200 HESI-RN EXIT EXAM 2023
QUESTIONS AND ANSWERS
1. Enalapril maleate (Vasotec) is prescribed for a hospitalized
client. Which assessment does the nurse perform as a
priority before administering the medication?
a. Checking the client's blood pressure
b. Checking the client's peripheral pulses
c. Checking the most recent potassium level
d. Checking the client's intake-and-output record for the
last 24 hours
Ans. A
2. A client is scheduled to undergo an upper gastrointestinal
(GI) series, and the nurse provides instructions to the client
about the test. Which statement by the client indicates a
need for further instruction?
a. “The test will take about 30 minutes."
b. "I need to fast for 8 hours before the test."
c. "I need to drink citrate of magnesia the night before the
test and give myself a
Fleet enema on the morning of the test."
d. "I need to take a laxative after the test is completed,
because the liquid that I’ll have to drink for the test can
be constipating."
Ans. C
,3. A nurse on the evening shift checks a physician's
prescriptions and notes that the dose of a prescribed
medication is higher than the normal dose. The nurse calls
the physician's answering service and is told that the
physician is off for the night and will be available in the
morning. The nurse should:
a. Call the nursing supervisor
b. Ask the answering service to contact the on-call
physician
c. Withhold the medication until the physician can be
reached in the morning
d. Administer the medication but consult the physician
when he becomes available
Ans. B
4. An emergency department (ED) nurse is monitoring a client
with suspected acute myocardial infarction (MI) who is
awaiting transfer to the coronary intensive care unit. The
nurse notes the sudden onset of premature ventricular
contractions (PVCs) on the monitor, checks the client's
carotid pulse, and determines that the PVCs are not resulting
in perfusion. The appropriate action by the nurse is:
a. Documenting the findings
b. Asking the ED physician to check the client
c. Continuing to monitor the client's cardiac status
d. Informing the client that PVCs are expected after an MI
Ans. B
,5. NPO status is imposed 8 hours before the procedure on a
client scheduled to undergo electroconvulsive therapy (ECT)
at 1 p.m. On the morning of the procedure, the nurse
checks the client's record and notes that the client routinely
takes an oral antihypertensive medication each morning.
The nurse should:
a. Administer the antihypertensive with a small sip of
water
b. Withhold the antihypertensive and administer it at
bedtime
c. Administer the medication by way of the intravenous
(IV) route
d. Hold the antihypertensive and resume its
administration on the day after the ECT
Ans. A
6. A client who recently underwent coronary artery bypass
graft surgery comes to the physician's office for a follow-up
visit. On assessment, the client tells the nurse that he is
feeling depressed. Which response by the nurse is
therapeutic?
a. "Tell me more about what you’re feeling."
b. "That’s a normal response after this type of surgery."
c. "It will take time, but, I promise you, you will get over
this depression."
d. "Every client who has this surgery feels the same way
for about a month."
Ans. A
, 7. A client in labor experiences spontaneous rupture of the
membranes. The nurse immediately counts the fetal heart
rate (FHR) for 1 full minute and then checks the amniotic
fluid. The nurse notes that the fluid is yellow and has a
strong odor. Which of the following actions should be the
nurse’s priority?
a. Contacting the physician
b. Documenting the findings
c. Checking the fluid for protein
d. Continuing to monitor the client and the FHR
Ans. A
8. A nurse has assisted a physician in inserting a central
venous access device into a client with a diagnosis of severe
malnutrition who will be receiving parenteral nutrition (PN).
After insertion of the catheter, the nurse immediately plans
to:
a. Call the radiography department to obtain a chest x-ray
b. Check the client's blood glucose level to serve as a
baseline measurement
c. Hang the prescribed bag of PN and start the infusion at
the prescribed rate
d. Infuse normal saline solution through the catheter at a
rate of 100 mL/hr to maintain patency
Ans. A
9. A rape victim being treated in the emergency department
says to the nurse, "I’m really worried that I’ve got HIV now."
What is the appropriate response by the nurse?
QUESTIONS AND ANSWERS
1. Enalapril maleate (Vasotec) is prescribed for a hospitalized
client. Which assessment does the nurse perform as a
priority before administering the medication?
a. Checking the client's blood pressure
b. Checking the client's peripheral pulses
c. Checking the most recent potassium level
d. Checking the client's intake-and-output record for the
last 24 hours
Ans. A
2. A client is scheduled to undergo an upper gastrointestinal
(GI) series, and the nurse provides instructions to the client
about the test. Which statement by the client indicates a
need for further instruction?
a. “The test will take about 30 minutes."
b. "I need to fast for 8 hours before the test."
c. "I need to drink citrate of magnesia the night before the
test and give myself a
Fleet enema on the morning of the test."
d. "I need to take a laxative after the test is completed,
because the liquid that I’ll have to drink for the test can
be constipating."
Ans. C
,3. A nurse on the evening shift checks a physician's
prescriptions and notes that the dose of a prescribed
medication is higher than the normal dose. The nurse calls
the physician's answering service and is told that the
physician is off for the night and will be available in the
morning. The nurse should:
a. Call the nursing supervisor
b. Ask the answering service to contact the on-call
physician
c. Withhold the medication until the physician can be
reached in the morning
d. Administer the medication but consult the physician
when he becomes available
Ans. B
4. An emergency department (ED) nurse is monitoring a client
with suspected acute myocardial infarction (MI) who is
awaiting transfer to the coronary intensive care unit. The
nurse notes the sudden onset of premature ventricular
contractions (PVCs) on the monitor, checks the client's
carotid pulse, and determines that the PVCs are not resulting
in perfusion. The appropriate action by the nurse is:
a. Documenting the findings
b. Asking the ED physician to check the client
c. Continuing to monitor the client's cardiac status
d. Informing the client that PVCs are expected after an MI
Ans. B
,5. NPO status is imposed 8 hours before the procedure on a
client scheduled to undergo electroconvulsive therapy (ECT)
at 1 p.m. On the morning of the procedure, the nurse
checks the client's record and notes that the client routinely
takes an oral antihypertensive medication each morning.
The nurse should:
a. Administer the antihypertensive with a small sip of
water
b. Withhold the antihypertensive and administer it at
bedtime
c. Administer the medication by way of the intravenous
(IV) route
d. Hold the antihypertensive and resume its
administration on the day after the ECT
Ans. A
6. A client who recently underwent coronary artery bypass
graft surgery comes to the physician's office for a follow-up
visit. On assessment, the client tells the nurse that he is
feeling depressed. Which response by the nurse is
therapeutic?
a. "Tell me more about what you’re feeling."
b. "That’s a normal response after this type of surgery."
c. "It will take time, but, I promise you, you will get over
this depression."
d. "Every client who has this surgery feels the same way
for about a month."
Ans. A
, 7. A client in labor experiences spontaneous rupture of the
membranes. The nurse immediately counts the fetal heart
rate (FHR) for 1 full minute and then checks the amniotic
fluid. The nurse notes that the fluid is yellow and has a
strong odor. Which of the following actions should be the
nurse’s priority?
a. Contacting the physician
b. Documenting the findings
c. Checking the fluid for protein
d. Continuing to monitor the client and the FHR
Ans. A
8. A nurse has assisted a physician in inserting a central
venous access device into a client with a diagnosis of severe
malnutrition who will be receiving parenteral nutrition (PN).
After insertion of the catheter, the nurse immediately plans
to:
a. Call the radiography department to obtain a chest x-ray
b. Check the client's blood glucose level to serve as a
baseline measurement
c. Hang the prescribed bag of PN and start the infusion at
the prescribed rate
d. Infuse normal saline solution through the catheter at a
rate of 100 mL/hr to maintain patency
Ans. A
9. A rape victim being treated in the emergency department
says to the nurse, "I’m really worried that I’ve got HIV now."
What is the appropriate response by the nurse?
