HESI RN EXIT EXAM VERSION 3 TEST BANK
HESI RN EXIT EXAM VERSION 3 TEST BANK FEATURING UPDATED
QUESTIONS AND VERIFIED ANSWERS ALIGNED WITH CURRENT NCLEX-
RN STANDARDS AND CLINICAL PRACTICE GUIDELINES.
A client with heart failure become short of breath, anxious, and has audible reasoning with pink
frothy sputum. The nurse sits the client upright and provides oxygen per nasal cannula. The
nurse receives a prescription to administer a one time dose of morphine sulfate IV. Which action
should the nurse take?
A) Administer the dose of morphine sulfate as prescribed.
B) Consult with the charge nurse regarding the morphine prescription.
C) Review the need for the prescription with the healthcare provider.
D) Withhold the morphine until the clients dyspnea resolves. - ANSWER-A) Administer the dose
of morphine sulfate as prescribed.
A client with acute asthma exacerbation is manifesting inspiratory and expiratory wheezes and a
decreased forced expiratory volume. Which prescribed drug class should the nurse administer
first to the client?
A) Inhaled short acting beta two agonists.
B) Inhaled corticosteroids.
C) Anti-cholinergics.
D) Leukotriene modifiers. - ANSWER-B) Inhaled corticosteroids.
The nurse enters a clients room to administer oral medication's and find an unlicensed assistive
personnel providing personal care to the client, whose condition has obviously deteriorated.
The client is lying in a supine position and is weak, pale, and diaphoretic. Which is the priority
nursing action?
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, HESI RN EXIT EXAM VERSION 3 TEST BANK
A) Determine why the UAP did not notify the nurse of the change in the clients condition.
B) Advised the UAP to stop providing care so the nurse can assess the clients condition.
C) Explain to the UAP that changes in a clients condition should be reported immediately.
D) Ask for UAP to position the client so the oral medication's can be administered. - ANSWER-B)
Advised the UAP to stop providing care so the nurse can assess the clients condition.
The client who was admitted yesterday with severe dehydration is reporting pain where a 24
gauge IV catheter with 0.9% sodium chloride is infusing at a rate of 150 mL per hour. Which
intervention should the nurse implement first?
A) Discontinue the 24 gauge IV.
B) Establish a second IV site.
C) Stop the 0.9% sodium chloride infusion.
D) Assess the IV for blood return. - ANSWER-C) Stop the 0.9% sodium chloride infusion.
Client should the nurse assess frequently because of the risk for overflow incontinence?
A) a client with hematuria and decreasing hemoglobin and hematocrit levels.
B) A client who has been fast, with increased serum creatinine levels.
C) A client who is confused and frequently forgets to go to the bathroom.
D) A client who has a history of frequent urinary tract infections. - ANSWER-C) A client who is
confused and frequently forgets to go to the bathroom.
After a spider bite on the lower extremity, a client is admitted for treatment of an infection that
is spreading up the leg. Which admission assessment findings should the nurse report to the
healthcare provider? SATA.
A) Location of the initial IV site.
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, HESI RN EXIT EXAM VERSION 3 TEST BANK
B) Swollen lymph nodes in the groin.
C) Red blood cell count.
D) White blood cell count.
E) Core body temperature. - ANSWER-B) Swollen lymph nodes in the groin.
D) White blood cell count.
E) Core body temperature.
A client develops your to Caria on the trunk and neck shortly after a secondary infusion of
pepper Sillen is initiated. In which order should the nurse implement these interventions?
Document reaction of the drug.
Contact the healthcare provider.
Assess vital signs.
Stop the infusion.
Initiate an adverse event report. - ANSWER-Stop the infusion.
Assess vital signs.
Contact the healthcare provider.
Initiate an adverse event report.
Document reaction to drug.
What nursing intervention is particularly indicated for the second stage of labor?
A) Assessing the fetal heart rate and patterns for signs of fetal distress.
B) Monitoring effects of oxytocin administration to help achieve cervical dilation.
C) Providing pain medication to increase the clients tolerance of labor pains.
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, HESI RN EXIT EXAM VERSION 3 TEST BANK
D) Assisting the client to push effectively so that expulsion of the fetus can be achieved. -
ANSWER-D) Assisting the client to push effectively so that expulsion of the fetus can be
achieved.
A client receives a prescription for Aceta medicine 1000 mg PO every eight hours PRN for pain.
The bottle is labeled acetaminophen for oral suspension, US P 500 mg per 15 mL. How many
tablespoons should the nurse administer with each dose? (Enter numerical value only.) -
ANSWER-2
15 mL per tablespoon
The nurse is administering multiple prescribe vaccines to a toddler. Which strategy should the
nurse prioritized to reduce the duration of pain?
A) Supine positioning.
B) Verbal reassurance.
C) Simultaneous injections.
D) Physical soothing. - ANSWER-C) Simultaneous injections.
NGN: Dean 30, admit to the medical floor, vital signs every four hours, regular diet, out of bed
with assist.
Complete diagram with one condition, two actions, and two parameters. - ANSWER-Actions: the
client for a nutrition history, encourage the client to drink
Condition: Malnutrition
Actions: ?????
????????
4|Page
HESI RN EXIT EXAM VERSION 3 TEST BANK FEATURING UPDATED
QUESTIONS AND VERIFIED ANSWERS ALIGNED WITH CURRENT NCLEX-
RN STANDARDS AND CLINICAL PRACTICE GUIDELINES.
A client with heart failure become short of breath, anxious, and has audible reasoning with pink
frothy sputum. The nurse sits the client upright and provides oxygen per nasal cannula. The
nurse receives a prescription to administer a one time dose of morphine sulfate IV. Which action
should the nurse take?
A) Administer the dose of morphine sulfate as prescribed.
B) Consult with the charge nurse regarding the morphine prescription.
C) Review the need for the prescription with the healthcare provider.
D) Withhold the morphine until the clients dyspnea resolves. - ANSWER-A) Administer the dose
of morphine sulfate as prescribed.
A client with acute asthma exacerbation is manifesting inspiratory and expiratory wheezes and a
decreased forced expiratory volume. Which prescribed drug class should the nurse administer
first to the client?
A) Inhaled short acting beta two agonists.
B) Inhaled corticosteroids.
C) Anti-cholinergics.
D) Leukotriene modifiers. - ANSWER-B) Inhaled corticosteroids.
The nurse enters a clients room to administer oral medication's and find an unlicensed assistive
personnel providing personal care to the client, whose condition has obviously deteriorated.
The client is lying in a supine position and is weak, pale, and diaphoretic. Which is the priority
nursing action?
1|Page
, HESI RN EXIT EXAM VERSION 3 TEST BANK
A) Determine why the UAP did not notify the nurse of the change in the clients condition.
B) Advised the UAP to stop providing care so the nurse can assess the clients condition.
C) Explain to the UAP that changes in a clients condition should be reported immediately.
D) Ask for UAP to position the client so the oral medication's can be administered. - ANSWER-B)
Advised the UAP to stop providing care so the nurse can assess the clients condition.
The client who was admitted yesterday with severe dehydration is reporting pain where a 24
gauge IV catheter with 0.9% sodium chloride is infusing at a rate of 150 mL per hour. Which
intervention should the nurse implement first?
A) Discontinue the 24 gauge IV.
B) Establish a second IV site.
C) Stop the 0.9% sodium chloride infusion.
D) Assess the IV for blood return. - ANSWER-C) Stop the 0.9% sodium chloride infusion.
Client should the nurse assess frequently because of the risk for overflow incontinence?
A) a client with hematuria and decreasing hemoglobin and hematocrit levels.
B) A client who has been fast, with increased serum creatinine levels.
C) A client who is confused and frequently forgets to go to the bathroom.
D) A client who has a history of frequent urinary tract infections. - ANSWER-C) A client who is
confused and frequently forgets to go to the bathroom.
After a spider bite on the lower extremity, a client is admitted for treatment of an infection that
is spreading up the leg. Which admission assessment findings should the nurse report to the
healthcare provider? SATA.
A) Location of the initial IV site.
2|Page
, HESI RN EXIT EXAM VERSION 3 TEST BANK
B) Swollen lymph nodes in the groin.
C) Red blood cell count.
D) White blood cell count.
E) Core body temperature. - ANSWER-B) Swollen lymph nodes in the groin.
D) White blood cell count.
E) Core body temperature.
A client develops your to Caria on the trunk and neck shortly after a secondary infusion of
pepper Sillen is initiated. In which order should the nurse implement these interventions?
Document reaction of the drug.
Contact the healthcare provider.
Assess vital signs.
Stop the infusion.
Initiate an adverse event report. - ANSWER-Stop the infusion.
Assess vital signs.
Contact the healthcare provider.
Initiate an adverse event report.
Document reaction to drug.
What nursing intervention is particularly indicated for the second stage of labor?
A) Assessing the fetal heart rate and patterns for signs of fetal distress.
B) Monitoring effects of oxytocin administration to help achieve cervical dilation.
C) Providing pain medication to increase the clients tolerance of labor pains.
3|Page
, HESI RN EXIT EXAM VERSION 3 TEST BANK
D) Assisting the client to push effectively so that expulsion of the fetus can be achieved. -
ANSWER-D) Assisting the client to push effectively so that expulsion of the fetus can be
achieved.
A client receives a prescription for Aceta medicine 1000 mg PO every eight hours PRN for pain.
The bottle is labeled acetaminophen for oral suspension, US P 500 mg per 15 mL. How many
tablespoons should the nurse administer with each dose? (Enter numerical value only.) -
ANSWER-2
15 mL per tablespoon
The nurse is administering multiple prescribe vaccines to a toddler. Which strategy should the
nurse prioritized to reduce the duration of pain?
A) Supine positioning.
B) Verbal reassurance.
C) Simultaneous injections.
D) Physical soothing. - ANSWER-C) Simultaneous injections.
NGN: Dean 30, admit to the medical floor, vital signs every four hours, regular diet, out of bed
with assist.
Complete diagram with one condition, two actions, and two parameters. - ANSWER-Actions: the
client for a nutrition history, encourage the client to drink
Condition: Malnutrition
Actions: ?????
????????
4|Page
