lOMoAR cPSD|19334687 l OMoARcPSD|9317666
HESI RN EXIT EXAM V2 FULL 160
QUESTIONS AND ANSWERS.
- The nurse knows that which statement by the mother indicates
that the mother understands safety precautions with her fourmonth-old infant and her 4-year-old child?
A) “I strap the infant car seat on the front seat to face backwards.”
B) “I place my infant in the middle of the living room floor on a
blanket to play with my 4-year-old while I make supper in the
kitchen.”
C) “My sleeping baby lies so cute in the crib with the little
buttocks stuck up in the air while the four-year-old naps on the
sofa.”
D) “I have the 4 year-old hold and help feed the four month-old a
bottle in the kitchen while I make supper.”
The correct answer is D: “I have the four-year-old hold and help
feed the four-month-old a bottle in the kitchen - Upon completing the admission documents, the nurse learns
that the 87 year-old client
lOMoAR cPSD|19334687 l OMoARcPSD|9317666
does not have an advance directive. What action should the nurse
take?
A) Record the information on the chart
B) Give information about advance directives
C) Assume that this client wishes a full code
D) Refer this issue to the unit secretary
The correct answer is B: Give information about advance directives
- A nurse administers the influenza vaccine to a client in a clinic.
Within 15 minutes after the immunization was given, the client
complains of itchy and watery eyes, increased anxiety, and difficulty
breathing. The nurse expects that the first action in the sequence of
care for this client will be to
A) Maintain the airway
B) Administer epinephrine 1:1000 as ordered
C) Monitor for hypotension with shock
D) Administer diphenhydramine as ordered
The correct answer is B: Administer epinephrine 1:1000 as ordered
.
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- Which of these children at the site of a disaster at a child day
care center would the triage nurse put in the “treat last” category?
A) An infant with intermittent bulging anterior fontanel between
crying episodes
B) A toddler with severe deep abrasions over 98% of the body
C) A preschooler with 1 lower leg fracture and the other leg with
an upper leg fracture
D) A school-age child with singed eyebrows and hair on the arms
The correct answer is B: A toddler with severe deep abrasions
over 98% of the body .
lOMoAR cPSD|19334687 l OMoARcPSD|9317666
- When admitting a client to an acute care facility, an identification
bracelet is sent up with the admission form. In the event these do
not match, the nurse’s best action is to
A) Change whichever item is incorrect to the correct
information
B) Use the bracelet and admission form until a replacement
is supplied
C) Notify the admissions office and wait to apply the bracelet
D) Make a corrected identification bracelet for the client
The correct answer is C: notify the admissions office and wait to
apply the bracelet - The nurse is having difficulty reading the health care provider’s
written order that was written right before the shift change. What
action should be taken?
A) Leave the order for the oncoming staff to follow-up
B) Contact the charge nurse for an interpretation
C) Ask the pharmacy for assistance in the interpretation
D) Call the provider for clarification
lOMoAR cPSD|19334687 l OMoARcPSD|9317666
HESI RN EXIT EXAM V1 FULL 160
QUESTIONS AND ANSWERS.
- Which information is a priority for the RN to reinforce to an older
client after intravenous pyelography?
A) Eat a light diet for the rest of the day
B) Rest for the next 24 hours since the preparation and the
test is tiring.
C) During waking hours drink at least 1 8-ounce glass of fluid
every hour for the next 2 days
D) Measure the urine output for the next day and immediately
notify the health care provider if it should decrease.
The correct answer is D: Measure the urine output for the next day
and immediately notify the health care provider if it should decrease. - A client has altered renal function and is being treated at home.
The nurse recognizes
that the most accurate indicator of fluid balance during the weekly
visits is
A) difference in the intake and output
B) changes in the mucous membranes
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C) skin turgor
D) weekly weight
The correct answer is D: weekly weight
- A client has been diagnosed with Zollinger-Ellison syndrome.
Which information is most important for the nurse to reinforce with
the client?
A) It is a condition in which one or more tumors called
gastrinomas form in the pancreas or in the upper part of the small
intestine (duodenum)
B) It is critical to report promptly to your health care provider any
findings of peptic ulcers
c)Treatment consists of medications to reduce acid and heal any
peptic ulcers and, if possible, surgery to remove any tumors
D)With the average age at diagnosis at 50 years the peptic ulcers
may occur at unusual areas of the stomach or intestine
The correct answer is B: It is critical to report promptly to your health
care provider any findings of peptic ulcers . - A primigravida in the third trimester is hospitalized for
preeclampsia. The nurse
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determines that the client’s blood pressure is increasing. Which
action should the nurse take first?
A) Check the protein level in urine
B) Have the client turn to the left side
C) Take the temperature
D) Monitor the urine output
The correct answer is B: Have the client turn to the left side 5.
The nurse is caring for a client in atrial fibrillation. The atrial heart
rate is 250 and the ventricular rate is controlled at 75. Which of the
following findings is cause for the most concern?
A) Diminished bowel sounds
B) Loss of appetite
C) A cold, pale lower leg
D) Tachypnea
The correct answer is C: A cold, pale lower leg
- The client with infective endocarditis must be assessed frequently
by the home health
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nurse. Which finding suggests that antibiotic therapy is not effective,
and must be reported by the nurse immediately to the healthcare
provider?
A) Nausea and vomiting
B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
C) Diffuse macular rash
D) Muscle tenderness
The correct answer is B: Fever of 103 degrees F (39.5 degrees C)
- A client who had a vasectomy is in the post recovery unit at an
outpatient clinic. Which of these points is most important to be
reinforced by the nurse?
A) Until the health care provider has determined that your ejaculate
doesn’t contain sperm, continue to use another form of
contraception.
B) This procedure doesn’t impede the production of male
hormones or the production of
sperm in the testicles. The sperm can no longer enter your semen
and no sperm are in your ejaculate.
C) After your vasectomy, strenuous activity needs to be avoided
for at least 48 hours. If
HESI EXIT V3 Questions
and Answers Graded A+
Latest 2023
- A 64 year-old client scheduled for surgery with a general anesthetic
refuses to remove a set of dentures prior to leaving the unit for the
operating room. What would be the most appropriate intervention by the
nurse?
A) Explain to the client that the dentures must come out as they may get
lost or broken in the operating room
B) Ask the client if there are second thoughts about having the
procedure
C) Notify the anesthesia department and the surgeon of the client’s
refusal
D) Ask the client if the preference would be to remove the dentures in the
operating room receiving area
The correct answer is D: Ask the client if the preference would be to
remove the dentures in the operating room receiving area - The nurse has been teaching adult clients about cardiac risks when
they visit the hypertension clinic. Which form of evaluation would best
measure learning?
A) Performance on written tests
B) Responses to verbal questions
C) Completion of a mailed survey
D) Reported behavioral changes
The correct answer is D: Reported behavioral changes - The nurse is planning care for an 18 month-old child. Which action
should be included in the child’s care?
A) Hold and cuddle the child frequently
B) Encourage the child to feed himself finger food
C) Allow the child to walk independently on the nursing unit
D) Engage the child in games with other children
The correct answer is B: Encourage the child to feed himself finger food - A partner is concerned because the client frequently daydreams
about moving to Arizona to get away from the pollution and crowding in
southern California. The nurse explains that
A) Such fantasies can gratify unconscious wishes or prepare for
anticipated future events
B) Detaching or dissociating in this way postpones painful feelings
C) This conversion or transferring of a mental conflict to a physical
symptom can lead to marital conflict
D) To isolate the feelings in this way reduces conflict within the
client and with others
The correct answer is A: Such fantasies can gratify unconscious wishes or
prepare for anticipated future events - An appropriate goal for a client with anxiety would be to A) Ventilate
anxious feelings to the nurse
B) Establish contact with reality
C) Learn self-help techniques
D) Become desensitized to past trauma
The correct answer is C: Learn self-help techniques - While the nurse is administering medications to a client, the client
states “I do not want to take that medicine today.” Which of the following
responses by the nurse would be best?
A) “That’s OK, its all right to skip your medication now and then.”
B) “I will have to call your doctor and report this.”
C) “Is there a reason why you don’t want to take your medicine?”
D) “Do you understand the consequences of refusing your
prescribed treatment?”
The correct answer is C: “Is there a reason why you don’t want to take your
medicine?” - While caring for a client, the nurse notes a pulsating mass in the
client’s peri umbilical area. Which of the following assessments is
appropriate for the nurse to perform? A) Measure the length of the mass
B) Auscultate the mass
C) Percuss the mass
D) Palpate the mass
The correct answer is B: Auscultate the mass
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HESI EXIT V6 Questions
and Answers Graded A+
Latest 2023 Revision Guide
- A parent tells the nurse that their 6 year-old child who normally
enjoys school, has not been doing well since the grandmother died
2 months ago. Which statement most accurately describes thoughts
on death and dying at this age?
A) Death is personified as the bogeyman or devil
B) Death is perceived as being irreversible
C) The child feels guilty for the grandmother’s death
D) The child is worried that he, too, might die
The correct answer is A: Death is personified as the bogeyman or
devil - A 67 year-old client with non-insulin dependent diabetes should
be instructed to contact the out-patient clinic immediately if the
following findings are present
A) Temperature of 37.5 degrees Celsius with painful urination
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B) An open wound on their heel
C) Insomnia and daytime fatigue
D) Nausea with 2 episodes of vomiting
The correct answer is B: An open wound on their heel
- The nurse admits an elderly Mexican-American migrant worker
after an accident that
occurred during work. To facilitate communication the nurse should
initially
A) Request a Spanish interpreter
B) Speak through the family or co-workers
C) Use pictures, letter boards, or monitoring
D) Assess the clients ability to speak English
The correct answer is D: Assess the client”s ability to speak
English - In assessing a post partum client, the nurse palpates a firm
fundus and observes a constant trickle of bright red blood from the
vagina. What is the most likely cause of these findings?
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A) Uterine atony
B) Genital lacerations
C) Retained placenta
D) Clotting disorder
The correct answer is B: Genital lacerations
- The nurse notes an abrupt onset of confusion in an elderly
patient. Which of the following recently-ordered medications would
most likely contribute to this change?
A) Anticoagulant
B) Liquid antacid
C) Antihistamine
D) Cardiac glycoside
The correct answer is C: Antihistamine - The nurse is caring for a client with active tuberculosis who has a
history of noncompliance. Which of the following actions by the
nurse would represent appropriate care for this client?
A) Instruct the client to wear a high efficiency particulate air
mask in public places.
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B) Ask a family member to supervise daily compliance
C) Schedule weekly clinic visits for the client
D) Ask the health care provider to change the regimen to
fewer medications
The correct answer is B: Ask a family member to supervise daily
compliance
- The nurse manager identifies that time spent by staff in charting
is excessive, requiring overtime for completion. The nurse manager
states that “staff will form a task force to investigate and develop
potential solutions to the problem, and report on this at the next
staff meeting.” The nurse manager’s leadership style is best
described as A) Laissez-faire
B) Autocratic
C) Participative
D) Group
The correct answer is C: Participative - A nursing student asks the nurse manager to explain the forces
that drive health care
HESI EXIT V5 | 160 Questions
and Answers Graded A+ Latest
2023 Revision Guide
- The nurse is has just admitted a client with severe depression.
From which focus should the nurse identify a priority nursing
diagnosis?
A) Nutrition B) Elimination
C) Activity D) Safety
The correct answer is D: Safety - While explaining an illness to a 10 year-old, what should the
nurse keep in mind about the cognitive development at this age?
A) They are able to make simple association of ideas
B) They are able to think logically in organizing facts
C) Interpretation of events originate from their own
perspective
D) Conclusions are based on previous experiences
The correct answer is B: Think logically in organizing facts
- The nurse enters the room as a 3 year-old is having a
generalized seizure. Which intervention should the nurse do first?
A) Clear the area of any hazards
B) Place the child on the side
C) Restrain the child
D) Give the prescribed anticonvulsant
The correct answer is B: Place the child on the side - The nurse is reviewing a depressed client’s history from an
earlier admission.
Documentation of anhedonia is noted. The nurse understands
that this finding refers to
A) Reports of difficulty falling and staying asleep
B) Expression of persistent suicidal thoughts
C) Lack of enjoyment in usual pleasures D) Reduced
senses of taste and smell
The correct answer is C: Lack of enjoyment in usual pleasures
- A client has just returned to the medical-surgical unit following a
segmental lung
resection. After assessing the client, the first nursing action would
be to
A) Administer pain medication
B) Suction excessive tracheobronchial secretions
C) Assist client to turn, deep breathe and cough
D) Monitor oxygen saturation
The correct answer is B: Suction excessive tracheobronchial
secretions - While assessing a client in an outpatient facility with a panic
disorder, the nurse completes a thorough health history and
physical exam. Which finding is most significant for this client?
A) Compulsive behavior
B) Sense of impending doom
C) Fear of flying
D) Predictable episodes
The correct answer is B: Sense of impending doom
- A 16 month-old child has just been admitted to the hospital. As
the nurse assigned to this child enters the hospital room for the
first time, the toddler runs to the mother, clings to her and begins
to cry. What would be the initial action by the nurse?
A) Arrange to change client care assignments
B) Explain that this behavior is expected
C) Discuss the appropriate use of “time-out”
D) Explain that the child needs extra attention
The correct answer is B: Explain that this behavior is expected
HESI EXIT V4 | 160
Questions and Answers |
Graded and Rated A+
- The nurse is caring for a pre-adolescent client in skeletal
Dunlop traction. Which nursing intervention is appropriate for this
child?
A) Make certain the child is maintained in correct body
alignment.
B) Be sure the traction weights touch the end of the bed.
C) Adjust the head and foot of the bed for the child’s
comfort
D) Release the traction for 15-20 minutes every 6 hours
PRN.
The correct answer is A: Make certain the child is maintained in
correct body alignment. - The nurse is assessing a healthy child at the 2 year check up.
Which of the following should the nurse report immediately to the
health care provider? A) Height and weight percentiles vary widely
B) Growth pattern appears to have slowed
C) Recumbent and standing height are different
D) Short term weight changes are uneven
The correct answer is A: Height and weight percentiles vary
widely
- The parents of a 2 year-old child report that he has been
holding his breath whenever he has temper tantrums. What is the
best action by the nurse?
A) Teach the parents how to perform cardiopulmonary
resuscitation
B) Recommend that the parents give in when he holds his
breath to prevent anoxia
C) Advise the parents to ignore breath holding because
breathing will begin as a reflex D) Instruct the parents on how
to reason with the child about possible harmful effects The
correct answer is C: Advise the parents to ignore breath
holding because breathing will begin as a reflex - The nurse is assessing a client in the emergency room. Which
statement suggests that the problem is acute angina?
A) “My pain is deep in my chest behind my sternum.”
B) “When I sit up the pain gets worse.”
C) “As I take a deep breath the pain gets worse.”
D) “The pain is right here in my stomach area.”
The correct answer is A: “My pain is deep in my chest behind
my sternum.”
.
- The nurse is assessing the mental status of a client admitted
with possible organic brain disorder. Which of these questions will
best assess the function of the client’s recent
memory?
A) “Name the year.” “What season is this?” (pause for answer
after each question) B) “Subtract 7 from 100 and then subtract 7
from that.” (pause for answer) “Now continue to subtract 7 from
the new number.”
C) “I am going to say the names of three things and I want you
to repeat them after me: blue, ball, pen.”
D) “What is this on my wrist?” (point to your watch) Then ask,
“What is the purpose of it?”
The correct answer is C: “I am going to say the names of three
things and I want you to repeat them after me: blue, ball, pen.”
- In planning care for a 6 month-old infant, what must the nurse
provide to assist in the development of trust?
A) Food
B) Warmth C) Security
D) Comfort
The correct answer is C: Security - A nurse has just received a medication order which is not
legible. Which statement best reflects assertive communication?
A) “I cannot give this medication as it is written. I have no idea of
what you mean.” B) “Would you please clarify what you have
written so I am sure I am reading it correctly?”