HESI RN EXIT EXAM Questions and
Answers Graded A+
The nurse is giving preop instructions to a 14 yr old scheduled to correct a spinal
curvature. Which statement best demonstrates that learning has taken place? -
Correct answer-I understand I will be in a body cast and I will show you hoy you
taught me to turn
To take the vital signs of a 4 month old child which order will give the most
accurate results? - Correct answer-Respiratory rate, heart rate, rectal temperature
AN otoscope exam of a child's ear reveals a tympanic membrane that is pearly
gray, slightly bulging and not movable. What action should the nurse take next? -
Correct answer-Ask the child if he has has a cold, runny nose or any ear pain lately
Which restraint should be used for a toddler after a cleft palate repair? - Correct
answer-elbow
What preoperative nursing intervention should be included in the plan of care for
an infant with pyloric stenosis? - Correct answer-Observe for projectile vomiting
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,A six month old returns from surgery with elbow restraints in place. What nursing
intervention should be included when caring for any restrained child? - Correct
answer-remove restraints one at a time and provide range of motion exercise
A two year old with Down Syndrome is brought to the clinic for his regular
physical exam. The nurse knows which problem is frequently associated with
Down Syndrome? - Correct answer-Congenital Heart Disease
When assessing a child with asthma the nurse should expect intercostal retractions
during - Correct answer-inspiration
When planning the care for a child who has had a cleft lip repair, the nurse knows
that crying should be minimized because it - Correct answer-stresses the suture line
A client with a productive cough has obtained a sputum specimen for culture as
instructed. What action is the best initial nursing action? - Correct answer-
Administer the first dose of prescribed antibiotic therapy
A client is brought to the Emergency Department by ambulance in cardiac arrest
with CPR in progress. The client is intubated and receiving 100% O2 per ambu
bag. The nurse determines the client is cyanotic, cold, and diaphoretic. Which
assessment is most important to obtain? - Correct answer-deep tendon reflexes
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,After a hospitalization for Syndrome of Inappropriate Antidiuretic Hormone
(SIADH), a client develops pontine myselinolysis. Which intervention should the
nurse implement first? - Correct answer-Reorientate client to his room
A male client with heart failure (HF) calls the clinic and reports he cannot put his
shoes on because they are too tight. Which additional information should the nurse
obtain? - Correct answer-Has his weight changed in the last several days
An older adult with a long hx of COPD is admitted with progressive shortness of
breath and a persistent cough. She is anxious and is complaining of a dry mouth.
Which intervention should the nurse implement? - Correct answer-Apply a high
flow venturi mask
A client with a hx of asthma and bronchitis arrives at the clinic with SOB,
productive cough with thickened tenacious mucous and the inability to walk up a
flight of stairs without experiencing breathlessness. Which action is important for
the nurse to instruct the client about self care? - Correct answer-Increase the daily
intake of oral fluids to to liquefy secretions
A cardiac catherization of a client with heart disease indicates the following
blockages 95% LAD 99% proximal circumflex and 95% proximal RCA. The client
later asks the nurse "what does all that mean for me" - Correct answer-3 main
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, arteries have major blockages with only 1 to 5% of blood flow getting through to
the heart muscle
The nurse is caring for a client with a lower left pulmonary abscess which position
should the nurse instruct the client to maintain - Correct answer-left lateral
A client with cholelithiasis has a gallstone lodged in the common bile duct and is
unable to eat or drink without nausea and vomiting. Which finding should the
nurse report to the healthcare provider - Correct answer-yellow sclera
While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the nurse
performs a neuro assessment every 4 hours. which assessment finding warrants
immediate intervention by the nurse? - Correct answer-Increasing Anxiety
The nurse is providing preoperative education for a Jewish client scheduled to
receive a xenograft to promote burn healing. Which info should the nurse provide
this client? - Correct answer-The xenograft is taken from nonhuman sources
A male client who had colon surgery 3 days ago is anxious and requests assistance
to reposition. The wound dehiscences and eviscerates. The nurse moistens an
available sterile dressing and places it over the wound which intervention should
the nurse implement next? - Correct answer-prepare the client to return to the
operating room
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
Answers Graded A+
The nurse is giving preop instructions to a 14 yr old scheduled to correct a spinal
curvature. Which statement best demonstrates that learning has taken place? -
Correct answer-I understand I will be in a body cast and I will show you hoy you
taught me to turn
To take the vital signs of a 4 month old child which order will give the most
accurate results? - Correct answer-Respiratory rate, heart rate, rectal temperature
AN otoscope exam of a child's ear reveals a tympanic membrane that is pearly
gray, slightly bulging and not movable. What action should the nurse take next? -
Correct answer-Ask the child if he has has a cold, runny nose or any ear pain lately
Which restraint should be used for a toddler after a cleft palate repair? - Correct
answer-elbow
What preoperative nursing intervention should be included in the plan of care for
an infant with pyloric stenosis? - Correct answer-Observe for projectile vomiting
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,A six month old returns from surgery with elbow restraints in place. What nursing
intervention should be included when caring for any restrained child? - Correct
answer-remove restraints one at a time and provide range of motion exercise
A two year old with Down Syndrome is brought to the clinic for his regular
physical exam. The nurse knows which problem is frequently associated with
Down Syndrome? - Correct answer-Congenital Heart Disease
When assessing a child with asthma the nurse should expect intercostal retractions
during - Correct answer-inspiration
When planning the care for a child who has had a cleft lip repair, the nurse knows
that crying should be minimized because it - Correct answer-stresses the suture line
A client with a productive cough has obtained a sputum specimen for culture as
instructed. What action is the best initial nursing action? - Correct answer-
Administer the first dose of prescribed antibiotic therapy
A client is brought to the Emergency Department by ambulance in cardiac arrest
with CPR in progress. The client is intubated and receiving 100% O2 per ambu
bag. The nurse determines the client is cyanotic, cold, and diaphoretic. Which
assessment is most important to obtain? - Correct answer-deep tendon reflexes
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,After a hospitalization for Syndrome of Inappropriate Antidiuretic Hormone
(SIADH), a client develops pontine myselinolysis. Which intervention should the
nurse implement first? - Correct answer-Reorientate client to his room
A male client with heart failure (HF) calls the clinic and reports he cannot put his
shoes on because they are too tight. Which additional information should the nurse
obtain? - Correct answer-Has his weight changed in the last several days
An older adult with a long hx of COPD is admitted with progressive shortness of
breath and a persistent cough. She is anxious and is complaining of a dry mouth.
Which intervention should the nurse implement? - Correct answer-Apply a high
flow venturi mask
A client with a hx of asthma and bronchitis arrives at the clinic with SOB,
productive cough with thickened tenacious mucous and the inability to walk up a
flight of stairs without experiencing breathlessness. Which action is important for
the nurse to instruct the client about self care? - Correct answer-Increase the daily
intake of oral fluids to to liquefy secretions
A cardiac catherization of a client with heart disease indicates the following
blockages 95% LAD 99% proximal circumflex and 95% proximal RCA. The client
later asks the nurse "what does all that mean for me" - Correct answer-3 main
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, arteries have major blockages with only 1 to 5% of blood flow getting through to
the heart muscle
The nurse is caring for a client with a lower left pulmonary abscess which position
should the nurse instruct the client to maintain - Correct answer-left lateral
A client with cholelithiasis has a gallstone lodged in the common bile duct and is
unable to eat or drink without nausea and vomiting. Which finding should the
nurse report to the healthcare provider - Correct answer-yellow sclera
While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the nurse
performs a neuro assessment every 4 hours. which assessment finding warrants
immediate intervention by the nurse? - Correct answer-Increasing Anxiety
The nurse is providing preoperative education for a Jewish client scheduled to
receive a xenograft to promote burn healing. Which info should the nurse provide
this client? - Correct answer-The xenograft is taken from nonhuman sources
A male client who had colon surgery 3 days ago is anxious and requests assistance
to reposition. The wound dehiscences and eviscerates. The nurse moistens an
available sterile dressing and places it over the wound which intervention should
the nurse implement next? - Correct answer-prepare the client to return to the
operating room
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
