HESI EXIT RN EXAM 2022
1.An adult who has recurrent episodes of depression tells the nurse that the
prescribed antidepressant needs to be discontinued because the client is
feeling better after taking the medication for the past couple of weeks and does
not like the side effects. Which response is best for the nurse to provide.
a. Remind the client that feeling better is the therapeutic effect of the
medication.
b. Inform the client that gradual tapering must be used to discontinue the
medication.
c. Tell the client to discuss the medication side effects with the HCP.
d. Tell the client that the medication side effects will most likely dissipate over
time.
3. The nurse is teaching the parent of a child newly diagnosed with a latex
allergy. Which information by the parents indicates a need for further
teaching?
a. robber free toys, such as wooden building blocks, are good choices for the child.
b. Only foiled balloons will be used for the child’s birthday party.
c. a diet of healthy fruits, such as bananas and kiwis, are best for the child.
d. an epinephrine auto-injector will be on hand to treat allergic reactions.
4. a child is diagnosed with acquired aplastic anemia. The nurse knows that
this child has the best prognosis with which treatment regimen?
a. blood transfusion
b. chemotherapy
c. bone marrow transplantation
d. immunosuppressive therapy
5. A client with bladder cancer had surgical placement of a ureteroileostomy
(beal conduit) yesterday. Which postoperative assessment finding should the
nurse report to the HCP immediately.
a. red edematous stomach appearance
,b. liquid brown drainage from stoma
c. stoma output of 40ml in the last hour
d. mucous strings floating in the drainage.
7. The nurse requests a meal tray for a client who follows Mormon beliefs and
who is on a clear liquid diet following abdominal surgery. Which menu items
should the nurse request to this client? (Select all that apply)
a. apple juice
b. black coffee
c. orange juice
d. hot chocolate
e. chicken broth
8. Before leaving the room of a confused client, the nurse notes that a half
bow knot was used to attach the client’s wrist restraints to the movable
portion of the client’s bed frame. What action should the nurse take before
leaving the room.
a. Tie the knot with a double turn or square knot
b. Ensure that the restraints are snug against the client’s wrists.
c. Ensure that the knot can be quickly released.
d. Move the ties so the restraints are secured to the side rails.
9. The nurse is preparing to send a client to the cardiac catheterization lab for
an angioplasty. Which client report is most important for the nurse to explore
further prior to the procedure?
a. Experiences facial swelling after eating crab
b. Reports left chest wall pain prior to the admission
c. Verbalizes a fear of being in a confined space
d. Drank a glass of water
,Q 10. The healthcare provider prescribes ceftazidime 1 gram every 8 hours. The
label on the 1-gram vial reads, ‘’reconstitute with 100 ml sterile water’’ This
dilution provides a concentration of how many mg/ml (enter numeric value only)
10mg/ml
Q 11 When teaching a group of school-aged children how to reduce the
risk for Lyme disease, which instruction should the camp nurse include?
A) Wash hands frequently
B) Avoid drinking lake water
C) Wear long sleeves and pants
D) Do not share personal products.
Q 12 A client with arthritis has been receiving treatment with naproxen and
now reports ongoing stomach pain, increasing weakness, and fatigue. Which
laboratory test should the nurse monitor?
A) Serum calcium
B) Hemoglobi
C) n
Erythrocyte sedimentation rate
D) Osmolality.
Q 13 An older woman who was recently diagnosed with end stage metastatic
breast cancer is admitted because she is experiencing shortness of breath and
confusion. The client refuses to eat and continuously asks to go home. Arterial
blood gases indicate hypoxia.
Which intervention is most important for the nurse to implement?
A) Offer sips of favorite beverages
B) Prepare for emergent oral intubation
C) Initiate comfort measures
D) Clarify end of life desires. Correct Answer
15. A client with chronic obstructive pulmonary disease (COPD) is experiencing
worsening dyspnea and low oxygen levels. Vitals signs are temperature 99.6
F(37.5 C) heart rate 98 beat, respirations 28 breaths/minute, blood pressure
140/82 mmHg and oxygen saturation 88% ,which action should the nurse
implement?
A) Place the client in a forward-leaning position.
B) Prepare client for endotracheal intubation
C) Apply a non-rebreather mask at 100% oxygen
D) Obtain a sputum sample for culture and sensitivity
Q 16 A client with a history of upper respiratory symptoms is admitted with
chest tightness, a productive cough, and difficulty breathing. The client arterial
blood gasses (ABGS) indicate respiratory acidosis. An increase in laboratory tests
support this finding.
A) PaO2
B) PaCO2
, C) Arterial pH
D) HCO3
Q 17. The health care provider prescribed a low fiber diet for a client with
ulcerative colitis, which food selection indicates to the nurse that the client
understands the prescribed diet
A) Roasted Turkey, Canned Vegetable. Correct answer
B) Roast Pork, Fresh Strawberry
C) Baked Potatoes with Skin, Raw Carrot
D) Pancakes, Whole green cereals
Q 18. Which instruction regarding skin care should the nurse provide to a
client who is receiving radiation therapy for metastatic breast cancer?
A) Use a sponge to de-breed the affected area
B) Frequently apply moisturizer to prevent dry skin
C) Protect the site from getting wet during bathing
D) Gently path the skin after dry after rinsing with water
Q 19. A client exposed to tuberculosis is scheduled to begin prophylactic
treatment with isoniazid. Which information is most important for the nurse to
not before administering the initial dose?
A) Length of time of the exposure to tuberculosis
B) Current diagnosis of hepatitis B
C) History of intravenous drug abuse
D) Conversion of the client PPD test from negative to positive
Q 20. The charge nurse observes a new nurse preparing to insert intravenous
(IV) catheter, the new nurse has gathered supplies including intravenous
catheter and intravenous insertion kit, 4x4 sterile gauze dressing to cover and
secure the insertion site. What action should the charge nurse take?
A) Plan to observe the secured IV sit after the insertion procedure
B) Confirm that the nurse has gathered the necessary supplies
C) Instruct the nurse to use a transparent dressing over the site
D) Remind the nurse to tape the gauze dressing securely in place
Q 21. An adult client with severe depression was admitted to the psychiatric
unit yesterday evening. Although the client ran a marathon one year ago, his
spouse states that the client no longer runs, but sits and watches television
most of the day. Which intervention is the most important for the nurse to
include in this client’s plan of care for today?
A) Help client to develop a list of daily affirmation
B) Encourage client to participate for one hour in a team sport
C) Assist client in identifying goals for the day
D) Schedule client for a group that focus on self esteem
1.An adult who has recurrent episodes of depression tells the nurse that the
prescribed antidepressant needs to be discontinued because the client is
feeling better after taking the medication for the past couple of weeks and does
not like the side effects. Which response is best for the nurse to provide.
a. Remind the client that feeling better is the therapeutic effect of the
medication.
b. Inform the client that gradual tapering must be used to discontinue the
medication.
c. Tell the client to discuss the medication side effects with the HCP.
d. Tell the client that the medication side effects will most likely dissipate over
time.
3. The nurse is teaching the parent of a child newly diagnosed with a latex
allergy. Which information by the parents indicates a need for further
teaching?
a. robber free toys, such as wooden building blocks, are good choices for the child.
b. Only foiled balloons will be used for the child’s birthday party.
c. a diet of healthy fruits, such as bananas and kiwis, are best for the child.
d. an epinephrine auto-injector will be on hand to treat allergic reactions.
4. a child is diagnosed with acquired aplastic anemia. The nurse knows that
this child has the best prognosis with which treatment regimen?
a. blood transfusion
b. chemotherapy
c. bone marrow transplantation
d. immunosuppressive therapy
5. A client with bladder cancer had surgical placement of a ureteroileostomy
(beal conduit) yesterday. Which postoperative assessment finding should the
nurse report to the HCP immediately.
a. red edematous stomach appearance
,b. liquid brown drainage from stoma
c. stoma output of 40ml in the last hour
d. mucous strings floating in the drainage.
7. The nurse requests a meal tray for a client who follows Mormon beliefs and
who is on a clear liquid diet following abdominal surgery. Which menu items
should the nurse request to this client? (Select all that apply)
a. apple juice
b. black coffee
c. orange juice
d. hot chocolate
e. chicken broth
8. Before leaving the room of a confused client, the nurse notes that a half
bow knot was used to attach the client’s wrist restraints to the movable
portion of the client’s bed frame. What action should the nurse take before
leaving the room.
a. Tie the knot with a double turn or square knot
b. Ensure that the restraints are snug against the client’s wrists.
c. Ensure that the knot can be quickly released.
d. Move the ties so the restraints are secured to the side rails.
9. The nurse is preparing to send a client to the cardiac catheterization lab for
an angioplasty. Which client report is most important for the nurse to explore
further prior to the procedure?
a. Experiences facial swelling after eating crab
b. Reports left chest wall pain prior to the admission
c. Verbalizes a fear of being in a confined space
d. Drank a glass of water
,Q 10. The healthcare provider prescribes ceftazidime 1 gram every 8 hours. The
label on the 1-gram vial reads, ‘’reconstitute with 100 ml sterile water’’ This
dilution provides a concentration of how many mg/ml (enter numeric value only)
10mg/ml
Q 11 When teaching a group of school-aged children how to reduce the
risk for Lyme disease, which instruction should the camp nurse include?
A) Wash hands frequently
B) Avoid drinking lake water
C) Wear long sleeves and pants
D) Do not share personal products.
Q 12 A client with arthritis has been receiving treatment with naproxen and
now reports ongoing stomach pain, increasing weakness, and fatigue. Which
laboratory test should the nurse monitor?
A) Serum calcium
B) Hemoglobi
C) n
Erythrocyte sedimentation rate
D) Osmolality.
Q 13 An older woman who was recently diagnosed with end stage metastatic
breast cancer is admitted because she is experiencing shortness of breath and
confusion. The client refuses to eat and continuously asks to go home. Arterial
blood gases indicate hypoxia.
Which intervention is most important for the nurse to implement?
A) Offer sips of favorite beverages
B) Prepare for emergent oral intubation
C) Initiate comfort measures
D) Clarify end of life desires. Correct Answer
15. A client with chronic obstructive pulmonary disease (COPD) is experiencing
worsening dyspnea and low oxygen levels. Vitals signs are temperature 99.6
F(37.5 C) heart rate 98 beat, respirations 28 breaths/minute, blood pressure
140/82 mmHg and oxygen saturation 88% ,which action should the nurse
implement?
A) Place the client in a forward-leaning position.
B) Prepare client for endotracheal intubation
C) Apply a non-rebreather mask at 100% oxygen
D) Obtain a sputum sample for culture and sensitivity
Q 16 A client with a history of upper respiratory symptoms is admitted with
chest tightness, a productive cough, and difficulty breathing. The client arterial
blood gasses (ABGS) indicate respiratory acidosis. An increase in laboratory tests
support this finding.
A) PaO2
B) PaCO2
, C) Arterial pH
D) HCO3
Q 17. The health care provider prescribed a low fiber diet for a client with
ulcerative colitis, which food selection indicates to the nurse that the client
understands the prescribed diet
A) Roasted Turkey, Canned Vegetable. Correct answer
B) Roast Pork, Fresh Strawberry
C) Baked Potatoes with Skin, Raw Carrot
D) Pancakes, Whole green cereals
Q 18. Which instruction regarding skin care should the nurse provide to a
client who is receiving radiation therapy for metastatic breast cancer?
A) Use a sponge to de-breed the affected area
B) Frequently apply moisturizer to prevent dry skin
C) Protect the site from getting wet during bathing
D) Gently path the skin after dry after rinsing with water
Q 19. A client exposed to tuberculosis is scheduled to begin prophylactic
treatment with isoniazid. Which information is most important for the nurse to
not before administering the initial dose?
A) Length of time of the exposure to tuberculosis
B) Current diagnosis of hepatitis B
C) History of intravenous drug abuse
D) Conversion of the client PPD test from negative to positive
Q 20. The charge nurse observes a new nurse preparing to insert intravenous
(IV) catheter, the new nurse has gathered supplies including intravenous
catheter and intravenous insertion kit, 4x4 sterile gauze dressing to cover and
secure the insertion site. What action should the charge nurse take?
A) Plan to observe the secured IV sit after the insertion procedure
B) Confirm that the nurse has gathered the necessary supplies
C) Instruct the nurse to use a transparent dressing over the site
D) Remind the nurse to tape the gauze dressing securely in place
Q 21. An adult client with severe depression was admitted to the psychiatric
unit yesterday evening. Although the client ran a marathon one year ago, his
spouse states that the client no longer runs, but sits and watches television
most of the day. Which intervention is the most important for the nurse to
include in this client’s plan of care for today?
A) Help client to develop a list of daily affirmation
B) Encourage client to participate for one hour in a team sport
C) Assist client in identifying goals for the day
D) Schedule client for a group that focus on self esteem
