VERSION B 2024-2025/HESI EXIT RN NEXT
GENERATION EXAM ALL 160 QUESTIONS AND
CORRECT DETAILED ANSWERS
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Terms in this set (160)
A female client presents in the A. Has she taken a bath since the rape occurred?
emergency department and tells
the nurse that she was raped last
night. Which question is most
important for the nurse to ask?
A. Has she taken a bath since the
rape occurred?
B. Is the place where she lives a
safe place?
C. Does she know the person who
raped her?
D. Did she report the rape to the
police department?
,The nurse is completing the B. Sluggish and unequal pupillary responses
admission assessment of a 3-year
old who is admitted with bacterial
meningitis and hydrocephalus.
Which assessment finding is
evidence that the child is
experiencing increased intracranial
pressure (ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary
responses
C. Increased head circumference
and bulging fontanels
D. Blood pressure fluctuations and
syncope
A client with acute pancreatitis is A. Abdominal pain decreases when lying supine
admitted with severe, piercing
abdominal pain and an elevated
serum amylase. Which additional
information is the client most likely
to report to the nurse?
A. Abdominal pain decreases when
lying supine
B. Pain lasts an hour and leaves the
abdomen tender
C. Right upper quadrant pain refers
to right scapula
D. Drinks alcohol until intoxicated at
least twice weekly.
,A child newly diagnosed with sickle A. Instructions about how much fluid the child
cell anemia (SCA) is being should drink daily
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
To auscultate for a carotid bruit, the I placed the red dot on the base of the neck on
nurse places the stethoscope at the right side
what location. (Select the location
on the image with a red dot).
After receiving report on an D. The client with a bowel obstruction due to a
inpatient acute care unit, which volvulus who is experiencing abdominal rigidity
client should the nurse assess first?
A. The client with an obstruction of
the large intestine who is
experiencing abdominal distention
B. The client who had surgery
yesterday and is experiencing a
paralytic ileus with absent bowel
sounds
C. The client with a small bowel
obstruction who has a nasogastric
tube that is draining greenish fluid
D. The client with a bowel
obstruction due to a volvulus who
is experiencing abdominal rigidity
, A teenager presents to the D. Respiratory alkalosis
emergency department with
palpitations after vaping at a party.
The client is anxious, fearful, and
hyperventilating. The nurse
anticipates the client developing
which acid base imbalance?
A. Respiratory acidosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory alkalosis
A client with dyspnea is being Fowlers
admitted to the medical unit. To
best prepare for the client's arrival,
the nurse should ensure that the
client's bed is in which position?
A. Supine
B. supine; feet elevated higher than
head
C. supine; head elevated higher
than feet
D. Fowlers
The nurse is taking the blood A. Frequent syncope
pressure measurement of a client C. Flat affect
with Parkinson's disease. Which D. Blurred vision
information in the client's admission
assessment is relevant to the nurse's
plan for taking the blood pressure
reading? (Select all the apply)
A. Frequent syncope
B. Occasional nocturia
C. Flat affect
D. Blurred vision
E. Frequent drooling