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HESI RN Exit Exam II – Best Practice Questions with Rationales for Effective NCLEX Preparation

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This document contains Version II of the HESI RN Exit Exam, featuring some of the best practice questions tailored for NCLEX-RN preparation. Each question is carefully selected to reflect core nursing concepts and exam-style reasoning, with clear and informative rationales provided for every answer. Ideal for students aiming to strengthen their understanding and boost confidence before the final exam.

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Answer and Explanation
Question 1: Report an Issue


Report Wrong Answer
Choice A:

A: Assessing pupillary response to light
A client who is hypotensive is hourly is not related to dopamine
receiving dopamine, an adrenergic administration. Dopamine does not affect
agonist, IV at the rate of 8 the pupils or the cranial nerves that control
mcg/kg/min. Which intervention them.
should the nurse implement while
administering this medication? Choice B:
A. Assess pupillary response to light B: Initiating seizure precautions is not
hourly. 7%  necessary for a client receiving dopamine.
B. Initiate seizure precautions. 14% Dopamine does not lower the seizure
 threshold or cause convulsions.

C. Measure urinary output every
Choice C:
hour. 69% Most selected 
C: Measuring urinary output every hour is
D. Monitor serum potassium
an important intervention for a client
frequently. 8% 
receiving dopamine. Dopamine increases
blood pressure and cardiac output, which
improves renal perfusion and urine
production. Urinary output is an indicator
of the effectiveness of dopamine therapy
and renal function.

, Choice D:

D: Monitoring serum potassium frequently
is not directly related to dopamine
administration. Dopamine does not affect
potassium levels or cause hyperkalemia or
hypokalemia. However, potassium levels
may be affected by other factors such as
fluid balance, renal function, and
medications.



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Answer and Explanation
Question 2: Report an Issue


Report Wrong Answer
Choice A:
A: Assessing pupillary response to light hourly is
A client who is hypotensive is receiving not related to dopamine administration.
dopamine, an adrenergic agonist, IV at Dopamine does not affect the pupils or the
the rate of 8 mcg/kg/min. Which cranial nerves that control them.
intervention should the nurse
implement while administering this Choice B:
medication? B: Initiating seizure precautions is not necessary
for a client receiving dopamine. Dopamine does
A. Assess pupillary response to light not lower the seizure threshold or cause
hourly. 0%  convulsions.
B. Initiate seizure precautions. 2%
 Choice C:
C: Measuring urinary output every hour is an
important intervention for a client receiving

,C. Measure urinary output every dopamine. Dopamine increases blood pressure
hour. 94% Most selected  and cardiac output, which improves renal
perfusion and urine production. Urinary output is
D. Monitor serum potassium
an indicator of the effectiveness of dopamine
frequently. 1% 
therapy and renal function.


Choice D:
D: Monitoring serum potassium frequently is not
directly related to dopamine administration.
Dopamine does not affect potassium levels or
cause hyperkalemia or hypokalemia. However,
potassium levels may be affected by other
factors such as fluid balance, renal function, and
medications.




Discussion Section


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Answer and Explanation
Question 3: Report an Issue


Report Wrong Answer
Choice A:

A: Yellow-tinged sputum is not a serious
In caring for a client who is adverse effect of linezolid. It may indicate
receiving linezolid IV for nosocomial an infection or inflammation in the
pneumonia, which assessment respiratory tract, but it does not require
finding is most important for the immediate attention from the health care
nurse to report to the health care provider.
provider?

A. Yellow-tinged sputum 11%  Choice B:

B. Nausea and headache 11%  B: Nausea and headache are common
side effects of linezolid. They are usually
C. Watery diarrhea 68%
mild and self-limiting, and they can be
Most selected 
managed with supportive measures such
D. Increased fatigue 9%  as hydration, rest, and analgesics.


Choice C:

C: Watery diarrhea is a sign of
pseudomembranous colitis, a potentially

, life-threatening complication of linezolid. It
is caused by an overgrowth of Clostridium
difficile bacteria in the colon, which
produce toxins that damage the intestinal
mucosa. It can lead to dehydration,
electrolyte imbalance, sepsis, and
perforation. The nurse should report this
finding to the health care provider
immediately and stop the linezolid infusion.




Choice D:

D: Increased fatigue is not a specific or
serious adverse effect of linezolid. It may
be related to the underlying infection,
anemia, or other factors. It does not require
urgent intervention from the health care
provider.



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Answer and Explanation
Question 4: Report an Issue


Report Wrong Answer
Choice A:
A: Increasing oral fluids may help with hydration,
A male client reports to the on-call but it will not reduce skin flushing caused by
clinic nurse that he took two tablets of lisinopril. Lisinopril is an angiotensin-converting
10 mg lisinopril by mouth two hours enzyme (ACE. inhibitor that dilates blood vessels
ago and his skin now feels flushed. He and lowers blood pressure. Flushing occurs due
reports a history of stable angina, but to increased blood flow to the skin.
denies experiencing any chest pain at

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