HESI RN EXIT EXAM V1 - V7
1. Following discharge teaching, a male client with duodenal ulcer tells the
nurse the he will drink plenty of dairy products, such as milk, to help coat
and protect his ulcer. What is the best follow-up action by the nurse?
• Review with the client the need to avoid foods that are rich in milk
and cream
PR
2. A male client with hypertension, who received new antihypertensive
prescriptions at his last visit returns to the clinic two weeks later to
evaluate his blood pressure (BP). His BP is 158/106 and he admits that he
O
has not been taking the prescribed medication because the drugs make
him “feel bad”. In explaining the need for hypertension control, the nurse
FD
should stress that an elevated BP places the client at risk for which
pathophysiological condition?
• Stroke secondary to hemorrhage
O
3. The nurse observes an unlicensed assistive personnel (UAP)
C
positioning a newly admitted client who has a seizure disorder. The
client is supine and the UAP is placing soft pillows along the side
rails. What action should the nurse implement?
• Instruct the UAP to obtain soft blankets to secure to the side
rails instead of pillows.
4. An adolescent with major depressive disorder has been taking
duloxetine (Cymbalta) for the past 12 days. Which assessment finding
requires immediate follow-up?
• Describes life without purpose
, HESI RN EXIT EXAM V1 - V7
5. A 60-year-old female client with a positive family history of ovarian
cancer has developed an abdominal mass and is being evaluated for
possible ovarian cancer. Her Papanicolau (Pap) smear results are
negative. What information should the nurse include in the client’s
teaching plan?
• Further evaluation involving surgery may be needed
6. A client who recently underwear a tracheostomy is being prepared for
PR
discharge to home. Which instructions is most important for the nurse to
include in the discharge plan?
• Teach tracheal suctioning techniques
7. In assessing an adult client with a partial rebreather mask, the nurse
O
notes that the oxygen reservoir bag does not deflate completely
during inspiration and the client’s respiratory rate is 14 breaths /
FD
minute. What action should the nurse implement?
• Document the assessment data
• Rational: reservoir bag should not deflate completely during
O
inspiration and the client’s respiratory rate is within normal limits.
8. During shift report, the central electrocardiogram (EKG) monitoring
C
system alarms. Which client alarm should the nurse investigate firs?
• Respiratory apnea of 30 seconds
9. During a home visit, the nurse observed an elderly client with
diabetes slip and fall. What action should the nurse take first?
• Check the client for lacerations or fractures
10.At 0600 while admitting a woman for a schedule repeat cesarean
section (C-Section), the client tells the nurse that she drank a cup a
coffee at 0400 because she wanted to avoid
, HESI RN EXIT EXAM V1 - V7
getting a headache. Which action should the nurse take first?
• Inform the anesthesia care provider
11.After placing a stethoscope as seen in the picture, the nurse
auscultates S1 and S2 heart sounds. To determine if an S3 heart sound
is present, what action should the nurse take first?
• Listen with the bell at the same location
12.A 66-year-old woman is retiring and will no longer have a health
insurance through her place of employment. Which agency should the
client be referred to by the employee health nurse for health
PR
insurance needs?
• Medicare
13.A client who is taking an oral dose of a tetracycline complains of
O
gastrointestinal upset. What snack should the nurse instruct the client to
take with the tetracycline?
FD
• Toasted wheat bread and jelly
14.Following a lumbar puncture, a client voices several complaints.
O
What complaint indicated to the nurse that the client is
experiencing a complication?
C
• “I have a h ead ach e that g ets wors e w he n I s it up ”
• “I am having pain in my lower back when I move my legs”
• “My throat hurts when I swallow”
• “I feel sick to my stomach and am going to throw up”
15.An elderly client seems confused and reports the onset of
, HESI RN EXIT EXAM V1 - V7
nausea, dysuria, and urgency with incontinence. Which action
should the nurse implement?
• Obtain a clean catch mid-stream specimen
16.The nurse is assisting the mother of a child with phenylketonuria (PKU) to
select foods that are in keeping with the child’s dietary restrictions. Which
foods are contraindicated for this child?
• Foods sweetened with aspartame
PR
17.Before preparing a client for the first surgical case of the day, a part-
time scrub nurse asks the circulating nurse if a 3 minute surgical hand
scrub is adequate preparation for this client. Which response should
the circulating nurse provide?
O
• Direct the nurse to continue the surgical hand scrub for a 5 minute
duration
FD
18.Which breakfast selection indicates that the client understands the
nurse’s instructions about the dietary management of osteoporosis?
• Bagel with jelly and skim milk
O
19.The charge nurse of a critical care unit is informed at the beginning of the
C
shift that less than the optimal number of registered nurses will be
working that shift. In planning assignments, which client should receive
the most care hours by a registered nurse (RN)?
• An 82-year-old client with Alzheimer’s disease newly-fractures
femur who has a Foley catheter and soft wrist restrains applied
1. Following discharge teaching, a male client with duodenal ulcer tells the
nurse the he will drink plenty of dairy products, such as milk, to help coat
and protect his ulcer. What is the best follow-up action by the nurse?
• Review with the client the need to avoid foods that are rich in milk
and cream
PR
2. A male client with hypertension, who received new antihypertensive
prescriptions at his last visit returns to the clinic two weeks later to
evaluate his blood pressure (BP). His BP is 158/106 and he admits that he
O
has not been taking the prescribed medication because the drugs make
him “feel bad”. In explaining the need for hypertension control, the nurse
FD
should stress that an elevated BP places the client at risk for which
pathophysiological condition?
• Stroke secondary to hemorrhage
O
3. The nurse observes an unlicensed assistive personnel (UAP)
C
positioning a newly admitted client who has a seizure disorder. The
client is supine and the UAP is placing soft pillows along the side
rails. What action should the nurse implement?
• Instruct the UAP to obtain soft blankets to secure to the side
rails instead of pillows.
4. An adolescent with major depressive disorder has been taking
duloxetine (Cymbalta) for the past 12 days. Which assessment finding
requires immediate follow-up?
• Describes life without purpose
, HESI RN EXIT EXAM V1 - V7
5. A 60-year-old female client with a positive family history of ovarian
cancer has developed an abdominal mass and is being evaluated for
possible ovarian cancer. Her Papanicolau (Pap) smear results are
negative. What information should the nurse include in the client’s
teaching plan?
• Further evaluation involving surgery may be needed
6. A client who recently underwear a tracheostomy is being prepared for
PR
discharge to home. Which instructions is most important for the nurse to
include in the discharge plan?
• Teach tracheal suctioning techniques
7. In assessing an adult client with a partial rebreather mask, the nurse
O
notes that the oxygen reservoir bag does not deflate completely
during inspiration and the client’s respiratory rate is 14 breaths /
FD
minute. What action should the nurse implement?
• Document the assessment data
• Rational: reservoir bag should not deflate completely during
O
inspiration and the client’s respiratory rate is within normal limits.
8. During shift report, the central electrocardiogram (EKG) monitoring
C
system alarms. Which client alarm should the nurse investigate firs?
• Respiratory apnea of 30 seconds
9. During a home visit, the nurse observed an elderly client with
diabetes slip and fall. What action should the nurse take first?
• Check the client for lacerations or fractures
10.At 0600 while admitting a woman for a schedule repeat cesarean
section (C-Section), the client tells the nurse that she drank a cup a
coffee at 0400 because she wanted to avoid
, HESI RN EXIT EXAM V1 - V7
getting a headache. Which action should the nurse take first?
• Inform the anesthesia care provider
11.After placing a stethoscope as seen in the picture, the nurse
auscultates S1 and S2 heart sounds. To determine if an S3 heart sound
is present, what action should the nurse take first?
• Listen with the bell at the same location
12.A 66-year-old woman is retiring and will no longer have a health
insurance through her place of employment. Which agency should the
client be referred to by the employee health nurse for health
PR
insurance needs?
• Medicare
13.A client who is taking an oral dose of a tetracycline complains of
O
gastrointestinal upset. What snack should the nurse instruct the client to
take with the tetracycline?
FD
• Toasted wheat bread and jelly
14.Following a lumbar puncture, a client voices several complaints.
O
What complaint indicated to the nurse that the client is
experiencing a complication?
C
• “I have a h ead ach e that g ets wors e w he n I s it up ”
• “I am having pain in my lower back when I move my legs”
• “My throat hurts when I swallow”
• “I feel sick to my stomach and am going to throw up”
15.An elderly client seems confused and reports the onset of
, HESI RN EXIT EXAM V1 - V7
nausea, dysuria, and urgency with incontinence. Which action
should the nurse implement?
• Obtain a clean catch mid-stream specimen
16.The nurse is assisting the mother of a child with phenylketonuria (PKU) to
select foods that are in keeping with the child’s dietary restrictions. Which
foods are contraindicated for this child?
• Foods sweetened with aspartame
PR
17.Before preparing a client for the first surgical case of the day, a part-
time scrub nurse asks the circulating nurse if a 3 minute surgical hand
scrub is adequate preparation for this client. Which response should
the circulating nurse provide?
O
• Direct the nurse to continue the surgical hand scrub for a 5 minute
duration
FD
18.Which breakfast selection indicates that the client understands the
nurse’s instructions about the dietary management of osteoporosis?
• Bagel with jelly and skim milk
O
19.The charge nurse of a critical care unit is informed at the beginning of the
C
shift that less than the optimal number of registered nurses will be
working that shift. In planning assignments, which client should receive
the most care hours by a registered nurse (RN)?
• An 82-year-old client with Alzheimer’s disease newly-fractures
femur who has a Foley catheter and soft wrist restrains applied
