HESI RN 2024 EXIT EXAM
1. When preparing to administer a prescribed medication to a homeless client
at a community psychiatric clinic. The client tells the nurse that the usual
dosage taken is different from the dose the nurse is giving. Which action
should the nurse take?
A) Inform the client that he may refuse the medication and document whether
or not the client takes it.
B) Withhold the medication until the dosage can be confirmed.
C) Explain to the client that the dosage has been changed.
D) Tell the client to take the medication then verify the dosage at the next
healthcare team meeting.: B) Withhold the medication until the dosage can be
confirmed.
2. The charge nurse is making assignments for one practical nurse and
three registered nurses who are caring for neurologically compromised
clients. Which client with which change in status is best to assign to the
PN?
A) Subdural hematoma whose blood pressure changed from 150/80 to 170/60.
B) Viral meningitis whose temperature change from 101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale score changed from 10
to 7.
D) Myxedema, whose blood pressure change from 80/50 to 70/40.: B) Viral
meningitis whose temperature change from 101 S to 102F.
3. The nurse is caring for a client with pneumonia who now develops initial
signs of septic shock and multi organ failure. The healthcare provider
prescribes a sepsis protocol. Which intervention is most important for the
nurse to include in the plan of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level.: A) Maintain strict intake and output.
4. And adolescent client is admitted to the hospital because of writing a
suicide note to a teacher at school. On the second day of hospitalization, the
nurse asked the client to meet with the treatment team. After the team
, HESI RN 2024 EXIT EXAM
meeting, the client leaves in tears and goes to their room. Which nursing
intervention is best?
A) Let the client rest quietly in their room for a while.
B) Explore the clients goals and desire for treatment.
C) Ask the treatment team about the clients behavior.
D) Go to the clients room and ask what happened.: D) Go to the clients room
and ask what happened.
5. The healthcare provider prescribes dalteparin 200 units per kilogram
subcutaneous once a day for a client who weighs 154 pounds. The
medication is available and 25,000 units per milliliter vial. How many
milliliters should the nurse administer? (Enter numerical value only. If
rounding is required, round to the nearest 10th.): 0.6
6. NGN: The client is a 49-year-old male who reports flu like symptoms
including fever and chest congestion for four days. He came to the
emergency department last night when he was having more difficulty
breathing he has a history of 1/2 pack a day cigarette smoking for 20 years.
He has no significant medical or surgical history.
Which two orders should the nurse complete first?
A) Sputum culture.
B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
D) Chest x-ray.
E) Acetominophen 350 mg PO every six hours for temperature control.
F) Run 0.9% sodium chloride IV infusion at 150 mL per hour.
G) Start peripheral IV.
H) NPO.: B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
7. NGN: 0330: place the client on a cardio respiratory monitor, NPO, sputum
culture, start a peripheral IV infusion, start oxygen 3 L per minute via nasal
cannula, begin 0.9% sodium chloride IV infusion at 150 mL per hour,
acetaminophen 350 mg PO every six hours for temperature.
, HESI RN 2024 EXIT EXAM
To start the client on oxygen as ordered which items should the nurse collects
from the supply room? SATA A) humidifier bottle.
B)Suction canister.
C)Sterile water.
D) Nasal cannula.
E) Flow meter.
F) Lambs wool.
G) Tape.: D) Nasal cannula.
E) Flow meter.
8. NGN: states, I am feeling extremely anxious right now. The client has
decreased breath sounds in the left lower low. His mucus membranes are
dry. He has a productive cough with thick, yellow secretions. His capillary
refill is four seconds. Vital signs, temperature 100.2. Heart rate 101 bpm,
respiratory rate 28 breaths per minute, blood pressure 145/89, oxygen
saturation 90% on room air.
(for each body system click to specify the assessment findings that indicates
hypoxia)
Cardiovascular: heart rate 100 bpm, capillary refill for seconds, blood
pressure 145/89.
Neurological: anxious, awake and alert, restless.
Respiratory: oxygen saturation 90% on room air, respiratory rate 28 bpm,
productive cough.: Cardiovascular: capillary refill for seconds, blood pressure
145/89.
Neurological: anxious, restless.
Respiratory: oxygen saturation 90% on room air, respiratory rate 28 bpm.
9. NGN: The client is a 49-year-old male who reports flu like symptoms
including fever and chest congestion for four days. He came to the
emergency department last night when he was having more difficulty
breathing he has a history of 1/2 pack a day cigarette smoking for 20 years.
He has no significant medical or surgical history.
The nurse should place the client in a _______________ position to promote
_____________.: Semi-Fowler , lung expansion.
, HESI RN 2024 EXIT EXAM
10. NGN: Orders: 0330: place the client on a cardio respiratory monitor,
NPO, sputum culture, start a PIV, start oxygen 3L via nasal cannula, normal
saline 150 ML per hour, acetaminophen 350mg PO every six hours for temp
greater than 101F, chest x-ray.
0500: Oxygen 8Lvia simple facemask, titrate to keep oxygen saturation
greater than 94%.
(mark whether the statements by the new grad nurse indicate understanding
or no understanding of the use of facemask in the care of this client)
-I should clean the facemask once per shift.
-The client should take a 1 to 2 minute break from the facemask each hour.
-I should put gauze under the elastic straps over the ears.
-I can adjust the oxygen level on the flow meter to keep the clients oxygen
saturation greater than 94%.
-The mask should cover only the mouth and leave the nose open for
expiration.
-I should place the mask first over the nose and then cover the mouth.: -I
should clean the facemask once per shift. (UNDERSTANDING)
-The client should take a 1 to 2 minute break from the facemask each hour. (NOT
UNDERSTANDING)
-I should put gauze under the elastic straps over the ears. (NOT UNDERSTANDING
????)
-I can adjust the oxygen level on the flow meter to keep the clients oxygen saturation
greater than 94%. (UNDERSTANDING)
-The mask should cover only the mouth and leave the nose open for expiration.
(NOT
UNDERSTANDING)
-I should place the mask first over the nose and then cover the mouth. (UNDER-
STANDING)
11. NGN: Nurses Notes: 0400, the client is awake and alert but restless. He
states I am feeling extremely anxious right now. The client has decreased
breath sounds in the left lower lobe. His mucus membranes are dry. He has
a productive cough with thick, yellow secretions. His capillary refill is four
1. When preparing to administer a prescribed medication to a homeless client
at a community psychiatric clinic. The client tells the nurse that the usual
dosage taken is different from the dose the nurse is giving. Which action
should the nurse take?
A) Inform the client that he may refuse the medication and document whether
or not the client takes it.
B) Withhold the medication until the dosage can be confirmed.
C) Explain to the client that the dosage has been changed.
D) Tell the client to take the medication then verify the dosage at the next
healthcare team meeting.: B) Withhold the medication until the dosage can be
confirmed.
2. The charge nurse is making assignments for one practical nurse and
three registered nurses who are caring for neurologically compromised
clients. Which client with which change in status is best to assign to the
PN?
A) Subdural hematoma whose blood pressure changed from 150/80 to 170/60.
B) Viral meningitis whose temperature change from 101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale score changed from 10
to 7.
D) Myxedema, whose blood pressure change from 80/50 to 70/40.: B) Viral
meningitis whose temperature change from 101 S to 102F.
3. The nurse is caring for a client with pneumonia who now develops initial
signs of septic shock and multi organ failure. The healthcare provider
prescribes a sepsis protocol. Which intervention is most important for the
nurse to include in the plan of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level.: A) Maintain strict intake and output.
4. And adolescent client is admitted to the hospital because of writing a
suicide note to a teacher at school. On the second day of hospitalization, the
nurse asked the client to meet with the treatment team. After the team
, HESI RN 2024 EXIT EXAM
meeting, the client leaves in tears and goes to their room. Which nursing
intervention is best?
A) Let the client rest quietly in their room for a while.
B) Explore the clients goals and desire for treatment.
C) Ask the treatment team about the clients behavior.
D) Go to the clients room and ask what happened.: D) Go to the clients room
and ask what happened.
5. The healthcare provider prescribes dalteparin 200 units per kilogram
subcutaneous once a day for a client who weighs 154 pounds. The
medication is available and 25,000 units per milliliter vial. How many
milliliters should the nurse administer? (Enter numerical value only. If
rounding is required, round to the nearest 10th.): 0.6
6. NGN: The client is a 49-year-old male who reports flu like symptoms
including fever and chest congestion for four days. He came to the
emergency department last night when he was having more difficulty
breathing he has a history of 1/2 pack a day cigarette smoking for 20 years.
He has no significant medical or surgical history.
Which two orders should the nurse complete first?
A) Sputum culture.
B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
D) Chest x-ray.
E) Acetominophen 350 mg PO every six hours for temperature control.
F) Run 0.9% sodium chloride IV infusion at 150 mL per hour.
G) Start peripheral IV.
H) NPO.: B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
7. NGN: 0330: place the client on a cardio respiratory monitor, NPO, sputum
culture, start a peripheral IV infusion, start oxygen 3 L per minute via nasal
cannula, begin 0.9% sodium chloride IV infusion at 150 mL per hour,
acetaminophen 350 mg PO every six hours for temperature.
, HESI RN 2024 EXIT EXAM
To start the client on oxygen as ordered which items should the nurse collects
from the supply room? SATA A) humidifier bottle.
B)Suction canister.
C)Sterile water.
D) Nasal cannula.
E) Flow meter.
F) Lambs wool.
G) Tape.: D) Nasal cannula.
E) Flow meter.
8. NGN: states, I am feeling extremely anxious right now. The client has
decreased breath sounds in the left lower low. His mucus membranes are
dry. He has a productive cough with thick, yellow secretions. His capillary
refill is four seconds. Vital signs, temperature 100.2. Heart rate 101 bpm,
respiratory rate 28 breaths per minute, blood pressure 145/89, oxygen
saturation 90% on room air.
(for each body system click to specify the assessment findings that indicates
hypoxia)
Cardiovascular: heart rate 100 bpm, capillary refill for seconds, blood
pressure 145/89.
Neurological: anxious, awake and alert, restless.
Respiratory: oxygen saturation 90% on room air, respiratory rate 28 bpm,
productive cough.: Cardiovascular: capillary refill for seconds, blood pressure
145/89.
Neurological: anxious, restless.
Respiratory: oxygen saturation 90% on room air, respiratory rate 28 bpm.
9. NGN: The client is a 49-year-old male who reports flu like symptoms
including fever and chest congestion for four days. He came to the
emergency department last night when he was having more difficulty
breathing he has a history of 1/2 pack a day cigarette smoking for 20 years.
He has no significant medical or surgical history.
The nurse should place the client in a _______________ position to promote
_____________.: Semi-Fowler , lung expansion.
, HESI RN 2024 EXIT EXAM
10. NGN: Orders: 0330: place the client on a cardio respiratory monitor,
NPO, sputum culture, start a PIV, start oxygen 3L via nasal cannula, normal
saline 150 ML per hour, acetaminophen 350mg PO every six hours for temp
greater than 101F, chest x-ray.
0500: Oxygen 8Lvia simple facemask, titrate to keep oxygen saturation
greater than 94%.
(mark whether the statements by the new grad nurse indicate understanding
or no understanding of the use of facemask in the care of this client)
-I should clean the facemask once per shift.
-The client should take a 1 to 2 minute break from the facemask each hour.
-I should put gauze under the elastic straps over the ears.
-I can adjust the oxygen level on the flow meter to keep the clients oxygen
saturation greater than 94%.
-The mask should cover only the mouth and leave the nose open for
expiration.
-I should place the mask first over the nose and then cover the mouth.: -I
should clean the facemask once per shift. (UNDERSTANDING)
-The client should take a 1 to 2 minute break from the facemask each hour. (NOT
UNDERSTANDING)
-I should put gauze under the elastic straps over the ears. (NOT UNDERSTANDING
????)
-I can adjust the oxygen level on the flow meter to keep the clients oxygen saturation
greater than 94%. (UNDERSTANDING)
-The mask should cover only the mouth and leave the nose open for expiration.
(NOT
UNDERSTANDING)
-I should place the mask first over the nose and then cover the mouth. (UNDER-
STANDING)
11. NGN: Nurses Notes: 0400, the client is awake and alert but restless. He
states I am feeling extremely anxious right now. The client has decreased
breath sounds in the left lower lobe. His mucus membranes are dry. He has
a productive cough with thick, yellow secretions. His capillary refill is four
