RN HESI EXIT HESI EXIT RN EXAM VERSION 6(V6) RE
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AL ACTUAL &AUTHENTIC EXAM QUESTIONS WITH C
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ORRECT ANSWERS P P
1. A mother runs into the emergency department with a toddler in her arms and
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tells the nurse that her child got into some cleaning products. the child smells
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of chemicals on the hands, face, and on the front of the child's clothes. after
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ensuring the airway is patent, what action should the nurse implement first?
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a. Assess the child for altered sensorium
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b. Determine type of chemical exposure
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c. Obtain equipment for gastric lavage
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d. Call poison control emergency number - CORRECT ANSWER-
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b. Determine type of chemical exposure
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2. Which conditions are most likely to respond to treatment with
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antihistamines? Select all that apply. p p p p
a. Bronchitis
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b. Allergic rhinitis
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c. Otitis media
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d. Contact dermatitis
p p
e. Myocarditis - CORRECT ANSWER-b. Allergic rhinitis
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d. Contact dermatitis
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3. An older client's daughter calls the home health nurse and reports that her
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,mother has become forgetful and is very confused at night. The daughter
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states that her mother's behavior changed suddenly a few days ago and is
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now getting worse. Which action should the nurse take? Select all that apply.
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a. Ask if the mother is experiencing any pain with urination
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b. Encourage increased intake of high protein foods
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c. Instruct the daughter to check her mother's temperature
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d. Review the client's current food and medication allergies
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e. Determine if the mother has recently experienced a fall - CORRECT ANSWER-
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a. Ask if the mother is experiencing any pain with urination
p p p p p p p p p p
c. Instruct the daughter to check her mother's temperature
p p p p p p p p
e. Determine if the mother has recently experienced a fall
p p p p p p p p p
4. The nurse is assessing a male with a history of Addison's disease. The client
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has flu-like symptoms and nausea with vomiting over the past week. The
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client's spouse reports that he acted confused and was extremely weak when
p p p p p p p p p p p
he awoke this morning. The client is febrile and has tachycardia. The health
p p p p p p p p p p p p
care provider diagnoses acute adrenal insufficiency. Which medication will
p p p p p p p p
most likely be prescribed?
p p p
a. Hypertonic saline solution at 100 ml/hr until all edema disappears
p p p p p p p p p p
b. Hydrocortisone 100 mg IV every six hours until systolic BP reaches 110
p p p p p p p p p p p p
mmHg
c. Potassium chloride 20 mEq IV to infuse over 2 hours until confusion
p p p p p p p p p p p p
resolves
d. Regular insulin drip to keep blood glucose around 100 mg/dl (5.55
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,mmol/L) - CORRECT ANSWER- p p p
b. Hydrocortisone 100 mg IV every six hours until systolic BP reaches 110
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mmHg
5. A client with a history of mitral valve prolapse is admitted because of fever
p p p p p p p p p p p p p p
and dyspnea on exertion, and is diagnosed with acute infective endocarditis.
p p p p p p p p p p
During the admission assessment, the nurse observes multiple areas of
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petechiae on the client's skin. Which intervention should the nurse include in
p p p p p p p p p p p
the client's plan of care? Select all that apply.
p p p p p p p p
a. Monitor cardiac rhythm via telemetry
p p p p p
b. Report changes in pre-existing murmurs
p p p p p
c. Schedule rest periods between activities
p p p p p
d. Maintain record of fluid intake and output
p p p p p p p
e. Initiate contact transmission precautions - CORRECT ANSWER-
p p p p p p p
a. Monitor cardiac rhythm via telemetry
p p p p p
b. Report changes in pre-existing murmurs
p p p p p
6. The nurse is planning an educational session for new parents on ways to
p p p p p p p p p p p p p
prevent sudden infant death syndrome (SIDS). Which information is most
p p p p p p p p p
important to provide parents of newborns and infants?
p p p p p p p
a. Remove pillows and soft toys from the crib at bedtime
p p p p p p p p p p
b. Keep a bulb syringe accessible for use for an infant
p p p p p p p p p p
c. Position the infant in a supine position while sleeping
p p p p p p p p p
d. Do not prop bottles for an infant during naps and bedtime - CORRECT ANSWER-
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c. Position the infant in a supine position while sleeping
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, 7. The healthcare provider prescribes methylergonovine maleate for a
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postpartum client with uterine atony. What findings should indicate to the
p p p p p p p p p p
nurse to withhold the next dose of medication?
p p p p p p p
a. Hypertension
p
b. Difficulty locating the uterine fundus
p p p p p
c. Saturation of more than one pad per hour
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d. Excessive lochia - CORRECT ANSWER-a. Hypertension
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8. The nurse notes that an older adult client has a moist cough that increases in
p p p p p p p p p p p p p p p
severity during and after meals. Based on this finding, which action should
p p p p p p p p p p p
the nurse take?
p p
a. Collect a sputum specimen immediately
p p p p p
b. Request a consultation to confirm dysphasia
p p p p p p
c. Offer the client additional clear liquids frequently
p p p p p p p
d. Encourage the client to do deep breathing exercises daily - CORRECT ANSWER-
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b. Request a consultation to confirm dysphasia
p p p p p p
9. A multiparous client who delivered her infant 3 hours ago asks the nurse if
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she can take a warm sitz bath because it helped reduce perennial pain after
p p p p p p p p p p p p p
her last delivery. What action should the nurse implement?
p p p p p p p p
a. Using analgesic spray to the perennial area to reduce pain
p p p p p p p p p p
b. Apply an ice pack to the perineum for the first 24 hours
p p p p p p p p p p p p
c. Teach the client how to practice Kegel exercises
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P P P P P P P P P
AL ACTUAL &AUTHENTIC EXAM QUESTIONS WITH C
P P P P P P
ORRECT ANSWERS P P
1. A mother runs into the emergency department with a toddler in her arms and
p p p p p p p p p p p p p p
tells the nurse that her child got into some cleaning products. the child smells
p p p p p p p p p p p p p
of chemicals on the hands, face, and on the front of the child's clothes. after
p p p p p p p p p p p p p p
ensuring the airway is patent, what action should the nurse implement first?
p p p p p p p p p p p
a. Assess the child for altered sensorium
p p p p p p
b. Determine type of chemical exposure
p p p p p
c. Obtain equipment for gastric lavage
p p p p p
d. Call poison control emergency number - CORRECT ANSWER-
p p p p p p p p
b. Determine type of chemical exposure
p p p p p
2. Which conditions are most likely to respond to treatment with
p p p p p p p p p p
antihistamines? Select all that apply. p p p p
a. Bronchitis
p
b. Allergic rhinitis
p p
c. Otitis media
p p
d. Contact dermatitis
p p
e. Myocarditis - CORRECT ANSWER-b. Allergic rhinitis
p p p p p p
d. Contact dermatitis
p p
3. An older client's daughter calls the home health nurse and reports that her
p p p p p p p p p p p p p
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,mother has become forgetful and is very confused at night. The daughter
p p p p p p p p p p p
states that her mother's behavior changed suddenly a few days ago and is
p p p p p p p p p p p p
now getting worse. Which action should the nurse take? Select all that apply.
p p p p p p p p p p p p
a. Ask if the mother is experiencing any pain with urination
p p p p p p p p p p
b. Encourage increased intake of high protein foods
p p p p p p p
c. Instruct the daughter to check her mother's temperature
p p p p p p p p
d. Review the client's current food and medication allergies
p p p p p p p p
e. Determine if the mother has recently experienced a fall - CORRECT ANSWER-
p p p p p p p p p p p p
a. Ask if the mother is experiencing any pain with urination
p p p p p p p p p p
c. Instruct the daughter to check her mother's temperature
p p p p p p p p
e. Determine if the mother has recently experienced a fall
p p p p p p p p p
4. The nurse is assessing a male with a history of Addison's disease. The client
p p p p p p p p p p p p p p
has flu-like symptoms and nausea with vomiting over the past week. The
p p p p p p p p p p p
client's spouse reports that he acted confused and was extremely weak when
p p p p p p p p p p p
he awoke this morning. The client is febrile and has tachycardia. The health
p p p p p p p p p p p p
care provider diagnoses acute adrenal insufficiency. Which medication will
p p p p p p p p
most likely be prescribed?
p p p
a. Hypertonic saline solution at 100 ml/hr until all edema disappears
p p p p p p p p p p
b. Hydrocortisone 100 mg IV every six hours until systolic BP reaches 110
p p p p p p p p p p p p
mmHg
c. Potassium chloride 20 mEq IV to infuse over 2 hours until confusion
p p p p p p p p p p p p
resolves
d. Regular insulin drip to keep blood glucose around 100 mg/dl (5.55
p p p p p p p p p p p
RNpHESIpEXITpHESIpExitpRNpExampVersionp6(V6)pRealpActualp&AuthenticpExampQUESTIONSpWITHpCORREC
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,mmol/L) - CORRECT ANSWER- p p p
b. Hydrocortisone 100 mg IV every six hours until systolic BP reaches 110
p p p p p p p p p p p p
mmHg
5. A client with a history of mitral valve prolapse is admitted because of fever
p p p p p p p p p p p p p p
and dyspnea on exertion, and is diagnosed with acute infective endocarditis.
p p p p p p p p p p
During the admission assessment, the nurse observes multiple areas of
p p p p p p p p p
petechiae on the client's skin. Which intervention should the nurse include in
p p p p p p p p p p p
the client's plan of care? Select all that apply.
p p p p p p p p
a. Monitor cardiac rhythm via telemetry
p p p p p
b. Report changes in pre-existing murmurs
p p p p p
c. Schedule rest periods between activities
p p p p p
d. Maintain record of fluid intake and output
p p p p p p p
e. Initiate contact transmission precautions - CORRECT ANSWER-
p p p p p p p
a. Monitor cardiac rhythm via telemetry
p p p p p
b. Report changes in pre-existing murmurs
p p p p p
6. The nurse is planning an educational session for new parents on ways to
p p p p p p p p p p p p p
prevent sudden infant death syndrome (SIDS). Which information is most
p p p p p p p p p
important to provide parents of newborns and infants?
p p p p p p p
a. Remove pillows and soft toys from the crib at bedtime
p p p p p p p p p p
b. Keep a bulb syringe accessible for use for an infant
p p p p p p p p p p
c. Position the infant in a supine position while sleeping
p p p p p p p p p
d. Do not prop bottles for an infant during naps and bedtime - CORRECT ANSWER-
p p p p p p p p p p p p p p
c. Position the infant in a supine position while sleeping
p p p p p p p p p
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, 7. The healthcare provider prescribes methylergonovine maleate for a
p p p p p p p p
postpartum client with uterine atony. What findings should indicate to the
p p p p p p p p p p
nurse to withhold the next dose of medication?
p p p p p p p
a. Hypertension
p
b. Difficulty locating the uterine fundus
p p p p p
c. Saturation of more than one pad per hour
p p p p p p p p
d. Excessive lochia - CORRECT ANSWER-a. Hypertension
p p p p p p
8. The nurse notes that an older adult client has a moist cough that increases in
p p p p p p p p p p p p p p p
severity during and after meals. Based on this finding, which action should
p p p p p p p p p p p
the nurse take?
p p
a. Collect a sputum specimen immediately
p p p p p
b. Request a consultation to confirm dysphasia
p p p p p p
c. Offer the client additional clear liquids frequently
p p p p p p p
d. Encourage the client to do deep breathing exercises daily - CORRECT ANSWER-
p p p p p p p p p p p p
b. Request a consultation to confirm dysphasia
p p p p p p
9. A multiparous client who delivered her infant 3 hours ago asks the nurse if
p p p p p p p p p p p p p p
she can take a warm sitz bath because it helped reduce perennial pain after
p p p p p p p p p p p p p
her last delivery. What action should the nurse implement?
p p p p p p p p
a. Using analgesic spray to the perennial area to reduce pain
p p p p p p p p p p
b. Apply an ice pack to the perineum for the first 24 hours
p p p p p p p p p p p p
c. Teach the client how to practice Kegel exercises
p p p p p p p p
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