2023 HESI EXIT RN EXAM
3 3 3 3
V1.V2,V3,V4,V5,V6,V7 Latest Volumes 3 3
20233HESI3EXIT3RN3EXAM3V1-
V731103OUT3OF3THE31603TOTAL3QUESTIONS3FOR3
EACH3VERSION
HESI V1- 3
V72023 3
TEST BANK 3
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, 2023 HESI EXIT RN EXAM
3 3 3 3
V1.V2,V3,V4,V5,V6,V7 Latest Volumes 3 3
20233 HESI3 EXIT3 RN3 EXAM
V1-V73 1603 TOTAL3 QUESTIONS3 EACH3 VOLUME
1. Following3discharge3teaching,3a3male3client3with3duodenal3ulcer3tells3the3nurse3the3he3will3drink3plen
ty3of3dairy3products,3such3as3milk,3to3help3coat3and3protect3his3ulcer.3What3is3the3best3follow-
up3action3by3the3nurse?
• Review3with3the3client3the3need3to3avoid3foods3that3are3rich3in3milk3and3cream
2. A3 male3client3with3hypertension,3who3received3new3antihypertensive3prescriptions 3at3his3last3visit3retu
rns3to3the3clinic3two3weeks3later3to3evaluate3his3blood3pressure3(BP).3His3BP3is3158/1063and3he3admits3
that3he3has3not3been3taking3the3prescribed3medication3because3the3drugs3make3him3“feel3bad”.3In3explai
ning3the3need3for3hypertension3control,3the3nurse3should3stress3that3an3elevated3BP3places3the3client3at3r
isk3for3which3pathophysiological3condition?
• Stroke3secondary3to3hemorrhage
• The3nurse3observes3an3unlicensed3assistive3personnel3(UAP)3positioning3a3newly3admitted3client3who3h
as3a3seizure3disorder.3The3client3is3supine3and3the3UAP3is3placing3soft3pillows3along3the3side3rails.3W
hat3action3should3the3 nurse3 implement?
An3adolescent3with3major3depressive3disorder3has3been3taking3duloxetine3(Cymbalta)3for3the3past3123days.3Wh
ich3assessment3finding3requires3 immediate3 follow-up?
• Describes3life3without3purpose
5. A360-year-
old3female3client3with3a3positive3family3history3of3ovarian3cancer3has3developed3an3abdominal3mass3and
3is3being3evaluated3for3possible3ovarian3cancer.3Her3Papanicolau3(Pap)3smear3results3are3negative.3 What3in
formation3should3the3nurse3 include3in3the3client’s3teaching3plan?
• Further3evaluation3 involving3surgery3 may3be3needed
6. A3client3who3recently3underwear3a3tracheostomy3is3being3prepared3for3discharge3to3home.3Which3instru
ctions3is3 most3 important3 for3the3 nurse3to3include3 in3the3discharge3plan?
• Teach3tracheal3suctioning3techniques
7. In3assessing3an3adult3client3with3a3partial3rebreather3mask,3 the3nurse3 notes3that3the3oxygen
reservoir3 bag3 does3 not3 deflate3 completely3 during3 inspiration3 and3 the3 client’s3 respiratory3 rate3 is
3 143breaths3 /3 minute.3 What3 action3 should3 the3 nurse3 implement?
• Document3the3assessment3data
• Rational:3 reservoir3bag3should3 not3deflate3completely3 during3 inspiration3 and3the3cli
ent’s3respiratory3 rate3 is3 within3 normal3 limits.
8. During3shift3report,3the3central3electrocardiogram3(EKG)3monitoring3system3alarms.3Which3client3
alarm3should3the3 nurse3 investigate3 firs?
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, 2023 HESI EXIT RN EXAM
3 3 3 3
V1.V2,V3,V4,V5,V6,V7 Latest Volumes 3 3
• Respiratory3apnea3of3303seconds
9. During3a3home3visit,3the3nurse3observed3an3elderly3client3with3diabetes3slip3and3fall.3What3action3sho
uld3the3nurse3take3 first?
• Check3the3client3 for3lacerations3or3fractures
10. At306003while3admitting3a3woman3for3a3schedule3repeat3cesarean3section3(C-
Section),3the3client3tells3the3nurse3that3she3drank3a3cup3a3coffee3at304003because3she3wanted3to3avoid3gett
ing3a3headache.3Which3action3should3the3 nurse3take3 first?
• Inform3the3anesthesia3care3provider
11. After3placing3a3stethoscope3as3seen3in3the3picture,3the3nurse3auscultates3S13and3S23heart3sounds.3To3de
termine3if3an3S33 heart3sound3 is3present,3what3action3should3the3 nurse3take3 first?
• Listen3with3the3bell3at3the3same3 location
12. A366-year-
old3woman3is3retiring3and3will3no3longer3have3a3health3insurance3through3her3place3of3employm
ent.3Which3agency3should3the3client3be3referred3to3by3the3employee3health3nurse3for3health3insur
ance3needs?
• Medicare
13. A3client3who3is3taking3an3oral3dose3of3a3tetracycline3complains3of3gastrointestinal3upset.3What3s
nack3should3the3 nurse3 instruct3the3 client3to3take3with3the3tetracycline?
• Toasted3wheat3bread3and3jelly
14. Following3a3lumbar3puncture,3a3client3voices3several3complaints.3What3complaint3indicated3to3the
3nurse3that3the3client3 is3experiencing3a3complication?
• “I3have3 a3 headache3 that3 gets3 worse3 when3 I3 sit3 up”3
• “I3am3having3pain3in3 my3 lower3back3when3I3 move3 my3 legs”
• “My3throat3 hurts3when3I3swallow”
• “I3feel3sick3to3 my3stomach3and3am3going3to3throw3 up”
15. An3elderly3client3seems3 confused3and3 reports3the3onset3of3nausea,3dysuria,3 and3urgenc
y3with3incontinence.3Which3action3should3the3 nurse3implement?
• Obtain3a3clean3catch3mid-stream3specimen
16. The3nurse3is3assisting3the3 mother3of3a3child3with3phenylketonuria3(PKU)3to3select3foods3that3are3in3
keeping3with3the3 child’s3dietary3 restrictions.3 Which3 foods3 are3 contraindicated3 for3 this3 child?
• Foods3sweetened3with3aspartame
17. Before3preparing3a3client3for3the3first3surgical3case3of3the3day,3a3part-
time3scrub3nurse3asks3the3circulating3nurse3if3a333 minute3surgical3hand3scrub3is3adequate3preparation3for
3this3client.3Which3response3should3the3circulating3nurse3provide?
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, 2023 HESI EXIT RN EXAM
3 3 3 3
V1.V2,V3,V4,V5,V6,V7 Latest Volumes 3 3
• Direct3the3nurse3to3continue3the3surgical3hand3scrub3for3a353 minute3duration
18. Which3breakfast3selection3indicates3that3the3client3understands3the3nurse’s3instructions3about3the3diet
ary3management3 of3 osteoporosis?
• Bagel3with3jelly3and3skim3 milk
19. The3charge3nurse3of3a3critical3care3unit3is3informed3at3the3beginning3of3the3shift3that3less3than3the3o
ptimal3number3of3registered3nurses3will3be3working3that3shift.3In3planning3assignments,3which3client3shou
ld3receive3the3most3care3 hours3 by3a3registered3 nurse3(RN)?
• An382-year-old3client3with3Alzheimer’s3disease3newly-
fractures3femur3who3has3a3Foley3catheter3and3soft3wrist3restrains3 applied
20. A3 mother3brings3her36-year-
old3child,3who3has3just3stepped3on3a3rusty3nail,3to3the3pediatrician’s3office.3Upon3inspection,3the3
nurse3notes3that3the3nail3went3through3the3shoe3and3pierced3the3bottom3of3the3 child’s3foot.3Which3
action3should3the3 nurse3 implement3 first?
• Cleanse3 the3 foot3 with3 soap3 and3 water3 and3 apply3 an3 antibiotic3 ointment
• Provide3teaching3about3the3 need3 for3a3tetanus3 booster3within3the3 next3723 hours.
• have3the3 mother3check3the3child's3temperature3q4h3for3the3next3243hours
• transfer3the3child3to3the3emergency3department3to3receive3a3gamma3 globulin3 injection
21. The3 mother3of3an3adolescent3tells3the3clinic3 nurse,3“My3son3has3athlete’s3foot,3I3have3been
applying3triple3antibiotic3ointment3for3two3days,3but3there3has3been3no3improvement.”3What3instru
ction3should3the3 nurse3provide?
Stop3using3the3ointment3and3encourage3complete3drying3of3the3 feet3and3wearing3clean3socks.
22. A326-year-
old3female3client3is3admitted3to3the3hospital3for3treatment3of3a3simple3goiter,3and3levothyroxine3sod
ium3(Synthroid)3is3prescribed.3Which3symptoms3indicate3to3the3nurse3that3the3prescribed3dosage3i
s3too3high3 for3this3client?3 The3client3experiences
• Bradycardia3and3constipation
• Lethargy3and3 lack3of3appetite
• Muscle3cramping3and3dry,3 flushed3skin
• Palpitations3 and3 shortness3 of3 breath
23. A3client3with3a3history3of3heart3failure3presents3to3the3clinic3with3a3nausea,3vomiting,3yellow3vis
ion3and3palpitations.3Which3 finding3is3 most3important3 for3the3 nurse3to3assess3to3the3client?
• Obtain3a3 list3of3medications3 taken3for3cardiac3 history
24. The3healthcare3provider3 prescribes3an3IV3solution3of3isoproterenol3(Isuprel)313 mg3in3 2503 ml3of
3D5W3at33003 mcg/hour.3The3nurse3should3program3the3infusion3pump3to3deliver3how3 many3ml/h
our?3(Enter3numeric3 value3only.)
• 75
• Rationale:3Convert3mg3to3mcg3and3use3the3formula3D/H3x3Q.33003mcg/hour3/31,0003mcg
3x32503ml3=33/13 x3253=3753 ml/hour
about:blank 4/176
3 3 3 3
V1.V2,V3,V4,V5,V6,V7 Latest Volumes 3 3
20233HESI3EXIT3RN3EXAM3V1-
V731103OUT3OF3THE31603TOTAL3QUESTIONS3FOR3
EACH3VERSION
HESI V1- 3
V72023 3
TEST BANK 3
about:blank 1/176
, 2023 HESI EXIT RN EXAM
3 3 3 3
V1.V2,V3,V4,V5,V6,V7 Latest Volumes 3 3
20233 HESI3 EXIT3 RN3 EXAM
V1-V73 1603 TOTAL3 QUESTIONS3 EACH3 VOLUME
1. Following3discharge3teaching,3a3male3client3with3duodenal3ulcer3tells3the3nurse3the3he3will3drink3plen
ty3of3dairy3products,3such3as3milk,3to3help3coat3and3protect3his3ulcer.3What3is3the3best3follow-
up3action3by3the3nurse?
• Review3with3the3client3the3need3to3avoid3foods3that3are3rich3in3milk3and3cream
2. A3 male3client3with3hypertension,3who3received3new3antihypertensive3prescriptions 3at3his3last3visit3retu
rns3to3the3clinic3two3weeks3later3to3evaluate3his3blood3pressure3(BP).3His3BP3is3158/1063and3he3admits3
that3he3has3not3been3taking3the3prescribed3medication3because3the3drugs3make3him3“feel3bad”.3In3explai
ning3the3need3for3hypertension3control,3the3nurse3should3stress3that3an3elevated3BP3places3the3client3at3r
isk3for3which3pathophysiological3condition?
• Stroke3secondary3to3hemorrhage
• The3nurse3observes3an3unlicensed3assistive3personnel3(UAP)3positioning3a3newly3admitted3client3who3h
as3a3seizure3disorder.3The3client3is3supine3and3the3UAP3is3placing3soft3pillows3along3the3side3rails.3W
hat3action3should3the3 nurse3 implement?
An3adolescent3with3major3depressive3disorder3has3been3taking3duloxetine3(Cymbalta)3for3the3past3123days.3Wh
ich3assessment3finding3requires3 immediate3 follow-up?
• Describes3life3without3purpose
5. A360-year-
old3female3client3with3a3positive3family3history3of3ovarian3cancer3has3developed3an3abdominal3mass3and
3is3being3evaluated3for3possible3ovarian3cancer.3Her3Papanicolau3(Pap)3smear3results3are3negative.3 What3in
formation3should3the3nurse3 include3in3the3client’s3teaching3plan?
• Further3evaluation3 involving3surgery3 may3be3needed
6. A3client3who3recently3underwear3a3tracheostomy3is3being3prepared3for3discharge3to3home.3Which3instru
ctions3is3 most3 important3 for3the3 nurse3to3include3 in3the3discharge3plan?
• Teach3tracheal3suctioning3techniques
7. In3assessing3an3adult3client3with3a3partial3rebreather3mask,3 the3nurse3 notes3that3the3oxygen
reservoir3 bag3 does3 not3 deflate3 completely3 during3 inspiration3 and3 the3 client’s3 respiratory3 rate3 is
3 143breaths3 /3 minute.3 What3 action3 should3 the3 nurse3 implement?
• Document3the3assessment3data
• Rational:3 reservoir3bag3should3 not3deflate3completely3 during3 inspiration3 and3the3cli
ent’s3respiratory3 rate3 is3 within3 normal3 limits.
8. During3shift3report,3the3central3electrocardiogram3(EKG)3monitoring3system3alarms.3Which3client3
alarm3should3the3 nurse3 investigate3 firs?
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, 2023 HESI EXIT RN EXAM
3 3 3 3
V1.V2,V3,V4,V5,V6,V7 Latest Volumes 3 3
• Respiratory3apnea3of3303seconds
9. During3a3home3visit,3the3nurse3observed3an3elderly3client3with3diabetes3slip3and3fall.3What3action3sho
uld3the3nurse3take3 first?
• Check3the3client3 for3lacerations3or3fractures
10. At306003while3admitting3a3woman3for3a3schedule3repeat3cesarean3section3(C-
Section),3the3client3tells3the3nurse3that3she3drank3a3cup3a3coffee3at304003because3she3wanted3to3avoid3gett
ing3a3headache.3Which3action3should3the3 nurse3take3 first?
• Inform3the3anesthesia3care3provider
11. After3placing3a3stethoscope3as3seen3in3the3picture,3the3nurse3auscultates3S13and3S23heart3sounds.3To3de
termine3if3an3S33 heart3sound3 is3present,3what3action3should3the3 nurse3take3 first?
• Listen3with3the3bell3at3the3same3 location
12. A366-year-
old3woman3is3retiring3and3will3no3longer3have3a3health3insurance3through3her3place3of3employm
ent.3Which3agency3should3the3client3be3referred3to3by3the3employee3health3nurse3for3health3insur
ance3needs?
• Medicare
13. A3client3who3is3taking3an3oral3dose3of3a3tetracycline3complains3of3gastrointestinal3upset.3What3s
nack3should3the3 nurse3 instruct3the3 client3to3take3with3the3tetracycline?
• Toasted3wheat3bread3and3jelly
14. Following3a3lumbar3puncture,3a3client3voices3several3complaints.3What3complaint3indicated3to3the
3nurse3that3the3client3 is3experiencing3a3complication?
• “I3have3 a3 headache3 that3 gets3 worse3 when3 I3 sit3 up”3
• “I3am3having3pain3in3 my3 lower3back3when3I3 move3 my3 legs”
• “My3throat3 hurts3when3I3swallow”
• “I3feel3sick3to3 my3stomach3and3am3going3to3throw3 up”
15. An3elderly3client3seems3 confused3and3 reports3the3onset3of3nausea,3dysuria,3 and3urgenc
y3with3incontinence.3Which3action3should3the3 nurse3implement?
• Obtain3a3clean3catch3mid-stream3specimen
16. The3nurse3is3assisting3the3 mother3of3a3child3with3phenylketonuria3(PKU)3to3select3foods3that3are3in3
keeping3with3the3 child’s3dietary3 restrictions.3 Which3 foods3 are3 contraindicated3 for3 this3 child?
• Foods3sweetened3with3aspartame
17. Before3preparing3a3client3for3the3first3surgical3case3of3the3day,3a3part-
time3scrub3nurse3asks3the3circulating3nurse3if3a333 minute3surgical3hand3scrub3is3adequate3preparation3for
3this3client.3Which3response3should3the3circulating3nurse3provide?
about:blank 3/176
, 2023 HESI EXIT RN EXAM
3 3 3 3
V1.V2,V3,V4,V5,V6,V7 Latest Volumes 3 3
• Direct3the3nurse3to3continue3the3surgical3hand3scrub3for3a353 minute3duration
18. Which3breakfast3selection3indicates3that3the3client3understands3the3nurse’s3instructions3about3the3diet
ary3management3 of3 osteoporosis?
• Bagel3with3jelly3and3skim3 milk
19. The3charge3nurse3of3a3critical3care3unit3is3informed3at3the3beginning3of3the3shift3that3less3than3the3o
ptimal3number3of3registered3nurses3will3be3working3that3shift.3In3planning3assignments,3which3client3shou
ld3receive3the3most3care3 hours3 by3a3registered3 nurse3(RN)?
• An382-year-old3client3with3Alzheimer’s3disease3newly-
fractures3femur3who3has3a3Foley3catheter3and3soft3wrist3restrains3 applied
20. A3 mother3brings3her36-year-
old3child,3who3has3just3stepped3on3a3rusty3nail,3to3the3pediatrician’s3office.3Upon3inspection,3the3
nurse3notes3that3the3nail3went3through3the3shoe3and3pierced3the3bottom3of3the3 child’s3foot.3Which3
action3should3the3 nurse3 implement3 first?
• Cleanse3 the3 foot3 with3 soap3 and3 water3 and3 apply3 an3 antibiotic3 ointment
• Provide3teaching3about3the3 need3 for3a3tetanus3 booster3within3the3 next3723 hours.
• have3the3 mother3check3the3child's3temperature3q4h3for3the3next3243hours
• transfer3the3child3to3the3emergency3department3to3receive3a3gamma3 globulin3 injection
21. The3 mother3of3an3adolescent3tells3the3clinic3 nurse,3“My3son3has3athlete’s3foot,3I3have3been
applying3triple3antibiotic3ointment3for3two3days,3but3there3has3been3no3improvement.”3What3instru
ction3should3the3 nurse3provide?
Stop3using3the3ointment3and3encourage3complete3drying3of3the3 feet3and3wearing3clean3socks.
22. A326-year-
old3female3client3is3admitted3to3the3hospital3for3treatment3of3a3simple3goiter,3and3levothyroxine3sod
ium3(Synthroid)3is3prescribed.3Which3symptoms3indicate3to3the3nurse3that3the3prescribed3dosage3i
s3too3high3 for3this3client?3 The3client3experiences
• Bradycardia3and3constipation
• Lethargy3and3 lack3of3appetite
• Muscle3cramping3and3dry,3 flushed3skin
• Palpitations3 and3 shortness3 of3 breath
23. A3client3with3a3history3of3heart3failure3presents3to3the3clinic3with3a3nausea,3vomiting,3yellow3vis
ion3and3palpitations.3Which3 finding3is3 most3important3 for3the3 nurse3to3assess3to3the3client?
• Obtain3a3 list3of3medications3 taken3for3cardiac3 history
24. The3healthcare3provider3 prescribes3an3IV3solution3of3isoproterenol3(Isuprel)313 mg3in3 2503 ml3of
3D5W3at33003 mcg/hour.3The3nurse3should3program3the3infusion3pump3to3deliver3how3 many3ml/h
our?3(Enter3numeric3 value3only.)
• 75
• Rationale:3Convert3mg3to3mcg3and3use3the3formula3D/H3x3Q.33003mcg/hour3/31,0003mcg
3x32503ml3=33/13 x3253=3753 ml/hour
about:blank 4/176
