RNSG 1361 HESI exit RN Exam Questions and Answers Graded A+ Guaranteed
Success Latest Update 2026
1. Four hours following surgical repair of a compound Elevate the client's
fracture of the right ulna, the nurse is unable to right hand on one
palpate the client's right radial pulse. Which action or two pillows
should the nurse take first?
2. After placing a 36- week- gestation newborn in an Remove the wet
isolette and drying the infant with several blankets, blankets and linen
what should the nurse implement next? from the isolette
3. A client in the third trimester of pregnancy com- Record the res-
plains of frequent nasal stiffness and occasional piratory finding in
nosebleeds. Her chest circumference has increased the clients chart as
by 5 cm during the pregnancy, and she uses thoracic normal
breathing. Her diaphragm is elevated and she has
an increased costal angle. Which intervention should
the nurse implement?
4. A terminally ill male hospice client who is at home is Instruct family to
showing decreased awareness of his surroundings. offer client only
His appetite is poor and he often refuses oral intake soft bland foods
of solids and liquids. For the past several days he has
been unable to get out of bed. Which action should
the hospice nurse implement?
5. A woman was admitted yesterday afternoon with se- Verify correct
vere abdominal pain. Her pregnancy test and ultra- placement of the
sound were negative, so an exploratory laparotomy nasogastric tube
was completed during the night. When coffee ground
materials is observed in the drainage from the na-
sogastric tube (NGT), which intervention should the
nurse implement?
6. The nurse is reviewing the laboratory values for a Lipase
client with acute pancreatitis who reports of the ab-
dominal pain is not as severe as it was on admission.
Which laboratory test should the nurse review to eval-
uate the clients clinical recovery?
7. take vital signs
, RNSG 1361 HESI exit RN Exam Questions and Answers Graded A+ Guaranteed
Success Latest Update 2026
While assessing a client who had a laparotomy the
previous day, the nurse notices that 300 mL of dark
red fluid has drained from the nasogastric tube in the
last hour. Which action should the nurse take first?
8. The nurse is reviewing the recommended preventa- Avoid large crowd-
tive care for clients with asthma, chronic bronchi- ed areas during
tis, and emphysema. Which health care measure is the colder months
most important for the nurse to recommend to these of the year
clients?
9. The mother of a one-moth-old infant calls the clinic to Position the infant
report that the back of her infant's head is flat. How on the stomach
should the nurse respond? occasionally when
awake and active
10. A woman is brought to the labor and delivery unti Perform a fundal
after delivering a term infant and the placenta in the massage
hospital parking lot 10 minutes ago. Which action
should the nurse perform first?
11. A client has a new prescription for the maximum Decrease serum
recommended dosage of pipercillin/tazobactam for creatine
nosocomial pneumonia. The nurse should report
which laboratory finding to the healthcare provider
before administering the prescribed dose?
12. A client who is admitted with diabetic ketoacidosis Fruity breath
(DKA) is demonstrating Kussmaul breathing and has
a severe headache along with nausea. Her arterial
blood gases (ABG) are: pH 7.50; PaCO2 30 mmHg;
HCO3 24 mEq/L (24mmol/L). Which assessment find-
ing warrants immediate intervention by the nurse?
13. When performing postural drainage on a client with Explain that the
Chronic Obstructive Pulmonary disease (COPD), client may be
which approach should the nurse use? placed in five posi-
tions
14.14.
, RNSG 1361 HESI exit RN Exam Questions and Answers Graded A+ Guaranteed
Success Latest Update 2026
A young male client with testicular cancer has a living Initiate an ethics
will that describes his desire that no extraordinary committee review
measures be taken to save his life. The healthcare
provider knows the client has a good prognosis and
refuses to write a "do not resuscitate" (DNR) pre-
scription. Which action should the nurse take?
15. In observing a clients face, which assessment find- Oral mucosa is
ing requires the most immediate intervention by the cyanotic Blue lips
nurse?
16. The nurse is assessing a client with cirrhosis and Complete a thor-
notes that the client has a positive Babinski reflex. ough neurological
Which action should the nurse take in response to assessment
the finding?
17. Which action should the nurse take first after obtain- Ensure continued
ing a urine specimen for culture and sensitivity from sterility of the
an indwelling urinary catheter? specimen contain-
er
18. The home health nurse observes an older client with Hold the walker
unilateral weakness place the walker in front of the securely to pre-
chair for support while rising to a standing position. vent slipping while
Which action should the nurse take? the client raises
19. A client with cancer complains of fever, chills, Monitor lab values
malaise, and headache following administration of a for an increase in
colony-stimulating factor. Which nursing intervention WBCs
is most beneficial in helping to reduce the flu like
symptoms?
20. Which laboratory value should the nurse review prior Serum liver en-
to administering the initial dose of a statin medica- zymes
tion?
21. Following a lumbar puncture, a client voices several I have a headache
concerns. Which concern indicates to the nurse that that gets worse
the client is experiencing a complication of the pro- when I sit up
cedure?
, RNSG 1361 HESI exit RN Exam Questions and Answers Graded A+ Guaranteed
Success Latest Update 2026
22. The nurse is caring for a client withdrawing from a Advise to sit up
fentanyl citrate addiction. The client receives a pre- slowly from a re-
scription for clonidine 0.2 mg PO taken twice daily. clining position
Which action should the nurse take?
23. A 7-year-old child is admitted to the hospital with Sore throat
a diagnosis of acute rheumatic fever. In obtaining
a health history form the child's mother, the recent
occurrence of what illness is most significant?
24. Following discharge teaching, a client with a duode- Review with the
nal ulcer tells the nurse of plans to eat plenty of dairy client the need to
products, such as milk, to help coat and protect their avoid foods that
ulcer. Which is the best follow-up action by the nurse? are rich in milk and
cream
25. The nurse is caring for an adolescent client with an A weakened di-
intestinal obstruction who presents with severe, col- aphragm with high
icky abdominal pain, nauseas, vomiting, and abdomi- abdominal pres-
nal distention. Which pathophysiological mechanism sure
supports the client's clinical presentation?
26. The nurse assesses a client with cirrhosis and find Hypoalbumine-
4+ pitting edema of the feet and legs, and massive mia that results in
ascites. Which mechanism contributes to edema and a decreased
ascites in clients with cirrhosis? colloidal oncotic
pressure
27. An adult who was recently diagnosed with glaucoma Maintain pre-
tells the nurse, "it feels like I am driving through a tun- scribed eye drop
nel." The client expresses great concern about going regimen
blind. Which nursing instruction is most important for
the nurse to provide to this client?
28. The charge nurse is making assignments on a cardiac With atrial fibrilla-
unit. Which client is best to assign to a new graduate tion whose saline
who is orienting to the unit? lock is infiltrated
29. 4 ML D/HX2ml
Success Latest Update 2026
1. Four hours following surgical repair of a compound Elevate the client's
fracture of the right ulna, the nurse is unable to right hand on one
palpate the client's right radial pulse. Which action or two pillows
should the nurse take first?
2. After placing a 36- week- gestation newborn in an Remove the wet
isolette and drying the infant with several blankets, blankets and linen
what should the nurse implement next? from the isolette
3. A client in the third trimester of pregnancy com- Record the res-
plains of frequent nasal stiffness and occasional piratory finding in
nosebleeds. Her chest circumference has increased the clients chart as
by 5 cm during the pregnancy, and she uses thoracic normal
breathing. Her diaphragm is elevated and she has
an increased costal angle. Which intervention should
the nurse implement?
4. A terminally ill male hospice client who is at home is Instruct family to
showing decreased awareness of his surroundings. offer client only
His appetite is poor and he often refuses oral intake soft bland foods
of solids and liquids. For the past several days he has
been unable to get out of bed. Which action should
the hospice nurse implement?
5. A woman was admitted yesterday afternoon with se- Verify correct
vere abdominal pain. Her pregnancy test and ultra- placement of the
sound were negative, so an exploratory laparotomy nasogastric tube
was completed during the night. When coffee ground
materials is observed in the drainage from the na-
sogastric tube (NGT), which intervention should the
nurse implement?
6. The nurse is reviewing the laboratory values for a Lipase
client with acute pancreatitis who reports of the ab-
dominal pain is not as severe as it was on admission.
Which laboratory test should the nurse review to eval-
uate the clients clinical recovery?
7. take vital signs
, RNSG 1361 HESI exit RN Exam Questions and Answers Graded A+ Guaranteed
Success Latest Update 2026
While assessing a client who had a laparotomy the
previous day, the nurse notices that 300 mL of dark
red fluid has drained from the nasogastric tube in the
last hour. Which action should the nurse take first?
8. The nurse is reviewing the recommended preventa- Avoid large crowd-
tive care for clients with asthma, chronic bronchi- ed areas during
tis, and emphysema. Which health care measure is the colder months
most important for the nurse to recommend to these of the year
clients?
9. The mother of a one-moth-old infant calls the clinic to Position the infant
report that the back of her infant's head is flat. How on the stomach
should the nurse respond? occasionally when
awake and active
10. A woman is brought to the labor and delivery unti Perform a fundal
after delivering a term infant and the placenta in the massage
hospital parking lot 10 minutes ago. Which action
should the nurse perform first?
11. A client has a new prescription for the maximum Decrease serum
recommended dosage of pipercillin/tazobactam for creatine
nosocomial pneumonia. The nurse should report
which laboratory finding to the healthcare provider
before administering the prescribed dose?
12. A client who is admitted with diabetic ketoacidosis Fruity breath
(DKA) is demonstrating Kussmaul breathing and has
a severe headache along with nausea. Her arterial
blood gases (ABG) are: pH 7.50; PaCO2 30 mmHg;
HCO3 24 mEq/L (24mmol/L). Which assessment find-
ing warrants immediate intervention by the nurse?
13. When performing postural drainage on a client with Explain that the
Chronic Obstructive Pulmonary disease (COPD), client may be
which approach should the nurse use? placed in five posi-
tions
14.14.
, RNSG 1361 HESI exit RN Exam Questions and Answers Graded A+ Guaranteed
Success Latest Update 2026
A young male client with testicular cancer has a living Initiate an ethics
will that describes his desire that no extraordinary committee review
measures be taken to save his life. The healthcare
provider knows the client has a good prognosis and
refuses to write a "do not resuscitate" (DNR) pre-
scription. Which action should the nurse take?
15. In observing a clients face, which assessment find- Oral mucosa is
ing requires the most immediate intervention by the cyanotic Blue lips
nurse?
16. The nurse is assessing a client with cirrhosis and Complete a thor-
notes that the client has a positive Babinski reflex. ough neurological
Which action should the nurse take in response to assessment
the finding?
17. Which action should the nurse take first after obtain- Ensure continued
ing a urine specimen for culture and sensitivity from sterility of the
an indwelling urinary catheter? specimen contain-
er
18. The home health nurse observes an older client with Hold the walker
unilateral weakness place the walker in front of the securely to pre-
chair for support while rising to a standing position. vent slipping while
Which action should the nurse take? the client raises
19. A client with cancer complains of fever, chills, Monitor lab values
malaise, and headache following administration of a for an increase in
colony-stimulating factor. Which nursing intervention WBCs
is most beneficial in helping to reduce the flu like
symptoms?
20. Which laboratory value should the nurse review prior Serum liver en-
to administering the initial dose of a statin medica- zymes
tion?
21. Following a lumbar puncture, a client voices several I have a headache
concerns. Which concern indicates to the nurse that that gets worse
the client is experiencing a complication of the pro- when I sit up
cedure?
, RNSG 1361 HESI exit RN Exam Questions and Answers Graded A+ Guaranteed
Success Latest Update 2026
22. The nurse is caring for a client withdrawing from a Advise to sit up
fentanyl citrate addiction. The client receives a pre- slowly from a re-
scription for clonidine 0.2 mg PO taken twice daily. clining position
Which action should the nurse take?
23. A 7-year-old child is admitted to the hospital with Sore throat
a diagnosis of acute rheumatic fever. In obtaining
a health history form the child's mother, the recent
occurrence of what illness is most significant?
24. Following discharge teaching, a client with a duode- Review with the
nal ulcer tells the nurse of plans to eat plenty of dairy client the need to
products, such as milk, to help coat and protect their avoid foods that
ulcer. Which is the best follow-up action by the nurse? are rich in milk and
cream
25. The nurse is caring for an adolescent client with an A weakened di-
intestinal obstruction who presents with severe, col- aphragm with high
icky abdominal pain, nauseas, vomiting, and abdomi- abdominal pres-
nal distention. Which pathophysiological mechanism sure
supports the client's clinical presentation?
26. The nurse assesses a client with cirrhosis and find Hypoalbumine-
4+ pitting edema of the feet and legs, and massive mia that results in
ascites. Which mechanism contributes to edema and a decreased
ascites in clients with cirrhosis? colloidal oncotic
pressure
27. An adult who was recently diagnosed with glaucoma Maintain pre-
tells the nurse, "it feels like I am driving through a tun- scribed eye drop
nel." The client expresses great concern about going regimen
blind. Which nursing instruction is most important for
the nurse to provide to this client?
28. The charge nurse is making assignments on a cardiac With atrial fibrilla-
unit. Which client is best to assign to a new graduate tion whose saline
who is orienting to the unit? lock is infiltrated
29. 4 ML D/HX2ml
