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HESI EXIT NGN, HESI RN Exit Exam
Questions With Correct Answers
An older client with a long history of coronary artery disease (CAD), hypertension
(HTN), and heart failure (HF) arrives in the Emergency Department (ED) in
respiratory distress. The healthcare provider prescribes furosemide IV. Which
therapeutic response to furosemide should the nurse expected in the client with
acute HF?
A. Increased cardiac contractility
B. Reduced preload
C. Relaxed vascular tone
D. Decreased afterload -correct-answer-B. Reduced preload
Which intervention should the nurse include in the plan of care for a child with
tetanus?
A. Encourage coughing and deep breathing
B. Minimize the amount of stimuli in the room
C. Reposition from side to side every hour
D. Open window shades to provide natural light -correct-answer-B. Minimize the
amount of stimuli in the room
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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?
A. Ate an extra peanut butter sandwich before gym class
B. incorrectly administered too much insulin
C. Had a cold and ear infection for the past two days
D. Skipped eating lunch -correct-answer-C. 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?
A. The impending signs of death should be documented
B. The client's status should be conveyed to the chaplain
C. The client's need for pain medication should be determined
D. The nurse manager should be updated on the client's status -correct-answer-C.
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?
A. Self-injection techniques
B. Blood glucose monitoring
C. Diabetic diet meal planning
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D. A realistic exercise plan -correct-answer-B. 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?
A. Apply ice to the breasts for comfort
B. Wear a loose-fitting bra during the day to prevent nipple irritation
C. Run warm water over breasts
D. Express small amounts of milk from the breasts to relieve pressure -correct-
answer-A. 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?
(Select all that apply)
A. Avoid range of motion exercises
B. Use a residual limb shrinker
C. Apply alcohol to the stump after bathing
D. Inspect skin for redness
E. Wash the stump with soap and water -correct-answer-B. Use a residual limb
shrinker
D. Inspect skin for redness
E. Wash the stump with soap and water
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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 parents. Which type of testing should the nurse provide
education to the toddler's family about?
A. Serum immunoglobulin E (IgE)
B. Intradermal test
C. Atopy patch test
D. Placebo-controlled food challenge -correct-answer-A. Serum immunoglobulin E
(IgE)
A client who is scheduled for a bronchoscopy in the morning is anxious and asking
the nurse numerous questions about the procedure. In preparing the client for the
procedure, which intervention has the highest priority?
A. Allow client to gargle with warm salt water
B. Administer a sedative to alleviate anxiety
C. Instruct client to write down the questions
D. Deny client's request for a midnight snack -correct-answer-C. Instruct client to
write down the questions
The nurse assesses a client one hour after starting a transfusion of packed red
blood cells and determines that there are no indications of a transfusion reaction.
What instruction should the nurse provide the unlicensed assistive personnel
(UAP) who is working with the nurse?
HESI EXIT NGN, HESI RN Exit Exam
Questions With Correct Answers
An older client with a long history of coronary artery disease (CAD), hypertension
(HTN), and heart failure (HF) arrives in the Emergency Department (ED) in
respiratory distress. The healthcare provider prescribes furosemide IV. Which
therapeutic response to furosemide should the nurse expected in the client with
acute HF?
A. Increased cardiac contractility
B. Reduced preload
C. Relaxed vascular tone
D. Decreased afterload -correct-answer-B. Reduced preload
Which intervention should the nurse include in the plan of care for a child with
tetanus?
A. Encourage coughing and deep breathing
B. Minimize the amount of stimuli in the room
C. Reposition from side to side every hour
D. Open window shades to provide natural light -correct-answer-B. Minimize the
amount of stimuli in the room
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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?
A. Ate an extra peanut butter sandwich before gym class
B. incorrectly administered too much insulin
C. Had a cold and ear infection for the past two days
D. Skipped eating lunch -correct-answer-C. 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?
A. The impending signs of death should be documented
B. The client's status should be conveyed to the chaplain
C. The client's need for pain medication should be determined
D. The nurse manager should be updated on the client's status -correct-answer-C.
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?
A. Self-injection techniques
B. Blood glucose monitoring
C. Diabetic diet meal planning
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D. A realistic exercise plan -correct-answer-B. 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?
A. Apply ice to the breasts for comfort
B. Wear a loose-fitting bra during the day to prevent nipple irritation
C. Run warm water over breasts
D. Express small amounts of milk from the breasts to relieve pressure -correct-
answer-A. 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?
(Select all that apply)
A. Avoid range of motion exercises
B. Use a residual limb shrinker
C. Apply alcohol to the stump after bathing
D. Inspect skin for redness
E. Wash the stump with soap and water -correct-answer-B. Use a residual limb
shrinker
D. Inspect skin for redness
E. Wash the stump with soap and water
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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 parents. Which type of testing should the nurse provide
education to the toddler's family about?
A. Serum immunoglobulin E (IgE)
B. Intradermal test
C. Atopy patch test
D. Placebo-controlled food challenge -correct-answer-A. Serum immunoglobulin E
(IgE)
A client who is scheduled for a bronchoscopy in the morning is anxious and asking
the nurse numerous questions about the procedure. In preparing the client for the
procedure, which intervention has the highest priority?
A. Allow client to gargle with warm salt water
B. Administer a sedative to alleviate anxiety
C. Instruct client to write down the questions
D. Deny client's request for a midnight snack -correct-answer-C. Instruct client to
write down the questions
The nurse assesses a client one hour after starting a transfusion of packed red
blood cells and determines that there are no indications of a transfusion reaction.
What instruction should the nurse provide the unlicensed assistive personnel
(UAP) who is working with the nurse?
