HESI RN EXIT EXAM-
EXAM PACK COMBINED
FROM 2024-2025
GRADED
A+|||GUARANTEED
PASS!! LATEST EXAM
UPDATE!!!!!!!DOWNLOA
D NOW!!!!
1. Which information is most concerning to the nurse when caring for an older client with
bilateral cataracts?
a. States having difficulty with color perception
b. Presents with opacity of the lens upon assessment
c. Complains of seeing a cobweb-type structure in the visual field
d. Reports the need to use a magnifying glass to see small print
Rationale:
Visualization of a cobweb- or hairnet-type structure is a sign of a retinal detachment, which
constitutes a medical emergency. Clients with cataracts are at increased risk for retinal
detachment. Distorted color perception, opacity of the lens, and gradual vision loss are expected
signs and symptoms of cataracts but do not need immediate attention.
, 2. When caring for a client hospitalized with Guillain-Barré syndrome, which information
is most important for the nurse to report to the primary health care provider?
a. Decrease in cognitive status of the client
Rationale:
A decline in cognitive status in a client is indicative of symptoms of hypoxia and a possible need
to assist the client with mechanical ventilation. A primary health care provider will need to be
contacted immediately. Options A, C, and D are findings associated with Guillain-Barré
syndrome that should also be reported but are not as critical as the client's hypoxic status.
3. A client is admitted with a diagnosis of leukemia. This condition is manifested by
which of the following?
a. Hyperplasia of the gums, elevated white blood count, weakness
Rationale:
Hyperplastic gums, weakness, and elevated white blood count are classic signs of leukemia.
Options A, B, and D state incorrect information for symptoms of leukemia.
4. The nurse enters the examination room of a client who has been told by her health care
provider that she has advanced ovarian cancer. Which response by the nurse is likely to be most
supportive for the client?
, a. "Tell me about what you are feeling right now."
Rationale:
The most therapeutic action for the nurse is to be an active listener and to encourage the client to
explore her feelings. Giving false reassurance or personal suggestions are not therapeutic
communication for the client.
5. A nurse working in the emergency department admits a client with full thickness burns
to 50% of the body. Assessment findings indicate high-pitched wheezing, heart rate of 120
beats/min, and disorientation. Which action should the nurse take first?
a. Prepare to assist with maintaining the airway.
Rationale:
High-pitched wheezing indicates laryngeal stridor, a sign of laryngeal edema associated with
lung injury. Airway management is the first priority of care. Options A, C, and D are all
appropriate interventions in managing the client with a burn but are not as critical as establishing
an airway.
6. The nurse walks into the room and observes the client experiencing a tonic- clonic
seizure. Which intervention should the nurse implement first?
a. Turn the client on the side to aid ventilation.
Rationale:
Maintaining the airway during a seizure is the priority for safety. Options A, B, and C are
contraindicated during a seizure and may cause further injury to the client.
, 7. Which intervention should be included in the plan of care for a client admitted to the
hospital with ulcerative colitis?
a. Provide a low-residue diet.
Rationale:
A low-residue diet will help decrease symptoms of diarrhea, which are clinical manifestations of
ulcerative colitis.
8. A nurse implements an education program to reduce hospital readmissions for clients
with heart failure. Which statement by the client indicates that teaching has been effective?
a. "I will not take my digoxin if my heart rate is higher than 100 beats/min."
b. "I should weigh myself once a week and report any increases."
c. "It is important to increase my fluid intake whenever possible."
d. "I should report an increase of swelling in my feet or ankles."
Rationale:
An increase in edema indicates worsening right-sided heart failure and should be reported to the
primary health care provider. Digitalis should be held when the heart rate is lower than 60
beats/min. The client with heart failure should weigh himself or herself daily and report a gain of
2 to 3 lb. An increase in fluid can worsen heart failure.
HESI RN EXIT EXAM-EXAM PACKCOMBINED FROM 2019/2020/2021ACTUAL EXAMS-BEST FOR 2022
EXITEXAM REVIEW
EXAM PACK COMBINED
FROM 2024-2025
GRADED
A+|||GUARANTEED
PASS!! LATEST EXAM
UPDATE!!!!!!!DOWNLOA
D NOW!!!!
1. Which information is most concerning to the nurse when caring for an older client with
bilateral cataracts?
a. States having difficulty with color perception
b. Presents with opacity of the lens upon assessment
c. Complains of seeing a cobweb-type structure in the visual field
d. Reports the need to use a magnifying glass to see small print
Rationale:
Visualization of a cobweb- or hairnet-type structure is a sign of a retinal detachment, which
constitutes a medical emergency. Clients with cataracts are at increased risk for retinal
detachment. Distorted color perception, opacity of the lens, and gradual vision loss are expected
signs and symptoms of cataracts but do not need immediate attention.
, 2. When caring for a client hospitalized with Guillain-Barré syndrome, which information
is most important for the nurse to report to the primary health care provider?
a. Decrease in cognitive status of the client
Rationale:
A decline in cognitive status in a client is indicative of symptoms of hypoxia and a possible need
to assist the client with mechanical ventilation. A primary health care provider will need to be
contacted immediately. Options A, C, and D are findings associated with Guillain-Barré
syndrome that should also be reported but are not as critical as the client's hypoxic status.
3. A client is admitted with a diagnosis of leukemia. This condition is manifested by
which of the following?
a. Hyperplasia of the gums, elevated white blood count, weakness
Rationale:
Hyperplastic gums, weakness, and elevated white blood count are classic signs of leukemia.
Options A, B, and D state incorrect information for symptoms of leukemia.
4. The nurse enters the examination room of a client who has been told by her health care
provider that she has advanced ovarian cancer. Which response by the nurse is likely to be most
supportive for the client?
, a. "Tell me about what you are feeling right now."
Rationale:
The most therapeutic action for the nurse is to be an active listener and to encourage the client to
explore her feelings. Giving false reassurance or personal suggestions are not therapeutic
communication for the client.
5. A nurse working in the emergency department admits a client with full thickness burns
to 50% of the body. Assessment findings indicate high-pitched wheezing, heart rate of 120
beats/min, and disorientation. Which action should the nurse take first?
a. Prepare to assist with maintaining the airway.
Rationale:
High-pitched wheezing indicates laryngeal stridor, a sign of laryngeal edema associated with
lung injury. Airway management is the first priority of care. Options A, C, and D are all
appropriate interventions in managing the client with a burn but are not as critical as establishing
an airway.
6. The nurse walks into the room and observes the client experiencing a tonic- clonic
seizure. Which intervention should the nurse implement first?
a. Turn the client on the side to aid ventilation.
Rationale:
Maintaining the airway during a seizure is the priority for safety. Options A, B, and C are
contraindicated during a seizure and may cause further injury to the client.
, 7. Which intervention should be included in the plan of care for a client admitted to the
hospital with ulcerative colitis?
a. Provide a low-residue diet.
Rationale:
A low-residue diet will help decrease symptoms of diarrhea, which are clinical manifestations of
ulcerative colitis.
8. A nurse implements an education program to reduce hospital readmissions for clients
with heart failure. Which statement by the client indicates that teaching has been effective?
a. "I will not take my digoxin if my heart rate is higher than 100 beats/min."
b. "I should weigh myself once a week and report any increases."
c. "It is important to increase my fluid intake whenever possible."
d. "I should report an increase of swelling in my feet or ankles."
Rationale:
An increase in edema indicates worsening right-sided heart failure and should be reported to the
primary health care provider. Digitalis should be held when the heart rate is lower than 60
beats/min. The client with heart failure should weigh himself or herself daily and report a gain of
2 to 3 lb. An increase in fluid can worsen heart failure.
HESI RN EXIT EXAM-EXAM PACKCOMBINED FROM 2019/2020/2021ACTUAL EXAMS-BEST FOR 2022
EXITEXAM REVIEW
