HESI EXIT RN V1–V7 WITH NGN-STYLE QUESTIONS
1. Which of the following actions should the nurse take first for a client who has fallen and
has poor skin turgor, dry mucous membranes, and a blood pressure of 102/80 mm Hg?
A. Prepare to administer intravenous fluids
B. Check the client’s potassium level
C. Monitor vital signs every hour
Answer: A
2. A client who gave birth for the first time 12 hr ago asks the nurse how she will know if
her infant is receiving sufficient breast milk. Which of the following responses should the
nurse make?
A. “Your baby should wet six to eight diapers each day.”
B. “Make sure you insert at least one finger between the breast and your baby's mouth.”
C. “Next you’ll start offering him small amounts of cereal with breast milk.”
D. “He will stay on each breast for about 10 minutes if you are producing enough breast
milk.”
Answer: A
3. A nurse is collecting data from a newborn who is small for gestational age. Which of the
following locations should the nurse measure blood glucose?
A. Heel
B. Finger
C. Toe
D. Palm
Answer: A
4. A nurse is caring for a client who has heart failure and has received education on
prescribed medications. Which of the following statements by the client should indicate
to the nurse the need for further teaching?
A. “I’ll take the furosemide in the morning.”
B. “I won’t have to be on a fluid restriction while I’m taking digoxin.”
C. “My blood samples need to be drawn periodically for the prescribed warfarin.”
D. “The orthostatic hypotension from the lisinopril will go away over time.”
Answer: B
5. A nurse is assessing a client who has major depressive disorder. Which of the following
findings should the nurse expect?
A. Grandiosity
B. Anhedonia
C. Pressured speech
D. Flight of ideas
Answer: B
6. A nurse is reinforcing teaching with a client who has multiple sclerosis and a new
prescription for baclofen. Which of the following instructions should the nurse include?
A. Take an antacid 30 minutes before each dose
B. Discontinue the medication immediately for tremors
C. Avoid driving until the drug’s effects are known
, D. Limit fluid intake while on this medication
Answer: C
7. A nurse is caring for a client who has acute pancreatitis. Which of the following lab
findings should the nurse expect?
A. Increased serum amylase
B. Decreased erythrocyte sedimentation rate (ESR)
C. Decreased white blood cell count
D. Increased serum calcium
Answer: A
8. A nurse is evaluating a client who is undergoing chemotherapy and receiving filgrastim.
Which of the following lab findings should indicate the treatment is effective?
A. Increased hemoglobin
B. Increased neutrophil count
C. Increased platelet count
D. Increased hematocrit
Answer: B
9. A nurse is assessing a 4-month-old infant at a well-child visit. Which of the following
motor activities should the nurse expect?
A. Uses pincer grasp
B. Rolls from back to side
C. Transfers objects hand to hand
D. Sits unsupported
Answer: B
10. A nurse is caring for a client with chronic kidney disease. Which of the following dietary
instructions should the nurse include?
A. Increase potassium-rich foods
B. Limit fluid intake
C. Increase protein intake
D. Avoid carbohydrate-rich meals
Answer: B
11. A nurse is teaching a client about warfarin therapy. Which of the following foods should
the nurse instruct the client to avoid?
A. Spinach
B. Bananas
C. Milk
D. Apples
Answer: A
12. A nurse is preparing to administer an enteral feeding via NG tube. Which of the
following actions should the nurse take first?
A. Verify the placement of the tube
B. Warm the formula
C. Flush the tube with water
D. Elevate the head of the bed
Answer: A
13. A nurse is caring for a client who is 4 hr postoperative following abdominal surgery.
Which of the following findings should the nurse report to the provider?
, A. BP 118/76 mm Hg
B. Urine output 15 mL/hr
C. Respiratory rate 16/min
D. Pain rating 4 on a 0–10 scale
Answer: B
14. A nurse is assessing a client who is receiving morphine via PCA pump. Which of the
following findings should the nurse identify as the priority?
A. Respiratory rate of 8/min
B. Client reports nausea
C. Urinary output 200 mL in 8 hr
D. Client is drowsy
Answer: A
15. A nurse is caring for a client who has a new ileostomy. Which of the following findings
should the nurse report to the provider?
A. Liquid stool output
B. Stoma that protrudes 2 cm
C. Pink and moist stoma
D. Purple-colored stoma
Answer: D
16. A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD).
Which of the following oxygen delivery devices should the nurse use to administer
precise amounts of oxygen?
A. Venturi mask
B. Simple face mask
C. Nasal cannula
D. Non-rebreather mask
Answer: A
17. A nurse is reviewing the lab results of a client who has diabetes mellitus. Which of the
following findings indicates a need for insulin therapy adjustment?
A. HbA1c 9.0%
B. Sodium 138 mEq/L
C. Potassium 4.2 mEq/L
D. Total cholesterol 180 mg/dL
Answer: A
18. A nurse is reinforcing discharge teaching with a client who has a new prescription for
digoxin. Which of the following statements by the client indicates understanding?
A. “I will check my pulse before taking the medication.”
B. “I will take a double dose if I miss one.”
C. “This medication will increase my blood pressure.”
D. “I can stop the medication once I feel better.”
Answer: A
19. A nurse is preparing to administer insulin to a client. Which of the following actions
should the nurse take to prevent lipodystrophy?
A. Rotate injection sites
B. Massage the injection site
C. Administer insulin at room temperature
1. Which of the following actions should the nurse take first for a client who has fallen and
has poor skin turgor, dry mucous membranes, and a blood pressure of 102/80 mm Hg?
A. Prepare to administer intravenous fluids
B. Check the client’s potassium level
C. Monitor vital signs every hour
Answer: A
2. A client who gave birth for the first time 12 hr ago asks the nurse how she will know if
her infant is receiving sufficient breast milk. Which of the following responses should the
nurse make?
A. “Your baby should wet six to eight diapers each day.”
B. “Make sure you insert at least one finger between the breast and your baby's mouth.”
C. “Next you’ll start offering him small amounts of cereal with breast milk.”
D. “He will stay on each breast for about 10 minutes if you are producing enough breast
milk.”
Answer: A
3. A nurse is collecting data from a newborn who is small for gestational age. Which of the
following locations should the nurse measure blood glucose?
A. Heel
B. Finger
C. Toe
D. Palm
Answer: A
4. A nurse is caring for a client who has heart failure and has received education on
prescribed medications. Which of the following statements by the client should indicate
to the nurse the need for further teaching?
A. “I’ll take the furosemide in the morning.”
B. “I won’t have to be on a fluid restriction while I’m taking digoxin.”
C. “My blood samples need to be drawn periodically for the prescribed warfarin.”
D. “The orthostatic hypotension from the lisinopril will go away over time.”
Answer: B
5. A nurse is assessing a client who has major depressive disorder. Which of the following
findings should the nurse expect?
A. Grandiosity
B. Anhedonia
C. Pressured speech
D. Flight of ideas
Answer: B
6. A nurse is reinforcing teaching with a client who has multiple sclerosis and a new
prescription for baclofen. Which of the following instructions should the nurse include?
A. Take an antacid 30 minutes before each dose
B. Discontinue the medication immediately for tremors
C. Avoid driving until the drug’s effects are known
, D. Limit fluid intake while on this medication
Answer: C
7. A nurse is caring for a client who has acute pancreatitis. Which of the following lab
findings should the nurse expect?
A. Increased serum amylase
B. Decreased erythrocyte sedimentation rate (ESR)
C. Decreased white blood cell count
D. Increased serum calcium
Answer: A
8. A nurse is evaluating a client who is undergoing chemotherapy and receiving filgrastim.
Which of the following lab findings should indicate the treatment is effective?
A. Increased hemoglobin
B. Increased neutrophil count
C. Increased platelet count
D. Increased hematocrit
Answer: B
9. A nurse is assessing a 4-month-old infant at a well-child visit. Which of the following
motor activities should the nurse expect?
A. Uses pincer grasp
B. Rolls from back to side
C. Transfers objects hand to hand
D. Sits unsupported
Answer: B
10. A nurse is caring for a client with chronic kidney disease. Which of the following dietary
instructions should the nurse include?
A. Increase potassium-rich foods
B. Limit fluid intake
C. Increase protein intake
D. Avoid carbohydrate-rich meals
Answer: B
11. A nurse is teaching a client about warfarin therapy. Which of the following foods should
the nurse instruct the client to avoid?
A. Spinach
B. Bananas
C. Milk
D. Apples
Answer: A
12. A nurse is preparing to administer an enteral feeding via NG tube. Which of the
following actions should the nurse take first?
A. Verify the placement of the tube
B. Warm the formula
C. Flush the tube with water
D. Elevate the head of the bed
Answer: A
13. A nurse is caring for a client who is 4 hr postoperative following abdominal surgery.
Which of the following findings should the nurse report to the provider?
, A. BP 118/76 mm Hg
B. Urine output 15 mL/hr
C. Respiratory rate 16/min
D. Pain rating 4 on a 0–10 scale
Answer: B
14. A nurse is assessing a client who is receiving morphine via PCA pump. Which of the
following findings should the nurse identify as the priority?
A. Respiratory rate of 8/min
B. Client reports nausea
C. Urinary output 200 mL in 8 hr
D. Client is drowsy
Answer: A
15. A nurse is caring for a client who has a new ileostomy. Which of the following findings
should the nurse report to the provider?
A. Liquid stool output
B. Stoma that protrudes 2 cm
C. Pink and moist stoma
D. Purple-colored stoma
Answer: D
16. A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD).
Which of the following oxygen delivery devices should the nurse use to administer
precise amounts of oxygen?
A. Venturi mask
B. Simple face mask
C. Nasal cannula
D. Non-rebreather mask
Answer: A
17. A nurse is reviewing the lab results of a client who has diabetes mellitus. Which of the
following findings indicates a need for insulin therapy adjustment?
A. HbA1c 9.0%
B. Sodium 138 mEq/L
C. Potassium 4.2 mEq/L
D. Total cholesterol 180 mg/dL
Answer: A
18. A nurse is reinforcing discharge teaching with a client who has a new prescription for
digoxin. Which of the following statements by the client indicates understanding?
A. “I will check my pulse before taking the medication.”
B. “I will take a double dose if I miss one.”
C. “This medication will increase my blood pressure.”
D. “I can stop the medication once I feel better.”
Answer: A
19. A nurse is preparing to administer insulin to a client. Which of the following actions
should the nurse take to prevent lipodystrophy?
A. Rotate injection sites
B. Massage the injection site
C. Administer insulin at room temperature
