HESI RN EXIT Exam
Questions and Answers
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
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
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.
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
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
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
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.
During shift report, the central electrocardiogram
(EKG) monitoring system alarms. Which client alarm
should the nurse investigate firs?
, Respiratory apnea of 30 seconds
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
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
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
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
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?
Questions and Answers
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
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
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.
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
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
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
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.
During shift report, the central electrocardiogram
(EKG) monitoring system alarms. Which client alarm
should the nurse investigate firs?
, Respiratory apnea of 30 seconds
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
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
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
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
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?
