HESI RN EXIT EXAM WITH NGN LATEST
VERSION B 2024-2025/HESI EXIT RN
NEXT GENERATION EXAM ALL 160
QUESTIONS AND CORRECT DETAILED
ANSWERS
The nurse is preparing a client for discharge who was hospitalized with an
acute flare of systemic lupus erythematosus (SLE) symptoms. Which
instruction is most important for the nurse to include?
A. Use a walker when weakness occurs
B. Take prescribed cortisone accurately
C. Decrease daily intake of sodium in diet
D. Avoid extreme environmental temperatures
D. Avoid extreme environmental temperatures
A nurse working on an Endocrine Unit should see which client first?
A. An older client with Addison's disease whose current blood sugar level is
62 mg/dL
B. A client taking corticosteroids who has become disoriented in the last two
hours
C. An adolescent male with type 1 diabetes who is arguing about his insulin
dose
D. An adult with a blood sugar of 384 mg/dL and a urine output of 350mL in the
last hour
B. A client taking corticosteroids who has become disoriented in the last two hours
The nurse assesses a client who has bilateral total knee replacements (TKR)
four hours ago. The nurse notes that the dressing on the client's right knee is
saturated with serosanguineous drainage. What action should the nurse
implement?
A. Monitor the client's current WBC
,B. Withhold next scheduled dose of low molecular weight heparin
C. Confirm that the continuous passive motion device is intact
D. Determine if the wound drainage device is functioning correctly
D. Determine if the wound drainage device is functioning correctly
The healthcare provider prescribes cephalexin 125mg/5mL oral suspension for
a client who weighs 77 pounds. The recommended safe dose 25mg/kg/24
hours in 4 divided doses. Based on the client's weight, how many mL should
the nurse administer?
9
A middle-aged client, admitted to a critical care unit several weeks ago
because of serious injuries sustained in a motor vehicle accident, is currently
in stable condition. Based on the client's age and recent life-threatening crisis,
which intervention should the nurse implement?
A. Encourage the client to reflect on personal goals and priorities
B. Allow long periods of uninterrupted rest in order to reduce fatigue
C. Discuss the cause of the accident with the client and his family
D. Provide a routine schedule of activities to facilitate trust
A. Encourage the client to reflect on personal goals and priorities
A young adult male who is being seen at the employee health care clinic for an
annual assessment tells the nurse that his mother was diagnosed with
schizophrenia when she was his age and that life with a schizophrenic mother
was difficult indeed. Which response is best for the nurse to provide?
A. Encourage the client to seek genetic counseling to determine his risk for
mental illness
B. Inform the client that his mother's schizophrenia has affected his
psychological development
C. Tell the client that mental illness has a familial predisposition so he should
see a psychiatrist
D. Ask the client if he is worried about becoming schizophrenic at the age his
mother was diagnosed
D. Ask the client if he is worried about becoming schizophrenic at the age his mother
was diagnosed
A female client presents in the emergency department and tells the nurse that
she was raped last night. Which question is most important for the nurse to
,ask?
A. Has she taken a bath since the rape occurred?
B. Is the place where she lives a safe place?
C. Does she know the person who raped her?
D. Did she report the rape to the police department?
A. Has she taken a bath since the rape occurred?
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 increased intracranial
pressure (ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope
B. Sluggish and unequal pupillary responses
A client with acute pancreatitis is admitted with severe, piercing abdominal
pain and an elevated serum amylase. Which additional information is the client
most likely to report to the nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly.
A. Abdominal pain decreases when lying supine
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?
A. Instructions about how much fluid the child should drink daily.
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family
A. Instructions about how much fluid the child should drink daily
To auscultate for a carotid bruit, the nurse places the stethoscope at what
location. (Select the location on the image with a red dot).
I placed the red dot on the base of the neck on the right side
, After receiving report on an inpatient acute care unit, which client should the
nurse assess first?
A. The client with an obstruction of the large intestine who is experiencing
abdominal distention
B. The client who had surgery yesterday and is experiencing a paralytic ileus
with absent bowel sounds
C. The client with a small bowel obstruction who has a nasogastric tube that is
draining greenish fluid
D. The client with a bowel obstruction due to a volvulus who is experiencing
abdominal rigidity
D. The client with a 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?
A. Respiratory acidosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory alkalosis
D. 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?
A. Supine
B. supine; feet elevated higher than head
C. supine; head elevated higher than feet
D. Fowlers
Fowlers
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? (Select
all the apply)
A. Frequent syncope
B. Occasional nocturia
VERSION B 2024-2025/HESI EXIT RN
NEXT GENERATION EXAM ALL 160
QUESTIONS AND CORRECT DETAILED
ANSWERS
The nurse is preparing a client for discharge who was hospitalized with an
acute flare of systemic lupus erythematosus (SLE) symptoms. Which
instruction is most important for the nurse to include?
A. Use a walker when weakness occurs
B. Take prescribed cortisone accurately
C. Decrease daily intake of sodium in diet
D. Avoid extreme environmental temperatures
D. Avoid extreme environmental temperatures
A nurse working on an Endocrine Unit should see which client first?
A. An older client with Addison's disease whose current blood sugar level is
62 mg/dL
B. A client taking corticosteroids who has become disoriented in the last two
hours
C. An adolescent male with type 1 diabetes who is arguing about his insulin
dose
D. An adult with a blood sugar of 384 mg/dL and a urine output of 350mL in the
last hour
B. A client taking corticosteroids who has become disoriented in the last two hours
The nurse assesses a client who has bilateral total knee replacements (TKR)
four hours ago. The nurse notes that the dressing on the client's right knee is
saturated with serosanguineous drainage. What action should the nurse
implement?
A. Monitor the client's current WBC
,B. Withhold next scheduled dose of low molecular weight heparin
C. Confirm that the continuous passive motion device is intact
D. Determine if the wound drainage device is functioning correctly
D. Determine if the wound drainage device is functioning correctly
The healthcare provider prescribes cephalexin 125mg/5mL oral suspension for
a client who weighs 77 pounds. The recommended safe dose 25mg/kg/24
hours in 4 divided doses. Based on the client's weight, how many mL should
the nurse administer?
9
A middle-aged client, admitted to a critical care unit several weeks ago
because of serious injuries sustained in a motor vehicle accident, is currently
in stable condition. Based on the client's age and recent life-threatening crisis,
which intervention should the nurse implement?
A. Encourage the client to reflect on personal goals and priorities
B. Allow long periods of uninterrupted rest in order to reduce fatigue
C. Discuss the cause of the accident with the client and his family
D. Provide a routine schedule of activities to facilitate trust
A. Encourage the client to reflect on personal goals and priorities
A young adult male who is being seen at the employee health care clinic for an
annual assessment tells the nurse that his mother was diagnosed with
schizophrenia when she was his age and that life with a schizophrenic mother
was difficult indeed. Which response is best for the nurse to provide?
A. Encourage the client to seek genetic counseling to determine his risk for
mental illness
B. Inform the client that his mother's schizophrenia has affected his
psychological development
C. Tell the client that mental illness has a familial predisposition so he should
see a psychiatrist
D. Ask the client if he is worried about becoming schizophrenic at the age his
mother was diagnosed
D. Ask the client if he is worried about becoming schizophrenic at the age his mother
was diagnosed
A female client presents in the emergency department and tells the nurse that
she was raped last night. Which question is most important for the nurse to
,ask?
A. Has she taken a bath since the rape occurred?
B. Is the place where she lives a safe place?
C. Does she know the person who raped her?
D. Did she report the rape to the police department?
A. Has she taken a bath since the rape occurred?
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 increased intracranial
pressure (ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope
B. Sluggish and unequal pupillary responses
A client with acute pancreatitis is admitted with severe, piercing abdominal
pain and an elevated serum amylase. Which additional information is the client
most likely to report to the nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly.
A. Abdominal pain decreases when lying supine
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?
A. Instructions about how much fluid the child should drink daily.
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family
A. Instructions about how much fluid the child should drink daily
To auscultate for a carotid bruit, the nurse places the stethoscope at what
location. (Select the location on the image with a red dot).
I placed the red dot on the base of the neck on the right side
, After receiving report on an inpatient acute care unit, which client should the
nurse assess first?
A. The client with an obstruction of the large intestine who is experiencing
abdominal distention
B. The client who had surgery yesterday and is experiencing a paralytic ileus
with absent bowel sounds
C. The client with a small bowel obstruction who has a nasogastric tube that is
draining greenish fluid
D. The client with a bowel obstruction due to a volvulus who is experiencing
abdominal rigidity
D. The client with a 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?
A. Respiratory acidosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory alkalosis
D. 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?
A. Supine
B. supine; feet elevated higher than head
C. supine; head elevated higher than feet
D. Fowlers
Fowlers
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? (Select
all the apply)
A. Frequent syncope
B. Occasional nocturia
