HESI EXIT RN EXAM 2022
(160 Q & Answers)
1 The nurse is preparing a community education program on osteoporosis. Which
instruction is helpful in preventing bone loss formation?
Ans. Recommend weight bearing physical activity
2. The nurse is caring for a client who tests positive for the sexually transmitted
infection (STI) trichomoniasis after experiencing a recent sexual assault response
should the nurse provide? Ans. Explain how the infection is transmitted and the
health risks involved
3. The nurse is planning the preoperative teaching plan for a 12-year-old child who is
scheduled for surgery. To help reduce this child's anxiety, which action is best for the
nurse to implement?
Ans: Provide a family tour of the preoperative unit one week before the surgery
4. An older male client is admitted to mental health with a sudden onset of global
disorientation and is continuously with mother, who died 50 years ago. The nurse reviews
the multiple prescriptions the client is currently taking and assesses his urine specimen,
which is cloudy, dark yellow, and has a foul odor. These findings suggest that this client is
experiencing which condition?
Ans: Delirium
5. The nurse is preparing a teaching plan for an older female client diagnosed with
osteoporosis. Which expected outcome has the highest priority for this client?
Ans: Names 3 home safety hazards to be resolved immediately.
6. The family of an older woman reports that they are no longer capable of caring for at
home. While performing admission assessment at a long-term care facility, the nurse
determines that the client is incontinent of urine, has dry mucous membranes, and has a
large bruise on coccyx Which Interventions should the nurse include in the plan care?
(Select all that apply.)
Ans: Implement toileting programing; Apply a barrier cream to the perianal area; offer
beverages at frequent intervals.
7. A client develops urticaria on the trunk and neck shortly after a secondary infusion of is
initiated In what order should the nurse implement these Interventions the actions in order
of priority, with the highest priority first, and least priority task or at the bottom.)
Answer
1. Stop the
infusion. 2. Assess
vital signs.
3. Contact the healthcare
provider. 4. Document
reaction to the drug. 5.
Initiate adverse event report
,8. The nurse is assessing an adolescent female diagnosed with anorexia nervosa who is
admitted to the unit with severe malnutrition and electrolyte imbalance. pathological
process results from the adolescent's consistent maladaptive behavior?
Ans: Amenorrhea
, 9. A female client who has a borderline personality disorder is being discharged today.
When the nurse begins about the aloofness of the night shift nurse and expresses joy to
see that “My favorite nurse is on duty now. Which response is best for the nurse to provide
to this client's dichotomous tendency?
a. Ans I am happy that you are getting better and will be able to go home
10. An adult who has recurrent episodes of depression tells the nurse that the prescribed
antidepressant should 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. Is the response
best for the nurse to provide?
Ans: Tell the client to discuss the medication side effects with the HCP
11. A client with a history of a bilateral adrenalectomy is admitted with a weak pulse, and
hypotension. Which assessment finding warrants immediate Intervention by the nurse?
Ans: Ventricular arrhythmias
12. A female client who is admitted to the mental health unit for opiate dependency is
receiving clonidine mg for withdrawal symptoms. The client begins to complain of feeling
nervous and the nurse that her bones are itching. Which finding should the nurse identify
as a contraindication for administering the medication?
Ans: Blood pressure 90/76 mm Hg
13. The mother of a 12-month-old with cystic fibrosis reports that her child is experiencing
increasing congestion despite the use of chest physical therapy (CPT ) twice a day , and has
also experienced a loss of appetite . Which instruction should the nurse provide ?
Ans: CPT should be performed more frequently, but at least an hour before meals
14. After receiving a report, the nurse can most safely plan to assess which client last?
Answer: An adult with no postoperative drainage in the Jackson-Pratt drain with the bulb
compression
15. After an unsuccessful resuscitation attempt, the nurse calls the family of the
deceased. The family wish to see the body before it is taken to the funeral home. Which
interventions should the nurse take to prepare the body before the family enters the
room? (Select all that apply.)
Ans: Place a small pillow under the
head; gently close the eye;
remove resuscitation equipment from the room.
16.A client with rapid respirations and audible is admitted to the intensive care unit
because of a pulmonary embolism (PE). -oxygen nasal cannula and weight-based heparin
protocol is initiated. Which intervention is most important for the nurse to include this plan
of care?
Ans: Evaluate daily blood clotting factors.
17. A client with an asymptomatic abdominal aneurysm visits the health clinic for a
routine visit. Which action is most important for the nurse to include in assessing the
(160 Q & Answers)
1 The nurse is preparing a community education program on osteoporosis. Which
instruction is helpful in preventing bone loss formation?
Ans. Recommend weight bearing physical activity
2. The nurse is caring for a client who tests positive for the sexually transmitted
infection (STI) trichomoniasis after experiencing a recent sexual assault response
should the nurse provide? Ans. Explain how the infection is transmitted and the
health risks involved
3. The nurse is planning the preoperative teaching plan for a 12-year-old child who is
scheduled for surgery. To help reduce this child's anxiety, which action is best for the
nurse to implement?
Ans: Provide a family tour of the preoperative unit one week before the surgery
4. An older male client is admitted to mental health with a sudden onset of global
disorientation and is continuously with mother, who died 50 years ago. The nurse reviews
the multiple prescriptions the client is currently taking and assesses his urine specimen,
which is cloudy, dark yellow, and has a foul odor. These findings suggest that this client is
experiencing which condition?
Ans: Delirium
5. The nurse is preparing a teaching plan for an older female client diagnosed with
osteoporosis. Which expected outcome has the highest priority for this client?
Ans: Names 3 home safety hazards to be resolved immediately.
6. The family of an older woman reports that they are no longer capable of caring for at
home. While performing admission assessment at a long-term care facility, the nurse
determines that the client is incontinent of urine, has dry mucous membranes, and has a
large bruise on coccyx Which Interventions should the nurse include in the plan care?
(Select all that apply.)
Ans: Implement toileting programing; Apply a barrier cream to the perianal area; offer
beverages at frequent intervals.
7. A client develops urticaria on the trunk and neck shortly after a secondary infusion of is
initiated In what order should the nurse implement these Interventions the actions in order
of priority, with the highest priority first, and least priority task or at the bottom.)
Answer
1. Stop the
infusion. 2. Assess
vital signs.
3. Contact the healthcare
provider. 4. Document
reaction to the drug. 5.
Initiate adverse event report
,8. The nurse is assessing an adolescent female diagnosed with anorexia nervosa who is
admitted to the unit with severe malnutrition and electrolyte imbalance. pathological
process results from the adolescent's consistent maladaptive behavior?
Ans: Amenorrhea
, 9. A female client who has a borderline personality disorder is being discharged today.
When the nurse begins about the aloofness of the night shift nurse and expresses joy to
see that “My favorite nurse is on duty now. Which response is best for the nurse to provide
to this client's dichotomous tendency?
a. Ans I am happy that you are getting better and will be able to go home
10. An adult who has recurrent episodes of depression tells the nurse that the prescribed
antidepressant should 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. Is the response
best for the nurse to provide?
Ans: Tell the client to discuss the medication side effects with the HCP
11. A client with a history of a bilateral adrenalectomy is admitted with a weak pulse, and
hypotension. Which assessment finding warrants immediate Intervention by the nurse?
Ans: Ventricular arrhythmias
12. A female client who is admitted to the mental health unit for opiate dependency is
receiving clonidine mg for withdrawal symptoms. The client begins to complain of feeling
nervous and the nurse that her bones are itching. Which finding should the nurse identify
as a contraindication for administering the medication?
Ans: Blood pressure 90/76 mm Hg
13. The mother of a 12-month-old with cystic fibrosis reports that her child is experiencing
increasing congestion despite the use of chest physical therapy (CPT ) twice a day , and has
also experienced a loss of appetite . Which instruction should the nurse provide ?
Ans: CPT should be performed more frequently, but at least an hour before meals
14. After receiving a report, the nurse can most safely plan to assess which client last?
Answer: An adult with no postoperative drainage in the Jackson-Pratt drain with the bulb
compression
15. After an unsuccessful resuscitation attempt, the nurse calls the family of the
deceased. The family wish to see the body before it is taken to the funeral home. Which
interventions should the nurse take to prepare the body before the family enters the
room? (Select all that apply.)
Ans: Place a small pillow under the
head; gently close the eye;
remove resuscitation equipment from the room.
16.A client with rapid respirations and audible is admitted to the intensive care unit
because of a pulmonary embolism (PE). -oxygen nasal cannula and weight-based heparin
protocol is initiated. Which intervention is most important for the nurse to include this plan
of care?
Ans: Evaluate daily blood clotting factors.
17. A client with an asymptomatic abdominal aneurysm visits the health clinic for a
routine visit. Which action is most important for the nurse to include in assessing the
