HESI Exit RN EXIT EXAM
HESI Exit RN EXIT EXAM 2 Version 4 Complete
160 Recent Questions and Correct Verified
Answers/ RN Hesi Exit Exam V4 for the RN
Hesi Exit Prep (New!)
In monitoring tissue perfusion in a client following an above the knee amputation (AKA), which
action should the nurse include in the plan of care?
A. Assess skin elasticity of the stump
B. Observe for swelling around the stump
C. Note amount and color of wound drainage
D. Evaluate closest proximal pulse –
Correct Answer :D. Evaluate closest proximal pulse
A+ TEST BANK 1
, HESI Exit RN EXIT EXAM
During shift report, the charge nurse receives notice of several problems. Which problem should
the nurse address first?
A. The census report has not been completed
B. A client's wife has asked to speak with the charge nurse
C. One staff member has not reported to work
D. A bucket of water was spilled in the hallway –
Correct Answer :D. A bucket of water was spilled in the hallway
An older client is admitted to the hospital because of recurring transient ischemic attacks.
Neurological serial assessments for the past 24 hours were within normal limits. One day after
admission, the client suddenly becomes confused and combative indicating impaired mental
status (IMS). What intervention should the nurse implement first?
A. Document neurologic changes
B. Reduce environmental stimuli
C. Administer prescribed neuroleptic
D. Review medications for interactions –
Correct Answer :B. Reduce environmental stimuli
An adult client is admitted to the psychiatric unit because of a daily, complex handwashing ritual
that takes two hours or longer to complete. The client worries about staying clean and refuses to
sit on any of the chairs in the day area. This client's handwashing is an example of which clinical
behavior?
A. Phobia
B. Addiction
C. Obsession
D. Compulsion
A+ TEST BANK 2
, HESI Exit RN EXIT EXAM
- Correct Answer :D. Compulsion
The nurse is preparing to send a client to the cardiac catheterization lab for elective
cardioversion. Which intervention should the nurse implement before the client leaves the
medical unit?
A. Document that the client has remained NPO
B. Confirm monitor reading in synchronous mode
C. Notify the rapid response team of the transfer
D. Secure cardioversion pads on the client's chest –
Correct Answer :A. Document that the client has remained NPO
The nurse includes assessment for fat embolism syndrome (FES) in the plan of care for a client
with a fractured femur. Which findings should the nurse include that are often the earliest
indication of a FES?
A. Confusion, restlessness
B. Petechial rash
C. Tachycardia, fever
D. Pulmonary crackles –
Correct Answer :A. Confusion, restlessness
The nurse is assessing a first day postpartum client. Which finding is most indicative of a
postpartum infection?
A. Blood pressure of 122/74 mmHg
B. White blood count of 19,000mm3
C. Moderate amount of foul-smelling lochia
D. Oral temperature of 100.2F –
A+ TEST BANK 3
, HESI Exit RN EXIT EXAM
Correct Answer :C. Moderate amount of foul-smelling lochia
The nurse should be most concerned about risk for injury (falls) after administering which
medication?
A. Pantoprazole
B. Famotidine
C. Clarithromycin
D. Promethazine
- Correct Answer :D. Promethazine
The charge nurse in an extended care facility in organizing unit activities for the day. Which
action may be safely delegated to the practical nurse (PN)?
A. Measure the client's body weight each morning
B. Establish blood pressure parameters for client monitoring
C. Evaluate a staff member providing wound care
D. Evaluate client teaching through return demonstration
- Correct Answer :A. Measure the client's body weight each morning
An older adult client with chronic emphysema is admitted to the emergency room from home
with acute onset of weakness, palpitations, and vomiting. Which information is most important
for the nurse to obtain during the initial interview?
A. History of smoking over the past 6 months
B. Sleep patterns during the previous few weeks
C. Activity level prior to onset of symptoms
A+ TEST BANK 4
HESI Exit RN EXIT EXAM 2 Version 4 Complete
160 Recent Questions and Correct Verified
Answers/ RN Hesi Exit Exam V4 for the RN
Hesi Exit Prep (New!)
In monitoring tissue perfusion in a client following an above the knee amputation (AKA), which
action should the nurse include in the plan of care?
A. Assess skin elasticity of the stump
B. Observe for swelling around the stump
C. Note amount and color of wound drainage
D. Evaluate closest proximal pulse –
Correct Answer :D. Evaluate closest proximal pulse
A+ TEST BANK 1
, HESI Exit RN EXIT EXAM
During shift report, the charge nurse receives notice of several problems. Which problem should
the nurse address first?
A. The census report has not been completed
B. A client's wife has asked to speak with the charge nurse
C. One staff member has not reported to work
D. A bucket of water was spilled in the hallway –
Correct Answer :D. A bucket of water was spilled in the hallway
An older client is admitted to the hospital because of recurring transient ischemic attacks.
Neurological serial assessments for the past 24 hours were within normal limits. One day after
admission, the client suddenly becomes confused and combative indicating impaired mental
status (IMS). What intervention should the nurse implement first?
A. Document neurologic changes
B. Reduce environmental stimuli
C. Administer prescribed neuroleptic
D. Review medications for interactions –
Correct Answer :B. Reduce environmental stimuli
An adult client is admitted to the psychiatric unit because of a daily, complex handwashing ritual
that takes two hours or longer to complete. The client worries about staying clean and refuses to
sit on any of the chairs in the day area. This client's handwashing is an example of which clinical
behavior?
A. Phobia
B. Addiction
C. Obsession
D. Compulsion
A+ TEST BANK 2
, HESI Exit RN EXIT EXAM
- Correct Answer :D. Compulsion
The nurse is preparing to send a client to the cardiac catheterization lab for elective
cardioversion. Which intervention should the nurse implement before the client leaves the
medical unit?
A. Document that the client has remained NPO
B. Confirm monitor reading in synchronous mode
C. Notify the rapid response team of the transfer
D. Secure cardioversion pads on the client's chest –
Correct Answer :A. Document that the client has remained NPO
The nurse includes assessment for fat embolism syndrome (FES) in the plan of care for a client
with a fractured femur. Which findings should the nurse include that are often the earliest
indication of a FES?
A. Confusion, restlessness
B. Petechial rash
C. Tachycardia, fever
D. Pulmonary crackles –
Correct Answer :A. Confusion, restlessness
The nurse is assessing a first day postpartum client. Which finding is most indicative of a
postpartum infection?
A. Blood pressure of 122/74 mmHg
B. White blood count of 19,000mm3
C. Moderate amount of foul-smelling lochia
D. Oral temperature of 100.2F –
A+ TEST BANK 3
, HESI Exit RN EXIT EXAM
Correct Answer :C. Moderate amount of foul-smelling lochia
The nurse should be most concerned about risk for injury (falls) after administering which
medication?
A. Pantoprazole
B. Famotidine
C. Clarithromycin
D. Promethazine
- Correct Answer :D. Promethazine
The charge nurse in an extended care facility in organizing unit activities for the day. Which
action may be safely delegated to the practical nurse (PN)?
A. Measure the client's body weight each morning
B. Establish blood pressure parameters for client monitoring
C. Evaluate a staff member providing wound care
D. Evaluate client teaching through return demonstration
- Correct Answer :A. Measure the client's body weight each morning
An older adult client with chronic emphysema is admitted to the emergency room from home
with acute onset of weakness, palpitations, and vomiting. Which information is most important
for the nurse to obtain during the initial interview?
A. History of smoking over the past 6 months
B. Sleep patterns during the previous few weeks
C. Activity level prior to onset of symptoms
A+ TEST BANK 4
