HESI EXIT RN V1 EXAM 2025 [NEW] All 100% Verified
160 Questions and Answers - Guaranteed Pass With
Grade A.,,
The nurse completing the admission assessment of a 3-year-old who is admitted with
bacterial meningitis and hydrocephalusWhich assessment evidence that the child is
experiencing increased intracranial pressure (ICP) - Sluggish and unequal pupillary
responses
A client with acute pancreatitis is admitted with severe , piercing abdominal pain and an
elevated serum amylase . Which additional information is the client most likely to report to
the nurse ? - Abdominal pain decreases when lying supine
A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the
hospitalWhich information is most important for the nurse to provide the parents prior to
discharge? - Instructions about how much fluid the child should drink daily .
To auscultate for a carotid bruitthe nurse places the stethoscope at what location (Select the
correct location on the image. To change, click on a new location) -
After receiving report on an inpatient acute care unit, which client should the nurse assess
first? - The client with a bowel obstruction due to a volvulus who is experiencing
abdominal rigidity
P a g e 1 | 36
,A teenager presents to the emergency department with palpitations after vaping at a
partyThe client is anxious, fearful, and hyperventilatingThe anticipates the developing which
acid base imbalance? - Respiratory alkalosis
A with dyspnea is being admitted to the medical unitTo best prepare for the client's arrival,
the nurse should ensure that the client's bed is in which ? - Picture with the bed sitting
up
The nurse is taking the blood pressure measurement of a client with Parkinson's disease.
Which information in the admission assessment is relevan to the nurse's plan for taking the
blood pressure reading? (Select all that apply) - Blurred vision
Flat affect
Frequent syncope
While caring for a client's postoperative dressing, the nurse observes purulent drainage at the
wound. Before reporting this finding to the healthcare provider the nurse should review
which of the client's laboratory values ? - Culture for sensitive organisms.
A preschool aged boy is admitted to the pediatric unit following successful resuscitation from
a near -drowning incident While providing to the child , the nurse begins with brother who
P a g e 2 | 36
,rescued the child from the swimming pool and initiated resuscitation The nurse notices the
older boy becomes withdrawn when asked about what happened Which action should the
nurse take ? - Ask the older brother how he felt during the incident
A male client with cirrhosis has jaundice and prunitus. He tells the nurse that he has been
soaking in hot baths at
night with no relief of his discomfort. Which action should the nurse take ? - Encourage
the client to use cooler water and apply calamine lotion after soaking
An older client with a long history of coronary artery disease (CAD), hypertension (HTN), and
heart failure (HF) arrives in the Emergency Department ED) respiratory distressThe healthcare
provider prescribes furosemide IVWhich therapeutic response to furosemide should the nurse
expected in the with acute HF? - Reduced reload
Which intervention should the nurse include in the plan of care for a child with tetanus? -
Minimize the amount of stimuli in the room
An adolescent who was diagnosed with diabetes mellitus Type 1 at the age of 9is admitted to
the hospital in diabetic ketoacidosis. Which occurrence is the most likely cause of the
ketoacidosis? - Had a cold and ear infection for the past two days
P a g e 3 | 36
, A sclient swith sa sprescription sfor s" sdo snot sresuscitate s( sDNR s) sbegins sto smanifest ssigns sof
s impending sdeath s. sAfter snotifying sthe sfamily sof sthe sclient's sstatus s, swhat spriority saction sshould
s the snurse simplement s? s- s The sclient's sneed sfor spain smedication sshould sbe sdetermined.
Which sself scare smeasure sis smost simportant sfor sthe snurse sto sinclude sin sthe splan sof scare sof sa
s client srecently sdiagnosed swith stype s2 sdiabetes smellitus s- s Blood sglucose smonitoring
A sclient swho sgave sbirth s48 shours sago shas sdecided sto sbottle sfeed sthe sinfantDuring sthe
s assessment, sthe snurse sobserves sthat sboth sbreasts sare sswollen, swarm sand stender son
s palpationWhich sinstruction sshould sthe snurse sprovide? s- s Apply sice sto sthe sbreast sfor
s comfort
The snurse sis spreparing sa sclient swho shad sa sbelow-the-knee s(BKA) samputation sfor sdischarge sto
s home. sWhich srecommendations sshould sthe snurse sprovide sthis sclient? s(Select sall sthat sapply.) s-
Inspect sskin sfor sredness
s Use sa sresidual slimb sshrinker
Wash sthe sstump swith ssoap sand swater
A stoddler spresenting swith sa shistory sof sIntermittent sskin srashes, shives, sabdominal spain, sand
s vomiting sthat soccurs safter singesting sof smilk sproducts sarrives sto sthe sclinic saccompanied sby sthe
P sa sg se s 4 s| s36
160 Questions and Answers - Guaranteed Pass With
Grade A.,,
The nurse completing the admission assessment of a 3-year-old who is admitted with
bacterial meningitis and hydrocephalusWhich assessment evidence that the child is
experiencing increased intracranial pressure (ICP) - Sluggish and unequal pupillary
responses
A client with acute pancreatitis is admitted with severe , piercing abdominal pain and an
elevated serum amylase . Which additional information is the client most likely to report to
the nurse ? - Abdominal pain decreases when lying supine
A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the
hospitalWhich information is most important for the nurse to provide the parents prior to
discharge? - Instructions about how much fluid the child should drink daily .
To auscultate for a carotid bruitthe nurse places the stethoscope at what location (Select the
correct location on the image. To change, click on a new location) -
After receiving report on an inpatient acute care unit, which client should the nurse assess
first? - The client with a bowel obstruction due to a volvulus who is experiencing
abdominal rigidity
P a g e 1 | 36
,A teenager presents to the emergency department with palpitations after vaping at a
partyThe client is anxious, fearful, and hyperventilatingThe anticipates the developing which
acid base imbalance? - Respiratory alkalosis
A with dyspnea is being admitted to the medical unitTo best prepare for the client's arrival,
the nurse should ensure that the client's bed is in which ? - Picture with the bed sitting
up
The nurse is taking the blood pressure measurement of a client with Parkinson's disease.
Which information in the admission assessment is relevan to the nurse's plan for taking the
blood pressure reading? (Select all that apply) - Blurred vision
Flat affect
Frequent syncope
While caring for a client's postoperative dressing, the nurse observes purulent drainage at the
wound. Before reporting this finding to the healthcare provider the nurse should review
which of the client's laboratory values ? - Culture for sensitive organisms.
A preschool aged boy is admitted to the pediatric unit following successful resuscitation from
a near -drowning incident While providing to the child , the nurse begins with brother who
P a g e 2 | 36
,rescued the child from the swimming pool and initiated resuscitation The nurse notices the
older boy becomes withdrawn when asked about what happened Which action should the
nurse take ? - Ask the older brother how he felt during the incident
A male client with cirrhosis has jaundice and prunitus. He tells the nurse that he has been
soaking in hot baths at
night with no relief of his discomfort. Which action should the nurse take ? - Encourage
the client to use cooler water and apply calamine lotion after soaking
An older client with a long history of coronary artery disease (CAD), hypertension (HTN), and
heart failure (HF) arrives in the Emergency Department ED) respiratory distressThe healthcare
provider prescribes furosemide IVWhich therapeutic response to furosemide should the nurse
expected in the with acute HF? - Reduced reload
Which intervention should the nurse include in the plan of care for a child with tetanus? -
Minimize the amount of stimuli in the room
An adolescent who was diagnosed with diabetes mellitus Type 1 at the age of 9is admitted to
the hospital in diabetic ketoacidosis. Which occurrence is the most likely cause of the
ketoacidosis? - Had a cold and ear infection for the past two days
P a g e 3 | 36
, A sclient swith sa sprescription sfor s" sdo snot sresuscitate s( sDNR s) sbegins sto smanifest ssigns sof
s impending sdeath s. sAfter snotifying sthe sfamily sof sthe sclient's sstatus s, swhat spriority saction sshould
s the snurse simplement s? s- s The sclient's sneed sfor spain smedication sshould sbe sdetermined.
Which sself scare smeasure sis smost simportant sfor sthe snurse sto sinclude sin sthe splan sof scare sof sa
s client srecently sdiagnosed swith stype s2 sdiabetes smellitus s- s Blood sglucose smonitoring
A sclient swho sgave sbirth s48 shours sago shas sdecided sto sbottle sfeed sthe sinfantDuring sthe
s assessment, sthe snurse sobserves sthat sboth sbreasts sare sswollen, swarm sand stender son
s palpationWhich sinstruction sshould sthe snurse sprovide? s- s Apply sice sto sthe sbreast sfor
s comfort
The snurse sis spreparing sa sclient swho shad sa sbelow-the-knee s(BKA) samputation sfor sdischarge sto
s home. sWhich srecommendations sshould sthe snurse sprovide sthis sclient? s(Select sall sthat sapply.) s-
Inspect sskin sfor sredness
s Use sa sresidual slimb sshrinker
Wash sthe sstump swith ssoap sand swater
A stoddler spresenting swith sa shistory sof sIntermittent sskin srashes, shives, sabdominal spain, sand
s vomiting sthat soccurs safter singesting sof smilk sproducts sarrives sto sthe sclinic saccompanied sby sthe
P sa sg se s 4 s| s36
