RN HESI EXIT EXAM 2023-2024 - VERSION 1 ,2,3,4 ALL
WITH 160 QUESTIONS & ANSWERS EACH INCLUDED -
GUARANTEED PASS A+!!! ALL BRAND NEW NEXT GEN
FORMAT
HESI RN Exit Exam VERSION 1
At 0600 while admitting a woman for a schedule repeat cesarean section (C-
Section), the client tells the nurse that she drank a cup a coffee at 0400 because she
wanted to avoid getting a headache. Which action should the nurse take first?
a. Ensure preoperative lab results are available
b. Start prescribed IV with lactated Ringer's
,c. Inform the anesthesia care provider
d. Contact the client's obstetrician.
(ANS- Inform the anesthesia care provider
Rationale: Surgical preoperative instruction includes NPO after midnight the day
of surgery to decrease the risk of aspiration should vomiting occur during
anesthesia. While it is possible the C-section will be done on schedule or
rescheduled for later in the day, the anesthesia provider should be notified first.
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2
heart sounds. To determine if an S3 heart sound is present, what action should the
nurse take first
a. Side the stethoscope across the sternum.
b. Move the stethoscope to the mitral site
c. Listen with the bell at the same location
d. Observe the cardiac telemetry monitor
(ANS- Listen with the bell at the same location
Rationale: The nurse uses the bell of the stethoscope to hear low-pitched sounds
such as S3 and S4. The nurse listens at the same site using the diaphragm the
diaphragm and bell before moving systematically to the next sites.
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 health insurance needs?
a. Woman, Infant, and Children program
b. Medicaid
c. Medicare
d. Consolidated Omnibus Budget Reconciliation Act provision.
(ANS- Medicare
,Rationale: Title XVII of the social security Act of 1965 created Medicare Program
to provide medical insurance for person more than 65 years or older, disable or
with permeant kidney failure, WIC provides supplemental nutrition to meet the
needs of pregnant of breastfeeding woman, infants and children up to age of 6.
Medicaid provides financial assistance to pay for medical services for poor older
adults, blind, disable and families with dependent children. COBRA(D) health
benefit provisions is a limited insurance plan for those who has been laid off or
become unemployed.
A client who is taking an oral dose of a tetracycline complains of gastrointestinal
upset. What snack should the nurse instruct the client to take with the tetracycline?
a. Fruit-flavored yogurt.
b. Cheese and crackers.
c. Cold cereal with skim milk.
d. Toasted wheat bread and jelly
(ANS- Toasted wheat bread and jelly
Rationale: Dairy products decrease the effect of tetracycline, so the nurse instructs
the client to eat a snack such as toast, which contains no dairy products and may
decrease GI symptoms.
Following a lumbar puncture, a client voices several complaints. What complaint
indicated to the nurse that the client is experiencing a complication?
a. "I am having pain in my lower back when I move my legs"
b. "My throat hurts when I swallow"
c. "I feel sick to my stomach and am going to throw up"
d. I have a headache that gets worse when I sit up"
(ANS- "I have a headache that gets worse when I sit up"
Rationale: A post-lumbar puncture headache, ranging from mild to severe, may
occur as a result of leakage of cerebrospinal fluid at the puncture site. This
complication is usually managed by bedrest, analgesic, and hydration.
, An elderly client seems confused and reports the onset of nausea, dysuria, and
urgency with incontinence. Which action should the nurse implement
a. Auscultate for renal bruits
b. Obtain a clean catch mid-stream specimen
c. Use a dipstick to measure for urinary ketone
d. Begin to strain the client's urine.
(ANS- Obtain a clean catch mid-stream specimen
Rationale: This elderly is experiencing symptoms of urinary tract infection. The
nurse should obtain a clean catch mid-stream specimen to determine the causative
agent so an anti-infective agent can be prescribed.
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-up action by the nurse?
a. Remind the client that it is also important to switch to decaffeinated coffee and
tea.
b. Suggest that the client also plan to eat frequent small meals to reduce discomfort
c. Review with the client the need to avoid foods that are rich in milk and cream.
d. Reinforce this teaching by asking the client to list a dairy food that he might
select.
(ANS- Review with the client the need to avoid foods that are rich in milk and
cream
Rationale: Diets rich in milk and cream stimulate gastric acid secretion and should
be avoided.
A male client with hypertension, who received new antihypertensive prescriptions
at his last visit returns to 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
WITH 160 QUESTIONS & ANSWERS EACH INCLUDED -
GUARANTEED PASS A+!!! ALL BRAND NEW NEXT GEN
FORMAT
HESI RN Exit Exam VERSION 1
At 0600 while admitting a woman for a schedule repeat cesarean section (C-
Section), the client tells the nurse that she drank a cup a coffee at 0400 because she
wanted to avoid getting a headache. Which action should the nurse take first?
a. Ensure preoperative lab results are available
b. Start prescribed IV with lactated Ringer's
,c. Inform the anesthesia care provider
d. Contact the client's obstetrician.
(ANS- Inform the anesthesia care provider
Rationale: Surgical preoperative instruction includes NPO after midnight the day
of surgery to decrease the risk of aspiration should vomiting occur during
anesthesia. While it is possible the C-section will be done on schedule or
rescheduled for later in the day, the anesthesia provider should be notified first.
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2
heart sounds. To determine if an S3 heart sound is present, what action should the
nurse take first
a. Side the stethoscope across the sternum.
b. Move the stethoscope to the mitral site
c. Listen with the bell at the same location
d. Observe the cardiac telemetry monitor
(ANS- Listen with the bell at the same location
Rationale: The nurse uses the bell of the stethoscope to hear low-pitched sounds
such as S3 and S4. The nurse listens at the same site using the diaphragm the
diaphragm and bell before moving systematically to the next sites.
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 health insurance needs?
a. Woman, Infant, and Children program
b. Medicaid
c. Medicare
d. Consolidated Omnibus Budget Reconciliation Act provision.
(ANS- Medicare
,Rationale: Title XVII of the social security Act of 1965 created Medicare Program
to provide medical insurance for person more than 65 years or older, disable or
with permeant kidney failure, WIC provides supplemental nutrition to meet the
needs of pregnant of breastfeeding woman, infants and children up to age of 6.
Medicaid provides financial assistance to pay for medical services for poor older
adults, blind, disable and families with dependent children. COBRA(D) health
benefit provisions is a limited insurance plan for those who has been laid off or
become unemployed.
A client who is taking an oral dose of a tetracycline complains of gastrointestinal
upset. What snack should the nurse instruct the client to take with the tetracycline?
a. Fruit-flavored yogurt.
b. Cheese and crackers.
c. Cold cereal with skim milk.
d. Toasted wheat bread and jelly
(ANS- Toasted wheat bread and jelly
Rationale: Dairy products decrease the effect of tetracycline, so the nurse instructs
the client to eat a snack such as toast, which contains no dairy products and may
decrease GI symptoms.
Following a lumbar puncture, a client voices several complaints. What complaint
indicated to the nurse that the client is experiencing a complication?
a. "I am having pain in my lower back when I move my legs"
b. "My throat hurts when I swallow"
c. "I feel sick to my stomach and am going to throw up"
d. I have a headache that gets worse when I sit up"
(ANS- "I have a headache that gets worse when I sit up"
Rationale: A post-lumbar puncture headache, ranging from mild to severe, may
occur as a result of leakage of cerebrospinal fluid at the puncture site. This
complication is usually managed by bedrest, analgesic, and hydration.
, An elderly client seems confused and reports the onset of nausea, dysuria, and
urgency with incontinence. Which action should the nurse implement
a. Auscultate for renal bruits
b. Obtain a clean catch mid-stream specimen
c. Use a dipstick to measure for urinary ketone
d. Begin to strain the client's urine.
(ANS- Obtain a clean catch mid-stream specimen
Rationale: This elderly is experiencing symptoms of urinary tract infection. The
nurse should obtain a clean catch mid-stream specimen to determine the causative
agent so an anti-infective agent can be prescribed.
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-up action by the nurse?
a. Remind the client that it is also important to switch to decaffeinated coffee and
tea.
b. Suggest that the client also plan to eat frequent small meals to reduce discomfort
c. Review with the client the need to avoid foods that are rich in milk and cream.
d. Reinforce this teaching by asking the client to list a dairy food that he might
select.
(ANS- Review with the client the need to avoid foods that are rich in milk and
cream
Rationale: Diets rich in milk and cream stimulate gastric acid secretion and should
be avoided.
A male client with hypertension, who received new antihypertensive prescriptions
at his last visit returns to 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
