2023-2024 HESI RN Healthcare Exit Exam V1-V7 With Answers (893 Solved Questions)

Name: 2023-2024 HESI RN Healthcare Exit Exam V1-V7 With Answers (893 Solved Questions)
Brand: Academic Documents Platform
Price: 6 USD
Availability: InStock
Author: Benjamin White

2023-2024 HESI RN Healthcare Exit Exam V1-V7 With Answers makes it easy to review and learn from previous exam experiences.

Benjamin White

Contributor

4.1

13 days ago

Preview (16 of 199)

HESI RN EXIT EXAM V1-V7 (LATEST 2023-2024) / RN EXIT HESI
EXAM V1,V2,V3,V4,V5,V6,V7
1. Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will
drink plenty of dairy products, such as milk, to help coat and protect his ulcer. What is the
best follow-up action by the nurse?
• Review with the client the need to avoid foods that are rich in milk and cream
2. A male client with hypertension, who received new antihypertensive prescriptions at his
last visit returns to the clinic two weeks later to evaluate his blood pressure (BP). His BP
is 158/106 and he admits that he has not been taking the prescribed medication because
the drugs make him “feel bad”. In explaining the need for hypertension control, the nurse
should stress that an elevated BP places the client at risk for which pathophysiological
condition?
• Stroke secondary to hemorrhage
3. The nurse observes an unlicensed assistive personnel (UAP) positioning a newly admitted
client who has a seizure disorder. The client is supine and the UAP is placing soft pillows
along the side rails. What action should the nurse implement?
• Instruct the UAP to obtain soft blankets to secure to the side rails instead of
pillows.
4. An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for
the past 12 days. Which assessment finding requires immediate follow-up?
• Describes life without purpose
5. A 60-year-old female client with a positive family history of ovarian cancer has developed
an abdominal mass and is being evaluated for possible ovarian cancer. Her Papanicolau
(Pap) smear results are negative. What information should the nurse include in the client’s
teaching plan?
• Further evaluation involving surgery may be needed
6. A client who recently underwear a tracheostomy is being prepared for discharge to home.
Which instructions is most important for the nurse to include in the discharge plan?
• Teach tracheal suctioning techniques
7. In assessing an adult client with a partial rebreather mask, the nurse notes that the oxygen
reservoir bag does not deflate completely during inspiration and the client’s respiratory
rate is 14 breaths / minute. What action should the nurse implement?
• Document the assessment data
• Rational: reservoir bag should not deflate completely during inspiration and the client’s
respiratory rate is within normal limits.
8. During shift report, the central electrocardiogram (EKG) monitoring system alarms.
Which client alarm should the nurse investigate firs?

• Respiratory apnea of 30 seconds
9. During a home visit, the nurse observed an elderly client with diabetes slip and fall. What
action should the nurse take first?
• Check the client for lacerations or fractures
10. At 0600 while admitting a woman for a schedule repeat cesarean section (C-Section), the
client tells the nurse that she drank a cup a coffee at 0400 because she wanted to avoid
getting a headache. Which action should the nurse take first?
• Inform the anesthesia care provider
11. After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 heart
sounds. To determine if an S3 heart sound is present, what action should the nurse take
first?
• Listen with the bell at the same location
12. A 66-year-old woman is retiring and will no longer have a health insurance through her
place of employment. Which agency should the client be referred to by the employee
health nurse for health insurance needs?
• Medicare
13. A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset.
What snack should the nurse instruct the client to take with the tetracycline?
• Toasted wheat bread and jelly
14. Following a lumbar puncture, a client voices several complaints. What complaint
indicated to the nurse that the client is experiencing a complication?
• “I have a headache that gets worse when I sit up”
• “I am having pain in my lower back when I move my legs”
• “My throat hurts when I swallow”
• “I feel sick to my stomach and am going to throw up”
15. An elderly client seems confused and reports the onset of nausea, dysuria, and urgency
with incontinence. Which action should the nurse implement? • Obtain a clean catch
mid-stream specimen
16. The nurse is assisting the mother of a child with phenylketonuria (PKU) to select foods
that are in keeping with the child’s dietary restrictions. Which foods are
contraindicated for this child?
• Foods sweetened with aspartame
17. Before preparing a client for the first surgical case of the day, a part-time scrub nurse
asks the circulating nurse if a 3 minute surgical hand scrub is adequate preparation for
this client. Which response should the circulating nurse provide?
• Direct the nurse to continue the surgical hand scrub for a 5 minute duration
18. Which breakfast selection indicates that the client understands the nurse’s instructions
about the dietary management of osteoporosis?

• Bagel with jelly and skim milk
19. The charge nurse of a critical care unit is informed at the beginning of the shift that less than the
optimal number of registered nurses will be working that shift. In planning assignments, which client
should receive the most care hours by a registered nurse (RN)?
• An 82-year-old client with Alzheimer’s disease newly-fractures femur who has a Foley
catheter and soft wrist restrains applied

20. A mother brings her 6-year-old child, who has just stepped on a rusty nail, to the
pediatrician’s office. Upon inspection, the nurse notes that the nail went through the shoe
and pierced the bottom of the child’s foot. Which action should the nurse implement
first?
• Cleanse the foot with soap and water and apply an antibiotic ointment •
Provide teaching about the need for a tetanus booster within the next 72 hours.
• have the mother check the child's temperature q4h for the next 24 hours
• transfer the child to the emergency department to receive a gamma globulin
injection
21. The mother of an adolescent tells the clinic nurse, “My son has athlete’s foot, I have been
applying triple antibiotic ointment for two days, but there has been no improvement.”
What instruction should the nurse provide?
• Stop using the ointment and encourage complete drying of the feet and wearing
clean socks.
22. A 26-year-old female client is admitted to the hospital for treatment of a simple goiter,
and levothyroxine sodium (Synthroid) is prescribed. Which symptoms indicate to the
nurse that the prescribed dosage is too high for this client? The client experiences
• Bradycardia and constipation
• Lethargy and lack of appetite
• Muscle cramping and dry, flushed skin
• Palpitations and shortness of breath
23. A client with a history of heart failure presents to the clinic with a nausea, vomiting,
yellow vision and palpitations. Which finding is most important for the nurse to assess to
the client?
• Obtain a list of medications taken for cardiac history
24. The healthcare provider prescribes an IV solution of isoproterenol (Isuprel) 1 mg in 250
ml of D5W at 300 mcg/hour. The nurse should program the infusion pump to deliver how
many ml/hour? (Enter numeric value only.)
• 75
• Rationale: Convert mg to mcg and use the formula D/H x Q. 300 mcg/hour /
1,000 mcg x 250 ml = 3/1 x 25 = 75 ml/hour
25. The pathophysiological mechanism are responsible for ascites related to liver failure?
(Select all that apply)
• Fluid shifts from intravascular to interstitial area due to decreased serum protein
• Increased hydrostatic pressure in portal circulation increases fluid shifts into
abdomen
• Increased circulating aldosterone levels that increase sodium and water retention
26. The nurse is auscultating a client’s heart sounds. Which description should the nurse use
to document this sound? (Please listen to the audio first to select the option that applies)

• Murmur
• Rationale: A murmur is auscultated as a swishing sound that is associated with the
blood turbulence created by the heart or valvular defect.
27. The healthcare provider prescribes celtazidime (Fortax) 35 mg every 8 hours IM for an
infant. The 500 mg vial is labeled with the instruction to add 5.3 ml diluent to provide a
concentration of 100 mg/ml. How many ml should the nurse administered for each dose?
(Enter numeric value only. If rounding is required, round to the nearest tenth)
• 0.4
• rationale: 35mg/100mg x 1 = 0.35 = 0.4 ml
28. The nurse notes that a client has been receiving hydromorphone (Dilaudid) every six
hours for four days. What assessment is most important for the nurse to complete?
• Auscultate the client's bowel sounds
• Observe for edema around the ankles
• Measure the client’s capillary glucose level
• Count the apical and radial pulses simultaneously
• Rationale: hydromorphone is a potent opioid analgesic that slows peristalsis and
frequently causes constipation, so it is most important to Auscultate the client's
bowel sounds
29. A female client is admitted with end stage pulmonary disease is alert, oriented, and
complaining of shortness of breath. The client tells the nurse that she wants “no heroic
measures” taken if she stops breathing, and she asks the nurse to document this in her
medical record. What action should the nurse implement?
• Ask the client to discuss “do not resuscitate” with her healthcare provider
30. A client is receiving a full strength continuous enteral tube feeding at 50 ml/hour and has
developed diarrhea. The client has a new prescription to change the feeding to half
strength. What intervention should the nurse implement?
• Add equal amounts of water and feeding to a feeding bag and infuse at 50ml/hour
31. A female client reports that her hair is becoming coarse and breaking off, that the outer
part of her eyebrows have disappeared, and that her eyes are all puffy. Which follow-up
question is best for the nurse to ask?
•

Loading page 6...

• round and tight abdomen
• pitting edema in lower legs
33. After the nurse witnesses a preoperative client sign the surgical consent form, the nurse
signs the form as a witness. What are the legal implications of the nurse’s signature on
the client’s surgical consent form? (Select all that apply)
• The client voluntarily grants permission for the procedure to be done
• The client is competent to sign the consent without impairment of judgment
• The client understands the risks and benefits associated with the procedure
34. Following surgery, a male client with antisocial personality disorder frequently requests
that a specific nurse be assigned to his care and is belligerent when another nurse is
assigned. What action should the charge nurse implement?
• Advise the client that assignments are not based on clients requests
35. A client with cervical cancer is hospitalized for insertion of a sealed internal cervical
radiation implant. While providing care, the nurse finds the radiation implant in the bed.
What action should the nurse take?
• Place the implant in a lead container using long-handled forceps
36. The client with which type of wound is most likely to need immediate intervention by the
nurse?
• Laceration
• Abrasion
• Contusion
• Ulceration
• Rationale: A laceration is a wound that is produced by the tearing of soft body
tissue. This type of wound is often irregular and jagged. A laceration wound is
often contaminated with bacteria and debris from whatever object caused the cut.
37. The nurse is planning care for a client admitted with a diagnosis of pheochromocytoma.
Which intervention has the highest priority for inclusion in this client’s plan of care?
• Monitor blood pressure frequently
• Rationale:

Loading page 7...

• Rationale: a semi-sitting position is the best position for matching ventilation and
perfusion and for decreasing abdominal pressure on the diaphragm, so that the
client can maximize breathing.
39. When assessing a mildly obese 35-year-old female client, the nurse is unable to locate the
gallbladder when palpating below the liver margin at the lateral border of the rectus
abdominal muscle. What is the most likely explanation for failure to locate the
gallbladder by palpation?
• The client is too obese
• Palpating in the wrong abdominal quadrant
• Deeper palpation technique is needed
• The gallbladder is normal
• Rationale: a normal healthy gallbladder is not palpable
40. A woman with an anxiety disorder calls her obstetrician’s office and tells the nurse of
increased anxiety since the normal vaginal delivery of her son three weeks ago. Since she
is breastfeeding, she stopped taking her antianxiety medications, but thinks she may need
to start taking them again because of her increased anxiety. What response is best for the
nurse to provide this woman?
• describe the transmission of drugs to the infant through breast milk
• encourage her to use stress relieving alternatives, such as deep breathing exercises
•
• Explain that anxiety is a normal response for the mother of a 3-week-old.
• Rationale: there are several antianxiety medications that are not contraindicated
for breastfeeding mothers.
41. An older male client with a history of type 1 diabetes has not felt well the past few days
and arrives at the clinic with abdominal cramping and vomiting. He is lethargic,
moderately, confused, and cannot remember when he took his last dose of insulin or ate
last. What action should the nurse implement first?
• Start an intravenous (IV) infusion of normal saline
• obtain a serum potassium level

Loading page 8...

• the antagonistic interaction among the various blood pressure medications has
reduced their effectiveness
• The additive effect of multiple medications has caused the blood pressure to
drop too low
• the synergistic effect of the multiple medications has resulted in drug toxicity and
resulting hypotension
43. Which client is at the greatest risk for developing delirium?
• An adult client who cannot sleep due to constant pain.
• an older client who attempted 1 month ago
• a young adult who takes antipsychotic medications twice a day
• a middle-aged woman who uses a tank for supplemental oxygen
44. Which intervention should the nurse include in a long-term plan of care for a client with
Chronic Obstructive Pulmonary Disease (COPD)?
• Reduce risks factors for infection
• Administer high flow oxygen during sleep
• Limit fluid intake to reduce secretions
• Use diaphragmatic breathing to achieve better exhalation
45. Which location should the nurse choose as the best for beginning a screening program for
hypothyroidism?
• A business and professional women's group.
• An African-American senior citizens center
• A daycare center in a Hispanic neighborhood
• An after-school center for Native-American teens
46. A female client has been taking a high dose of prednisone, a corticosteroid, for several
months. After stopping the medication abruptly, the client reports feeling “very tired”.
Which nursing intervention is most important for the nurse to implement?

Loading page 9...

49. A client receiving chemotherapy has severe neutropenia. Which snack is best for the
nurse to recommend to the client?
• Baked apples topped with dried raisins
50. Which action should the school nurse take first when conducting a screening for
scoliosis?
• Inspect for symmetrical shoulder height.
51. An unlicensed assistive personnel (UAP) assigned to obtain client vital signs reports to
the charge nurse that a client has a weak pulse with a rate of 44 beat/ minutes. What
action should the charge nurse implement?
• Assign a practical nurse (LPN) to determine if an apical radial deficit is present
52. After a sudden loss of consciousness, a female client is taken to the ED and initial
assessment indicate that her blood glucose level is critically low. Once her glucose level
is stabilized, the client reports that was recently diagnosed with anorexia nervosa and is
being treated at an outpatient clinic. Which intervention is more important to include in
this client’s discharge plan?
• Encourage a low-carbohydrate and high-protein diet
53. A client with a peripherally inserted central catheter (PICC) line has a fever. What client
assessment is most important for the nurse to perform?
• Observe the antecubital fossa for inflammation.
54. The nurse administers an antibiotic to a client with respiratory tract infection. To evaluate
the medication’s effectiveness, which laboratory values should the nurse monitor? Select
all that apply
• White blood cell (WBC) count
• Sputum culture and sensitivity
55. A client is admitted to isolation with the diagnosis of active tuberculosis. Which infection
control measures should the nurse implement?
• Negative pressure environment
• contact precautions
• droplet precautions
•

Loading page 10...

• Rented movies and borrowed books to use while passing time at home
59. Which instruction should the nurse provide a pregnant client who is complaining of
heartburn?
• Eat small meal throughout the day to avoid a full stomach.
60. A client is admitted to the intensive care unit with diabetes insipidus due to a pituitary
gland tumor. Which potential complication should the nurse monitor closely? •
Hypokalemia • Ketonuria.
• Peripheral edema
• Elevated blood pressure
• Rational: pituitary tumors that suppress antidiuretic hormone (ADH) result in
diabetes insipidus, which causes massive polyuria and serum electrolyte
imbalances, including hypokalemia, which can lead to lethal arrhythmias.
61. A female client reports she has not had a bowel movement for 3 days, but now is
defecating frequent small amount of liquid stool. Which action should the nurse
implement?
• Digitally check the client for a fecal impaction
62. After changing to a new brand of laundry detergent, an adult male reports that he has a
fine itchy rash. Which assessment finding warrants immediate intervention by the nurse?
• Bilateral Wheezing.
63. The nurse should teach the parents of a 6 year-old recently diagnosed with asthma that
the symptom of acute episode of asthma are due to which physiological response?
• Inflammation of the mucous membrane & bronchospasm
64. A 10 year old who has terminal brain cancer asks the nurse, "What will happen to my
body when I die?" How should the nurse respond?
• "The heart will stop beating & you will stop breathing."
65. The nurse is assessing a 3-month-old infant who had a pylorotomy yesterday. This child
should be medicated for pain based on which findings? Select all that apply:

Loading page 11...

• Collapsed lung after a fall 8h ago with 100 ml blood in the chest tube collection
container
• Abdominal-perineal resection 2 days ago with no drainage on dressing who
has fever and chills.
• Rationale: the client with an abdominal- perineal resection is at risk for peritonitis
and needs to be immediately assessed for other signs and symptoms for sepsis.
68. The nurse is caring for a client who had gastric bypass surgery yesterday. Which
intervention is most important for the nurse to implement during the first 24
postoperative hours?
• Measure hourly urinary output.
• Rationale: a serious early complications of gastric bypass surgery is an
anastomoses leak, often resulting in death.
69. When preparing to discharge a male client who has been hospitalized for an adrenal
crisis, the client expresses concern about having another crisis. He tells the nurse that he
wants to stay in the hospital a few more days. Which intervention should the nurse
implement?
• Schedule an appointment for an out-patient psychosocial assessment.
70. An adult female client tells the nurse that though she is afraid her abusive boyfriend
might one day kill her, she keeps hoping that he will change. What action should the
nurse take first?
• Explore client’s readiness to discuss the situation.
71. In caring for a client with Cushing syndrome, which serum laboratory value is most
important for the nurse to monitor?
• Lactate
• Glucose
• Hemoglobin
• Creatinine
72. Azithromycin is prescribed for an adolescent female who has lower lobe pneumonia and
recurrent chlamydia. What information is most important for the nurse to provide to this

Loading page 12...

• Serum lithium level of 1.6 mEq/L or mmol/l (SI)
• Rationale: The therapeutic level of Serum lithium is 0.8 to 1.5 mEq/L or mmol/l
(SI). Slurred speech and ataxia are sign of lithium toxicity.
75. A client was admitted to the cardiac observation unit 2 hours ago complaining of chest
pain. On admission, the client’s EKG showed bradycardia, ST depression, but no
ventricular ectopy. The client suddenly reports a sharp increase in pain, telling the
nurse, “I feel like an elephant just stepped on my chest” The EKG now shows Q waves
and ST segment elevations in the anterior leads. What intervention should the nurse
perform?
•
76. The nurse is developing a teaching program for the community. What population
characteristic is most influential when choosing strategies for implementing a teaching
plan?
• Literacy level
77. A client is being discharged with a prescription for warfarin (Coumadin). What
instruction should the nurse provide this client regarding diet?
• Eat approximated the same amount of leafy green vegetables daily so the amount of
vitamin K consumed is consistent.
78. A client who had a small bowel resection acquired methicillin resistant staphylococcus
aureus (MRSA) while hospitalized. He treated and released, but is readmitted today
because of diarrhea and dehydration. It is most important for the nurse to implement
which intervention.
• Maintain contact transmission precaution
79. A postoperative female client has a prescription for morphine sulfate 10 mg IV
q3 hours for pain. One dose of morphine was administered when the client was
admitted to the post anesthesia care unit (PACU) and 3 hours later, the client is
again complaining of pain. Her current respiratory rate is 8 breaths/minute. What
action should the nurse take?
• Administer Naxolone IV
80. Which intervention is most important for the nurse to include in the plan of care
for an older woman with osteoporosis?
• Place the client on fall precautions
81. Based on the information provided in this client’s medical record during labor,
which should th

Loading page 13...

82. An unlicensed assistive personnel UAP leaves the unit without notifying the
staff. In what order should the unit manager implement this intervention to
address the UAPs behavior? (Place the action in order from first on top to last on
bottom.)
1. Note date and time of the behavior.
2. Discuss the issue privately with the UAP.
3. Plan for scheduled break times.
4. Evaluate the UAP for signs of improvement.
83. A client with intestinal obstructions has a nasogastric tube to low intermittent
suction and is receiving an IV of lactated ringer’s at 100 ml/H. which finding is
most important for the nurse to report to the healthcare provider?
• Serum potassium level of 3.1 mEq/L or mmol/L (SI)
• Rationale: The normal potassium level in the blood is 3.5-5.0 milliEquivalents per liter
(mEq/L).
84. Which type of Leukocyte is involved with allergic responses and the destruction
of parasitic worms?
• Neutrophils
• Lymphocytes
• Eosinophils
• Monocytes
• Rationale: Eosinophils are involved in allergic responses and destruction of
parasitic worms.
85. The healthcare provider prescribes the antibiotic cephradine 500mg PO every 6
hours for a client with a postoperative wound infection. Which foods should the
nurse encourage this client to eat?
• Yogurt and/or buttermilk.
86. Several months after a foot injury, and adult woman is diagnosed with
neuropathic pain.
The client describes the pain as severe and burning and is unable to put weight on her
foot. She asks t

Loading page 14...

• Temporary vasodilation
90. While assessing a radial artery catheter, the client complains of numbness and
pain distal to the insertion site. What interventions should the nurse implement?
• Promptly remove the arterial catheter from the radial artery.
91. A client is admitted with an epidural hematoma that resulted from a
skateboarding accident. To differentiate the vascular source of the intracranial
bleeding, which finding should the nurse monitor?
• Rapid onset of decreased level of consciousness.
92. The nurse finds a client at 33 weeks gestation in cardiac arrest. What adaptation
to cardiopulmonary resuscitation (CPR) should the nurse implement?
• Position a firm wedge to support pelvis and thorax at 30 degree tilt.
93. When preparing a client for discharge from the hospital following a cystectomy
and a urinary diversion to treat bladder cancer, which instruction is most
important for the nurse to include in the client’s discharge teaching plan?
• Report any signs of cloudy urine output.
94. For the past 24 hours, an antidiarrheal agent, diphenoxylate, has been
administered to a bedridden, older client with infectious gastroenteritis. Which
finding requires the nurse to take further action?
• Tented skin turgor.

Loading page 15...

Loading page 16...

15 more pages available. Scroll down to load them.

Preview Mode

100%

Study Now!

XY-Copilot AI

Unlimited Access

Secure Payment

Instant Access

24/7 Support

Document Chat

Document Details

Subject

Health Education Systems, Inc.

2023-2024 HESI RN Healthcare Exit Exam V1-V7 With Answers (893 Solved Questions)

Study Now!

Document Details

Related Documents

Nursing School Entrance Exams: HESI A2 / NLN PAX-RN / PSB-RN / RNEE / TEAS, 6th Edition (2020)

HESI Comprehensive Medical Surgical Exit Exam with Answers (839 Solved Questions)

HESI Evolve Leadership/Management Practice Exam with Answers (114 Solved Questions)

HESI Mental Health Exit Exam With Answers (58 Solved Questions)

2023-2024 HESI RN Pharmacology Actual Exam With Answers (180 Solved Questions)

HESI Pharmacology Practice Exam With Answers (102 Solved Questions)

2024 HESI Mental Health Actual Exam With Answers (151 Solved Questions)

HESI Pharmacology Evolve Exam With Answers (125 Solved Questions)

HESI Mathematics Practice Exam With Answers (55 Solved Questions)

2022 HESI Mathematics A2 Exam With Answers (48 Solved Questions)

Company

Explore

Study Tools