RN HESI EXIT EXAM VERSIONS V1- EXAM QUESTIONS
WITH MULTIPLE CHOICES |VERIFIED & VERIFIED
ANSWERS (NEW)!!!!!!!!!!!!!!!!!!!!!
The home care nurse visits a client who has cancer. The client reports having a
good appetite but experiencing nausea when smelling food cooking. Which action
should the nurse implement?
A. Encourage family members to cook meals outdoors and bring the cooked food
inside
B. Assess the client's mucous membranes and report the findings to the healthcare
provider
C. Advise the client to replace cooked foods with a variety of different nutritional
supplements
D. Instruct the client to take an antiemetic before every meal to prevent excessive
vomiting - ANS... -A. Encourage family members to cook meals outdoors and
bring the cooked food inside
The nurse is wearing personal protective equipment (PPE) while caring for a client.
When exiting the room, which PPE should be removed first?
A. Gloves
B. Mask
C. Eyewear
D. Gown - ANS... -A. Gloves
An older male client, who is a retired chef, is hospitalized with a diabetic ulcer on
his foot. His daughter tells the nurse that her father has become increasingly
obsessed with the way his food is prepared in the hospital. The nurse's response
should be based on what information?
A. The client probably has an organic brain disease and will likely have
Alzheimer's disease within a few years
B. The family needs a social worker to talk to them about how to handle their
father when he becomes annoying
C. The daughter is under stress and should be encouraged to think about happier
times
D. If the client was compulsive about food when he was younger, the aging
process can magnify this - ANS... -D. If the client was compulsive about food
when he was younger, the aging process can magnify this
,A client is receiving enoxaparin 30mg subcutaneously twice a day. In assessing for
adverse effects of the medication, which serum laboratory value is most important
for the nurse to monitor?
A. Glucose
B. Calcium
C. Platelet count
D. White blood cell count - ANS... -C. Platelet count
The nurse is caring for a 24-month-old toddler who has sensory sensitivity,
difficulty engaging in social interactions, and has not yet spoken two-word phrases.
Which assessment should the nurse administer?
A. The modified checklist for autism in toddlers (M-CHAT)
B. Psychology Systems Questionnaire (PHQ-2)
C. Behavioral Style Questionnaire (BSQ)
D. The Ages and Stages Questionnaire (ASQ) - ANS... -A. The Modified Checklist
for Autism in Toddlers (M-CHAT)
Prior to surgery, written consent must be obtained. Which is the nurse's legal
responsibility with regard to obtaining written consent?
A. Explain the surgical procedure to the client and ask the client to sign the consent
form
B. Ask the client or a family member to sign the surgical consent form
C. Determine that the surgical consent form has been signed and is included in the
client's record.
D. Validate the client's understanding of the surgical procedure to be conducted -
ANS... -C. Determine that the surgical consent form has been signed and is
included in the client's record
A client with hyperthyroidism is admitted to the postoperative unit after a subtotal
thyroidectomy. Which of the client's serum laboratory values requires intervention
by the nurse?
A. T3- uptake at 50%
B. Glucose 150 mg/dL
C. Total calcium 5.0 mg/dL
D. Thyroxine 12 mcg/dL - ANS... -C. Total calcium 5.0 mg/dL
A client in the third trimester of pregnancy reports that she fells some "lumpy
places" in her breasts and that her nipples sometimes leak a yellowish fluid. She
,has an appointment with her healthcare provider in two weeks. What action should
the nurse take?
A. Tell the client to begin nipple stimulation to prepare for breast feeding.
B. Reschedule the client's prenatal appointment for the following day
C. Explain that this normal secretion can be assessed at the next visit
D. Recommend that the client start wearing a supportive brassiere - ANS... -C.
Explain that this normal secretion can be assessed at the next visit
While the nurse is assessing an older client's fall risk, the client reports living at
home alone and never falling. Which action should the nurse take?
A. Inform the client that falls occur more often in the hospital than at home
B. Record a minimal risk for falls, documenting the client's statement
C. Continue to obtain client data needed to complete the fall risk survey
D. Place the client on a high fall risk protocol because of advanced age - ANS... -
C. Continue to obtain client data needed to complete the fall risk survey
The nurse is providing education to a client who experiences recurrent levels of
moderate anxiety to situations and perceived stress. In addition to information
about prescribed medication and administration, which instruction should the nurse
include in the teaching?
A. Find outlets for more social interaction
B. Practice using muscle relaxation techniques
C. Center attention on positive upbeat music
D. Think about reasons the episodes occur - ANS... -B. Practice using muscle
relaxation techniques
A young woman with multiple sclerosis just received several immunizations in
preparation for moving into a college dormitory. Two days later, she reports to the
nurse that she is experiencing increasing fatigue and visual problems. What
teaching should the nurse provide?
A. Plans to move into the dormitory need to be postponed for at least a semester
B. These are common side effects of the vaccines and will resolve in a few days
C. Immunizations can trigger a relapse of the disease, so get plenty of extra rest
D. these early signs of an infection may require medical treatment with antibiotics
- ANS... -C. Immunizations can trigger a relapse of the disease, so get plenty of
extra rest
The nurse is caring for a preterm newborn with nasal flaring, grunting, and sternal
retractions. After administering surfactant, which assessment is most important for
the nurse to monitor?
, A. Arterial blood gasses
B. Breath sounds
C. Oxygen saturation
D. Respiratory rate - ANS... -A. Arterial blood gasses
An S3 heart sound is auscultated in a client in her third trimester of pregnancy.
What intervention should the nurse take?
A. Prepare the client for an echocardiogram
B. Document in the client's record
C. Notify the healthcare provider
D. Limit the client's fluids - ANS... -B. Document in the client's record
A young male client is admitted to rehabilitation following a right above-knee
amputation (AKA) for a severe traumatic injury. He is in the commons room and
anxiously calls out to the nurse, stating that his "right foot is aching". The nurse
offers reassurance and support. Which additional intervention is most important for
the nurse to implement?
A. Encourage discussion of feelings about the loss of his limb
B. Administer a prescription for gabapentin, a neuroleptic agent
C. Tech the client how to wrap the stump with an elastic bandage
D. Offer to assist the client to a quieter location so he can relax - ANS... -A.
Encourage discussion of feelings about the loss of his limb
The nurse is completing the 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 - ANS... -B. Sluggish and unequal
pupillary responses
A client with acute pancreatitis is 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
WITH MULTIPLE CHOICES |VERIFIED & VERIFIED
ANSWERS (NEW)!!!!!!!!!!!!!!!!!!!!!
The home care nurse visits a client who has cancer. The client reports having a
good appetite but experiencing nausea when smelling food cooking. Which action
should the nurse implement?
A. Encourage family members to cook meals outdoors and bring the cooked food
inside
B. Assess the client's mucous membranes and report the findings to the healthcare
provider
C. Advise the client to replace cooked foods with a variety of different nutritional
supplements
D. Instruct the client to take an antiemetic before every meal to prevent excessive
vomiting - ANS... -A. Encourage family members to cook meals outdoors and
bring the cooked food inside
The nurse is wearing personal protective equipment (PPE) while caring for a client.
When exiting the room, which PPE should be removed first?
A. Gloves
B. Mask
C. Eyewear
D. Gown - ANS... -A. Gloves
An older male client, who is a retired chef, is hospitalized with a diabetic ulcer on
his foot. His daughter tells the nurse that her father has become increasingly
obsessed with the way his food is prepared in the hospital. The nurse's response
should be based on what information?
A. The client probably has an organic brain disease and will likely have
Alzheimer's disease within a few years
B. The family needs a social worker to talk to them about how to handle their
father when he becomes annoying
C. The daughter is under stress and should be encouraged to think about happier
times
D. If the client was compulsive about food when he was younger, the aging
process can magnify this - ANS... -D. If the client was compulsive about food
when he was younger, the aging process can magnify this
,A client is receiving enoxaparin 30mg subcutaneously twice a day. In assessing for
adverse effects of the medication, which serum laboratory value is most important
for the nurse to monitor?
A. Glucose
B. Calcium
C. Platelet count
D. White blood cell count - ANS... -C. Platelet count
The nurse is caring for a 24-month-old toddler who has sensory sensitivity,
difficulty engaging in social interactions, and has not yet spoken two-word phrases.
Which assessment should the nurse administer?
A. The modified checklist for autism in toddlers (M-CHAT)
B. Psychology Systems Questionnaire (PHQ-2)
C. Behavioral Style Questionnaire (BSQ)
D. The Ages and Stages Questionnaire (ASQ) - ANS... -A. The Modified Checklist
for Autism in Toddlers (M-CHAT)
Prior to surgery, written consent must be obtained. Which is the nurse's legal
responsibility with regard to obtaining written consent?
A. Explain the surgical procedure to the client and ask the client to sign the consent
form
B. Ask the client or a family member to sign the surgical consent form
C. Determine that the surgical consent form has been signed and is included in the
client's record.
D. Validate the client's understanding of the surgical procedure to be conducted -
ANS... -C. Determine that the surgical consent form has been signed and is
included in the client's record
A client with hyperthyroidism is admitted to the postoperative unit after a subtotal
thyroidectomy. Which of the client's serum laboratory values requires intervention
by the nurse?
A. T3- uptake at 50%
B. Glucose 150 mg/dL
C. Total calcium 5.0 mg/dL
D. Thyroxine 12 mcg/dL - ANS... -C. Total calcium 5.0 mg/dL
A client in the third trimester of pregnancy reports that she fells some "lumpy
places" in her breasts and that her nipples sometimes leak a yellowish fluid. She
,has an appointment with her healthcare provider in two weeks. What action should
the nurse take?
A. Tell the client to begin nipple stimulation to prepare for breast feeding.
B. Reschedule the client's prenatal appointment for the following day
C. Explain that this normal secretion can be assessed at the next visit
D. Recommend that the client start wearing a supportive brassiere - ANS... -C.
Explain that this normal secretion can be assessed at the next visit
While the nurse is assessing an older client's fall risk, the client reports living at
home alone and never falling. Which action should the nurse take?
A. Inform the client that falls occur more often in the hospital than at home
B. Record a minimal risk for falls, documenting the client's statement
C. Continue to obtain client data needed to complete the fall risk survey
D. Place the client on a high fall risk protocol because of advanced age - ANS... -
C. Continue to obtain client data needed to complete the fall risk survey
The nurse is providing education to a client who experiences recurrent levels of
moderate anxiety to situations and perceived stress. In addition to information
about prescribed medication and administration, which instruction should the nurse
include in the teaching?
A. Find outlets for more social interaction
B. Practice using muscle relaxation techniques
C. Center attention on positive upbeat music
D. Think about reasons the episodes occur - ANS... -B. Practice using muscle
relaxation techniques
A young woman with multiple sclerosis just received several immunizations in
preparation for moving into a college dormitory. Two days later, she reports to the
nurse that she is experiencing increasing fatigue and visual problems. What
teaching should the nurse provide?
A. Plans to move into the dormitory need to be postponed for at least a semester
B. These are common side effects of the vaccines and will resolve in a few days
C. Immunizations can trigger a relapse of the disease, so get plenty of extra rest
D. these early signs of an infection may require medical treatment with antibiotics
- ANS... -C. Immunizations can trigger a relapse of the disease, so get plenty of
extra rest
The nurse is caring for a preterm newborn with nasal flaring, grunting, and sternal
retractions. After administering surfactant, which assessment is most important for
the nurse to monitor?
, A. Arterial blood gasses
B. Breath sounds
C. Oxygen saturation
D. Respiratory rate - ANS... -A. Arterial blood gasses
An S3 heart sound is auscultated in a client in her third trimester of pregnancy.
What intervention should the nurse take?
A. Prepare the client for an echocardiogram
B. Document in the client's record
C. Notify the healthcare provider
D. Limit the client's fluids - ANS... -B. Document in the client's record
A young male client is admitted to rehabilitation following a right above-knee
amputation (AKA) for a severe traumatic injury. He is in the commons room and
anxiously calls out to the nurse, stating that his "right foot is aching". The nurse
offers reassurance and support. Which additional intervention is most important for
the nurse to implement?
A. Encourage discussion of feelings about the loss of his limb
B. Administer a prescription for gabapentin, a neuroleptic agent
C. Tech the client how to wrap the stump with an elastic bandage
D. Offer to assist the client to a quieter location so he can relax - ANS... -A.
Encourage discussion of feelings about the loss of his limb
The nurse is completing the 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 - ANS... -B. Sluggish and unequal
pupillary responses
A client with acute pancreatitis is 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
