HESI
Gh
HESI EXIT RN EXAM OVER 700 QUESTIONS,
ANSWERS RATIONALE NEW
GRADED A+
, HESI EXIT RN EXAM OVER 700
QUESTIONS, ANSWERS RATIONALE NEW
2019/2020
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?
a- Remind the client that it is also important to switch to
decaffeinated coffee and tea.
b- Suggest that the client also plan to eat frequent small meals
to reduce discomfort
c- Review with the client the need to avoid foods that are
rich in milk and cream.
d- Reinforce this teaching by asking the client to list a dairy food
that he might select.
Rationale: Diets rich in milk and cream stimulate gastric acid
secretion and should be avoided.
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?
a- Blindness secondary to cataracts
b- Acute kidney injury due to glomerular damage
, c- Stroke secondary to hemorrhage
d- Heart block due to myocardial damage
Rationale: Stroke related to cerebral hemorrhage is major risk
for uncontrolled hypertension.
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?
a- Ensure that the UAP has placed the pillows effectively to
protect the client.
b- Instruct the UAP to obtain soft blankets to secure to the
side rails instead of pillows.
a- Assume responsibility for placing the pillows while the
UAP completes another task.
b- Ask the UAP to use some of the pillows to prop the client
in a side lying position.
Rationale: The nurse should instruct the UAP to pad the side
rails with soft blankest because the use of pillows could result in
suffocation and would need to be removed at the onset of the
seizure. The nurse can delegate paddling the side rails to the
UAP
4. An adolescent with major depressive disorder has been
taking duloxetine (Cymbalta) for the past 12 days. Which
assessment finding requires immediate follow-up?
a- Describes life without purpose
b- Complains of nausea and loss of appetite
c- States is often fatigued and drowsy
, d- Exhibits an increase in sweating.
Rationale: Cymbalta is a selective serotonin and
norepinephrine reuptake inhibitor that is known to increase the
risk of suicidal thinking in adolescents and young adults with
major depressive disorder. B, C and D are side effects
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?
a- Further evaluation involving surgery may be needed
b- A pelvic exam is also needed before cancer is ruled out
c- Pap smear evaluation should be continued every six month
d- One additional negative pap smear in six months is needed.
Rationale: An abdominal mass in a client with a family history
for ovarian cancer should be evaluated carefully
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?
a- Explain how to use communication tools.
b- Teach tracheal suctioning techniques
c- Encourage self-care and independence.
d- Demonstrate how to clean tracheostomy site.
Rationale: Suctioning helps to clear secretions and maintain an
open airway, which is critical.
7. In assessing an adult client with a partial rebreather
mask, the nurse notes that the oxygen reservoir bag does
Gh
HESI EXIT RN EXAM OVER 700 QUESTIONS,
ANSWERS RATIONALE NEW
GRADED A+
, HESI EXIT RN EXAM OVER 700
QUESTIONS, ANSWERS RATIONALE NEW
2019/2020
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?
a- Remind the client that it is also important to switch to
decaffeinated coffee and tea.
b- Suggest that the client also plan to eat frequent small meals
to reduce discomfort
c- Review with the client the need to avoid foods that are
rich in milk and cream.
d- Reinforce this teaching by asking the client to list a dairy food
that he might select.
Rationale: Diets rich in milk and cream stimulate gastric acid
secretion and should be avoided.
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?
a- Blindness secondary to cataracts
b- Acute kidney injury due to glomerular damage
, c- Stroke secondary to hemorrhage
d- Heart block due to myocardial damage
Rationale: Stroke related to cerebral hemorrhage is major risk
for uncontrolled hypertension.
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?
a- Ensure that the UAP has placed the pillows effectively to
protect the client.
b- Instruct the UAP to obtain soft blankets to secure to the
side rails instead of pillows.
a- Assume responsibility for placing the pillows while the
UAP completes another task.
b- Ask the UAP to use some of the pillows to prop the client
in a side lying position.
Rationale: The nurse should instruct the UAP to pad the side
rails with soft blankest because the use of pillows could result in
suffocation and would need to be removed at the onset of the
seizure. The nurse can delegate paddling the side rails to the
UAP
4. An adolescent with major depressive disorder has been
taking duloxetine (Cymbalta) for the past 12 days. Which
assessment finding requires immediate follow-up?
a- Describes life without purpose
b- Complains of nausea and loss of appetite
c- States is often fatigued and drowsy
, d- Exhibits an increase in sweating.
Rationale: Cymbalta is a selective serotonin and
norepinephrine reuptake inhibitor that is known to increase the
risk of suicidal thinking in adolescents and young adults with
major depressive disorder. B, C and D are side effects
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?
a- Further evaluation involving surgery may be needed
b- A pelvic exam is also needed before cancer is ruled out
c- Pap smear evaluation should be continued every six month
d- One additional negative pap smear in six months is needed.
Rationale: An abdominal mass in a client with a family history
for ovarian cancer should be evaluated carefully
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?
a- Explain how to use communication tools.
b- Teach tracheal suctioning techniques
c- Encourage self-care and independence.
d- Demonstrate how to clean tracheostomy site.
Rationale: Suctioning helps to clear secretions and maintain an
open airway, which is critical.
7. In assessing an adult client with a partial rebreather
mask, the nurse notes that the oxygen reservoir bag does
