2024 RN HESI EXIT EXAM NEXT GENERATION V4 ACTUAL EXAM ALL 160 QUESTIONS AND C
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The nurse is completing the admission B. Sluggish and unequal
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assessment of a 3-year old who is pupillary responses
admitted with bacterial meningitis and
DEFINITION
hydrocephalus. Which assessment finding
is evidence that the child is experiencing
increased intracranial pressure (ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary
responses
C. Increased head circumference and
bulging fontanels
D. Blood pressure fluctuations and
syncope
TERM
A client with acute pancreatitis is admitted A. Abdominal pain
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with severe, piercing abdominal pain and decreases when lying
an elevated serum amylase. Which supine
additional information is the client most
DEFINITION
likely to report to the nurse?
A. Abdominal pain decreases when lying
supine
,B. Pain lasts an hour and leaves the
abdomen tender
C. Right upper quadrant pain refers to right
scapula
D. Drinks alcohol until intoxicated at least
twice weekly.
TERM
A child newly diagnosed with sickle cell A. Instructions about how
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anemia (SCA) is being discharged from the much fluid the child should
hospital. Which information is most drink daily
important for the nurse to provide the
DEFINITION
parents prior to discharge?
A. Instructions about how much fluid the
child should drink daily.
B. Signs of addiction to opioid pain
medications
C. Information about non-pharmaceutical
pain relief measures
D. Referral for social services for the child
and family
TERM
To auscultate for a carotid bruit, the nurse I placed the red dot on the
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places the stethoscope at what location. base of the neck on the
(Select the location on the image with a right side
red dot).
DEFINITION
TERM
After receiving report on an inpatient D. The client with a bowel
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acute care unit, which client should the obstruction due to a
,nurse assess first? volvulus who is
A. The client with an obstruction of the experiencing abdominal
large intestine who is experiencing rigidity
abdominal distention
DEFINITION
B. The client who had surgery yesterday
and is experiencing a paralytic ileus with
absent bowel sounds
C. The client with a small bowel
obstruction who has a nasogastric tube
that is draining greenish fluid
D. The client with a bowel obstruction due
to a volvulus who is experiencing
abdominal rigidity
TERM
A teenager presents to the emergency D. Respiratory alkalosis
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department with palpitations after vaping
DEFINITION
at a party. The client is anxious, fearful, and
hyperventilating. The nurse anticipates the
client developing which acid base
imbalance?
A. Respiratory acidosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory alkalosis
TERM
A client with dyspnea is being admitted to Fowlers
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the medical unit. To best prepare for the
DEFINITION
client's arrival, the nurse should ensure that
the client's bed is in which position?
A. Supine
B. supine; feet elevated higher than head
C. supine; head elevated higher than feet
D. Fowlers
TERM
, The nurse is taking the blood pressure A. Frequent syncope
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measurement of a client with Parkinson's C. Flat affect
disease. Which information in the client's D. Blurred vision
admission assessment is relevant to the
DEFINITION
nurse's plan for taking the blood pressure
reading? (Select all the apply)
A. Frequent syncope
B. Occasional nocturia
C. Flat affect
D. Blurred vision
E. Frequent drooling
TERM
While caring for a client's postoperative B. Culture for sensitive
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dressing, the nurse observes purulent organisms
drainage at the wound. Before reporting
DEFINITION
this finding to the healthcare provider, the
nurse should review which of the client's
laboratory values?
A. Serum albumin
B. Culture for sensitive organisms
C. Serum blood glucose level
D. Creatinine level
TERM
A preschool-aged boy is admitted to the B. Ask the older brother
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pediatric unit following successful how he felt during the
resuscitation from a near-drowning incident
incident. While providing care to the child,
DEFINITION
the nurse begins talking with his
preadolescent brother who rescued the