HESI RN EXIT EXAM 2024 UPDATED
VERSION 180 QUESTIONS AND 100%
VERIFIED CORRECT ANSWERS
GUARANTEED A+ FIRST ATTEMPT
A 3-year-old boy was successfully toilet trained prior to his admission to the hospital
forinjuries sustained from a fall. His parents are very concerned that the child has
regressed in his toileting behaviors. Which information should the nurse provide to
the parents?
A. A retraining program will need to be initiated when the child returns home.
B. Diapering will be provided since hospitalization is stressful to preschoolers
C. A potty chair should be brought from home so he can maintain his toileting skills
D. Children usually resume their toileting behaviors when they leave the hospital -
Correct Answer D. Children usually resume their toileting behaviors when they leave
thehospital
A 7-year old is admitted to the hospital with persistent vomiting, and a nasogastric
tubeattached to low intermittent suction is applied. Which finding is most important
for the nurse to report to the healthcare provider?
A. Shift intake of 640mL IV fluids plus 30mL PO ice chips
B. Serum pH of 7.45
C. Gastric output of 100 mL in the last 8 hours
D. Serum potassium of 3.0 mg/dL - Correct Answer D. Serum potassium of 3.0
mg/dL
A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the
hospital. Which information is most important for the nurse to provide the parents
prior to discharge?
A. Instructions about how much fluid the child should drink daily.
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family - Correct Answer A.
Instructionsabout how much fluid the child should drink daily
A client asks the nurse for information about how to reduce risk factors for benign
prostatic hyperplasia (BPH). Which information should the nurse provide?
A. Consume a high protein diet
B. Increase physical activity
C. Take vitamin supplements
D. Obtain a prostate-specific antigen blood level test - Correct Answer B. Increase
physical activity
, A client at 12 weeks gestation is admitted to the antepartum unit with a diagnosis of
hyperemesis gravidarum. Which action is most important for the nurse to
implement?
A. Obtain the client's 24-hour dietary recall
B. Document mucosal membrane status
C. Schedule a consult with a nutritionist
D. Initiate prescribed intravenous fluids - Correct Answer D. Initiate prescribed
intravenous fluids
A client diagnosed with calcium kidney stones has a history of gout. A new
prescription for aluminum hydroxide is scheduled to begin at 0730. Which client
medication should the nurse bring to the healthcare provider's attention?
A. Esinapril
B. Allopurinol
C. Furosemide
D. Aspirin, low dose - Correct Answer B. Allopurinol
A client fell in the bathroom when left unattended by the unlicensed assistive
personnel(UAP). Which information should the nurse include in the client's health
record?
• The UAP left the client to assist another client
• The last time client was assisted to the bathroom
• C. The unit was understaffed when the client fell
D. The client fell sustaining a fracture to the left hip - Correct Answer D. The client
fellsustaining a fracture to the left hip
A client in the emergency center demonstrates rapid speech, flight of ideas, and
reportssleeping only three hours during the past 48 hours. Based on these findings,
it is most important for the nurse to review the laboratory value for which
medication?
A. Lorazepam
B. Fluoxetine
C. Divalproex
D. Olanzapine - Correct Answer C. Divalproex
A client in the third trimester of pregnancy reports that she fells some "lumpy
places" inher breasts and that her nipples sometimes leak a yellowish fluid. She has
an appointment with her healthcare provider in two weeks. What action should the
nurse take?
A. Tell the client to begin nipple stimulation to prepare for breast feeding.
B. Reschedule the client's prenatal appointment for the following day
C. Explain that this normal secretion can be assessed at the next visit
D. Recommend that the client start wearing a supportive brassiere - Correct Answer
C.Explain that this normal secretion can be assessed at the next visit
, A client is admitted with a diagnosis of urolithiasis. Which finding is most important
forthe nurse to report to the healthcare provider?
A. Volume of each voiding is more than 300mL
B. Serum potassium that is elevated
C. Relief of flank pain that radiated into the groin
D. Hematuria that is beginning to turn pink - Correct Answer D. Hematuria that is
beginning to turn pink
A client is diagnosed with Meniere's disease. Which problem should the nurse
identifyas most important in the plan of care?
A. Risk for ineffective self-health management related to deficient knowledge
B. Ineffective coping related to personal vulnerability
C. Risk for injury related to vertigo
D. Anxiety related to disruption of lifestyle - Correct Answer C. Risk for injury related
tovertigo.
A client is receiving enoxaparin 30mg subcutaneously twice a day. In assessing for
adverse effects of the medication, which serum laboratory value is most important
forthe nurse to monitor?
A. Glucose
B. Calcium
C. Platelet count
D. White blood cell count - Correct Answer C. Platelet count
A client is recovering in the critical care unit following a cardiac catheterization. IV
nitroglycerin and heparin are infusing. The client is sedated but responds to verbal
instructions. After changing positions, the client complains of pain at the right groin
insertion site. What action should the nurse implement?
A. Check femoral site for hematoma formation
B. Stimulate the client to take deep breaths
C. Evaluate the integrity of the IV insertion site
D. Assess distal lower extremity capillary refill - Correct Answer B. Stimulate the
clientto take deep breaths
A client is scheduled for a spiral computed tomography (CT) scan with contrast to
evaluate for pulmonary embolism. Which information in the client's history requires
follow-up by the nurse?
A. CT scan that was performed 6 months earlier
B. Metal hip prosthesis was placed 20 years ago
C. Report of client's sobriety for the last 5 years
D. Takes metformin for type 2 diabetes mellitus - Correct Answer D. Takes
metformin for type 2 diabetes mellitus
A client presents to the emergency department with muscle aches, headache,
fever,and describes a recent loss of taste and smell. The nurse obtains a nasal
swab for COVID-19 testing. Which action is most important for the nurse to take?
, A. Place the nasal swab specimen for COVID-19 directly into a biohazard bag B.
Move the client to a private room, keep the door closed, and initiate droplet
precautions.
C. Teach the client to wear a mask, hand wash, and social distance to prevent
spreading the virus
D. Explain to the client to inform others that they may have been potentially exposed
inthe last 14 days. - Correct Answer A. Place the nasal swab specimen for COVID-
19 directly into a biohazard bag
A client presents to the labor and delivery unit with a report of leaking fluid that is
greenish-brown vaginal discharge. Which action should the nurse take first?
• Start an intravenous infusion
• Administer oxygen via facemask
• C. Perform a vaginal exam
D. Begin continuous fetal monitoring - Correct Answer D. Begin continuous fetal
monitoring
A client presses the call bell and requests pain medication for a severe headache.
Toassess the quality of the client's pain, which approach should the nurse use?
• Ask the client to describe the pain
• Observe body language and movement
• C. Identify effective pain relief measures
D. Provide a numeric pain scale - Correct Answer A. Ask the client to describe the
pain
A client taking clopidogrel reports the onset of diarrhea. Which nursing action
shouldthe nurse implement first?
A. Observe the appearance of the stool
B. Assess the elasticity of the client's skin
C. Review the client's laboratory values
D. Auscultate the client's bowel sounds - Correct Answer A. Observe the
appearance ofthe stool
A client tells the nurse about working out with a personal trainer and swimming
three times a week in an effort to lose weight and sleep better. The client states that
it still istaking hours to fall asleep at night. Which action should the nurse
implement?
A. Advise the client that lifestyle changes often take several weeks to be effective
B. Encourage the client to exercise everyday to eliminate bedtime wakefulness C.
Ask the client for a description of the exercise schedule that is being followed
D. Determine the amount of weight the client has lost since increasing activity -
Correct Answer C. Ask the client for a description of the exercise schedule that is
being followed
VERSION 180 QUESTIONS AND 100%
VERIFIED CORRECT ANSWERS
GUARANTEED A+ FIRST ATTEMPT
A 3-year-old boy was successfully toilet trained prior to his admission to the hospital
forinjuries sustained from a fall. His parents are very concerned that the child has
regressed in his toileting behaviors. Which information should the nurse provide to
the parents?
A. A retraining program will need to be initiated when the child returns home.
B. Diapering will be provided since hospitalization is stressful to preschoolers
C. A potty chair should be brought from home so he can maintain his toileting skills
D. Children usually resume their toileting behaviors when they leave the hospital -
Correct Answer D. Children usually resume their toileting behaviors when they leave
thehospital
A 7-year old is admitted to the hospital with persistent vomiting, and a nasogastric
tubeattached to low intermittent suction is applied. Which finding is most important
for the nurse to report to the healthcare provider?
A. Shift intake of 640mL IV fluids plus 30mL PO ice chips
B. Serum pH of 7.45
C. Gastric output of 100 mL in the last 8 hours
D. Serum potassium of 3.0 mg/dL - Correct Answer D. Serum potassium of 3.0
mg/dL
A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the
hospital. Which information is most important for the nurse to provide the parents
prior to discharge?
A. Instructions about how much fluid the child should drink daily.
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family - Correct Answer A.
Instructionsabout how much fluid the child should drink daily
A client asks the nurse for information about how to reduce risk factors for benign
prostatic hyperplasia (BPH). Which information should the nurse provide?
A. Consume a high protein diet
B. Increase physical activity
C. Take vitamin supplements
D. Obtain a prostate-specific antigen blood level test - Correct Answer B. Increase
physical activity
, A client at 12 weeks gestation is admitted to the antepartum unit with a diagnosis of
hyperemesis gravidarum. Which action is most important for the nurse to
implement?
A. Obtain the client's 24-hour dietary recall
B. Document mucosal membrane status
C. Schedule a consult with a nutritionist
D. Initiate prescribed intravenous fluids - Correct Answer D. Initiate prescribed
intravenous fluids
A client diagnosed with calcium kidney stones has a history of gout. A new
prescription for aluminum hydroxide is scheduled to begin at 0730. Which client
medication should the nurse bring to the healthcare provider's attention?
A. Esinapril
B. Allopurinol
C. Furosemide
D. Aspirin, low dose - Correct Answer B. Allopurinol
A client fell in the bathroom when left unattended by the unlicensed assistive
personnel(UAP). Which information should the nurse include in the client's health
record?
• The UAP left the client to assist another client
• The last time client was assisted to the bathroom
• C. The unit was understaffed when the client fell
D. The client fell sustaining a fracture to the left hip - Correct Answer D. The client
fellsustaining a fracture to the left hip
A client in the emergency center demonstrates rapid speech, flight of ideas, and
reportssleeping only three hours during the past 48 hours. Based on these findings,
it is most important for the nurse to review the laboratory value for which
medication?
A. Lorazepam
B. Fluoxetine
C. Divalproex
D. Olanzapine - Correct Answer C. Divalproex
A client in the third trimester of pregnancy reports that she fells some "lumpy
places" inher breasts and that her nipples sometimes leak a yellowish fluid. She has
an appointment with her healthcare provider in two weeks. What action should the
nurse take?
A. Tell the client to begin nipple stimulation to prepare for breast feeding.
B. Reschedule the client's prenatal appointment for the following day
C. Explain that this normal secretion can be assessed at the next visit
D. Recommend that the client start wearing a supportive brassiere - Correct Answer
C.Explain that this normal secretion can be assessed at the next visit
, A client is admitted with a diagnosis of urolithiasis. Which finding is most important
forthe nurse to report to the healthcare provider?
A. Volume of each voiding is more than 300mL
B. Serum potassium that is elevated
C. Relief of flank pain that radiated into the groin
D. Hematuria that is beginning to turn pink - Correct Answer D. Hematuria that is
beginning to turn pink
A client is diagnosed with Meniere's disease. Which problem should the nurse
identifyas most important in the plan of care?
A. Risk for ineffective self-health management related to deficient knowledge
B. Ineffective coping related to personal vulnerability
C. Risk for injury related to vertigo
D. Anxiety related to disruption of lifestyle - Correct Answer C. Risk for injury related
tovertigo.
A client is receiving enoxaparin 30mg subcutaneously twice a day. In assessing for
adverse effects of the medication, which serum laboratory value is most important
forthe nurse to monitor?
A. Glucose
B. Calcium
C. Platelet count
D. White blood cell count - Correct Answer C. Platelet count
A client is recovering in the critical care unit following a cardiac catheterization. IV
nitroglycerin and heparin are infusing. The client is sedated but responds to verbal
instructions. After changing positions, the client complains of pain at the right groin
insertion site. What action should the nurse implement?
A. Check femoral site for hematoma formation
B. Stimulate the client to take deep breaths
C. Evaluate the integrity of the IV insertion site
D. Assess distal lower extremity capillary refill - Correct Answer B. Stimulate the
clientto take deep breaths
A client is scheduled for a spiral computed tomography (CT) scan with contrast to
evaluate for pulmonary embolism. Which information in the client's history requires
follow-up by the nurse?
A. CT scan that was performed 6 months earlier
B. Metal hip prosthesis was placed 20 years ago
C. Report of client's sobriety for the last 5 years
D. Takes metformin for type 2 diabetes mellitus - Correct Answer D. Takes
metformin for type 2 diabetes mellitus
A client presents to the emergency department with muscle aches, headache,
fever,and describes a recent loss of taste and smell. The nurse obtains a nasal
swab for COVID-19 testing. Which action is most important for the nurse to take?
, A. Place the nasal swab specimen for COVID-19 directly into a biohazard bag B.
Move the client to a private room, keep the door closed, and initiate droplet
precautions.
C. Teach the client to wear a mask, hand wash, and social distance to prevent
spreading the virus
D. Explain to the client to inform others that they may have been potentially exposed
inthe last 14 days. - Correct Answer A. Place the nasal swab specimen for COVID-
19 directly into a biohazard bag
A client presents to the labor and delivery unit with a report of leaking fluid that is
greenish-brown vaginal discharge. Which action should the nurse take first?
• Start an intravenous infusion
• Administer oxygen via facemask
• C. Perform a vaginal exam
D. Begin continuous fetal monitoring - Correct Answer D. Begin continuous fetal
monitoring
A client presses the call bell and requests pain medication for a severe headache.
Toassess the quality of the client's pain, which approach should the nurse use?
• Ask the client to describe the pain
• Observe body language and movement
• C. Identify effective pain relief measures
D. Provide a numeric pain scale - Correct Answer A. Ask the client to describe the
pain
A client taking clopidogrel reports the onset of diarrhea. Which nursing action
shouldthe nurse implement first?
A. Observe the appearance of the stool
B. Assess the elasticity of the client's skin
C. Review the client's laboratory values
D. Auscultate the client's bowel sounds - Correct Answer A. Observe the
appearance ofthe stool
A client tells the nurse about working out with a personal trainer and swimming
three times a week in an effort to lose weight and sleep better. The client states that
it still istaking hours to fall asleep at night. Which action should the nurse
implement?
A. Advise the client that lifestyle changes often take several weeks to be effective
B. Encourage the client to exercise everyday to eliminate bedtime wakefulness C.
Ask the client for a description of the exercise schedule that is being followed
D. Determine the amount of weight the client has lost since increasing activity -
Correct Answer C. Ask the client for a description of the exercise schedule that is
being followed
