HESI RN EXIT EXAM V1-V7 2025 / RN EXIT HESI EXAM V1, V2, V3, V4,
V5, V6, V7 CC: LATEST HESI RN EXIT EXAM TEST BANK| 500+
ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS
Following discharge teaching, a male patient with duodenal ulcer tells the nursing practitioner 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 patient that it is also important to switch to decaffeinated coffee and tea.
b. Suggest that the patient also plan to eat frequent small meals to reduce discomfort
c. Review with the patient the need to avoid foods that are rich in milk and cream.
d. Reinforce this teaching by asking the patient to list a dairy food that he might
select. Review with the patient the need to avoid foods that are rich in milk and
cream
Elaboration: Diets rich in milk and cream stimulate gastric acid secretion and should be avoided.
A male patient 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 nursing practitioner should stress that an elevated BP
places the patient at risk for which pathophysiological condition?
a. Blindness secondary to cataracts
b. Acute kidney injury due to glomerular damage
c. Stroke secondary to hemorrhage
d. Heart block due to myocardial damage
Stroke secondary to hemorrhage
Elaboration: Stroke related to cerebral hemorrhage is major risk for uncontrolled hypertension.
The nursing practitioner observes an unlicensed assistive personnel (UAP) positioning a newly admitted
patient who has a seizure disorder. The patient is supine and the UAP is placing soft pillows along the
side rails. What action should the nursing practitioner implement?
a. Ensure that the UAP has placed the pillows effectively to protect the patient.
,b. Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows.
c. Assume responsibility for placing the pillows while the UAP completes another task.
d. Ask the UAP to use some of the pillows to prop the patient in a side lying
position. Instruct the UAP to obtain soft blankets to secure to the side rails instead
of pillows
Elaboration: The nursing practitioner should instruct the UAP to pad the side rails with soft blankest
because the use of pillows could result in suffocation and would need to be removed at the onset of
the seizure. The nursing practitioner can delegate paddling the side rails to the UAP
An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for the past 12
days. Which assessment finding requires immediate follow-up
a. Describes life without purpose
b. Complains of nausea and loss of appetite
c. States is often fatigued and drowsy
d. Exhibits an increase in sweating.
Describes life without purpose
Elaboration: Cymbalta is a selective serotonin and norepinephrine reuptake inhibitor that is known to
increase the risk of suicidal thinking in adolescents and young adults with major depressive disorder. B,
C and D are side effects
A 60-year-old female patient with a positive family history of ovarian cancer has developed an abdominal
mass and is being evaluated for possible ovarian cancer. Her Papanicolau (Pap) smear results are
negative. What information should the nursing practitioner include in the patient's teaching plan
a. Further evaluation involving surgery may be needed
b. A pelvic exam is also needed before cancer is ruled out
c. Pap smear evaluation should be continued every six month
d. One additional negative pap smear in six months is needed.
Further evaluation involving surgery may be needed
Elaboration: An abdominal mass in a patient with a family history for ovarian cancer should be evaluated
carefully
,A patient who recently underwent a tracheostomy is being prepared for discharge to home. Which
instructions is most important for the nursing practitioner to include in the discharge plan?
a. Explain how to use communication tools.
b. Teach tracheal suctioning techniques
c. Encourage self-care and independence.
d. Demonstrate how to clean tracheostomy site.
Teach tracheal suctioning techniques
Elaboration: Suctioning helps to clear secretions and maintain an open airway, which is critical.
In assessing an adult patient with a partial rebreather mask, the nursing practitioner notes that the
oxygen reservoir bag does not deflate completely during inspiration and the patient's respiratory rate is
14 breaths / minute.
What action should the nursing practitioner implement
a. Encourage the patient to take deep breaths
b. Remove the mask to deflate the bag
c. Increase the liter flow of oxygen
d. Document the assessment data
Document the assessment data
Elaboration: reservoir bag should not deflate completely during inspiration and the patient's respiratory
rate is within normal limits.
During shift report, the central electrocardiogram (EKG) monitoring system alarms. Which patient alarm
should the nursing practitioner investigate first?
a. Respiratory apnea of 30 seconds
b. Oxygen saturation rate of 88%
c. Eight premature ventricular beats every minute
d. Disconnected monitor signal for the last 6 minutes.
Respiratory apnea of 30 seconds
Elaboration: The priority is the patient whose alarm indicating respiratory apnea that should be assessed
first.
During a home visit, the nursing practitioner observed an elderly patient with diabetes slip and fall.
What action should the nursing practitioner take first?
, a. Give the patient 4 ounces of orange juice
b. Call 911 to summon emergency assistance
c. Check the patient for lacerations or fractures
d. Asses patients blood sugar level
Check the patient for lacerations or fractures
Elaboration: After the patient falls, the nursing practitioner should immediately assess for the possibility
of injuries and provide first aid as needed
At 0600 while admitting a woman for a schedule repeat cesarean section (C-Section), the patient tells
the nursing practitioner that she drank a cup a coffee at 0400 because she wanted to avoid getting a
headache. Which action should the nursing practitioner 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 patient's
obstetrician. Inform the anesthesia
care provider
Elaboration: 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 nursing practitioner auscultates S1 and S2 heart
sounds. To determine if an S3 heart sound is present, what action should the nursing practitioner 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
Listen with the bell at the same location
Elaboration: The nursing practitioner uses the bell of the stethoscope to hear low-pitched sounds such
as S3 and S4. The nursing practitioner listens at the same site using the diaphragm the diaphragm and
bell before moving systematically to the next sites.
V5, V6, V7 CC: LATEST HESI RN EXIT EXAM TEST BANK| 500+
ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS
Following discharge teaching, a male patient with duodenal ulcer tells the nursing practitioner 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 patient that it is also important to switch to decaffeinated coffee and tea.
b. Suggest that the patient also plan to eat frequent small meals to reduce discomfort
c. Review with the patient the need to avoid foods that are rich in milk and cream.
d. Reinforce this teaching by asking the patient to list a dairy food that he might
select. Review with the patient the need to avoid foods that are rich in milk and
cream
Elaboration: Diets rich in milk and cream stimulate gastric acid secretion and should be avoided.
A male patient 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 nursing practitioner should stress that an elevated BP
places the patient at risk for which pathophysiological condition?
a. Blindness secondary to cataracts
b. Acute kidney injury due to glomerular damage
c. Stroke secondary to hemorrhage
d. Heart block due to myocardial damage
Stroke secondary to hemorrhage
Elaboration: Stroke related to cerebral hemorrhage is major risk for uncontrolled hypertension.
The nursing practitioner observes an unlicensed assistive personnel (UAP) positioning a newly admitted
patient who has a seizure disorder. The patient is supine and the UAP is placing soft pillows along the
side rails. What action should the nursing practitioner implement?
a. Ensure that the UAP has placed the pillows effectively to protect the patient.
,b. Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows.
c. Assume responsibility for placing the pillows while the UAP completes another task.
d. Ask the UAP to use some of the pillows to prop the patient in a side lying
position. Instruct the UAP to obtain soft blankets to secure to the side rails instead
of pillows
Elaboration: The nursing practitioner should instruct the UAP to pad the side rails with soft blankest
because the use of pillows could result in suffocation and would need to be removed at the onset of
the seizure. The nursing practitioner can delegate paddling the side rails to the UAP
An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for the past 12
days. Which assessment finding requires immediate follow-up
a. Describes life without purpose
b. Complains of nausea and loss of appetite
c. States is often fatigued and drowsy
d. Exhibits an increase in sweating.
Describes life without purpose
Elaboration: Cymbalta is a selective serotonin and norepinephrine reuptake inhibitor that is known to
increase the risk of suicidal thinking in adolescents and young adults with major depressive disorder. B,
C and D are side effects
A 60-year-old female patient with a positive family history of ovarian cancer has developed an abdominal
mass and is being evaluated for possible ovarian cancer. Her Papanicolau (Pap) smear results are
negative. What information should the nursing practitioner include in the patient's teaching plan
a. Further evaluation involving surgery may be needed
b. A pelvic exam is also needed before cancer is ruled out
c. Pap smear evaluation should be continued every six month
d. One additional negative pap smear in six months is needed.
Further evaluation involving surgery may be needed
Elaboration: An abdominal mass in a patient with a family history for ovarian cancer should be evaluated
carefully
,A patient who recently underwent a tracheostomy is being prepared for discharge to home. Which
instructions is most important for the nursing practitioner to include in the discharge plan?
a. Explain how to use communication tools.
b. Teach tracheal suctioning techniques
c. Encourage self-care and independence.
d. Demonstrate how to clean tracheostomy site.
Teach tracheal suctioning techniques
Elaboration: Suctioning helps to clear secretions and maintain an open airway, which is critical.
In assessing an adult patient with a partial rebreather mask, the nursing practitioner notes that the
oxygen reservoir bag does not deflate completely during inspiration and the patient's respiratory rate is
14 breaths / minute.
What action should the nursing practitioner implement
a. Encourage the patient to take deep breaths
b. Remove the mask to deflate the bag
c. Increase the liter flow of oxygen
d. Document the assessment data
Document the assessment data
Elaboration: reservoir bag should not deflate completely during inspiration and the patient's respiratory
rate is within normal limits.
During shift report, the central electrocardiogram (EKG) monitoring system alarms. Which patient alarm
should the nursing practitioner investigate first?
a. Respiratory apnea of 30 seconds
b. Oxygen saturation rate of 88%
c. Eight premature ventricular beats every minute
d. Disconnected monitor signal for the last 6 minutes.
Respiratory apnea of 30 seconds
Elaboration: The priority is the patient whose alarm indicating respiratory apnea that should be assessed
first.
During a home visit, the nursing practitioner observed an elderly patient with diabetes slip and fall.
What action should the nursing practitioner take first?
, a. Give the patient 4 ounces of orange juice
b. Call 911 to summon emergency assistance
c. Check the patient for lacerations or fractures
d. Asses patients blood sugar level
Check the patient for lacerations or fractures
Elaboration: After the patient falls, the nursing practitioner should immediately assess for the possibility
of injuries and provide first aid as needed
At 0600 while admitting a woman for a schedule repeat cesarean section (C-Section), the patient tells
the nursing practitioner that she drank a cup a coffee at 0400 because she wanted to avoid getting a
headache. Which action should the nursing practitioner 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 patient's
obstetrician. Inform the anesthesia
care provider
Elaboration: 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 nursing practitioner auscultates S1 and S2 heart
sounds. To determine if an S3 heart sound is present, what action should the nursing practitioner 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
Listen with the bell at the same location
Elaboration: The nursing practitioner uses the bell of the stethoscope to hear low-pitched sounds such
as S3 and S4. The nursing practitioner listens at the same site using the diaphragm the diaphragm and
bell before moving systematically to the next sites.
