HESI RN EXIT EXAM VERSION 5 TEST BANK
HESI RN EXIT EXAM VERSION 5 TEST BANK FEATURING UPDATED
QUESTIONS AND VERIFIED ANSWERS ALIGNED WITH CURRENT NCLEX-
RN STANDARDS AND CLINICAL PRACTICE GUIDELINES.
A nurse observes a family member administer a rectal suppository by having the client lie on the
left side for the administration. The family member pushed the suppository until the finger
went up to the second knuckle. After 10 minutes the client
was told by the family member to turn to the right side and the client did this. What is the
appropriate comment for the nurse to make?
A) Why don't we now have the client turn back to the left side.
B) That was done correctly. Did you have any problems with the insertion?
C) Let's check to see if the suppository is far enough.
D) Did you feel any stool in the intestinal tract? - ANSWER-The correct answer is B: That was
done correctly. Did you have any problems with the insertion?
A client with a diagnosis of Methicillin resistant Staphylococcus aureus(MRSA) has
died. Which type of precautions is the appropriate type to use when performing post mortem
care?
A) airborne precautions
B) droplet precautions
C) contact precautions
D) compromised host precautions - ANSWER-The correct answer is C: contact precautions
The nurse is reviewing with a client how to collect a clean catch urine specimen. Which
sequence is appropriate teaching?
A) Void a little, clean the meatus, then collect specimen
B) clean the meatus, begin voiding, then catch urine stream
C) Clean the meatus, then urinate into container
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, HESI RN EXIT EXAM VERSION 5 TEST BANK
D) Void continuously and catch some of the urine - ANSWER-B) clean the meatus, begin voiding,
then catch urine stream
The provider orders Lanoxin (digoxin) 0.125 mg PO and furosemide 40mg every day. Which of
these foods would the nurse reinforce for the client to eat at least daily?
A) spaghetti
B) watermelon
C) chicken
D) tomatoes - ANSWER-B) watermelon
A nurse is stuck in the hand by an exposed needle. What immediate action should the
Nurse take?
A) Look up the policy on needle sticks
B) Contact employee health services
C) Immediately wash the hands with vigor
D) Notify the supervisor and risk management - ANSWER-C) Immediately wash the hands with
vigor
As the nurse observes the student nurse during the administration of narcotic analgesic IM
injection, the nurse notes that the student begins to give the medication without first
aspirating. What should the nurse do?
A) Ask the student: "What did you forget to do?"
B) Stop. Tell me why aspiration is needed.
C) Loudly state: "You forgot to aspirate."
D) Walk up and whisper in the student's ear "Stop. Aspirate. Theninject." - ANSWER-D) Walk up
and whisper in the student's ear "Stop. Aspirate. Theninject."
A client with Guillain Barre is in a non responsive state, yet vital signs are stable and
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, HESI RN EXIT EXAM VERSION 5 TEST BANK
breathing is independent. What should the nurse document to most accurately describe
the client's condition?
A) Comatose, breathing unlabored
B) Glascow Coma Scale 8, respirations regular
C) Appears to be sleeping, vital signs stable
D) Glascow Coma Scale 13, no ventilator required - ANSWER-B) Glascow Coma Scale 8,
respirations regular
The nurse knows which statement by the mother indicates that the mother understands safety
precautions with her four month-old infant and her 4year-old child?
A) "I strap the infant car seat on the front seat to face backwards." B) "I place my infant in the
middle of the living room floor on a blanket to play with my 4 year old while I make supper in
the kitchen."
C) "My sleeping baby lies so cute in the crib with the little buttocksstuck up in the air
while the four year old naps on the sofa."
D) "I have the 4 year-old hold and help feed the four month-old bottle in the kitchen
while I make supper." - ANSWER-The correct answer is D: "I have the four year-old hold and help
feed the four month-old a bottle in the kitchen
Upon completing the admission documents, the nurse learns that the 87 year-old client does
not have an advance directive. What action should the nurse take?
A) Record the information on the chart
B) Give information about advance directives
C) Assume that this client wishes a full code
D) Refer this issue to the unit secretary; - ANSWER-The correct answer is B: Give information
about advance directives
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, HESI RN EXIT EXAM VERSION 5 TEST BANK
A nurse administers the influenza vaccine to a client in a clinic. Within 15 minutes after the
immunization was given, the client complains of itchy and watery eyes, increased anxiety, and
difficulty breathing. The nurse expects that the first action in the sequence of
care for this client will be to
A) Maintain the airway
B) Administer epinephrine 1:1000 as ordered
C) Monitor for hypotension with shock
D) Administer diphenhydramine as ordered - ANSWER-The correct answer is B: Administer
epinephrine 1:1000 as ordered .
Which of these children at the site of a disaster at a child day care center would thea triage
nurse put in the "treat last" category?
A) An infant with intermittent bulging anterior fontanel between crying episodes
B) A toddler with severe deep abrasions over 98% of the body
C) A preschooler with 1 lower leg fracture and the other leg with an upper leg fracture
D) A school-age child with singed eyebrows and hair on the arms - ANSWER-The correct answer
is B: A toddler with severe deep abrasions over 98% of the body .
When admitting a client to an acute care facility, an identification bracelet is sent up with the
admission form. In the event these do not match, the nurse's best action is to
A) Change whichever item is incorrect to the correct information
B) Use the bracelet and admission form until a replacement is supplied
C) Notify the admissions office and wait to apply the bracelet
D) Make a corrected identification bracelet for the client - ANSWER-The correct answer is C:
notify the admissions office and wait to apply the bracelet
The nurse is having difficulty reading the health care provider's writtenorder that was
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HESI RN EXIT EXAM VERSION 5 TEST BANK FEATURING UPDATED
QUESTIONS AND VERIFIED ANSWERS ALIGNED WITH CURRENT NCLEX-
RN STANDARDS AND CLINICAL PRACTICE GUIDELINES.
A nurse observes a family member administer a rectal suppository by having the client lie on the
left side for the administration. The family member pushed the suppository until the finger
went up to the second knuckle. After 10 minutes the client
was told by the family member to turn to the right side and the client did this. What is the
appropriate comment for the nurse to make?
A) Why don't we now have the client turn back to the left side.
B) That was done correctly. Did you have any problems with the insertion?
C) Let's check to see if the suppository is far enough.
D) Did you feel any stool in the intestinal tract? - ANSWER-The correct answer is B: That was
done correctly. Did you have any problems with the insertion?
A client with a diagnosis of Methicillin resistant Staphylococcus aureus(MRSA) has
died. Which type of precautions is the appropriate type to use when performing post mortem
care?
A) airborne precautions
B) droplet precautions
C) contact precautions
D) compromised host precautions - ANSWER-The correct answer is C: contact precautions
The nurse is reviewing with a client how to collect a clean catch urine specimen. Which
sequence is appropriate teaching?
A) Void a little, clean the meatus, then collect specimen
B) clean the meatus, begin voiding, then catch urine stream
C) Clean the meatus, then urinate into container
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, HESI RN EXIT EXAM VERSION 5 TEST BANK
D) Void continuously and catch some of the urine - ANSWER-B) clean the meatus, begin voiding,
then catch urine stream
The provider orders Lanoxin (digoxin) 0.125 mg PO and furosemide 40mg every day. Which of
these foods would the nurse reinforce for the client to eat at least daily?
A) spaghetti
B) watermelon
C) chicken
D) tomatoes - ANSWER-B) watermelon
A nurse is stuck in the hand by an exposed needle. What immediate action should the
Nurse take?
A) Look up the policy on needle sticks
B) Contact employee health services
C) Immediately wash the hands with vigor
D) Notify the supervisor and risk management - ANSWER-C) Immediately wash the hands with
vigor
As the nurse observes the student nurse during the administration of narcotic analgesic IM
injection, the nurse notes that the student begins to give the medication without first
aspirating. What should the nurse do?
A) Ask the student: "What did you forget to do?"
B) Stop. Tell me why aspiration is needed.
C) Loudly state: "You forgot to aspirate."
D) Walk up and whisper in the student's ear "Stop. Aspirate. Theninject." - ANSWER-D) Walk up
and whisper in the student's ear "Stop. Aspirate. Theninject."
A client with Guillain Barre is in a non responsive state, yet vital signs are stable and
2|Page
, HESI RN EXIT EXAM VERSION 5 TEST BANK
breathing is independent. What should the nurse document to most accurately describe
the client's condition?
A) Comatose, breathing unlabored
B) Glascow Coma Scale 8, respirations regular
C) Appears to be sleeping, vital signs stable
D) Glascow Coma Scale 13, no ventilator required - ANSWER-B) Glascow Coma Scale 8,
respirations regular
The nurse knows which statement by the mother indicates that the mother understands safety
precautions with her four month-old infant and her 4year-old child?
A) "I strap the infant car seat on the front seat to face backwards." B) "I place my infant in the
middle of the living room floor on a blanket to play with my 4 year old while I make supper in
the kitchen."
C) "My sleeping baby lies so cute in the crib with the little buttocksstuck up in the air
while the four year old naps on the sofa."
D) "I have the 4 year-old hold and help feed the four month-old bottle in the kitchen
while I make supper." - ANSWER-The correct answer is D: "I have the four year-old hold and help
feed the four month-old a bottle in the kitchen
Upon completing the admission documents, the nurse learns that the 87 year-old client does
not have an advance directive. What action should the nurse take?
A) Record the information on the chart
B) Give information about advance directives
C) Assume that this client wishes a full code
D) Refer this issue to the unit secretary; - ANSWER-The correct answer is B: Give information
about advance directives
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, HESI RN EXIT EXAM VERSION 5 TEST BANK
A nurse administers the influenza vaccine to a client in a clinic. Within 15 minutes after the
immunization was given, the client complains of itchy and watery eyes, increased anxiety, and
difficulty breathing. The nurse expects that the first action in the sequence of
care for this client will be to
A) Maintain the airway
B) Administer epinephrine 1:1000 as ordered
C) Monitor for hypotension with shock
D) Administer diphenhydramine as ordered - ANSWER-The correct answer is B: Administer
epinephrine 1:1000 as ordered .
Which of these children at the site of a disaster at a child day care center would thea triage
nurse put in the "treat last" category?
A) An infant with intermittent bulging anterior fontanel between crying episodes
B) A toddler with severe deep abrasions over 98% of the body
C) A preschooler with 1 lower leg fracture and the other leg with an upper leg fracture
D) A school-age child with singed eyebrows and hair on the arms - ANSWER-The correct answer
is B: A toddler with severe deep abrasions over 98% of the body .
When admitting a client to an acute care facility, an identification bracelet is sent up with the
admission form. In the event these do not match, the nurse's best action is to
A) Change whichever item is incorrect to the correct information
B) Use the bracelet and admission form until a replacement is supplied
C) Notify the admissions office and wait to apply the bracelet
D) Make a corrected identification bracelet for the client - ANSWER-The correct answer is C:
notify the admissions office and wait to apply the bracelet
The nurse is having difficulty reading the health care provider's writtenorder that was
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