HESI RN EXIT Exam 2024/2025 Latest Version Questions
And Correct Verified Questions.
The nurse is completing the admission assessment of a 3-year-
old who is admitted with bacterial meningitis and
hydrocephalus. Which assessment finding is evidence that the
child is experiencing ICP? - ANSWER..> Sluggish and unequal
pupillary responses.
A client with acute pancreatitis is admitted with severe,
piercing abdominal pain and an elevated serum analysis. Which
additional information is the client most likely to report to the
nurse. - ANSWER..> Drinks alcohol until intoxicated at least
twice weekly.
A child newly diagnosed with sickle cell anemia (SCA) is being
discharged from the hospital. Which information is most
important for the nurse to provide the parents prior to
discharge? - ANSWER..> Instructions about how much fluid the
child should drink daily.
Carotid bruit auscultation - ANSWER..> base of the neck on the
right side
After receiving report on an inpatient acute care unit, which
client should the nurse assess first? - ANSWER..> The client with
bowel obstruction due to a volvulus who is experiencing
abdominal rigidity.
,A teenager presents to the emergency department with
palpitations after vaping at a party. The client is anxious,
fearful, and hyperventilating. The nurse anticipates the client
developing which acid base imbalance? - ANSWER..>
Respiratory Alkalosis
A client with dyspnea is being admitted to the medical unit. To
best prepare for the client's arrival, the nurse should ensure
that the client's bed is in which position? - ANSWER..> Semi-
Fowler's
The nurse is taking the blood pressure measurement of a client
with Parkinson's disease. Which information in the client's
admission assessment is relevant to the nurse's plan for taking
the blood pressure reading? SATA - ANSWER..> Frequent
Syncope
Flat affect
Blurred Vision
While caring for a client's postoperative dressing, the nurse
observes purulent drainage at the wound. Before reporting this
finding to the healthcare provider, the nurse review which of
the client's laboratory values? - ANSWER..> Culture for sensitive
organisms.
A preschools-aged boy is admitted to the pediatric unit
following successful resuscitation from a near-drowning
incident. While providing care to the child, the nurse begins
,talking with his preadolescent brother who rescued the child
from the swimming pool and initiated resuscitation. The nurse
notices the older boy becomes withdrawn when asked about
what happened. What action should the nurse take? -
ANSWER..> Ask the older brother how he felt during the
incident.
A male client with cirrhosis has jaundice and pruritis. He tells
the nurse that he has been soaking in hot baths at night with no
relief of his discomfort. Which action should the nurse take? -
ANSWER..> Encourage the client to use cooler water and apply
calamine lotion after soaking.
An older client with a long history of coronary artery disease
(CAD), hypertension (HTN), and heart failure (HF) arrives in the
emergency department in respiratory distress. The healthcare
provider prescribes furosemide IV. Which therapeutic response
toe furosemide should the nurse expect in the client with acute
HF? - ANSWER..> Reduced preload.
Which intervention should the nurse include in the plan of care
for a child with tetanus? - ANSWER..> Minimize the amount of
stimuli in the room.
An adolescent who was diagnosed with diabetes mellitus Type
1 at the age of 9, is admitted to the hospital in diabetic
ketoacidosis. Which occurrence is the most likely cause of the
ketoacidosis? - ANSWER..> Had a cold and ear infection for the
past two days.
, A client with a prescription for "do not resuscitate" (DNR)
begins to manifest signs of impending death. After notifying the
family of the client's status, what priority action should the
nurse implement? - ANSWER..> The client's need for pain
medication should be determined.
Which self-care measure is most important for the nurse to
include in the plan of care of a client recently diagnosed with
type 2 diabetes mellitus? - ANSWER..> Blood glucose
monitoring
A client who gave birth 48 hours ago has decided to bottle feed
the infant. During the assessment, the nurse observes that both
breasts are swollen, warm, and tender on palpation. Which
instruction should the nurse provide? - ANSWER..> Apply ice to
the breasts for comfort.
The nurse is preparing a client who had a below-the-knee (BKA)
amputation for discharge to home. Which recommendations
should the nurse provide this client? SATA - ANSWER..> Use a
residual limb shrinker
Inspect skin for redness
Wash the stump with soap and water.ly ice to the breasts for
comfort.
A toddler presenting with a history of intermittent skin rashes,
hives, abdominal pain, and vomiting that occurs after ingesting
of milk products arrives to the clinic accompanied by the
And Correct Verified Questions.
The nurse is completing the admission assessment of a 3-year-
old who is admitted with bacterial meningitis and
hydrocephalus. Which assessment finding is evidence that the
child is experiencing ICP? - ANSWER..> Sluggish and unequal
pupillary responses.
A client with acute pancreatitis is admitted with severe,
piercing abdominal pain and an elevated serum analysis. Which
additional information is the client most likely to report to the
nurse. - ANSWER..> Drinks alcohol until intoxicated at least
twice weekly.
A child newly diagnosed with sickle cell anemia (SCA) is being
discharged from the hospital. Which information is most
important for the nurse to provide the parents prior to
discharge? - ANSWER..> Instructions about how much fluid the
child should drink daily.
Carotid bruit auscultation - ANSWER..> base of the neck on the
right side
After receiving report on an inpatient acute care unit, which
client should the nurse assess first? - ANSWER..> The client with
bowel obstruction due to a volvulus who is experiencing
abdominal rigidity.
,A teenager presents to the emergency department with
palpitations after vaping at a party. The client is anxious,
fearful, and hyperventilating. The nurse anticipates the client
developing which acid base imbalance? - ANSWER..>
Respiratory Alkalosis
A client with dyspnea is being admitted to the medical unit. To
best prepare for the client's arrival, the nurse should ensure
that the client's bed is in which position? - ANSWER..> Semi-
Fowler's
The nurse is taking the blood pressure measurement of a client
with Parkinson's disease. Which information in the client's
admission assessment is relevant to the nurse's plan for taking
the blood pressure reading? SATA - ANSWER..> Frequent
Syncope
Flat affect
Blurred Vision
While caring for a client's postoperative dressing, the nurse
observes purulent drainage at the wound. Before reporting this
finding to the healthcare provider, the nurse review which of
the client's laboratory values? - ANSWER..> Culture for sensitive
organisms.
A preschools-aged boy is admitted to the pediatric unit
following successful resuscitation from a near-drowning
incident. While providing care to the child, the nurse begins
,talking with his preadolescent brother who rescued the child
from the swimming pool and initiated resuscitation. The nurse
notices the older boy becomes withdrawn when asked about
what happened. What action should the nurse take? -
ANSWER..> Ask the older brother how he felt during the
incident.
A male client with cirrhosis has jaundice and pruritis. He tells
the nurse that he has been soaking in hot baths at night with no
relief of his discomfort. Which action should the nurse take? -
ANSWER..> Encourage the client to use cooler water and apply
calamine lotion after soaking.
An older client with a long history of coronary artery disease
(CAD), hypertension (HTN), and heart failure (HF) arrives in the
emergency department in respiratory distress. The healthcare
provider prescribes furosemide IV. Which therapeutic response
toe furosemide should the nurse expect in the client with acute
HF? - ANSWER..> Reduced preload.
Which intervention should the nurse include in the plan of care
for a child with tetanus? - ANSWER..> Minimize the amount of
stimuli in the room.
An adolescent who was diagnosed with diabetes mellitus Type
1 at the age of 9, is admitted to the hospital in diabetic
ketoacidosis. Which occurrence is the most likely cause of the
ketoacidosis? - ANSWER..> Had a cold and ear infection for the
past two days.
, A client with a prescription for "do not resuscitate" (DNR)
begins to manifest signs of impending death. After notifying the
family of the client's status, what priority action should the
nurse implement? - ANSWER..> The client's need for pain
medication should be determined.
Which self-care measure is most important for the nurse to
include in the plan of care of a client recently diagnosed with
type 2 diabetes mellitus? - ANSWER..> Blood glucose
monitoring
A client who gave birth 48 hours ago has decided to bottle feed
the infant. During the assessment, the nurse observes that both
breasts are swollen, warm, and tender on palpation. Which
instruction should the nurse provide? - ANSWER..> Apply ice to
the breasts for comfort.
The nurse is preparing a client who had a below-the-knee (BKA)
amputation for discharge to home. Which recommendations
should the nurse provide this client? SATA - ANSWER..> Use a
residual limb shrinker
Inspect skin for redness
Wash the stump with soap and water.ly ice to the breasts for
comfort.
A toddler presenting with a history of intermittent skin rashes,
hives, abdominal pain, and vomiting that occurs after ingesting
of milk products arrives to the clinic accompanied by the
