HESI RN EXIT EXAM- m m m
EXAM PACK COMBINED FROM 2019/
m mm m mm
2020/2021/2022 ACTUAL EXAMS- m m
BEST FOR 2023- m m m
2024 EXITEXAM REVIEW m mm m
HESImEXITmCOMPREHENSIVE mPROCTORED mEXAMm2023-2024
1. Whichminformationmismmost mconcerningmtomthemnursemwhenmcaringmformanmoldermclient mw
ithmbilateralmcataracts?
a. Statesmhavingmdifficultymwithmcolormperception
b. Presentsmwithmopacitymof mthemlensmuponmassessment
c. Complainsmof mseeingmamcobweb-typemstructureminmthemvisualmfield
d. Reportsmthemneed mtomusemammagnifyingmglassmtomseemsmallmprint
Rationale:
Visualizationmof mamcobweb-mormhairnet-
typemstructuremismamsignmof mamretinalmdetachment,mwhichmconstitutesmammedicalmemergency.mClient
smwithmcataractsmaremat mincreased mriskmformretinalmdetachment.mDistorted mcolormperception,mopacit
ymof mthemlens,mand mgradualmvisionmlossmaremexpected msignsmand msymptomsmof mcataractsmbut mdomnot
mneed mimmediatemattention.
2. Whenmcaringmformamclient mhospitalized mwithmGuillain-
Barrémsyndrome,mwhichminformationmismmost mimportant mformthemnursemtomreport mtomthemprimarymhe
althmcaremprovider?
a.m Decreaseminmcognitivemstatusmof mthemclient
Rationale:
Amdeclineminmcognitivemstatusminmamclient mismindicativemof msymptomsmof mhypoxiamand mampossiblemne
ed mtomassist mthemclient mwithmmechanicalmventilation.mAmprimarymhealthmcaremprovidermwillmneed mto
mbemcontacted mimmediately.mOptionsmA,mC,mand mD maremfindingsmassociated mwithmGuillain-
Barrémsyndromemthat mshould malsombemreported mbut maremnot masmcriticalmasmthemclient'smhypoxicmstat
us.
3. Amclient mismadmitted mwithmamdiagnosismof mleukemia.mThismconditionmismmanifested m
bymwhichmof mthemfollowing?
a.m Hyperplasiamof mthemgums,melevated mwhitemblood mcount,mweakness
Rationale:
Hyperplasticmgums,mweakness,mand melevated mwhitemblood mcount maremclassicmsignsmof mleukemia.mO
ptionsmA,mB,mand mDmstatemincorrect minformationmformsymptomsmof mleukemia.
4. Themnursementersmthemexaminationmroommof mamclient mwhomhasmbeenmtold mbymhermhealthmc
,aremprovidermthat mshemhasmadvanced movarianmcancer.mWhichmresponsembymthemnursemis mlikelymtomb
emmost msupportivemformthemclient?
, a.m "Tellmmemabout mwhat myoumaremfeelingmright mnow."
Rationale:
Themmost mtherapeuticmactionmformthemnursemismtombemanmactivemlistenermand mtomencouragemthemclient
mtomexploremhermfeelings.mGivingmfalsemreassurancemormpersonalmsuggestionsmaremnot mtherapeuticmc
ommunicationmformthemclient.
5. Amnursemworkingminmthememergencymdepartment madmitsmamclient mwithmfullmthicknessmbur
nsmtom50%mof mthembody.mAssessment mfindingsmindicatemhigh-
pitched mwheezing,mheart mratemof m120mbeats/min,mand mdisorientation.mWhichmactionmshould mthemnu
rsemtakemfirst?
a.m Preparemtomassist mwithmmaintainingmthemairway.
Rationale:
High-
pitched mwheezingmindicatesmlaryngealmstridor,mamsignmof mlaryngealmedemamassociated mwithmlungmi
njury.mAirwaymmanagement mismthemfirst mprioritymof mcare.mOptionsmA,mC,mand mD maremallmappropriat
eminterventionsminmmanagingmthemclient mwithmamburnmbut maremnot masmcriticalmasmestablishingmanmair
way.
6. Themnursemwalksmintomthemroommand mobservesmthemclient mexperiencingmamtonic-
clonicmseizure.mWhichminterventionmshould mthemnursemimplement mfirst?
m
a.m Turnmthemclient monmthemsidemtomaid mventilation.
Rationale:
Maintainingmthemairwaymduringmamseizuremismthemprioritymformsafety.mOptionsmA,mB,mand mCmaremcont
raindicated mduringmamseizuremand mmaymcausemfurtherminjurymtomthemclient.
7. Whichminterventionmshould mbemincluded minmthemplanmof mcaremformamclient madmitted mtomt
hemhospitalmwithmulcerativemcolitis?
a.m Providemamlow-residuemdiet.
Rationale:
Amlow-
residuemdiet mwillmhelpmdecreasemsymptomsmof mdiarrhea,mwhichmaremclinicalm manifestationsmof mulcer
ativemcolitis.
8. Amnursemimplementsmanmeducationmprogrammtomreducemhospitalmreadmissionsmformclien
tsmwithmheart mfailure.mWhichmstatement mbymthemclient mindicatesmthat mteachingmhasmbeenmeffective
?
a. "I mwillmnot mtakemmymdigoxinmif mmymheart mratemismhighermthanm100mbeats/min."
b. "I mshould mweighmmyself moncemamweekmand mreport manymincreases."
c. "It mismimportant mtomincreasemmymfluid mintakemwhenevermpossible."
d. "I mshould mreport manmincreasemof mswellingminmmymfeet mormankles."
Rationale:
Anmincreaseminmedemamindicatesmworseningmright-
sided mheart mfailuremand mshould mbemreported mtomthemprimarymhealthmcaremprovider.mDigitalismshould
mbemheld mwhenmthemheart mratemismlowermthanm60mbeats/min.mThemclient mwithmheart mfailuremshould mw
eighmhimself mormherself mdailymand mreport mamgainmof m2mtom3mlb.mAnmincreaseminmfluid mcanmworsenmhe
, art mfailure.
HESImRN mEXITmEXAM-EXAMmPACKCOMBINED mFROMm2019/2020/2021ACTUALmEXAMS-
BESTmFOR m2022mEXITEXAMmREVIEW
EXAM PACK COMBINED FROM 2019/
m mm m mm
2020/2021/2022 ACTUAL EXAMS- m m
BEST FOR 2023- m m m
2024 EXITEXAM REVIEW m mm m
HESImEXITmCOMPREHENSIVE mPROCTORED mEXAMm2023-2024
1. Whichminformationmismmost mconcerningmtomthemnursemwhenmcaringmformanmoldermclient mw
ithmbilateralmcataracts?
a. Statesmhavingmdifficultymwithmcolormperception
b. Presentsmwithmopacitymof mthemlensmuponmassessment
c. Complainsmof mseeingmamcobweb-typemstructureminmthemvisualmfield
d. Reportsmthemneed mtomusemammagnifyingmglassmtomseemsmallmprint
Rationale:
Visualizationmof mamcobweb-mormhairnet-
typemstructuremismamsignmof mamretinalmdetachment,mwhichmconstitutesmammedicalmemergency.mClient
smwithmcataractsmaremat mincreased mriskmformretinalmdetachment.mDistorted mcolormperception,mopacit
ymof mthemlens,mand mgradualmvisionmlossmaremexpected msignsmand msymptomsmof mcataractsmbut mdomnot
mneed mimmediatemattention.
2. Whenmcaringmformamclient mhospitalized mwithmGuillain-
Barrémsyndrome,mwhichminformationmismmost mimportant mformthemnursemtomreport mtomthemprimarymhe
althmcaremprovider?
a.m Decreaseminmcognitivemstatusmof mthemclient
Rationale:
Amdeclineminmcognitivemstatusminmamclient mismindicativemof msymptomsmof mhypoxiamand mampossiblemne
ed mtomassist mthemclient mwithmmechanicalmventilation.mAmprimarymhealthmcaremprovidermwillmneed mto
mbemcontacted mimmediately.mOptionsmA,mC,mand mD maremfindingsmassociated mwithmGuillain-
Barrémsyndromemthat mshould malsombemreported mbut maremnot masmcriticalmasmthemclient'smhypoxicmstat
us.
3. Amclient mismadmitted mwithmamdiagnosismof mleukemia.mThismconditionmismmanifested m
bymwhichmof mthemfollowing?
a.m Hyperplasiamof mthemgums,melevated mwhitemblood mcount,mweakness
Rationale:
Hyperplasticmgums,mweakness,mand melevated mwhitemblood mcount maremclassicmsignsmof mleukemia.mO
ptionsmA,mB,mand mDmstatemincorrect minformationmformsymptomsmof mleukemia.
4. Themnursementersmthemexaminationmroommof mamclient mwhomhasmbeenmtold mbymhermhealthmc
,aremprovidermthat mshemhasmadvanced movarianmcancer.mWhichmresponsembymthemnursemis mlikelymtomb
emmost msupportivemformthemclient?
, a.m "Tellmmemabout mwhat myoumaremfeelingmright mnow."
Rationale:
Themmost mtherapeuticmactionmformthemnursemismtombemanmactivemlistenermand mtomencouragemthemclient
mtomexploremhermfeelings.mGivingmfalsemreassurancemormpersonalmsuggestionsmaremnot mtherapeuticmc
ommunicationmformthemclient.
5. Amnursemworkingminmthememergencymdepartment madmitsmamclient mwithmfullmthicknessmbur
nsmtom50%mof mthembody.mAssessment mfindingsmindicatemhigh-
pitched mwheezing,mheart mratemof m120mbeats/min,mand mdisorientation.mWhichmactionmshould mthemnu
rsemtakemfirst?
a.m Preparemtomassist mwithmmaintainingmthemairway.
Rationale:
High-
pitched mwheezingmindicatesmlaryngealmstridor,mamsignmof mlaryngealmedemamassociated mwithmlungmi
njury.mAirwaymmanagement mismthemfirst mprioritymof mcare.mOptionsmA,mC,mand mD maremallmappropriat
eminterventionsminmmanagingmthemclient mwithmamburnmbut maremnot masmcriticalmasmestablishingmanmair
way.
6. Themnursemwalksmintomthemroommand mobservesmthemclient mexperiencingmamtonic-
clonicmseizure.mWhichminterventionmshould mthemnursemimplement mfirst?
m
a.m Turnmthemclient monmthemsidemtomaid mventilation.
Rationale:
Maintainingmthemairwaymduringmamseizuremismthemprioritymformsafety.mOptionsmA,mB,mand mCmaremcont
raindicated mduringmamseizuremand mmaymcausemfurtherminjurymtomthemclient.
7. Whichminterventionmshould mbemincluded minmthemplanmof mcaremformamclient madmitted mtomt
hemhospitalmwithmulcerativemcolitis?
a.m Providemamlow-residuemdiet.
Rationale:
Amlow-
residuemdiet mwillmhelpmdecreasemsymptomsmof mdiarrhea,mwhichmaremclinicalm manifestationsmof mulcer
ativemcolitis.
8. Amnursemimplementsmanmeducationmprogrammtomreducemhospitalmreadmissionsmformclien
tsmwithmheart mfailure.mWhichmstatement mbymthemclient mindicatesmthat mteachingmhasmbeenmeffective
?
a. "I mwillmnot mtakemmymdigoxinmif mmymheart mratemismhighermthanm100mbeats/min."
b. "I mshould mweighmmyself moncemamweekmand mreport manymincreases."
c. "It mismimportant mtomincreasemmymfluid mintakemwhenevermpossible."
d. "I mshould mreport manmincreasemof mswellingminmmymfeet mormankles."
Rationale:
Anmincreaseminmedemamindicatesmworseningmright-
sided mheart mfailuremand mshould mbemreported mtomthemprimarymhealthmcaremprovider.mDigitalismshould
mbemheld mwhenmthemheart mratemismlowermthanm60mbeats/min.mThemclient mwithmheart mfailuremshould mw
eighmhimself mormherself mdailymand mreport mamgainmof m2mtom3mlb.mAnmincreaseminmfluid mcanmworsenmhe
, art mfailure.
HESImRN mEXITmEXAM-EXAMmPACKCOMBINED mFROMm2019/2020/2021ACTUALmEXAMS-
BESTmFOR m2022mEXITEXAMmREVIEW
