HESI RN EXIT EXAM WITH NGN LATEST
VERSION A 2024 /HESI EXIT RN NEXT
GENERATION EXAM ALL 400+ QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES ALREADY GRADED A+
A client is scheduled to undergo an upper gastrointestinal (GI) series, and the nurse provides instructions
to the client about the test. Which statement by the client indicates a need for further instruction?
A. "The test will take about 30 minutes."
B. "I need to fast for 8 hours before the test."
C.
D. "I need to take a laxative after the test is completed, because the liquid that I'll have to drink for the
test can be constipating." - ANSWER✔✔C. "I need to drink citrate of magnesia the night before the test
and give myself a Fleet enema on the morning of the test."
A nurse on the evening shift checks a physician's prescriptions and notes that the dose of a prescribed
medication is higher than the normal dose. The nurse calls the physician's answering service and is told
that the physician is off for the night and will be available in the morning. The nurse should:
A. Call the nursing supervisor
B.
C. Withhold the medication until the physician can be reached in the morning
D. Administer the medication but consult the physician when he becomes available - ANSWER✔✔B. Ask
the answering service to contact the on-call physician
,An emergency department (ED) nurse is monitoring a client with suspected acute myocardial infarction
(MI) who is awaiting transfer to the coronary intensive care unit. The nurse notes the sudden onset of
premature ventricular contractions (PVCs) on the monitor, checks the client's carotid pulse, and
determines that the PVCs are not resulting in perfusion. The appropriate action by the nurse is:
A. Documenting the findings
B.
C. Continuing to monitor the client's cardiac status
D. Informing the client that PVCs are expected after an MI - ANSWER✔✔B. Asking the ED physician to
check the client
NPO status is imposed 8 hours before the procedure on a client scheduled to undergo electroconvulsive
therapy (ECT) at 1 p.m. On the morning of the procedure, the nurse checks the client's record and notes
that the client routinely takes an oral antihypertensive medication each morning. The nurse should:
A.
B. Withhold the antihypertensive and administer it at bedtime
C. Administer the medication by way of the intravenous (IV) route
D. Hold the antihypertensive and resume its administration on the day after the ECT - ANSWER✔✔A.
Administer the antihypertensive with a small sip of water
A client who recently underwent coronary artery bypass graft surgery comes to the physician's office for
a follow-up visit. On assessment, the client tells the nurse that he is feeling depressed. Which response
by the nurse is therapeutic?
A.
B. "That's a normal response after this type of surgery."
C. "It will take time, but, I promise you, you will get over this depression."
,D. "Every client who has this surgery feels the same way for about a month." - ANSWER✔✔A. "Tell me
more about what you're feeling."
A client in labor experiences spontaneous rupture of the membranes. The nurse immediately counts the
fetal heart rate (FHR) for 1 full minute and then checks the amniotic fluid. The nurse notes that the fluid
is yellow and has a strong odor. Which of the following actions should be the nurse's priority?
A.
B. Documenting the findings
C. Checking the fluid for protein
D. Continuing to monitor the client and the FHR - ANSWER✔✔A. Contacting the physician
A nurse has assisted a physician in inserting a central venous access device into a client with a diagnosis
of severe malnutrition who will be receiving parenteral nutrition (PN). After insertion of the catheter, the
nurse immediately plans to:
A.
B. Check the client's blood glucose level to serve as a baseline measurement
C. Hang the prescribed bag of PN and start the infusion at the prescribed rate
D. Infuse normal saline solution through the catheter at a rate of 100 mL/hr to maintain patency -
ANSWER✔✔A. Call the radiography department to obtain a chest x-ray
A rape victim being treated in the emergency department says to the nurse, "I'm really worried that I've
got HIV now." What is the appropriate response by the nurse?
A. "HIV is rarely an issue in rape victims."
B. "Every rape victim is concerned about HIV."
C. "You're more likely to get pregnant than to contract HIV."
, D.
ANSWER✔✔D. "Let's talk about the information that you need to determine your risk of contracting
HIV."
A client is taking prescribed ibuprofen (Motrin), 300 mg orally four times daily, to relieve joint pain
resulting from rheumatoid arthritis. The client tells the nurse that the medication is causing nausea and
indigestion. The nurse should tell the client to:
A. Contact the physician
B. Stop taking the medication
C.
D. Take the medication twice a day instead of four times - ANSWER✔✔C. Take the medication with food
A client's oral intake of liquids includes 120 mL on the night shift, 800 mL on the day shift, and 650 mL on
the evening shift. The client is receiving an intravenous (IV) antibiotic every 12 hours, diluted in 50 mL of
normal saline solution. The nurse empties 700 mL of urine from the client's Foley catheter at the end of
the day shift. Thereafter, 500 mL of urine is emptied at the end of the evening shift and 325 mL at the
end of the night shift. Nasogastric tube drainage totals 155 mL for the 24-hour period, and the total
drainage from the Jackson-Pratt device is 175 mL. What is the client's total intake during the 24-hour
period? - ANSWER✔✔
Lorazepam (Ativan) 1 mg by way of intravenous (IV) injection (IV push) is prescribed for a client for the
management of anxiety. The nurse prepares the medication as prescribed and administers the
medication over a period of:
A.
B. 10 seconds
C. 15 seconds
D. 30 minutes - ANSWER✔✔A. 3 minutes
VERSION A 2024 /HESI EXIT RN NEXT
GENERATION EXAM ALL 400+ QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES ALREADY GRADED A+
A client is scheduled to undergo an upper gastrointestinal (GI) series, and the nurse provides instructions
to the client about the test. Which statement by the client indicates a need for further instruction?
A. "The test will take about 30 minutes."
B. "I need to fast for 8 hours before the test."
C.
D. "I need to take a laxative after the test is completed, because the liquid that I'll have to drink for the
test can be constipating." - ANSWER✔✔C. "I need to drink citrate of magnesia the night before the test
and give myself a Fleet enema on the morning of the test."
A nurse on the evening shift checks a physician's prescriptions and notes that the dose of a prescribed
medication is higher than the normal dose. The nurse calls the physician's answering service and is told
that the physician is off for the night and will be available in the morning. The nurse should:
A. Call the nursing supervisor
B.
C. Withhold the medication until the physician can be reached in the morning
D. Administer the medication but consult the physician when he becomes available - ANSWER✔✔B. Ask
the answering service to contact the on-call physician
,An emergency department (ED) nurse is monitoring a client with suspected acute myocardial infarction
(MI) who is awaiting transfer to the coronary intensive care unit. The nurse notes the sudden onset of
premature ventricular contractions (PVCs) on the monitor, checks the client's carotid pulse, and
determines that the PVCs are not resulting in perfusion. The appropriate action by the nurse is:
A. Documenting the findings
B.
C. Continuing to monitor the client's cardiac status
D. Informing the client that PVCs are expected after an MI - ANSWER✔✔B. Asking the ED physician to
check the client
NPO status is imposed 8 hours before the procedure on a client scheduled to undergo electroconvulsive
therapy (ECT) at 1 p.m. On the morning of the procedure, the nurse checks the client's record and notes
that the client routinely takes an oral antihypertensive medication each morning. The nurse should:
A.
B. Withhold the antihypertensive and administer it at bedtime
C. Administer the medication by way of the intravenous (IV) route
D. Hold the antihypertensive and resume its administration on the day after the ECT - ANSWER✔✔A.
Administer the antihypertensive with a small sip of water
A client who recently underwent coronary artery bypass graft surgery comes to the physician's office for
a follow-up visit. On assessment, the client tells the nurse that he is feeling depressed. Which response
by the nurse is therapeutic?
A.
B. "That's a normal response after this type of surgery."
C. "It will take time, but, I promise you, you will get over this depression."
,D. "Every client who has this surgery feels the same way for about a month." - ANSWER✔✔A. "Tell me
more about what you're feeling."
A client in labor experiences spontaneous rupture of the membranes. The nurse immediately counts the
fetal heart rate (FHR) for 1 full minute and then checks the amniotic fluid. The nurse notes that the fluid
is yellow and has a strong odor. Which of the following actions should be the nurse's priority?
A.
B. Documenting the findings
C. Checking the fluid for protein
D. Continuing to monitor the client and the FHR - ANSWER✔✔A. Contacting the physician
A nurse has assisted a physician in inserting a central venous access device into a client with a diagnosis
of severe malnutrition who will be receiving parenteral nutrition (PN). After insertion of the catheter, the
nurse immediately plans to:
A.
B. Check the client's blood glucose level to serve as a baseline measurement
C. Hang the prescribed bag of PN and start the infusion at the prescribed rate
D. Infuse normal saline solution through the catheter at a rate of 100 mL/hr to maintain patency -
ANSWER✔✔A. Call the radiography department to obtain a chest x-ray
A rape victim being treated in the emergency department says to the nurse, "I'm really worried that I've
got HIV now." What is the appropriate response by the nurse?
A. "HIV is rarely an issue in rape victims."
B. "Every rape victim is concerned about HIV."
C. "You're more likely to get pregnant than to contract HIV."
, D.
ANSWER✔✔D. "Let's talk about the information that you need to determine your risk of contracting
HIV."
A client is taking prescribed ibuprofen (Motrin), 300 mg orally four times daily, to relieve joint pain
resulting from rheumatoid arthritis. The client tells the nurse that the medication is causing nausea and
indigestion. The nurse should tell the client to:
A. Contact the physician
B. Stop taking the medication
C.
D. Take the medication twice a day instead of four times - ANSWER✔✔C. Take the medication with food
A client's oral intake of liquids includes 120 mL on the night shift, 800 mL on the day shift, and 650 mL on
the evening shift. The client is receiving an intravenous (IV) antibiotic every 12 hours, diluted in 50 mL of
normal saline solution. The nurse empties 700 mL of urine from the client's Foley catheter at the end of
the day shift. Thereafter, 500 mL of urine is emptied at the end of the evening shift and 325 mL at the
end of the night shift. Nasogastric tube drainage totals 155 mL for the 24-hour period, and the total
drainage from the Jackson-Pratt device is 175 mL. What is the client's total intake during the 24-hour
period? - ANSWER✔✔
Lorazepam (Ativan) 1 mg by way of intravenous (IV) injection (IV push) is prescribed for a client for the
management of anxiety. The nurse prepares the medication as prescribed and administers the
medication over a period of:
A.
B. 10 seconds
C. 15 seconds
D. 30 minutes - ANSWER✔✔A. 3 minutes
