HESI RN EXIT EXAM VERSION 2 TEST BANK
HESI RN EXIT EXAM VERSION 2 TEST BANK FEATURING
UPDATED QUESTIONS AND VERIFIED ANSWERS ALIGNED
WITH CURRENT NCLEX-RN STANDARDS AND CLINICAL
PRACTICE GUIDELINES.
An older adult male who is in his early 70s admitted to the emergency department because of a
COPD exacerbation. The client is struggling to breath and the healthcare team is preparing for
endotracheal intubation. The spouse's wife, who is 30 years younger than the client, asks the
nurse to stop the procedure and provides the nurse a copy of the client's living will. Which
action should the nurse take?
A. Facilitate a family meeting with the palliative care team
B. Notify the healthcare provider of the client's wishes
C. Place a certified copy of the living will in the client's record
D. Alert the nursing staff of the client's do not resuscitate status - ANSWER-B. Notify the
healthcare provider of the client's wishes
While caring for a toddler receiving oxygen via face mask, the nurse observes that the child's
lips and nares are dry and cracked. Which intervention should the nurse implement?
A. Use a topical lidocaine analgesic for cracked lips
B. Use a water soluble lubricant on affected oral and nasal mucosa
C. Ask the mother what she usually uses on the child's lips and nose
D. Apply a petroleum jelly to the child's lips and nose - ANSWER-B. Use a water soluble lubricant
on affected oral and nasal mucosa
An unlicensed assistive personnel (UAP) is assigned to provide personal care for a client who's
prescribed activity is bedrest with bedside commode use. The UAP reports to the nurse that the
client is so obese that the UAP feels unable to safely assist the client in transferring from the
bed to the bedside commode. How should the nurse respond?
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, HESI RN EXIT EXAM VERSION 2 TEST BANK
A. Determine the client's level of mobility and need for assistance
B. Instruct the UAP that all clients deserve equal care
C. Advise the client to maintain bedrest so that safety can be ensured
D. Assign another UAP to care for the client - ANSWER-A. Determine the client's level of mobility
and need for assistance
Which information is most important for the nurse to obtain when determining a client's risk for
obstructive sleep apnea syndrome (OSAS)?
A. Body mass index
B. Breath sounds
C. Self-description of pain
D. Level of consciousness - ANSWER-A. Body mass index
The nurse is caring for a client who is entering the second stage of labor. Which action should
the nurse implement first?
A. Prepare the client for spinal anesthesia
B. Empty the client's bladder using a straight catheter
C. Convey to the client that birth is imminent
D. Prepare the coach to accompany the client to delivery - ANSWER-C. Convey to the client that
birth is imminent
A nurse determines that more than 25% of the students at a middle school are overweight. The
nurse presents the information at a parent-teacher meeting. What action is most important for
the nurse to include in the meeting?
A. Provide information on ways to increase activity for the family
B. Have several teachers talk about health risks associated with obesity
C. Distribute a shopping list of suggested healthy snack ideas
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, HESI RN EXIT EXAM VERSION 2 TEST BANK
D. Determine the parents' degree of concern - ANSWER-A. Provide information on ways to
increase activity for the family
The nurse is assigning rooms for four clients, each newly diagnosed, and being admitted to the
acute neuro unit for treatment. The client with which condition should be assigned the only
private room available?
A. Bacterial meningitis
B. Viral encephalitis
C. Septic shock
D. Brain abscess - ANSWER-A. Bacterial meningitis
A male client on the psychiatric unit is making sexual advances towards a female nurse. Which
action should this nurse implement first?
A. Document as specifically as possible the client's behavior in the nurse's notes
B. Discuss with the client why he is making sexual advances toward the nurse
C. Tell the client in a matter-of-fact manner to stop the sexual advances
D. Request an immediate team meeting to discuss the inappropriate behavior - ANSWER-C. Tell
the client in a matter-of-fact manner to stop the sexual advances
After several months of chronic fatigue, morning stiffness, and joint pain, a young adult is
diagnosed with rheumatoid arthritis, and the healthcare provider prescribes prednisone. Which
education should the nurse provide the client with regard to taking prednisone?
A. Take prednisone doses before meals on an empty stomach
B. Wear sunglasses when exposed to bring sunlight
C. If sequential doses are missed, notify the healthcare provider
D. Schedule a monthly laboratory visit for a complete blood count - ANSWER-C. If sequential
doses are missed, notify the healthcare provider
3|Page
, HESI RN EXIT EXAM VERSION 2 TEST BANK
The nurse is caring for four clients. Client A, who has emphysema and whose oxygen saturation
is 94%; Client B, with a postoperative hemoglobin of 8.2 mg/dL; Client C, newly admitted with a
potassium level of 3.8 mEq/L; and Client D, scheduled for an appendectomy who has a white
blood cell count of 14,000 mm3. Which intervention should the nurse implement?
A. Move Client D into an isolation room 24 hours before surgery
B. Increase Client A's oxygen to 4 liters a minute per cannula
C. Ask the dietician to add a banana to Client C's breakfast tray
D. Verify that Client B has two units of packed cells available - ANSWER-D. Verify that Client B
has two units of packed cells available
Which laboratory results should the nurse closely monitor in a client who has end-stage renal
disease (ESRD)?
A. Leukocytes, neutrophils, and thyroxine
B. Serum potassium, calcium, and phosphorus
C. Blood pressure, heart rate, and temperatue
D. Erythrocytes, hemoglobin, and hematocrit - ANSWER-B. Serum potassium, calcium, and
phosphorus
The psychiatric nurse is caring for clients on an adolescent unit. Which client requires the
nurse's immediate action?
A. A 16-year-old client diagnosed with major depression who refuses to participate in group
B. A 14-year-old with anorexia nervosa who is refusing to eat the evening snack
C. An 18-year-old client with antisocial behavior who is being yelled at by other clients
D. A 17-year-old client diagnosed with bipolar disorder who is pacing around the lobby -
ANSWER-C. An 18-year-old client with antisocial behavior who is being yelled at by other clients
An older male was recently admitted to the rehabilitation unit with unilateral neglect syndrome
as the result of a cerebrovascular accident (CVA). Which action should the nurse include in the
plan of care?
4|Page
HESI RN EXIT EXAM VERSION 2 TEST BANK FEATURING
UPDATED QUESTIONS AND VERIFIED ANSWERS ALIGNED
WITH CURRENT NCLEX-RN STANDARDS AND CLINICAL
PRACTICE GUIDELINES.
An older adult male who is in his early 70s admitted to the emergency department because of a
COPD exacerbation. The client is struggling to breath and the healthcare team is preparing for
endotracheal intubation. The spouse's wife, who is 30 years younger than the client, asks the
nurse to stop the procedure and provides the nurse a copy of the client's living will. Which
action should the nurse take?
A. Facilitate a family meeting with the palliative care team
B. Notify the healthcare provider of the client's wishes
C. Place a certified copy of the living will in the client's record
D. Alert the nursing staff of the client's do not resuscitate status - ANSWER-B. Notify the
healthcare provider of the client's wishes
While caring for a toddler receiving oxygen via face mask, the nurse observes that the child's
lips and nares are dry and cracked. Which intervention should the nurse implement?
A. Use a topical lidocaine analgesic for cracked lips
B. Use a water soluble lubricant on affected oral and nasal mucosa
C. Ask the mother what she usually uses on the child's lips and nose
D. Apply a petroleum jelly to the child's lips and nose - ANSWER-B. Use a water soluble lubricant
on affected oral and nasal mucosa
An unlicensed assistive personnel (UAP) is assigned to provide personal care for a client who's
prescribed activity is bedrest with bedside commode use. The UAP reports to the nurse that the
client is so obese that the UAP feels unable to safely assist the client in transferring from the
bed to the bedside commode. How should the nurse respond?
1|Page
, HESI RN EXIT EXAM VERSION 2 TEST BANK
A. Determine the client's level of mobility and need for assistance
B. Instruct the UAP that all clients deserve equal care
C. Advise the client to maintain bedrest so that safety can be ensured
D. Assign another UAP to care for the client - ANSWER-A. Determine the client's level of mobility
and need for assistance
Which information is most important for the nurse to obtain when determining a client's risk for
obstructive sleep apnea syndrome (OSAS)?
A. Body mass index
B. Breath sounds
C. Self-description of pain
D. Level of consciousness - ANSWER-A. Body mass index
The nurse is caring for a client who is entering the second stage of labor. Which action should
the nurse implement first?
A. Prepare the client for spinal anesthesia
B. Empty the client's bladder using a straight catheter
C. Convey to the client that birth is imminent
D. Prepare the coach to accompany the client to delivery - ANSWER-C. Convey to the client that
birth is imminent
A nurse determines that more than 25% of the students at a middle school are overweight. The
nurse presents the information at a parent-teacher meeting. What action is most important for
the nurse to include in the meeting?
A. Provide information on ways to increase activity for the family
B. Have several teachers talk about health risks associated with obesity
C. Distribute a shopping list of suggested healthy snack ideas
2|Page
, HESI RN EXIT EXAM VERSION 2 TEST BANK
D. Determine the parents' degree of concern - ANSWER-A. Provide information on ways to
increase activity for the family
The nurse is assigning rooms for four clients, each newly diagnosed, and being admitted to the
acute neuro unit for treatment. The client with which condition should be assigned the only
private room available?
A. Bacterial meningitis
B. Viral encephalitis
C. Septic shock
D. Brain abscess - ANSWER-A. Bacterial meningitis
A male client on the psychiatric unit is making sexual advances towards a female nurse. Which
action should this nurse implement first?
A. Document as specifically as possible the client's behavior in the nurse's notes
B. Discuss with the client why he is making sexual advances toward the nurse
C. Tell the client in a matter-of-fact manner to stop the sexual advances
D. Request an immediate team meeting to discuss the inappropriate behavior - ANSWER-C. Tell
the client in a matter-of-fact manner to stop the sexual advances
After several months of chronic fatigue, morning stiffness, and joint pain, a young adult is
diagnosed with rheumatoid arthritis, and the healthcare provider prescribes prednisone. Which
education should the nurse provide the client with regard to taking prednisone?
A. Take prednisone doses before meals on an empty stomach
B. Wear sunglasses when exposed to bring sunlight
C. If sequential doses are missed, notify the healthcare provider
D. Schedule a monthly laboratory visit for a complete blood count - ANSWER-C. If sequential
doses are missed, notify the healthcare provider
3|Page
, HESI RN EXIT EXAM VERSION 2 TEST BANK
The nurse is caring for four clients. Client A, who has emphysema and whose oxygen saturation
is 94%; Client B, with a postoperative hemoglobin of 8.2 mg/dL; Client C, newly admitted with a
potassium level of 3.8 mEq/L; and Client D, scheduled for an appendectomy who has a white
blood cell count of 14,000 mm3. Which intervention should the nurse implement?
A. Move Client D into an isolation room 24 hours before surgery
B. Increase Client A's oxygen to 4 liters a minute per cannula
C. Ask the dietician to add a banana to Client C's breakfast tray
D. Verify that Client B has two units of packed cells available - ANSWER-D. Verify that Client B
has two units of packed cells available
Which laboratory results should the nurse closely monitor in a client who has end-stage renal
disease (ESRD)?
A. Leukocytes, neutrophils, and thyroxine
B. Serum potassium, calcium, and phosphorus
C. Blood pressure, heart rate, and temperatue
D. Erythrocytes, hemoglobin, and hematocrit - ANSWER-B. Serum potassium, calcium, and
phosphorus
The psychiatric nurse is caring for clients on an adolescent unit. Which client requires the
nurse's immediate action?
A. A 16-year-old client diagnosed with major depression who refuses to participate in group
B. A 14-year-old with anorexia nervosa who is refusing to eat the evening snack
C. An 18-year-old client with antisocial behavior who is being yelled at by other clients
D. A 17-year-old client diagnosed with bipolar disorder who is pacing around the lobby -
ANSWER-C. An 18-year-old client with antisocial behavior who is being yelled at by other clients
An older male was recently admitted to the rehabilitation unit with unilateral neglect syndrome
as the result of a cerebrovascular accident (CVA). Which action should the nurse include in the
plan of care?
4|Page
