HESI RN Exit Exam 2022
A 3-year-old boy was successfully toilet trained prior to his
admission to the hospital for injuries sustained from a fall. His
parents are very concerned that the child has regressed in his
toileting behaviors. Which information should the nurse provide to
the parents? A. A retraining program will need to be initiated
when the child returns home. B. Diapering will be provided since
hospitalization is stressful to preschoolers C. A potty chair should be
brought from home so he can maintain his toileting skills D.
Children usually resume their toileting behaviors when they leave
the hospital - D. Children usually resume their toileting behaviors
when they leave the hospital A 7-year old is admitted to the
hospital with persistent vomiting, and a nasogastric tube attached
to low intermittent suction is applied. Which finding is most
important for the nurse to report to the healthcare provider? A.
Shift intake of 640mL IV fluids plus 30mL PO ice chips B. Serum
pH of 7.45 C. Gastric output of 100 mL in the last 8 hours D.
Serum potassium of 3.0 mg/dL - D. Serum potassium of 3.0
mg/dL A child newly diagnosed with sickle cell anemia (SCA) is
being discharged from the hospital. Which information is most
important for the nurse to provide the parents prior to discharge?
A. Instructions about how much fluid the child should drink daily. B.
Signs of addiction to opioid pain medications C. Information about
non-pharmaceutical pain relief measures D. Referral for social
services for the child and family - A. Instructions about how much
fluid the child should drink daily A client asks the nurse for
information about how to reduce risk factors for benign prostatic
hyperplasia (BPH). Which information should the nurse provide? A.
Consume a high protein diet B. Increase physical activity C. Take
vitamin supplements D. Obtain a prostate-specific antigen blood
,level test - B. Increase physical activity A client at 12 weeks
gestation is admitted to the antepartum unit with a diagnosis of
hyperemesis gravidarum. Which action is most important for the
nurse to implement? A. Obtain the client's 24-hour dietary recall
B. Document mucosal membrane status C. Schedule a consult with
a nutritionist D. Initiate prescribed intravenous fluids - D. Initiate
prescribed intravenous fluids A client diagnosed with calcium
kidney stones has a history of gout. A new prescription for
aluminum hydroxide is scheduled to begin at 0730. Which client
medication should the nurse bring to the healthcare provider's
attention? A. Esinapril B. Allopurinol C. Furosemide D. Aspirin, low
dose - B. Allopurinol A client fell in the bathroom when left
unattended by the unlicensed assistive personnel (UAP). Which
information should the nurse include in the client's health record?
A. The UAP left the client to assist another client B. The last time
client was assisted to the bathroom C. The unit was understaffed
when the client fell D. The client fell sustaining a fracture to the
left hip - D. The client fell sustaining a fracture to the left hip A
client in the emergency center demonstrates rapid speech, flight of
ideas, and reports sleeping only three hours during the past 48
hours. Based on these findings, it is most important for the nurse
to review the laboratory value for which medication? A. Lorazepam
B. Fluoxetine C. Divalproex D. Olanzapine - C. Divalproex A client in
the third trimester of pregnancy reports that she fells some "lumpy
places" in her breasts and that her nipples sometimes leak a
yellowish fluid. She has an appointment with her healthcare
provider in two weeks. What action should the nurse take? A. Tell
the client to begin nipple stimulation to prepare for breast feeding.
B. Reschedule the client's prenatal appointment for the following
day C. Explain that this normal secretion can be assessed at the
next visit D. Recommend that the client start wearing a supportive
brassiere - C. Explain that this normal secretion can be assessed at
,the next visit A client is admitted with a diagnosis of urolithiasis.
Which finding is most important for the nurse to report to the
healthcare provider? A. Volume of each voiding is more than
300mL B. Serum potassium that is elevated C. Relief of flank pain
that radiated into the groin D. Hematuria that is beginning to turn
pink - D. Hematuria that is beginning to turn pink A client is
diagnosed with Meniere's disease. Which problem should the nurse
identify as most important in the plan of care? A. Risk for
ineffective self-health management related to deficient knowledge
B. Ineffective coping related to personal vulnerability C. Risk for
injury related to vertigo D. Anxiety related to disruption of lifestyle
- C. Risk for injury related to vertigo. A client is receiving
enoxaparin 30mg subcutaneously twice a day. In assessing for
adverse effects of the medication, which serum laboratory value is
most important for the nurse to monitor? A. Glucose B. Calcium C.
Platelet count D. White blood cell count - C. Platelet count A client
is recovering in the critical care unit following a cardiac
catheterization. IV nitroglycerin and heparin are infusing. The client
is sedated but responds to verbal instructions. After changing
positions, the client complains of pain at the right groin insertion
site. What action should the nurse implement? A. Check femoral
site for hematoma formation B. Stimulate the client to take deep
breaths C. Evaluate the integrity of the IV insertion site D. Assess
distal lower extremity capillary refill - B. Stimulate the client to
take deep breaths A client is scheduled for a spiral computed
tomography (CT) scan with contrast to evaluate for pulmonary
embolism. Which information in the client's history requires follow-
up by the nurse? A. CT scan that was performed 6 months earlier
B. Metal hip prosthesis was placed 20 years ago C. Report of
client's sobriety for the last 5 years D. Takes metformin for type 2
diabetes mellitus - D. Takes metformin for type 2 diabetes mellitus
A client presents to the emergency department with muscle aches,
, headache, fever, and describes a recent loss of taste and smell. The
nurse obtains a nasal swab for COVID-19 testing. Which action is
most important for the nurse to take? A. Place the nasal swab
specimen for COVID-19 directly into a biohazard bag B. Move the
client to a private room, keep the door closed, and initiate droplet
precautions. C. Teach the client to wear a mask, hand wash, and
social distance to prevent spreading the virus D. Explain to the
client to inform others that they may have been potentially
exposed in the last 14 days. - A. Place the nasal swab specimen for
COVID-19 directly into a biohazard bag A client presents to the
labor and delivery unit with a report of leaking fluid that is
greenish-brown vaginal discharge. Which action should the nurse
take first? A. Start an intravenous infusion B. Administer oxygen
via facemask C. Perform a vaginal exam D. Begin continuous fetal
monitoring - D. Begin continuous fetal monitoring A client presses
the call bell and requests pain medication for a severe headache. To
assess the quality of the client's pain, which approach should the
nurse use? A. Ask the client to describe the pain B. Observe body
language and movement C. Identify effective pain relief measures D.
Provide a numeric pain scale - A. Ask the client to describe the
pain A client taking clopidogrel reports the onset of diarrhea.
Which nursing action should the nurse implement first? A. Observe
the appearance of the stool B. Assess the elasticity of the client's
skin C. Review the client's laboratory values D. Auscultate the
client's bowel sounds - A. Observe the appearance of the stool A
client tells the nurse about working out with a personal trainer and
swimming three times a week in an effort to lose weight and sleep
better. The client states that it still is taking hours to fall asleep at
night. Which action should the nurse implement? A. Advise the
client that lifestyle changes often take several weeks to be effective
B. Encourage the client to exercise everyday to eliminate bedtime
wakefulness C. Ask the client for a description of the exercise
A 3-year-old boy was successfully toilet trained prior to his
admission to the hospital for injuries sustained from a fall. His
parents are very concerned that the child has regressed in his
toileting behaviors. Which information should the nurse provide to
the parents? A. A retraining program will need to be initiated
when the child returns home. B. Diapering will be provided since
hospitalization is stressful to preschoolers C. A potty chair should be
brought from home so he can maintain his toileting skills D.
Children usually resume their toileting behaviors when they leave
the hospital - D. Children usually resume their toileting behaviors
when they leave the hospital A 7-year old is admitted to the
hospital with persistent vomiting, and a nasogastric tube attached
to low intermittent suction is applied. Which finding is most
important for the nurse to report to the healthcare provider? A.
Shift intake of 640mL IV fluids plus 30mL PO ice chips B. Serum
pH of 7.45 C. Gastric output of 100 mL in the last 8 hours D.
Serum potassium of 3.0 mg/dL - D. Serum potassium of 3.0
mg/dL A child newly diagnosed with sickle cell anemia (SCA) is
being discharged from the hospital. Which information is most
important for the nurse to provide the parents prior to discharge?
A. Instructions about how much fluid the child should drink daily. B.
Signs of addiction to opioid pain medications C. Information about
non-pharmaceutical pain relief measures D. Referral for social
services for the child and family - A. Instructions about how much
fluid the child should drink daily A client asks the nurse for
information about how to reduce risk factors for benign prostatic
hyperplasia (BPH). Which information should the nurse provide? A.
Consume a high protein diet B. Increase physical activity C. Take
vitamin supplements D. Obtain a prostate-specific antigen blood
,level test - B. Increase physical activity A client at 12 weeks
gestation is admitted to the antepartum unit with a diagnosis of
hyperemesis gravidarum. Which action is most important for the
nurse to implement? A. Obtain the client's 24-hour dietary recall
B. Document mucosal membrane status C. Schedule a consult with
a nutritionist D. Initiate prescribed intravenous fluids - D. Initiate
prescribed intravenous fluids A client diagnosed with calcium
kidney stones has a history of gout. A new prescription for
aluminum hydroxide is scheduled to begin at 0730. Which client
medication should the nurse bring to the healthcare provider's
attention? A. Esinapril B. Allopurinol C. Furosemide D. Aspirin, low
dose - B. Allopurinol A client fell in the bathroom when left
unattended by the unlicensed assistive personnel (UAP). Which
information should the nurse include in the client's health record?
A. The UAP left the client to assist another client B. The last time
client was assisted to the bathroom C. The unit was understaffed
when the client fell D. The client fell sustaining a fracture to the
left hip - D. The client fell sustaining a fracture to the left hip A
client in the emergency center demonstrates rapid speech, flight of
ideas, and reports sleeping only three hours during the past 48
hours. Based on these findings, it is most important for the nurse
to review the laboratory value for which medication? A. Lorazepam
B. Fluoxetine C. Divalproex D. Olanzapine - C. Divalproex A client in
the third trimester of pregnancy reports that she fells some "lumpy
places" in her breasts and that her nipples sometimes leak a
yellowish fluid. She has an appointment with her healthcare
provider in two weeks. What action should the nurse take? A. Tell
the client to begin nipple stimulation to prepare for breast feeding.
B. Reschedule the client's prenatal appointment for the following
day C. Explain that this normal secretion can be assessed at the
next visit D. Recommend that the client start wearing a supportive
brassiere - C. Explain that this normal secretion can be assessed at
,the next visit A client is admitted with a diagnosis of urolithiasis.
Which finding is most important for the nurse to report to the
healthcare provider? A. Volume of each voiding is more than
300mL B. Serum potassium that is elevated C. Relief of flank pain
that radiated into the groin D. Hematuria that is beginning to turn
pink - D. Hematuria that is beginning to turn pink A client is
diagnosed with Meniere's disease. Which problem should the nurse
identify as most important in the plan of care? A. Risk for
ineffective self-health management related to deficient knowledge
B. Ineffective coping related to personal vulnerability C. Risk for
injury related to vertigo D. Anxiety related to disruption of lifestyle
- C. Risk for injury related to vertigo. A client is receiving
enoxaparin 30mg subcutaneously twice a day. In assessing for
adverse effects of the medication, which serum laboratory value is
most important for the nurse to monitor? A. Glucose B. Calcium C.
Platelet count D. White blood cell count - C. Platelet count A client
is recovering in the critical care unit following a cardiac
catheterization. IV nitroglycerin and heparin are infusing. The client
is sedated but responds to verbal instructions. After changing
positions, the client complains of pain at the right groin insertion
site. What action should the nurse implement? A. Check femoral
site for hematoma formation B. Stimulate the client to take deep
breaths C. Evaluate the integrity of the IV insertion site D. Assess
distal lower extremity capillary refill - B. Stimulate the client to
take deep breaths A client is scheduled for a spiral computed
tomography (CT) scan with contrast to evaluate for pulmonary
embolism. Which information in the client's history requires follow-
up by the nurse? A. CT scan that was performed 6 months earlier
B. Metal hip prosthesis was placed 20 years ago C. Report of
client's sobriety for the last 5 years D. Takes metformin for type 2
diabetes mellitus - D. Takes metformin for type 2 diabetes mellitus
A client presents to the emergency department with muscle aches,
, headache, fever, and describes a recent loss of taste and smell. The
nurse obtains a nasal swab for COVID-19 testing. Which action is
most important for the nurse to take? A. Place the nasal swab
specimen for COVID-19 directly into a biohazard bag B. Move the
client to a private room, keep the door closed, and initiate droplet
precautions. C. Teach the client to wear a mask, hand wash, and
social distance to prevent spreading the virus D. Explain to the
client to inform others that they may have been potentially
exposed in the last 14 days. - A. Place the nasal swab specimen for
COVID-19 directly into a biohazard bag A client presents to the
labor and delivery unit with a report of leaking fluid that is
greenish-brown vaginal discharge. Which action should the nurse
take first? A. Start an intravenous infusion B. Administer oxygen
via facemask C. Perform a vaginal exam D. Begin continuous fetal
monitoring - D. Begin continuous fetal monitoring A client presses
the call bell and requests pain medication for a severe headache. To
assess the quality of the client's pain, which approach should the
nurse use? A. Ask the client to describe the pain B. Observe body
language and movement C. Identify effective pain relief measures D.
Provide a numeric pain scale - A. Ask the client to describe the
pain A client taking clopidogrel reports the onset of diarrhea.
Which nursing action should the nurse implement first? A. Observe
the appearance of the stool B. Assess the elasticity of the client's
skin C. Review the client's laboratory values D. Auscultate the
client's bowel sounds - A. Observe the appearance of the stool A
client tells the nurse about working out with a personal trainer and
swimming three times a week in an effort to lose weight and sleep
better. The client states that it still is taking hours to fall asleep at
night. Which action should the nurse implement? A. Advise the
client that lifestyle changes often take several weeks to be effective
B. Encourage the client to exercise everyday to eliminate bedtime
wakefulness C. Ask the client for a description of the exercise
