HESI RN EXIT EXAM 2024-2025 QUESTIONS AND ANSWERS 100
% PASS A+ GRADE
An 86 year-old nursing home resident who has decreased mental status is hospitalized with pneumonic
infiltrates in the right lower lobe. When the nurse assists the client with a clear liquid diet, the client
begins to cough. What should the nurse do next?
A) Add a thickening agent to the fluids
B) Check the client's gag reflex
C) Feed the client only solid foods
D) Increase the rate of intravenous fluids - answer>>B) Check the client's gag reflex
The nurse is planning care for a client with a CVA. Which of the following measures planned by the nurse
would be most effective in preventing skin breakdown?
A) Place client in the wheelchair for four hours each day
B) Pad the bony prominence
C) Reposition every two hours
D) Massage reddened bony prominence - answer>>C) Reposition every two hours
A nurse is assessing several clients in a long term health care facility. Which client is at highest risk for
development of decubitus ulcers?
A) A 79 year-old malnourished client on bed rest
B) An obese client who uses a wheelchair
C) A client who had 3 incontinent diarrhea stools
D) An 80 year-old ambulatory diabetic client - answer>>C) A client who had 3 incontinent diarrhea stools
Constipation is one of the most frequent complaints of elders. When assessing this problem, which
action should be the nurse's priority?
,A) Obtain a complete blood count
B) Obtain a health and dietary history
C) Refer to a provider for a physical examination
D) Measure height and weight - answer>>B) Obtain a health and dietary history
After a client has an enteral feeding tube inserted, the most accurate method for verification of
placement is
A) Abdominal x-ray
B) Auscultation
C) Flushing tube with saline
D) Aspiration for gastric contents - answer>>A) Abdominal x-ray
A client was just taken off the ventilator after surgery and has a nasogastric tube draining bile colored
liquids. Which nursing measure will provide the most comfort to the client?A) Allow the client to melt
ice chips in the mouth
B) Provide mints to freshen the breath
C) Perform frequent oral care with a tooth sponge
D) Swab the mouth with glycerin swabs - answer>>C) Perform frequent oral care with a tooth sponge
The nurse is instructing a 65 year-old female client diagnosed with osteoporosis. The most important
instruction regarding exercise would be to
A) Exercise doing weight bearing activities
B) Exercise to reduce weight
C) Avoid exercise activities that increase the risk of fracture D) Exercise to strengthen muscles and
thereby protect bones - answer>>A) Exercise doing weight bearing activities
The nurse has been teaching a client with congestive heart failure about proper nutrition. The selection
of which lunch indicates the client has learned about sodium restriction?
,A) Cheese sandwich with a glass of 2% milk
B) Sliced turkey sandwich and canned pineapple
C) Cheeseburger and baked potato
D) Mushroom pizza and ice cream - answer>>B) Sliced turkey sandwich and canned pineapple
Which bed position is preferred for use with a client in an extended care facility on falls risk prevention
protocol?
A) All 4 side rails up, wheels locked, bed closest to door
B) Lower side rails up, bed facing doorway
C) Knees bent, head slightly elevated, bed in lowest position
D) Bed in lowest position, wheels locked, place bed against wall - answer>>D) Bed in lowest position,
wheels locked, place bed against wall
The nurse is talking to parents about nutrition in school aged children. Which of the following is the
most common nutritional disorder in this age group?
A) Bulimia
B) Anorexia
C) Obesity
D) Malnutrition - answer>>C) Obesity
At the geriatric day care program a client is crying and repeating "I want to go home. Call my daddy to
come for me." The nurse should
A) Invite the client to join the exercise group
B) Tell the client you will call someone to come for her
C) Give the client simple information about what she will be doing
D) Firmly direct the client to her assigned group activity - answer>>C) Give the client simple information
about what she will be doing
, A victim of domestic violence states to the nurse, "If only I could change and be how my companion
wants me to be, I know things would be different." Which would be the best response by the nurse?
A) "The violence is temporarily caused by unusual circumstances, don't stop hoping for a change.
"B) "Perhaps, if you understood the need to abuse, you could stop the violence.
"C) "No one deserves to be beaten. Are you doing anything to provoke your spouse into beating you?"
D) "Batterers lose self-control because of their own internal reasons, not because of what their
partner did or did not do." - answer>>D) "Batterers lose self-control because of their own internal
reasons, not because of what their
partner did or did not do."
A 38 year-old female client is admitted to the hospital with an acute exacerbation of asthma. This is her
third admission for asthma in 7 months. She describes how she doesn't really like having to use her
medications all the time. Which explanation by the nurse best describes the long-term consequence of
uncontrolled airway inflammation?
A) Degeneration of the alveoli
B) Chronic broncho constriction of the large airways
C) Lung remodeling and permanent changes in lung function
D) Frequent pneumonia - answer>>C) Lung remodeling and permanent changes in lung function
A mother wants to switch her 9 month-old infant from an iron fortified formula to whole milk because
of the expense. Upon further assessment, the nurse finds that the baby eats table foods well, but drinks
less milk than before. What is the best advice by the nurse?
A) Change the baby to whole milk
B) Add chocolate syrup to the bottle
C) Continue with the present formula
D) Offer fruit juice frequently - answer>>C) Continue with the present formula
% PASS A+ GRADE
An 86 year-old nursing home resident who has decreased mental status is hospitalized with pneumonic
infiltrates in the right lower lobe. When the nurse assists the client with a clear liquid diet, the client
begins to cough. What should the nurse do next?
A) Add a thickening agent to the fluids
B) Check the client's gag reflex
C) Feed the client only solid foods
D) Increase the rate of intravenous fluids - answer>>B) Check the client's gag reflex
The nurse is planning care for a client with a CVA. Which of the following measures planned by the nurse
would be most effective in preventing skin breakdown?
A) Place client in the wheelchair for four hours each day
B) Pad the bony prominence
C) Reposition every two hours
D) Massage reddened bony prominence - answer>>C) Reposition every two hours
A nurse is assessing several clients in a long term health care facility. Which client is at highest risk for
development of decubitus ulcers?
A) A 79 year-old malnourished client on bed rest
B) An obese client who uses a wheelchair
C) A client who had 3 incontinent diarrhea stools
D) An 80 year-old ambulatory diabetic client - answer>>C) A client who had 3 incontinent diarrhea stools
Constipation is one of the most frequent complaints of elders. When assessing this problem, which
action should be the nurse's priority?
,A) Obtain a complete blood count
B) Obtain a health and dietary history
C) Refer to a provider for a physical examination
D) Measure height and weight - answer>>B) Obtain a health and dietary history
After a client has an enteral feeding tube inserted, the most accurate method for verification of
placement is
A) Abdominal x-ray
B) Auscultation
C) Flushing tube with saline
D) Aspiration for gastric contents - answer>>A) Abdominal x-ray
A client was just taken off the ventilator after surgery and has a nasogastric tube draining bile colored
liquids. Which nursing measure will provide the most comfort to the client?A) Allow the client to melt
ice chips in the mouth
B) Provide mints to freshen the breath
C) Perform frequent oral care with a tooth sponge
D) Swab the mouth with glycerin swabs - answer>>C) Perform frequent oral care with a tooth sponge
The nurse is instructing a 65 year-old female client diagnosed with osteoporosis. The most important
instruction regarding exercise would be to
A) Exercise doing weight bearing activities
B) Exercise to reduce weight
C) Avoid exercise activities that increase the risk of fracture D) Exercise to strengthen muscles and
thereby protect bones - answer>>A) Exercise doing weight bearing activities
The nurse has been teaching a client with congestive heart failure about proper nutrition. The selection
of which lunch indicates the client has learned about sodium restriction?
,A) Cheese sandwich with a glass of 2% milk
B) Sliced turkey sandwich and canned pineapple
C) Cheeseburger and baked potato
D) Mushroom pizza and ice cream - answer>>B) Sliced turkey sandwich and canned pineapple
Which bed position is preferred for use with a client in an extended care facility on falls risk prevention
protocol?
A) All 4 side rails up, wheels locked, bed closest to door
B) Lower side rails up, bed facing doorway
C) Knees bent, head slightly elevated, bed in lowest position
D) Bed in lowest position, wheels locked, place bed against wall - answer>>D) Bed in lowest position,
wheels locked, place bed against wall
The nurse is talking to parents about nutrition in school aged children. Which of the following is the
most common nutritional disorder in this age group?
A) Bulimia
B) Anorexia
C) Obesity
D) Malnutrition - answer>>C) Obesity
At the geriatric day care program a client is crying and repeating "I want to go home. Call my daddy to
come for me." The nurse should
A) Invite the client to join the exercise group
B) Tell the client you will call someone to come for her
C) Give the client simple information about what she will be doing
D) Firmly direct the client to her assigned group activity - answer>>C) Give the client simple information
about what she will be doing
, A victim of domestic violence states to the nurse, "If only I could change and be how my companion
wants me to be, I know things would be different." Which would be the best response by the nurse?
A) "The violence is temporarily caused by unusual circumstances, don't stop hoping for a change.
"B) "Perhaps, if you understood the need to abuse, you could stop the violence.
"C) "No one deserves to be beaten. Are you doing anything to provoke your spouse into beating you?"
D) "Batterers lose self-control because of their own internal reasons, not because of what their
partner did or did not do." - answer>>D) "Batterers lose self-control because of their own internal
reasons, not because of what their
partner did or did not do."
A 38 year-old female client is admitted to the hospital with an acute exacerbation of asthma. This is her
third admission for asthma in 7 months. She describes how she doesn't really like having to use her
medications all the time. Which explanation by the nurse best describes the long-term consequence of
uncontrolled airway inflammation?
A) Degeneration of the alveoli
B) Chronic broncho constriction of the large airways
C) Lung remodeling and permanent changes in lung function
D) Frequent pneumonia - answer>>C) Lung remodeling and permanent changes in lung function
A mother wants to switch her 9 month-old infant from an iron fortified formula to whole milk because
of the expense. Upon further assessment, the nurse finds that the baby eats table foods well, but drinks
less milk than before. What is the best advice by the nurse?
A) Change the baby to whole milk
B) Add chocolate syrup to the bottle
C) Continue with the present formula
D) Offer fruit juice frequently - answer>>C) Continue with the present formula
