lOM oA R
419 903 2
x x
cP S D| 3
2023 HESI EXIT RN EXAM V1-V7 150 OUT OF THE 160
TOTAL QUESTIONS FOR EACH VERSIO
2023 HESI EXIT RN EXAM
V1-V7x160xTOTALxQUESTIONSxEACHxVOLUME
1. Followingxdischargexteaching,xaxmalexclientxwithxduodenalxulcerxtellsxthexnursexthexhexwillxdrinkxplentyxofxdai
ryxproducts,xsuchxasxmilk,xtoxhelpxcoatxandxprotectxhisxulcer.xWhatxisxthexbestxfollow-
upxactionxbyxthexnurse?
• Reviewxwithxthex clientxthexneedxtoxavoidxfoodsxthatxarex richxinxmilkxandxcream
2. Axmalexclientxwithxhypertension,xwhoxreceivedxnewxantihypertensivexprescriptionsxatxhisxlastxvisitxreturnsxt
oxthexclinicxtwoxweeksxlaterxtoxevaluatexhisxbloodxpressurex(BP).xHisxBPxisx158/106xandxhexadmitsxthatxhexh
asxnotxbeenxtakingxthex prescribedx medicationxbecausexthexdrugsxmakexhimx“feelxbad”.xInxexplainingxthexneedxf
orxhypertensionxcontrol,xthexnursexshouldxstressxthatxanxelevatedxBPxplacesxthexclientxatxriskxforxwhichxp
athophysiologicalxcondition?
• Strokexsecondaryxtoxhemorrhage
• Thexnursexobservesxanxunlicensedxassistivexpersonnelx(UAP)xpositioningxaxnewlyxadmittedxclientxwhoxhasxaxse
izurexdisorder.xThexclientxisxsupinexandxthexUAPxisxplacingxsoftxpillowsxalongxthexsidexrails.xWhatxactionxshould
x thex nursex implement?
Anxadolescentxwithxmajorxdepressivexdisorderxhasxbeenxtakingxduloxetinex(Cymbalta)xforxthexpastx12xdays.xWhichx
assessmentxfindingxrequiresximmediatexfollow-up?
• Describesxlifexwithoutxpurpose
5. Ax60-year-
oldxfemalexclientxwithxaxpositivexfamilyxhistoryxofxovarianxcancerxhasxdevelopedxanxabdominalxmassxandxisxbein
gxevaluatedxforxpossiblexovarianxcancer.xHerxPapanicolaux(Pap)xsmearxresultsxarexnegative.xWhatxinformationxs
houldxthexnursexincludexinxthexclient’sxteachingxplan?
• Furtherx evaluationx involvingxsurgeryxmayxbex needed
6. Axclientxwhoxrecentlyxunderwearxaxtracheostomyxisxbeingxpreparedxforxdischargextoxhome.xWhichxinstructi
onsxisxmostximportantxforx thexnursextoxincludex inxthexdischargexplan?
• Teachxtrachealx suctioningxtechniques
, lOM oA R
419 903 2
x x
cP S D| 3
7. Inxassessingxanxadultxclientxwithxaxpartialxrebreatherxmask,xthexnursexnotesxthatxthexoxygen
reservoirx bagx doesx notx deflatex completelyx duringx inspirationx andx thex client’sx respiratoryx ratex isx 14
breathsx/xminute.xWhatxactionxshouldxthexnurseximplement?
• Documentxthexassessmentxdata
• Rational:xreservoirxbagxshouldx notx deflatex completelyx duringx inspirationx andx thex client’s
respiratoryxratex isxwithinx normalx limits.
8. Duringxshiftxreport,xthexcentralxelectrocardiogramx(EKG)xmonitoringxsystemxalarms.xWhichxclientxalar
mxshouldxthex nursex investigatex firs?
• Respiratoryxapneaxofx30xseconds
9. Duringxaxhomexvisit,x thexnursexobservedxanxelderlyxclientxwithxdiabetesxslipxandxfall.xWhatxxxxactionxshouldxt
hex nursextakex first?
• Checkxthexclientxforxlacerationsxorxfractures
10. Atx0600xwhilexadmittingxaxwomanxforxaxschedulexrepeatxcesareanxsectionx(C-
Section),xthexclientxtellsxthexnursexthatxshexdrankxaxcupxaxcoffeexatx0400xbecausexshexwantedxtoxavoidxgettingxa
x headache.xWhichxactionxshouldxthex nursextakex first?
• Informxthexanesthesiaxcarexprovider
11. Afterxplacingxaxstethoscopexasxseenxinxthexpicture,xthexnursexauscultatesxS1xandxS2xheartxsounds.xToxdeter
minexifxanx S3xheartxsoundxisxpresent,x whatxactionxshouldxthexnursextakex first?
• Listenxwithxthexbellxatxthexsamexlocation
12. Ax66-year-
oldxwomanxisxretiringxandxwillxnoxlongerxhavexaxhealthxinsurancexthroughxherxplacexofxemploymen
t.xWhichxagencyxshouldxthexclientxbexreferredxtoxbyxthexemployeexhealthxnursexforxhealthxinsurancexn
eeds?
• Medicare
, lOM oA R
419 903 2
x x
cP S D| 3
13. Ax clientx whox isx takingx anx oralx dosex ofx ax tetracyclinex complainsx ofx gastrointestinalx upset.x Whatx snac
kxshouldxthexnursexinstructxthex clientxtoxtakexwithxthextetracycline?
• Toastedxwheatxbreadxandxjelly
14. Followingxaxlumbarxpuncture,xaxclientxvoicesxseveralxcomplaints.xWhatxcomplaintxindicatedxtoxthexnurs
exthatxthexclientxisxexperiencingxax complication?
• “Ix havex ax headachex thatx getsx worsex whenx Ix sitx up”
• “IxamxhavingxpainxinxmyxlowerxbackxwhenxIxmovexmyxlegs”
• “MyxthroatxhurtsxwhenxIxswallow”
• “Ixfeelxsickxtoxmyxstomachxandxamxgoingxtoxthrowxup”
15. Anx elderlyx clientx seemsx confusedx andx reportsx thex onsetx ofx nausea,x dysuria,x andx urgencyx withxinconti
nence.xWhichxactionx shouldxthex nursex implement?
• Obtainxaxcleanxcatchxmid-streamxspecimen
16. Thexnursexisxassistingxthexmotherxofxaxchildxwithxphenylketonuriax(PKU)x toxselectx foodsxthatxarex inxkeeping
withxthexchild’sxdietaryxrestrictions.xWhichxfoodsxarexcontraindicatedxforxthisxchild?
• Foodsxsweetenedxwithxaspartame
17. Beforexpreparingxaxclientxforxthexfirstxsurgicalxcasexofxthexday,xaxpart-
timexscrubxnursexasksxthexcirculatingxnursexifxax3xminutexsurgicalxhandxscrubxisxadequatexpreparationxforxthisxcli
ent.xWhichxresponsexshouldxthexcirculatingxnursex provide?
• Directxthexnursextoxcontinuexthexsurgicalxhandxscrubxforxax5xminutexduration
18. Whichxbreakfastx selectionx indicatesx thatx thex clientx understandsx thex nurse’sx instructionsx aboutx thexdietary
managementx ofx osteoporosis?
• Bagelxwithxjellyxandxskimxmilk
19. Thexchargexnursexofxaxcriticalxcarexunitxisxinformedxatxthexbeginningxofxthexshiftxthatxlessxthanxthexoptimalxn
umberxofxregisteredxnursesxwillxbexworkingxthatxshift.xInxplanningxassignments,xwhichx clientxshouldxreceivexth
exmostxcarex hoursxbyxax registeredxnursex (RN)?
• Anx82-year-oldxclientxwithxAlzheimer’sxdiseasexnewly-
fracturesxfemurxwhoxhasxaxFoleyxcatheterxandxsoftxwristxrestrainsxapplied
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x x
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20. Axmotherxbringsxherx6-year-
oldxchild,xwhoxhasxjustxsteppedxonxaxrustyxnail,xtoxthexpediatrician’sxoffice.xUponxinspection,xthexnursex
notesxthatxthexnailxwentxthroughxthexshoexandxpiercedxthexbottomxofxthexchild’sxfoot.xWhichxactionxsh
ouldxthexnurseximplementxfirst?
• Cleansexthexfootxwithxsoapxandxwaterxandxapplyxanxantibioticxointment
• Providexteachingxaboutxthexneedxforxaxtetanusxboosterxwithinxthexnextx72xhours.
• havexthexmotherxcheckxthexchild'sxtemperaturexq4hxforxthexnextx24xhours
• transferxthexchildxtoxthexemergencyxdepartmentxtoxreceivexaxgammaxglobulinxinjection
21. Thexmotherxofxanxadolescentxtellsxthexclinicxnurse,x“Myxsonxhasxathlete’sxfoot,xIxhavexbeen
applyingxtriplexantibioticxointmentxforxtwoxdays,xbutxtherexhasxbeenxnoximprovement.”xWhatxinstructio
nxshouldxthex nursex provide?
Stopxusingxthexointmentxandxencouragexcompletexdryingxofxthexfeetxandxwearingxcleanxsocks.
22. Ax26-year-
oldxfemalexclientxisxadmittedxtoxthexhospitalxforxtreatmentxofxaxsimplexgoiter,xandxlevothyroxinexs
odiumx(Synthroid)xisxprescribed.xWhichxsymptomsxindicatextoxthexnursexthatxthexprescribedxdosag
exisxtooxhighxforxthisxclient?xThexclientxexperiences
• Bradycardiax andx constipation
• Lethargyxandx lackx ofx appetite
• Musclex crampingxandx dry,x flushedx skin
• Palpitationsxandxshortnessxofxbreath
23. Ax clientxwithx axhistoryxofx heartxfailurex presentsxtoxthexclinicxwithxax nausea,xvomiting,x yellowxvisionx an
dxpalpitations.xWhichxfindingxisxmostximportantxforx thex nursextoxassessxtoxthexclient?
• Obtainx ax listxofxmedicationsxtakenx forx cardiacxhistory
24. ThexhealthcarexproviderxprescribesxanxIVxsolutionxofxisoproterenolx(Isuprel)x1xmgxinx250xmlxofxD5
Wxatx300xmcg/hour.xThexnursexshouldxprogramxthexinfusionxpumpxtoxdeliverxhowxmanyxml/hour?x(Ente
rxnumericxvaluexonly.)
• 75
• Rationale:xConvertxmgxtoxmcgxandxusexthexformulaxD/HxxxQ.x300xmcg/hourx/x1,000xmcgxxx250x
419 903 2
x x
cP S D| 3
2023 HESI EXIT RN EXAM V1-V7 150 OUT OF THE 160
TOTAL QUESTIONS FOR EACH VERSIO
2023 HESI EXIT RN EXAM
V1-V7x160xTOTALxQUESTIONSxEACHxVOLUME
1. Followingxdischargexteaching,xaxmalexclientxwithxduodenalxulcerxtellsxthexnursexthexhexwillxdrinkxplentyxofxdai
ryxproducts,xsuchxasxmilk,xtoxhelpxcoatxandxprotectxhisxulcer.xWhatxisxthexbestxfollow-
upxactionxbyxthexnurse?
• Reviewxwithxthex clientxthexneedxtoxavoidxfoodsxthatxarex richxinxmilkxandxcream
2. Axmalexclientxwithxhypertension,xwhoxreceivedxnewxantihypertensivexprescriptionsxatxhisxlastxvisitxreturnsxt
oxthexclinicxtwoxweeksxlaterxtoxevaluatexhisxbloodxpressurex(BP).xHisxBPxisx158/106xandxhexadmitsxthatxhexh
asxnotxbeenxtakingxthex prescribedx medicationxbecausexthexdrugsxmakexhimx“feelxbad”.xInxexplainingxthexneedxf
orxhypertensionxcontrol,xthexnursexshouldxstressxthatxanxelevatedxBPxplacesxthexclientxatxriskxforxwhichxp
athophysiologicalxcondition?
• Strokexsecondaryxtoxhemorrhage
• Thexnursexobservesxanxunlicensedxassistivexpersonnelx(UAP)xpositioningxaxnewlyxadmittedxclientxwhoxhasxaxse
izurexdisorder.xThexclientxisxsupinexandxthexUAPxisxplacingxsoftxpillowsxalongxthexsidexrails.xWhatxactionxshould
x thex nursex implement?
Anxadolescentxwithxmajorxdepressivexdisorderxhasxbeenxtakingxduloxetinex(Cymbalta)xforxthexpastx12xdays.xWhichx
assessmentxfindingxrequiresximmediatexfollow-up?
• Describesxlifexwithoutxpurpose
5. Ax60-year-
oldxfemalexclientxwithxaxpositivexfamilyxhistoryxofxovarianxcancerxhasxdevelopedxanxabdominalxmassxandxisxbein
gxevaluatedxforxpossiblexovarianxcancer.xHerxPapanicolaux(Pap)xsmearxresultsxarexnegative.xWhatxinformationxs
houldxthexnursexincludexinxthexclient’sxteachingxplan?
• Furtherx evaluationx involvingxsurgeryxmayxbex needed
6. Axclientxwhoxrecentlyxunderwearxaxtracheostomyxisxbeingxpreparedxforxdischargextoxhome.xWhichxinstructi
onsxisxmostximportantxforx thexnursextoxincludex inxthexdischargexplan?
• Teachxtrachealx suctioningxtechniques
, lOM oA R
419 903 2
x x
cP S D| 3
7. Inxassessingxanxadultxclientxwithxaxpartialxrebreatherxmask,xthexnursexnotesxthatxthexoxygen
reservoirx bagx doesx notx deflatex completelyx duringx inspirationx andx thex client’sx respiratoryx ratex isx 14
breathsx/xminute.xWhatxactionxshouldxthexnurseximplement?
• Documentxthexassessmentxdata
• Rational:xreservoirxbagxshouldx notx deflatex completelyx duringx inspirationx andx thex client’s
respiratoryxratex isxwithinx normalx limits.
8. Duringxshiftxreport,xthexcentralxelectrocardiogramx(EKG)xmonitoringxsystemxalarms.xWhichxclientxalar
mxshouldxthex nursex investigatex firs?
• Respiratoryxapneaxofx30xseconds
9. Duringxaxhomexvisit,x thexnursexobservedxanxelderlyxclientxwithxdiabetesxslipxandxfall.xWhatxxxxactionxshouldxt
hex nursextakex first?
• Checkxthexclientxforxlacerationsxorxfractures
10. Atx0600xwhilexadmittingxaxwomanxforxaxschedulexrepeatxcesareanxsectionx(C-
Section),xthexclientxtellsxthexnursexthatxshexdrankxaxcupxaxcoffeexatx0400xbecausexshexwantedxtoxavoidxgettingxa
x headache.xWhichxactionxshouldxthex nursextakex first?
• Informxthexanesthesiaxcarexprovider
11. Afterxplacingxaxstethoscopexasxseenxinxthexpicture,xthexnursexauscultatesxS1xandxS2xheartxsounds.xToxdeter
minexifxanx S3xheartxsoundxisxpresent,x whatxactionxshouldxthexnursextakex first?
• Listenxwithxthexbellxatxthexsamexlocation
12. Ax66-year-
oldxwomanxisxretiringxandxwillxnoxlongerxhavexaxhealthxinsurancexthroughxherxplacexofxemploymen
t.xWhichxagencyxshouldxthexclientxbexreferredxtoxbyxthexemployeexhealthxnursexforxhealthxinsurancexn
eeds?
• Medicare
, lOM oA R
419 903 2
x x
cP S D| 3
13. Ax clientx whox isx takingx anx oralx dosex ofx ax tetracyclinex complainsx ofx gastrointestinalx upset.x Whatx snac
kxshouldxthexnursexinstructxthex clientxtoxtakexwithxthextetracycline?
• Toastedxwheatxbreadxandxjelly
14. Followingxaxlumbarxpuncture,xaxclientxvoicesxseveralxcomplaints.xWhatxcomplaintxindicatedxtoxthexnurs
exthatxthexclientxisxexperiencingxax complication?
• “Ix havex ax headachex thatx getsx worsex whenx Ix sitx up”
• “IxamxhavingxpainxinxmyxlowerxbackxwhenxIxmovexmyxlegs”
• “MyxthroatxhurtsxwhenxIxswallow”
• “Ixfeelxsickxtoxmyxstomachxandxamxgoingxtoxthrowxup”
15. Anx elderlyx clientx seemsx confusedx andx reportsx thex onsetx ofx nausea,x dysuria,x andx urgencyx withxinconti
nence.xWhichxactionx shouldxthex nursex implement?
• Obtainxaxcleanxcatchxmid-streamxspecimen
16. Thexnursexisxassistingxthexmotherxofxaxchildxwithxphenylketonuriax(PKU)x toxselectx foodsxthatxarex inxkeeping
withxthexchild’sxdietaryxrestrictions.xWhichxfoodsxarexcontraindicatedxforxthisxchild?
• Foodsxsweetenedxwithxaspartame
17. Beforexpreparingxaxclientxforxthexfirstxsurgicalxcasexofxthexday,xaxpart-
timexscrubxnursexasksxthexcirculatingxnursexifxax3xminutexsurgicalxhandxscrubxisxadequatexpreparationxforxthisxcli
ent.xWhichxresponsexshouldxthexcirculatingxnursex provide?
• Directxthexnursextoxcontinuexthexsurgicalxhandxscrubxforxax5xminutexduration
18. Whichxbreakfastx selectionx indicatesx thatx thex clientx understandsx thex nurse’sx instructionsx aboutx thexdietary
managementx ofx osteoporosis?
• Bagelxwithxjellyxandxskimxmilk
19. Thexchargexnursexofxaxcriticalxcarexunitxisxinformedxatxthexbeginningxofxthexshiftxthatxlessxthanxthexoptimalxn
umberxofxregisteredxnursesxwillxbexworkingxthatxshift.xInxplanningxassignments,xwhichx clientxshouldxreceivexth
exmostxcarex hoursxbyxax registeredxnursex (RN)?
• Anx82-year-oldxclientxwithxAlzheimer’sxdiseasexnewly-
fracturesxfemurxwhoxhasxaxFoleyxcatheterxandxsoftxwristxrestrainsxapplied
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x x
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20. Axmotherxbringsxherx6-year-
oldxchild,xwhoxhasxjustxsteppedxonxaxrustyxnail,xtoxthexpediatrician’sxoffice.xUponxinspection,xthexnursex
notesxthatxthexnailxwentxthroughxthexshoexandxpiercedxthexbottomxofxthexchild’sxfoot.xWhichxactionxsh
ouldxthexnurseximplementxfirst?
• Cleansexthexfootxwithxsoapxandxwaterxandxapplyxanxantibioticxointment
• Providexteachingxaboutxthexneedxforxaxtetanusxboosterxwithinxthexnextx72xhours.
• havexthexmotherxcheckxthexchild'sxtemperaturexq4hxforxthexnextx24xhours
• transferxthexchildxtoxthexemergencyxdepartmentxtoxreceivexaxgammaxglobulinxinjection
21. Thexmotherxofxanxadolescentxtellsxthexclinicxnurse,x“Myxsonxhasxathlete’sxfoot,xIxhavexbeen
applyingxtriplexantibioticxointmentxforxtwoxdays,xbutxtherexhasxbeenxnoximprovement.”xWhatxinstructio
nxshouldxthex nursex provide?
Stopxusingxthexointmentxandxencouragexcompletexdryingxofxthexfeetxandxwearingxcleanxsocks.
22. Ax26-year-
oldxfemalexclientxisxadmittedxtoxthexhospitalxforxtreatmentxofxaxsimplexgoiter,xandxlevothyroxinexs
odiumx(Synthroid)xisxprescribed.xWhichxsymptomsxindicatextoxthexnursexthatxthexprescribedxdosag
exisxtooxhighxforxthisxclient?xThexclientxexperiences
• Bradycardiax andx constipation
• Lethargyxandx lackx ofx appetite
• Musclex crampingxandx dry,x flushedx skin
• Palpitationsxandxshortnessxofxbreath
23. Ax clientxwithx axhistoryxofx heartxfailurex presentsxtoxthexclinicxwithxax nausea,xvomiting,x yellowxvisionx an
dxpalpitations.xWhichxfindingxisxmostximportantxforx thex nursextoxassessxtoxthexclient?
• Obtainx ax listxofxmedicationsxtakenx forx cardiacxhistory
24. ThexhealthcarexproviderxprescribesxanxIVxsolutionxofxisoproterenolx(Isuprel)x1xmgxinx250xmlxofxD5
Wxatx300xmcg/hour.xThexnursexshouldxprogramxthexinfusionxpumpxtoxdeliverxhowxmanyxml/hour?x(Ente
rxnumericxvaluexonly.)
• 75
• Rationale:xConvertxmgxtoxmcgxandxusexthexformulaxD/HxxxQ.x300xmcg/hourx/x1,000xmcgxxx250x
