HESI RN EXIT EXAM V2
QUESTIONS & CORRECT
ANSWERS (100%
COMPLETE)2024/2025
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
,A 3-year-old boy was successfully toilet trained prior to his admission to the hospital for
injuries 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
D. Children usually resume their toileting behaviors when they leave the hospital
In assessing a client at 34-weeks' gestation, the nurse notes that she has a slightly
elevated total T4 with a slightly enlarged thyroid, a hematocrit of 28%, a heart rate of 92
beats per minute, and a systolic murmur. Which finding requires follow-up?
Hematocrit of 28%.
,
When conducting diet teaching for a client who is on a postoperative full liquid diet,
which foods should the nurse encourage the client to eat? (Select all that apply.)
A) Lentils
B) Potato Soup
C) Tea
D) Cheese
E) Whole grain breads.
A) Lentils
B) Potato Soup
C) Tea
,The healthcare provider prescribes a sepsis protocol for a client with multi-organ failure
caused by a ruptured appendix. Which intervention is most important for the nurse to
include in the plan of care?
A. Assess warmth of extremities
B. Keep head of bed raised 45 degrees
C. Monitor blood glucose level
D. Maintain strict intake and output
D. Maintain strict intake and output
The nurse is caring for a client who develops signs and symptoms of septic shock
following aurinary tract infection one week ago. The healthcare provider prescribed a
sepsis protocol to beinitiated. Which intervention is MOST important for the nurse to
include in the plan of care?
a. Monitor blood glucose level
b. Keep head of bed raised 45, degrees
c. Maintain strict intake and output
d. Assess warmth of extremities
a. Monitor blood glucose level
A newborn girl is discovered to have congenital adrenal hyperplasia. When assessing
her, the nurse would expect to find which physical characteristic?
Enlarged clitoris
Explanation:Lack of production of cortisol by the adrenal gland leads to overproduction
of androgen. This leads to female infants developing an enlarged clitoris.
, ,
A client is receiving ophthalmic drops preoperatively for a cataract extraction and asks
the nurse why he is prescribed all these medications? SATA.
A) One of the medications is used to anesthetize the corneal surface.
B) The iris must be paralyzed during the surgery to prevent it from reacting to light.
C) Medication is used to induce sleep during the procedure.
D) Pupillary dilation is necessary to access the eye chamber for lens removal.
E) These meds assist in obstructing the client's vision during the surgery.
Ans: A, B, D
Cataract surgery is accessed through the cornea using eyelid retractors while the client
is awake. It is necessary to anesthetize the corneal surface (A), paralyze the ciliary body
(B), and provide pupil dilation (D)(mydriasis) to facilitate access to the lens which ties
behind the iris (posterior chamber of the anterior cavity). A sedative may be
administered to reduce anxiety but it is not used to induce sleep. (C) Cloudy vision may
be a side effect of these agents, but the client will still be able to see during the surgery
(E).
A male client presents to the clinic with large draining ulcers on his lower legs that are
characteristic of Kapok's sarcoma lesions. He is accompanied by two family members.
What actions should the nurse take?
A. Ask the family members to wear gloves when touching the client
B. Send family to the waiting area while the client's history is taken
C. Obtain a blood sample to determine of the client is HIV positive
D. Complete a head to toe assessment to identify other signs of HIV
B. Send family to the waiting area while the client's history is taken
To protect the client's privacy, the family members should be asked to wait outside
while the client's history is taken. Gloves should be worn when touching the client's
QUESTIONS & CORRECT
ANSWERS (100%
COMPLETE)2024/2025
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
,A 3-year-old boy was successfully toilet trained prior to his admission to the hospital for
injuries 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
D. Children usually resume their toileting behaviors when they leave the hospital
In assessing a client at 34-weeks' gestation, the nurse notes that she has a slightly
elevated total T4 with a slightly enlarged thyroid, a hematocrit of 28%, a heart rate of 92
beats per minute, and a systolic murmur. Which finding requires follow-up?
Hematocrit of 28%.
,
When conducting diet teaching for a client who is on a postoperative full liquid diet,
which foods should the nurse encourage the client to eat? (Select all that apply.)
A) Lentils
B) Potato Soup
C) Tea
D) Cheese
E) Whole grain breads.
A) Lentils
B) Potato Soup
C) Tea
,The healthcare provider prescribes a sepsis protocol for a client with multi-organ failure
caused by a ruptured appendix. Which intervention is most important for the nurse to
include in the plan of care?
A. Assess warmth of extremities
B. Keep head of bed raised 45 degrees
C. Monitor blood glucose level
D. Maintain strict intake and output
D. Maintain strict intake and output
The nurse is caring for a client who develops signs and symptoms of septic shock
following aurinary tract infection one week ago. The healthcare provider prescribed a
sepsis protocol to beinitiated. Which intervention is MOST important for the nurse to
include in the plan of care?
a. Monitor blood glucose level
b. Keep head of bed raised 45, degrees
c. Maintain strict intake and output
d. Assess warmth of extremities
a. Monitor blood glucose level
A newborn girl is discovered to have congenital adrenal hyperplasia. When assessing
her, the nurse would expect to find which physical characteristic?
Enlarged clitoris
Explanation:Lack of production of cortisol by the adrenal gland leads to overproduction
of androgen. This leads to female infants developing an enlarged clitoris.
, ,
A client is receiving ophthalmic drops preoperatively for a cataract extraction and asks
the nurse why he is prescribed all these medications? SATA.
A) One of the medications is used to anesthetize the corneal surface.
B) The iris must be paralyzed during the surgery to prevent it from reacting to light.
C) Medication is used to induce sleep during the procedure.
D) Pupillary dilation is necessary to access the eye chamber for lens removal.
E) These meds assist in obstructing the client's vision during the surgery.
Ans: A, B, D
Cataract surgery is accessed through the cornea using eyelid retractors while the client
is awake. It is necessary to anesthetize the corneal surface (A), paralyze the ciliary body
(B), and provide pupil dilation (D)(mydriasis) to facilitate access to the lens which ties
behind the iris (posterior chamber of the anterior cavity). A sedative may be
administered to reduce anxiety but it is not used to induce sleep. (C) Cloudy vision may
be a side effect of these agents, but the client will still be able to see during the surgery
(E).
A male client presents to the clinic with large draining ulcers on his lower legs that are
characteristic of Kapok's sarcoma lesions. He is accompanied by two family members.
What actions should the nurse take?
A. Ask the family members to wear gloves when touching the client
B. Send family to the waiting area while the client's history is taken
C. Obtain a blood sample to determine of the client is HIV positive
D. Complete a head to toe assessment to identify other signs of HIV
B. Send family to the waiting area while the client's history is taken
To protect the client's privacy, the family members should be asked to wait outside
while the client's history is taken. Gloves should be worn when touching the client's
