2023 HESI EXIT RN EXAM V1-V7 110 OUT
OF THE 160 TOTAL QUESTIONS FOR
EACH VERSION GRADED A+
1. Following discharge teaching, a male client with duodenal ulcer tells the
nurse the he will drink plenty of dairy products, such as milk, to help coat
and protect his ulcer. What is the best follow-upaction by the nurse?
• Review with the client the need to avoid foods that are rich in milk and cream
2.A male client with hypertension, who received new antihypertensive
prescriptions at his last visit returnsto the clinic two weeks later to evaluate his
blood pressure (BP). His BP is 158/106 and he admits that he has not been
taking the prescribed medication because the drugs make him ―feel bad‖. In
explaining the need for hypertension control, the nurse should stress that an
elevated BP places the client at risk for whichpathophysiological condition?
• Stroke secondary to hemorrhage
3. The nurse observes an unlicensed assistive personnel (UAP)
positioning a newly admitted clientwho has a seizure disorder. The
client is supine and the UAP is placing soft pillows along the siderails.
What action should the nurse implement?
, 4. An adolescent with major depressive disorder has been taking
duloxetine (Cymbalta) for the past12days. Which assessment finding
requires immediate follow-up?
• Describes life without purpose
5.A 60-year-old female client with a positive family history of ovarian cancer
has developed an abdominalmass and is being evaluated for possible ovarian
cancer. Her Papanicolau (Pap) smear results are negative. What information
should the nurse include in the client‘s teaching plan?
• Further evaluation involving surgery may be needed
6.A client who recently underwear a tracheostomy is being prepared
for discharge to home.Whichinstructions is most important for the
nurse to include in the discharge plan?
• Teach tracheal suctioning techniques
7. In assessing an adult client with a partial rebreather mask, the nurse notes
that the oxygen
, reservoir bag does not deflate completely during inspiration and the
client‘s respiratory rate is 14breaths / minute. What action should the
nurse implement?
Document the assessment data
Rational: reservoir bag should not deflate completely during
inspiration and the client‘srespiratory rate is within normal limits.
8. During shift report, the central electrocardiogram (EKG)
monitoring system alarms. Whichclientalarm should the nurse
investigate firs?
• Respiratory apnea of 30 seconds
9.During a home visit, the nurse observed an elderly client with diabetes
slip and fall. What actionshouldthe nurse take first?
• Check the client for lacerations or fractures
10. At 0600 while admitting a woman for a schedule repeat cesarean section
(C-Section), the client tellsthenurse that she drank a cup a coffee at 0400
because she wanted to avoid getting a headache. Which action should the
nurse take first?
• Inform the anesthesia care provider
11. After placing a stethoscope as seen in the picture, the nurse
auscultates S1 and S2 heart sounds.Todetermine if an S3 heart sound is
present, what action should the nurse take first?
• Listen with the bell at the same location
12. A 66-year-old woman is retiring and will no longer have a health
insurance through her place of employment. Which agency should the
client be referred to by the employee health nurse for healthinsurance
needs?
• Medicare
, 13. A client who is taking an oral dose of a tetracycline complains of
gastrointestinal upset. Whatsnackshould the nurse instruct the client
to take with the tetracycline?
• Toasted wheat bread and jelly
14. Following a lumbar puncture, a client voices several complaints.
What complaint indicated tothenurse that the client is experiencing a
complication?
―I have a headache that gets worse when I sit up‖
―I am having pain in my lower back when I move my legs‖
―My throat hurts when I swallow‖
―I feel sick to my stomach and am going to throw up‖
15. An elderly client seems confused and reports the onset of nausea,
dysuria, and urgency withincontinence. Which action should the
nurse implement?
• Obtain a clean catch mid-stream specimen
OF THE 160 TOTAL QUESTIONS FOR
EACH VERSION GRADED A+
1. Following discharge teaching, a male client with duodenal ulcer tells the
nurse the he will drink plenty of dairy products, such as milk, to help coat
and protect his ulcer. What is the best follow-upaction by the nurse?
• Review with the client the need to avoid foods that are rich in milk and cream
2.A male client with hypertension, who received new antihypertensive
prescriptions at his last visit returnsto the clinic two weeks later to evaluate his
blood pressure (BP). His BP is 158/106 and he admits that he has not been
taking the prescribed medication because the drugs make him ―feel bad‖. In
explaining the need for hypertension control, the nurse should stress that an
elevated BP places the client at risk for whichpathophysiological condition?
• Stroke secondary to hemorrhage
3. The nurse observes an unlicensed assistive personnel (UAP)
positioning a newly admitted clientwho has a seizure disorder. The
client is supine and the UAP is placing soft pillows along the siderails.
What action should the nurse implement?
, 4. An adolescent with major depressive disorder has been taking
duloxetine (Cymbalta) for the past12days. Which assessment finding
requires immediate follow-up?
• Describes life without purpose
5.A 60-year-old female client with a positive family history of ovarian cancer
has developed an abdominalmass and is being evaluated for possible ovarian
cancer. Her Papanicolau (Pap) smear results are negative. What information
should the nurse include in the client‘s teaching plan?
• Further evaluation involving surgery may be needed
6.A client who recently underwear a tracheostomy is being prepared
for discharge to home.Whichinstructions is most important for the
nurse to include in the discharge plan?
• Teach tracheal suctioning techniques
7. In assessing an adult client with a partial rebreather mask, the nurse notes
that the oxygen
, reservoir bag does not deflate completely during inspiration and the
client‘s respiratory rate is 14breaths / minute. What action should the
nurse implement?
Document the assessment data
Rational: reservoir bag should not deflate completely during
inspiration and the client‘srespiratory rate is within normal limits.
8. During shift report, the central electrocardiogram (EKG)
monitoring system alarms. Whichclientalarm should the nurse
investigate firs?
• Respiratory apnea of 30 seconds
9.During a home visit, the nurse observed an elderly client with diabetes
slip and fall. What actionshouldthe nurse take first?
• Check the client for lacerations or fractures
10. At 0600 while admitting a woman for a schedule repeat cesarean section
(C-Section), the client tellsthenurse that she drank a cup a coffee at 0400
because she wanted to avoid getting a headache. Which action should the
nurse take first?
• Inform the anesthesia care provider
11. After placing a stethoscope as seen in the picture, the nurse
auscultates S1 and S2 heart sounds.Todetermine if an S3 heart sound is
present, what action should the nurse take first?
• Listen with the bell at the same location
12. A 66-year-old woman is retiring and will no longer have a health
insurance through her place of employment. Which agency should the
client be referred to by the employee health nurse for healthinsurance
needs?
• Medicare
, 13. A client who is taking an oral dose of a tetracycline complains of
gastrointestinal upset. Whatsnackshould the nurse instruct the client
to take with the tetracycline?
• Toasted wheat bread and jelly
14. Following a lumbar puncture, a client voices several complaints.
What complaint indicated tothenurse that the client is experiencing a
complication?
―I have a headache that gets worse when I sit up‖
―I am having pain in my lower back when I move my legs‖
―My throat hurts when I swallow‖
―I feel sick to my stomach and am going to throw up‖
15. An elderly client seems confused and reports the onset of nausea,
dysuria, and urgency withincontinence. Which action should the
nurse implement?
• Obtain a clean catch mid-stream specimen
