diso
rder.65The65client65is65supine65and65the65UAP65is65placing65soft65pillo
ws65along65the65side65rails.65What65action65should65the65nurse65impl
ement?
a- Ensure65that65the65UAP65has65placed65the65pillows65effectively65to65prot
ect65the65client.
b- Instruct65the65UAP65to65obtain65soft65blankets65to65secure65to65the65si
de65rails65instead65of65pillows.
a- Assume65responsibility65for65placing65the65pillows65while65the65
UAP65completes65another65task.
b- Ask65the65UAP65to65use65some65of65the65pillows65to6 5 prop65the65client65i
n65a65side65lying65position.
Rationale:65The65nurse65should65instruct65the65UAP65to65pad65the65side65rail
s65with65soft65blankest65because65the65use65of65pillows65could65result65in65su
ffocation65and65would65need65to65be65removed65at65the65onset65of65the65seizu
re.65The65nurse65can65delegate65paddling65the65side65rails65to65the65UAP
4. An65adolescent65with65major65depressive65disorder65has65been65tak
ing65duloxetine65(Cymbalta)65for65the65past651265days.65Which65ass
essment65finding65requires65immediate65follow-up?
, a- Describes6 5 life65 without6 5 purpose
b- Complains6 5 of65 nausea65and65loss65of6 5 appetite
c- States65is6 5 often6 5 fatigued65and65drowsy
d- Exhibits6 5 an65increase65in6 5 sweating.
Rationale:65Cymbalta65is65a65selective65serotonin65and65norepinephrine65
reuptake65inhibitor65that65is65known65to65increase65the65risk65of65suicidal65
thinking65in65adolescents65and65young65adults65with65major65depressive65
disorder.65B,65C65and65D65are65side65effects
5. A6560-year-
old65female65client65with65a65positive65family65history65of65ovarian
65cancer65has65developed65an65abdominal65mass65and65is65being65e
valuated65for65possible65ovarian65cancer.65Her65Papanicolau65(Pa
p)65smear65results65are65negative.65What65information65should65th
e65nurse65include65in65the65client‟s65teaching65plan?
a- Further65evaluation6 5 involving6 5 surgery65may6 5 be6 5 needed
b- A65pelvic6 5 exam65is65also65 needed6 5 before65cancer65 is65ruled65out
c- Pap65smear6 5 evaluation6 5 should6 5 be65continued6 5 every65six65month
d- One65additional65negative65pap65smear65in65six65months65is65nee
ded.65Rationale:65An65abdominal65mass65in65a65client65with65a65family
65history65for65ovarian65cancer65should65be65evaluated65carefully
6. A65client65who65recently65underwear65a65tracheostomy65is65bein
g65prepared65for65discharge65to65home.65Which65instructions65is
65most65important65for65the6 5 nurse65to6 5 include65in65the65discha
rge65plan?
a- Explain6 5 how65to6 5 use65communication65tools.
b- Teach65tracheal65 suctioning65 techniques
c- Encourage6 5 self-care65and65independence.
d- Demonstrate6 5 how65to6 5 clean65tracheostomy65site.
, Rationale:65Suctioning65helps65to65clear65secretions65and65maintain65an65op
en65airway,65which65is65critical.
7. In65assessing65an65adult65client65with65a65partial65rebreather65mask,
65the65nurse65notes65that65the65oxygen65reservoir65bag65does65not65de
flate65completely65during65inspiration65and65the65client‟s65respirato
ry65rate65is651465breaths65/6 5 minute.6 5 What65action65should65the65nu
rse6 5 implement?
a- Encourage65the65 client65 to65 take65 deep65 breaths
b- Remove65the65 mask65to6 5 deflate65the65 bag
c- Increase65the6 5 liter65 flow6 5 of65oxygen
d- Document65 the6 5 assessment6 5 data
Rational:65reservoir65bag65should65not65deflate65completely65during65inspira
tion65and65the65client‟s65respiratory65rate65is65within65normal65limits.
8. During65a65home65visit,65the65nurse65observed65an65elderly65client65
with65diabetes65slip65and65fall.6 5 What65action65should65the6 5 nurse6
5 take6 5 first?
a- Give65 the6 5 client65 465 ounces65of65orange65juice
b- Call6591165 to65 summon6 5 emergency6 5 assistance
c- Check65the6 5 client6 5 for65lacerations65or65fractures
d- Asses65clients6 5 blood65sugar65level
Rationale:65After65the65client65falls,65the65nurse65should65immediately65asse
ss65for65the65possibility65of65injuries65and65provide65first65aid65as65needed
9. At65060065while65admitting65a65woman65for65a65schedule65repeat65cesa
rean65section65(C-
Section),65the65client65tells65the65nurse65that6 5 she65drank65a65cup6 5 a65c
offee65at65040065because65she65wanted65to65avoid65getting65a65headach
e.65Which65action65should65the65nurse65take65first?
a- Ensure6 5 preoperative65lab65results6 5 are6 5 available
2022 2023
1. Following65discharge65teaching,65a65male65client65with65duodenal6 5 ulc
er65tells65the65nurse65the65he65will65drink65plenty65of65dairy65products,65
such65as65milk,65to65help65coat65and65protect65his65ulcer.65What65is65the65
best65follow-up65action65by65the65nurse?
a- Remind65the65client65that65it65is65also65important65to65switch65to65decaffe
inated65coffee65and65tea.
b- Suggest65that65the65client65also65plan65to65eat65frequent65small65me
als65to65reduce65discomfort
c- Review65with65the65client65the65need65to65avoid65foods65that65are6 5
rich65in65milk65and65cream.
d- Reinforce65this65teaching65by65asking65the65client65to65list6 5 a65dairy65food65
that65he65might65select.
Rationale:65Diets65rich65in65milk65and65cream65stimulate65gastric65acid65secr
etion65and65should65be65avoided.
2. A65male65client65with65hypertension,65who65received65new65antihypert
ensive65prescriptions65at65his65last65visit65returns65to65the65clinic65two65
weeks65later65to65evaluate65his65blood65pressure65(BP).65His65BP65is6515
8/10665and65he65admits65that65he65has65not65been65taking65the65prescri
bed65medication65because65the65drugs65make65him65“feel65bad”.65In65e
xplaining65the6 5 need65for65hypertension65control,65the6 5 nurse65shoul
d65stress65that65an65elevated65BP65places65the65client65at65risk65for65whi
ch65pathophysiological65condition?
, a- Blindness6 5 secondary65to65 cataracts
b- Acute65 kidney65injury65due65 to65 glomerular6 5 damage
c- Stroke6 5 secondary65to6 5 hemorrhage
d- Heart6 5 block65 due65to6 5 myocardial6 5 damage
Rationale:65Stroke65related65to65cerebral65hemorrhage65is65major65risk65for65
uncontrolled65hypertension.
3. The65nurse65observes65an65unlicensed65assistive65personnel65(UAP)
65positioning65a65newly65admitted65client65who65has65a65seizure65diso
rder.65The65client65is65supine65and65the65UAP65is65placing65soft65pillo
ws65along65the65side65rails.65What65action65should65the65nurse65impl
ement?
a- Ensure65that65the65UAP65has65placed65the65pillows65effectively65to65prot
ect65the65client.
b- Instruct65the65UAP65to65obtain65soft65blankets65to65secure65to65the65si
de65rails65instead65of65pillows.
a- Assume65responsibility65for65placing65the65pillows65while65the65
UAP65completes65another65task.
b- Ask65the65UAP65to65use65some65of65the65pillows65to6 5 prop65the65client65i
n65a65side65lying65position.
Rationale:65The65nurse65should65instruct65the65UAP65to65pad65the65side65rail
s65with65soft65blankest65because65the65use65of65pillows65could65result65in65su
ffocation65and65would65need65to65be65removed65at65the65onset65of65the65seizu
re.65The65nurse65can65delegate65paddling65the65side65rails65to65the65UAP
4. An65adolescent65with65major65depressive65disorder65has65been65tak
ing65duloxetine65(Cymbalta)65for65the65past651265days.65Which65ass
essment65finding65requires65immediate65follow-up?
, a- Describes6 5 life65 without6 5 purpose
b- Complains6 5 of65 nausea65and65loss65of6 5 appetite
c- States65is6 5 often6 5 fatigued65and65drowsy
d- Exhibits6 5 an65increase65in6 5 sweating.
Rationale:65Cymbalta65is65a65selective65serotonin65and65norepinephrine65
reuptake65inhibitor65that65is65known65to65increase65the65risk65of65suicidal65
thinking65in65adolescents65and65young65adults65with65major65depressive65
disorder.65B,65C65and65D65are65side65effects
5. A6560-year-
old65female65client65with65a65positive65family65history65of65ovarian
65cancer65has65developed65an65abdominal65mass65and65is65being65e
valuated65for65possible65ovarian65cancer.65Her65Papanicolau65(Pa
p)65smear65results65are65negative.65What65information65should65th
e65nurse65include65in65the65client‟s65teaching65plan?
a- Further65evaluation6 5 involving6 5 surgery65may6 5 be6 5 needed
b- A65pelvic6 5 exam65is65also65 needed6 5 before65cancer65 is65ruled65out
c- Pap65smear6 5 evaluation6 5 should6 5 be65continued6 5 every65six65month
d- One65additional65negative65pap65smear65in65six65months65is65nee
ded.65Rationale:65An65abdominal65mass65in65a65client65with65a65family
65history65for65ovarian65cancer65should65be65evaluated65carefully
6. A65client65who65recently65underwear65a65tracheostomy65is65bein
g65prepared65for65discharge65to65home.65Which65instructions65is
65most65important65for65the6 5 nurse65to6 5 include65in65the65discha
rge65plan?
a- Explain6 5 how65to6 5 use65communication65tools.
b- Teach65tracheal65 suctioning65 techniques
c- Encourage6 5 self-care65and65independence.
d- Demonstrate6 5 how65to6 5 clean65tracheostomy65site.
, Rationale:65Suctioning65helps65to65clear65secretions65and65maintain65an65op
en65airway,65which65is65critical.
7. In65assessing65an65adult65client65with65a65partial65rebreather65mask,
65the65nurse65notes65that65the65oxygen65reservoir65bag65does65not65de
flate65completely65during65inspiration65and65the65client‟s65respirato
ry65rate65is651465breaths65/6 5 minute.6 5 What65action65should65the65nu
rse6 5 implement?
a- Encourage65the65 client65 to65 take65 deep65 breaths
b- Remove65the65 mask65to6 5 deflate65the65 bag
c- Increase65the6 5 liter65 flow6 5 of65oxygen
d- Document65 the6 5 assessment6 5 data
Rational:65reservoir65bag65should65not65deflate65completely65during65inspira
tion65and65the65client‟s65respiratory65rate65is65within65normal65limits.
8. During65a65home65visit,65the65nurse65observed65an65elderly65client65
with65diabetes65slip65and65fall.6 5 What65action65should65the6 5 nurse6
5 take6 5 first?
a- Give65 the6 5 client65 465 ounces65of65orange65juice
b- Call6591165 to65 summon6 5 emergency6 5 assistance
c- Check65the6 5 client6 5 for65lacerations65or65fractures
d- Asses65clients6 5 blood65sugar65level
Rationale:65After65the65client65falls,65the65nurse65should65immediately65asse
ss65for65the65possibility65of65injuries65and65provide65first65aid65as65needed
9. At65060065while65admitting65a65woman65for65a65schedule65repeat65cesa
rean65section65(C-
Section),65the65client65tells65the65nurse65that6 5 she65drank65a65cup6 5 a65c
offee65at65040065because65she65wanted65to65avoid65getting65a65headach
e.65Which65action65should65the65nurse65take65first?
a- Ensure6 5 preoperative65lab65results6 5 are6 5 available
