HESI RN 2025 EXIT TEST FULLY SOLVED
EDITION WITH COMPREHENSIVE QUESTIONS
AND EXPERT-VERIFIED ANSWERS
◍ The client is a 26 year old female who was in a car accident six
months ago that killed her mother, husband, and two year old son. She
and her father were the only survivors of the crash. She is seeking care
for depression.
(what would be some affective strategies that the nurse could use to
decrease the clients risk of suicide in the future? SATA.)
A) Have the client remove any sharp objects from the home.
B) Have the client sign a no suicide contract.
C) Help the client unless the help of friends and family.
D) Make the client feel too guilty to commit suicide.
E) Place the client in a locked unit.
F) Refer the client for cognitive behavioral therapy. Answer: B) Have
the client sign a no suicide contract.
C) Help the client unless the help of friends and family.
F) Refer the client for cognitive behavioral therapy.
,◍ The client is a 26 year old female who was in a car accident six
months ago that killed her mother, husband, and two year old son. She
and her father were the only survivors of the crash. She is seeking care
for depression.
(which findings are effective or ineffective)
-The client states she feels less jumpy and more relaxed.
-The client states she feels numb when thinking about the crash.
-The client talks to her father and her best friend when she starts to feel
sad.
-The client reports sleeping 6 to 7 hours per night.
-The client states that she avoids driving altogether and takes the bus.
Answer: -The client states she feels less jumpy and more relaxed.
(EFFECTIVE)
-The client states she feels numb when thinking about the crash.
(INEFFECTIVE)
-The client talks to her father and her best friend when she starts to feel
sad. (EFFECTIVE)
-The client reports sleeping 6 to 7 hours per night. (EFFECTIVE)
-The client states that she avoids driving altogether and takes the bus.
(INEFFECTIVE)
,◍ The healthcare provider prescribes acarbose, an alpha-glucosidase
inhibitor, for a client with type two diabetes. Which information
provides the best indicator of the drugs effectiveness?
A) Body mass index between 20 and 24.
B) Blood pressure readings less than 120/80.
C) Self-reported glucose levels 120 to 150.
D) Hemoglobin A1c readings less than 7%. Answer: D) Hemoglobin
A1c readings less than 7%.
◍ After receiving report on an inpatient acute care unit which client
should the nurse assess first?
A) The client who had surgery yesterday and is experiencing a paralytic
ileus with absent bowel sounds.
B) The client with a small bowel obstruction who has a nasogastric tube
that is draining greenish fluid.
C) The client with an obstruction of the large intestine who is
experiencing abdominal distention.
D) The client with a bowel obstruction due to a volvulus who is
experiencing abdominal rigidity. Answer: D) The client with a bowel
obstruction due to a volvulus who is experiencing abdominal rigidity.
◍ Client presents at the emergency department reporting a raspy voice,
cold intolerance, and fatigue. Laboratory tests indicate an elevated
, thyroid stimulating hormone and a low T3 and T4 levels. After the client
is admitted to the telemetary unit, which intervention is most appropriate
for the nurse to implement?
A) administer prescribed dose of level thyroxine.
B) Note clients most recent hemoglobin level.
C) Offer additional blankets and a warm drink.
D) Assess for the presence of nonpitting edema. Answer: A) administer
prescribed dose of level thyroxine.
◍ While caring for a client post operative dressing, the nurse observes
purulent wound drainage. Previously, the wound was inflamed and
tender but without drainage. Which is the most important action for the
nurse to take?
A) Determine if the drainage has an unpleasant odor.
B) Cleanse the wound with a sterile saline solution.
C) Monitor the clients white blood cell count.
D) Request a culture and sensitivity of the wound. Answer: D) Request
a culture and sensitivity of the wound.
◍ The school nurse is screening students for scoliosis and notes that one
student has lordosis. Which finding should the nurse document in the
student screening record?
EDITION WITH COMPREHENSIVE QUESTIONS
AND EXPERT-VERIFIED ANSWERS
◍ The client is a 26 year old female who was in a car accident six
months ago that killed her mother, husband, and two year old son. She
and her father were the only survivors of the crash. She is seeking care
for depression.
(what would be some affective strategies that the nurse could use to
decrease the clients risk of suicide in the future? SATA.)
A) Have the client remove any sharp objects from the home.
B) Have the client sign a no suicide contract.
C) Help the client unless the help of friends and family.
D) Make the client feel too guilty to commit suicide.
E) Place the client in a locked unit.
F) Refer the client for cognitive behavioral therapy. Answer: B) Have
the client sign a no suicide contract.
C) Help the client unless the help of friends and family.
F) Refer the client for cognitive behavioral therapy.
,◍ The client is a 26 year old female who was in a car accident six
months ago that killed her mother, husband, and two year old son. She
and her father were the only survivors of the crash. She is seeking care
for depression.
(which findings are effective or ineffective)
-The client states she feels less jumpy and more relaxed.
-The client states she feels numb when thinking about the crash.
-The client talks to her father and her best friend when she starts to feel
sad.
-The client reports sleeping 6 to 7 hours per night.
-The client states that she avoids driving altogether and takes the bus.
Answer: -The client states she feels less jumpy and more relaxed.
(EFFECTIVE)
-The client states she feels numb when thinking about the crash.
(INEFFECTIVE)
-The client talks to her father and her best friend when she starts to feel
sad. (EFFECTIVE)
-The client reports sleeping 6 to 7 hours per night. (EFFECTIVE)
-The client states that she avoids driving altogether and takes the bus.
(INEFFECTIVE)
,◍ The healthcare provider prescribes acarbose, an alpha-glucosidase
inhibitor, for a client with type two diabetes. Which information
provides the best indicator of the drugs effectiveness?
A) Body mass index between 20 and 24.
B) Blood pressure readings less than 120/80.
C) Self-reported glucose levels 120 to 150.
D) Hemoglobin A1c readings less than 7%. Answer: D) Hemoglobin
A1c readings less than 7%.
◍ After receiving report on an inpatient acute care unit which client
should the nurse assess first?
A) The client who had surgery yesterday and is experiencing a paralytic
ileus with absent bowel sounds.
B) The client with a small bowel obstruction who has a nasogastric tube
that is draining greenish fluid.
C) The client with an obstruction of the large intestine who is
experiencing abdominal distention.
D) The client with a bowel obstruction due to a volvulus who is
experiencing abdominal rigidity. Answer: D) The client with a bowel
obstruction due to a volvulus who is experiencing abdominal rigidity.
◍ Client presents at the emergency department reporting a raspy voice,
cold intolerance, and fatigue. Laboratory tests indicate an elevated
, thyroid stimulating hormone and a low T3 and T4 levels. After the client
is admitted to the telemetary unit, which intervention is most appropriate
for the nurse to implement?
A) administer prescribed dose of level thyroxine.
B) Note clients most recent hemoglobin level.
C) Offer additional blankets and a warm drink.
D) Assess for the presence of nonpitting edema. Answer: A) administer
prescribed dose of level thyroxine.
◍ While caring for a client post operative dressing, the nurse observes
purulent wound drainage. Previously, the wound was inflamed and
tender but without drainage. Which is the most important action for the
nurse to take?
A) Determine if the drainage has an unpleasant odor.
B) Cleanse the wound with a sterile saline solution.
C) Monitor the clients white blood cell count.
D) Request a culture and sensitivity of the wound. Answer: D) Request
a culture and sensitivity of the wound.
◍ The school nurse is screening students for scoliosis and notes that one
student has lordosis. Which finding should the nurse document in the
student screening record?
