HESI RN 2026 EXIT EXAM MOST TESTED EXAM QUESTIONS
AND ANSWERS GRADED A+ ASSURED PASS!!!!!!!!!!!!!!!!!!!!!
A nurse has assisted a physician in inserting a central venous access device into a
client with a diagnosis of severe malnutrition who will be receiving parenteral
nutrition (PN). After insertion of the catheter, the nurse immediately plans to:
A. Call the radiography department to obtain a chest x-ray
B. Check the client's blood glucose level to serve as a baseline measurement
C. Hang the prescribed bag of PN and start the infusion at the prescribed rate
D. Infuse normal saline solution through the catheter at a rate of 100 mL/hr to
maintain patency - ANS... -A. Call the radiography department to obtain a chest x-
ray
A rape victim being treated in the emergency department says to the nurse, "I'm
really worried that I've got HIV now." What is the appropriate response by the
nurse?
A. "HIV is rarely an issue in rape victims."
B. "Every rape victim is concerned about HIV."
C. "You're more likely to get pregnant than to contract HIV."
D. "Let's talk about the information that you need to determine your risk of
contracting HIV." - ANS... -D. "Let's talk about the information that you need to
determine your risk of contracting HIV."
A client is taking prescribed ibuprofen (Motrin), 300 mg orally four times daily, to
relieve joint pain resulting from rheumatoid arthritis. The client tells the nurse that
the medication is causing nausea and indigestion. The nurse should tell the client
to:
A. Contact the physician
B. Stop taking the medication
C. Take the medication with food
D. Take the medication twice a day instead of four times - ANS... -C. Take the
medication with food
, A client's oral intake of liquids includes 120 mL on the night shift, 800 mL on the
day shift, and 650 mL on the evening shift. The client is receiving an intravenous
(IV) antibiotic every 12 hours, diluted in 50 mL of normal saline solution. The
nurse empties 700 mL of urine from the client's Foley catheter at the end of the day
shift. Thereafter, 500 mL of urine is emptied at the end of the evening shift and
325 mL at the end of the night shift. Nasogastric tube drainage totals 155 mL for
the 24-hour period, and the total drainage from the Jackson-Pratt device is 175 mL.
What is the client's total intake during the 24-hour period? Type your answer in the
space provided.
Answer: ________mL - ANS... -Correct Responses: "1670"
Lorazepam (Ativan) 1 mg by way of intravenous (IV) injection (IV push) is
prescribed for a client for the management of anxiety. The nurse prepares the
medication as prescribed and administers the medication over a period of:
A. 3 minutes
B. 10 seconds
C. 15 seconds
D. 30 minutes - ANS... -A. 3 minutes Correct
A nurse, conducting an assessment of a client being seen in the clinic for
symptoms of a sinus infection, asks the client about medications that he is taking.
The client tells the nurse that he is taking nefazodone hydrochloride (Serzone). On
the basis of this information, the nurse determines that the client most likely has a
history of:
A. Depression
B. Diabetes mellitus
C. Hyperthyroidism
D. Coronary artery disease - ANS... -A. Depression
Phenelzine sulfate (Nardil) is prescribed for a client with depression. The nurse
provides information to the client about the adverse effects of the medication and
tells the client to contact the physician immediately if she experiences:
A. Dry mouth
B. Restlessness
C. Feelings of depression
D. Neck stiffness or soreness - ANS... -D. Neck stiffness or soreness Correct
,Risperidone (Risperdal) is prescribed for a client hospitalized in the mental health
unit for the treatment of a psychotic disorder. Which finding in the client's medical
record would prompt the nurse to contact the prescribing physician before
administering the medication?
A. The client has a history of cataracts.
B. The client has a history of hypothyroidism.
C. The client takes a prescribed antihypertensive.
D. The client is allergic to acetylsalicylic acid (aspirin). - ANS... -C. The client
takes a prescribed antihypertensive.
A client who has been undergoing long-term therapy with an antipsychotic
medication is admitted to the inpatient mental health unit. Which of the following
findings does the nurse, knowing that long-term use of an antipsychotic medication
can cause tardive dyskinesia, monitor in the client?
A. Fever
B. Diarrhea
C. Hypertension
D. Tongue protrusion - ANS... -D. Tongue protrusion
Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which
assessment does the nurse perform as a priority before administering the
medication?
A. Checking the client's blood pressure
B. Checking the client's peripheral pulses
C. Checking the most recent potassium level
D. Checking the client's intake-and-output record for the last 24 hours - ANS... -A.
Checking the client's blood pressure
Checking the client's blood pressure
Enalapril maleate is an angiotensin-converting enzyme (ACE) inhibitor used to
treat hypertension. One common side effect is postural hypotension. Therefore the
nurse would check the client's blood pressure immediately before administering
each dose. Checking the client's peripheral pulses, the results of the most recent
potassium level, and the intake and output for the previous 24 hours are not
specifically associated with this mediation.
, A client is scheduled to undergo an upper gastrointestinal (GI) series, and the nurse
provides instructions to the client about the test. Which statement by the client
indicates a need for further instruction?
A. "The test will take about 30 minutes."
B. "I need to fast for 8 hours before the test."
C. "I need to drink citrate of magnesia the night before the test and give myself a
Fleet enema on the morning of the test."
D. "I need to take a laxative after the test is completed, because the liquid that I'll
have to drink for the test can be constipating." - ANS... -C. "I need to drink citrate
of magnesia the night before the test and give myself a Fleet enema on the morning
of the test."
An upper GI series involves visualization of the esophagus, duodenum, and upper
jejunum by means of the use of a contrast medium. It involves swallowing a
contrast medium (usually barium), which is administered in a flavored milkshake.
Films are taken at intervals during the test, which takes about 30 minutes. No
special preparation is necessary before a GI series, except that NPO status must be
maintained for 8 hours before the test. After an upper GI series, the client is
prescribed a laxative to hasten elimination of the barium. Barium that remains in
the colon may become hard and difficult to expel, leading to fecal impaction.
A nurse on the evening shift checks a physician's prescriptions and notes that the
dose of a prescribed medication is higher than the normal dose. The nurse calls the
physician's answering service and is told that the physician is off for the night and
will be available in the morning. The nurse should:
A. Call the nursing supervisor
B. Ask the answering service to contact the on-call physician
C. Withhold the medication until the physician can be reached in the morning
D. Administer the medication but consult the physician when he becomes available
- ANS... -B. Ask the answering service to contact the on-call physician
An emergency department (ED) nurse is monitoring a client with suspected acute
myocardial infarction (MI) who is awaiting transfer to the coronary intensive care
unit. The nurse notes the sudden onset of premature ventricular contractions
(PVCs) on the monitor, checks the client's carotid pulse, and determines that the
PVCs are not resulting in perfusion. The appropriate action by the nurse is:
A. Documenting the findings
AND ANSWERS GRADED A+ ASSURED PASS!!!!!!!!!!!!!!!!!!!!!
A nurse has assisted a physician in inserting a central venous access device into a
client with a diagnosis of severe malnutrition who will be receiving parenteral
nutrition (PN). After insertion of the catheter, the nurse immediately plans to:
A. Call the radiography department to obtain a chest x-ray
B. Check the client's blood glucose level to serve as a baseline measurement
C. Hang the prescribed bag of PN and start the infusion at the prescribed rate
D. Infuse normal saline solution through the catheter at a rate of 100 mL/hr to
maintain patency - ANS... -A. Call the radiography department to obtain a chest x-
ray
A rape victim being treated in the emergency department says to the nurse, "I'm
really worried that I've got HIV now." What is the appropriate response by the
nurse?
A. "HIV is rarely an issue in rape victims."
B. "Every rape victim is concerned about HIV."
C. "You're more likely to get pregnant than to contract HIV."
D. "Let's talk about the information that you need to determine your risk of
contracting HIV." - ANS... -D. "Let's talk about the information that you need to
determine your risk of contracting HIV."
A client is taking prescribed ibuprofen (Motrin), 300 mg orally four times daily, to
relieve joint pain resulting from rheumatoid arthritis. The client tells the nurse that
the medication is causing nausea and indigestion. The nurse should tell the client
to:
A. Contact the physician
B. Stop taking the medication
C. Take the medication with food
D. Take the medication twice a day instead of four times - ANS... -C. Take the
medication with food
, A client's oral intake of liquids includes 120 mL on the night shift, 800 mL on the
day shift, and 650 mL on the evening shift. The client is receiving an intravenous
(IV) antibiotic every 12 hours, diluted in 50 mL of normal saline solution. The
nurse empties 700 mL of urine from the client's Foley catheter at the end of the day
shift. Thereafter, 500 mL of urine is emptied at the end of the evening shift and
325 mL at the end of the night shift. Nasogastric tube drainage totals 155 mL for
the 24-hour period, and the total drainage from the Jackson-Pratt device is 175 mL.
What is the client's total intake during the 24-hour period? Type your answer in the
space provided.
Answer: ________mL - ANS... -Correct Responses: "1670"
Lorazepam (Ativan) 1 mg by way of intravenous (IV) injection (IV push) is
prescribed for a client for the management of anxiety. The nurse prepares the
medication as prescribed and administers the medication over a period of:
A. 3 minutes
B. 10 seconds
C. 15 seconds
D. 30 minutes - ANS... -A. 3 minutes Correct
A nurse, conducting an assessment of a client being seen in the clinic for
symptoms of a sinus infection, asks the client about medications that he is taking.
The client tells the nurse that he is taking nefazodone hydrochloride (Serzone). On
the basis of this information, the nurse determines that the client most likely has a
history of:
A. Depression
B. Diabetes mellitus
C. Hyperthyroidism
D. Coronary artery disease - ANS... -A. Depression
Phenelzine sulfate (Nardil) is prescribed for a client with depression. The nurse
provides information to the client about the adverse effects of the medication and
tells the client to contact the physician immediately if she experiences:
A. Dry mouth
B. Restlessness
C. Feelings of depression
D. Neck stiffness or soreness - ANS... -D. Neck stiffness or soreness Correct
,Risperidone (Risperdal) is prescribed for a client hospitalized in the mental health
unit for the treatment of a psychotic disorder. Which finding in the client's medical
record would prompt the nurse to contact the prescribing physician before
administering the medication?
A. The client has a history of cataracts.
B. The client has a history of hypothyroidism.
C. The client takes a prescribed antihypertensive.
D. The client is allergic to acetylsalicylic acid (aspirin). - ANS... -C. The client
takes a prescribed antihypertensive.
A client who has been undergoing long-term therapy with an antipsychotic
medication is admitted to the inpatient mental health unit. Which of the following
findings does the nurse, knowing that long-term use of an antipsychotic medication
can cause tardive dyskinesia, monitor in the client?
A. Fever
B. Diarrhea
C. Hypertension
D. Tongue protrusion - ANS... -D. Tongue protrusion
Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which
assessment does the nurse perform as a priority before administering the
medication?
A. Checking the client's blood pressure
B. Checking the client's peripheral pulses
C. Checking the most recent potassium level
D. Checking the client's intake-and-output record for the last 24 hours - ANS... -A.
Checking the client's blood pressure
Checking the client's blood pressure
Enalapril maleate is an angiotensin-converting enzyme (ACE) inhibitor used to
treat hypertension. One common side effect is postural hypotension. Therefore the
nurse would check the client's blood pressure immediately before administering
each dose. Checking the client's peripheral pulses, the results of the most recent
potassium level, and the intake and output for the previous 24 hours are not
specifically associated with this mediation.
, A client is scheduled to undergo an upper gastrointestinal (GI) series, and the nurse
provides instructions to the client about the test. Which statement by the client
indicates a need for further instruction?
A. "The test will take about 30 minutes."
B. "I need to fast for 8 hours before the test."
C. "I need to drink citrate of magnesia the night before the test and give myself a
Fleet enema on the morning of the test."
D. "I need to take a laxative after the test is completed, because the liquid that I'll
have to drink for the test can be constipating." - ANS... -C. "I need to drink citrate
of magnesia the night before the test and give myself a Fleet enema on the morning
of the test."
An upper GI series involves visualization of the esophagus, duodenum, and upper
jejunum by means of the use of a contrast medium. It involves swallowing a
contrast medium (usually barium), which is administered in a flavored milkshake.
Films are taken at intervals during the test, which takes about 30 minutes. No
special preparation is necessary before a GI series, except that NPO status must be
maintained for 8 hours before the test. After an upper GI series, the client is
prescribed a laxative to hasten elimination of the barium. Barium that remains in
the colon may become hard and difficult to expel, leading to fecal impaction.
A nurse on the evening shift checks a physician's prescriptions and notes that the
dose of a prescribed medication is higher than the normal dose. The nurse calls the
physician's answering service and is told that the physician is off for the night and
will be available in the morning. The nurse should:
A. Call the nursing supervisor
B. Ask the answering service to contact the on-call physician
C. Withhold the medication until the physician can be reached in the morning
D. Administer the medication but consult the physician when he becomes available
- ANS... -B. Ask the answering service to contact the on-call physician
An emergency department (ED) nurse is monitoring a client with suspected acute
myocardial infarction (MI) who is awaiting transfer to the coronary intensive care
unit. The nurse notes the sudden onset of premature ventricular contractions
(PVCs) on the monitor, checks the client's carotid pulse, and determines that the
PVCs are not resulting in perfusion. The appropriate action by the nurse is:
A. Documenting the findings
