2024-2025 HESI RN Exit Exam with Answers (156 Solved Questions)

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HESIRNexit!100%VERIFIED ANSWERS2024/2025 ALREADYPASSEDIn planning care for a 6 month-old infant, what must the nurse provide to assist inthe development of trust?A) FoodB) WarmthC) SecurityD) ComfortC) SecurityA nurse has just received a medication order which is not legible. Whichstatement best reflects assertive communication?A) "I cannot give this medication as it is written. I have no idea of what youmean."B) "Would you please clarify what you have written so I am sure I am reading itcorrectly?"C) "I am having difficulty reading your handwriting. It would save me time if youwould be more careful."D) "Please print in the future so I do not have to spend extra time attempting toread your writing."B) "Would you please clarify what you have written so I am sure I amreading itcorrectly?"

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What is the most important consideration when teaching parents how to reducerisks in the home?A) Age and knowledge level of the parentsB) Proximity to emergency servicesC) Number of children in the homeD) Age of children in thehomeD) Age of children in the homeA 35 year-old client with sickle cell crisis is talking on the telephone but stops asthe nurse enters the room to request something for pain. The nurse shouldA) Administer a placeboB) Encourage increased fluid intakeC) Administer the prescribed analgesiaD) Recommend relaxation exercises for pain controlC) Administer the prescribed analgesiaWhile caring for a toddler with croup, which initial sign of croup requires thenurse's immediate attention?A) Respiratory rate of 42B) Lethargy for the past hourC) Apical pulse of 54D) Coughing up copious secretionsA) Respiratory rate of 42A client is admitted with low T3 and T4 levels and an elevated TSH level. On initialassessment, the nurse would anticipate which of the following assessmentfindings?A) LethargyB) Heat intoleranceC) DiarrheaD) Skin eruptions

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A) LethargyThe emergency room nurse admits a child who experienced a seizure at school.The father comments that this is the first occurrence, and denies any familyhistory of epilepsy. What is the best response by the nurse?A) "Do not worry. Epilepsy can be treated with medications."B) "The seizure may or may not mean your child has epilepsy."C) "Since this was the first convulsion, it may not happen again."D) "Long term treatment will prevent future seizures."B) "The seizure may or may not mean your child has epilepsy."Alcohol and drug abuse impairs judgment and increases risk taking behavior.What nursing diagnosis best applies?A) Risk for injuryB) Riskfor knowledge deficitC) Altered thought processD) Disturbance in self-esteemA) Risk for injuryWhich these findings would the nurse more closely associate with anemia in a 10month-old infant?A) Hemoglobin level of 12 g/dIB) Pale mucosa of the eyelids and lipsC) HypoactivityD) A heart rate between 140 to 160B) Pale mucosa of the eyelids and lipsThe nurse is caring for a client in hypertensive crisis in an intensive care unit.The priority assessment in the first hour of care isA) Heart rateB) Pedal pulses

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C) Lung soundsD) Pupil responsesD) Pupil responsesWhich of these clients who are all in the terminal stage of cancer is leastappropriate to suggest the use of patient controlled analgesia (PCA) with apump?A) A young adult with a history ofDown's syndromeB) A teenager who reads at a 4th grade levelC) An elderly client with numerous arthritic nodules on the handsD) A preschooler with intermittent episodes of alertnessD) A preschooler with intermittent episodes of alertnessThe nurse is about to assess a 6 month-old child with nonorganic failure-to thrive(NOFTT). Upon entering the room, the nurse would expect the baby to beA) Irritable and "colicky" with no attempts to pull to standingB) Alert, laughing and playing with arattle, sitting with supportC) Skin color dusky with poor skin turgor over abdomenD) Pale, thin arms and legs, uninterested in surroundingsD) Pale, thin arms and legs, uninterested in surroundingsAs the nurse is speaking with a group of teens which ofthese side effects ofchemotherapy for cancer would the nurse expect this group to be more interestedin during the discussion?A) Mouth soresB) FatigueC) DiarrheaD) Hair lossD) Hair loss

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While caring for a client who was admitted with myocardial infarction (MI) 2 daysago, the nurse notes today's temperature is 101.1 degrees Fahrenheit (38.5degreesCelsius). The appropriate nursing intervention is toA) Call the health care provider immediatelyB) Administer acetaminophen as ordered as this is normal at this timeC) Send blood, urine and sputum for cultureD) Increase the client's fluid intakeB) Administer acetaminophen as ordered as this is normal at this timeA client is admitted for first and second degree burns on the face, neck, anteriorchest andhands. The nurse's priority should beA) Cover the areas with dry sterile dressingsB) Assess for dyspnea or stridorC) Initiate intravenous therapyD) Administer pain medicationB) Assess for dyspnea or stridorWhich of these clients who call the community health clinic would the nurse askto come in that day to be seen by the health care provider?A) I started my period and now my urine has turned bright red.B) I am an diabetic and today I have been going to the bathroom every hour.C) I was started onmedicine yesterday for a urine infection. Now my lower bellyhurts when I go to the bathroom.D) I went to the bathroom and my urine looked very red and it didn't hurt when Iwent.D) I went to the bathroom and my urine looked very red and it didn't hurt when I went.Which of these parents' comment for a newborn would most likely reveal an initialfinding of a suspected pyloric stenosis?A) I noticed a little lump a little above the belly button.B) The baby seems hungry all the time.

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C) Mild vomiting thatprogressed to vomiting shooting across the room.D) Irritation and spitting up immediately after feedings.C) Mild vomiting that progressed to vomiting shooting across the room.The nurse is assessing a child for clinical manifestations of iron deficiencyanemia.Which factor would the nurse recognize as cause for the findings?A) Decreased cardiac outputB) Tissue hypoxiaC) Cerebral edemaD) Reduced oxygen saturationB) Tissue hypoxiaThe nurse would expect the cystic fibrosis client to receive supplementalpancreaticenzymes along with a dietA) High in carbohydrates and proteinsB) Low in carbohydrates and proteinsC) High in carbohydrates, low in proteinsD) Low in carbohydrates, high in proteinsA) High in carbohydrates and proteinsIn evaluating the growth of a 12 month-old child, which of these findings wouldthenurse expect to be present in the infant?A) Increased 10% in heightB) 2 deciduous teethC) Tripled the birth weightD) Head > chest circumferenceC) Tripled the birth weight

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A Hispanic client in the postpartum period refuses the hospital food because it is"cold." The best initial action by the nurse is toA) 1Have the unlicensed assistive personnel (UAP) reheat the food if the clientwishesB) Ask the client what foods are acceptable or badC) Encourage her to eat for healing and strengthD) Schedule the dietitian to meet with the client as soon as possibleB) Ask the client what foods are acceptable or badThe father of an 8 month-old infant asks the nurse if his infant's vocalizations arenormal for his age. Which of the following would the nurse expect at this age?A) CooingB) Imitation of soundsC) Throaty soundsD) LaughterB) Imitation of soundsThe nurse should recognize that physical dependence is accompanied by whatfindings when alcohol consumption is first reduced or ended?A) SeizuresB) WithdrawalC) CravingD) Marked toleranceB) WithdrawalImmediately following an acute battering incident in a violent relationship, thebatterer may respond to the partner's injuries byA) Seeking medical help for the victim's injuriesB) Minimizing the episode and underestimating the victim's injuriesC) Contacting a close friend and asking for helpD) Being very remorseful and assisting the victim with medical care

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B) Minimizing the episode andunderestimating the victim's injuriesA client with pneumococcal pneumonia had been started on antibiotics 16 hoursago.During the nurse's initial evening rounds the nurse notices a foul smell in theroom. The client makes all of these statements during their conversation. Whichstatement would alert the nurse to a complication?A) "I have a sharp pain in my chest when I take a breath."B) "I have been coughing up foul-tasting, brown, thick sputum." C) "I have been sweating all day."D) "I feel hot off andon.""B) "I have been coughing up foul-tasting, brown, thick sputum.The nurse is performing an assessment on a client in congestive heart failure.Auscultation of the heart is most likely to revealA) S3 ventricular gallopB) Apical clickC) Systolic murmurD) Split S2A) S3 ventricular gallopWhich of these observations made by the nurse during an excretory urogramindicate a complicaton?A) The client complains of a salty taste in the mouth when the dye is injectedB) The client's entirebody turns a bright red colorC) The client states "I have a feeling of getting warm."D) The client gags and complains " I am getting sick."B) The client's entire body turns a bright red colorA client is diagnosed with a spontaneous pneumothorax necessitating theinsertion of a chest tube. What is the best explanation for the nurse to providethis client?

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A) "The tube will drain fluid from your chest."B) "The tube will remove excess air from your chest."C) "The tube controls the amount of air that enters your chest." D) "The tube will seal the hole in your lung.""B) "The tube will remove excess air from your chest."The nurse is reviewing laboratory results on a client with acute renal failure.Which one of the following should be reported immediately?A) Blood urea nitrogen 50 mg/dlB) Hemoglobin of 10.3 mg/dlC) Venous blood pH 7.30D) Serum potassium 6 mEq/LD) Serum potassium 6 mEq/LThe nurse is caring for a client undergoing the placement of a central venouscatheter line. Which of the followingwould require the nurse's immediateattention?A) PallorB) Increased temperatureC) DyspneaD) Involuntary muscle spasmsC) DyspneaThe nurse is performing a physical assessment on a client who just had anendotracheal tube inserted. Which finding would call for immediate action by thenurse?A) Breath sounds can be heard bilaterallyB) Mist is visible in the T-PieceC) Pulse oximetry of 88D) Client is unable to speak

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C) Pulse oximetry of 88A nurse checks a client who is on a volume-cycled ventilator. Which findingindicates that the client may need suctioning?A) DrowsinessB) Complaint of nauseaC) Pulse rate of 92D) RestlessnessD) RestlessnessDuring the evaluation phase for a client, thenurse should focus onA) All finding of physical and psychosocial stressors of the client and in thefamilyB) The client's status, progress toward goal achievement, and ongoing re-evaluationC) Setting short and long-term goals to insure continuity of care from hospital tohomeD) Select interventions that are measurable and achievable within selectedtimeframesB) The client's status, progress toward goal achievement, and ongoing re-evaluationThe school nurse suspects that a third grade child might haveAttention DeficitHyperactivity Disorder. Prior to referring the child for further evaluation, the nurseshouldA) Observe the child's behavior on at least 2 occasionsB) Consult with the teacher about how to control impulsivityC) Compile a history of behavior patterns and developmental accomplishmentsD) Compare the child's behavior with classic signs and symptomsC) Compile a history of behavior patterns and developmental accomplishmentsWhich of the actions suggested to the RN by the PN during a planning conferencefor a 10 month-old infant admitted 2 hours ago with bacterial meningitis would be

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acceptable to add to the plan of care?A) Measure head circumferenceB) Place in airborne isolationC) Provide passive range of motionD) Provide an over-the-crib protective topA) Measure head circumferenceA client is admitted with a diagnosis of hepatitis B. In reviewing the initiallaboratoryresults, the nurse would expect to find elevation in which of the following values?A) Blood urea nitrogenB) Acid phosphataseC) BilirubinD) Sedimentation RateC) BilirubinThe nurse is discussing nutritional requirements with the parents of an 18 month-oldchild. Which of these statements about milk consumption is correct?A) May drink as much milk as desiredB) Can have milk mixed with other foodsC) Will benefit from fat-free cow's milkD) Should be limited to 3-4 cups of milk dailyD) Should be limited to 3-4 cups of milk dailyThe nurse is talking with a client. The client abruptly says to the nurse, "Themoon is full. Astronauts walk on the moon. Walking is a good health habit." Theclient's behavior most likely indicatesA) NeologismsB) Dissociation

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C) Flight of ideasD) Word saladC) Flight of ideasA mother asks about expected motor skills for a 3 year-old child. Which of thefollowing would the nurse emphasize as normal at this age? A) Jumping ropeB) Tying shoelacesC) Riding a tricycleD) Playing hopscotchC) Riding a tricycleA home health nurse is caring for a client with a pressure sore that is red, withserous drainage, is 2 inches in diameter with loss of subcutaneous tissue. Theappropriate dressing for this wound isA) A transparent film dressingB) Wet dressing with debridement granulesC) Wet to dry with hydrogen peroxideD) Moist saline dressingD) Moist saline dressingThe nurse enters a 2 year-old child's hospital room in order to administer an oralmedication. When the child is asked if he is ready to take his medicine, heimmediately says, "No!" What would be the most appropriate next action?A) Leave the room and return five minutes later and give the medicineB) Explain to the child that the medicine must be taken now C) Give themedication to the father and ask him to give itD) Mix the medication with ice cream or applesauceA) Leave the room and return five minutes later and give the medicineA nurse is doing pre conceptual counseling with a woman who is planning apregnancy. Which of the following statements suggests that the client

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understands the connection between alcohol consumption and fetal alcoholsyndrome?A) "I understand that a glass of wine with dinner is healthy."B) "Beer is not really hard alcohol, so I guess I can drink some."C) "If I drink, my baby may be harmed before I know I am pregnant." D) "Drinking with meals reduces the effects of alcohol.""C) "If I drink, my baby may be harmed before I know I am pregnant.A client has returned from a cardiac catheterization. Which one of the followingassessments would indicate the client is experiencing a complication from theprocedure?A) Increased blood pressureB) Increased heart rateC) Loss of pulse in the extremityD) Decreased urine outputC) Loss of pulse in the extremityA 60 year-old male client had a hernia repair in an outpatient surgery clinic. He isawake and alert, but has not been able to void since he returned from surgery 6hours ago.He received 1000 mL of IV fluid. Which action would be most likely tohelp him void?A) Have him drink several glasses of waterB) Crede' the bladder from the bottom to the topC) Assist him to stand by the side of the bed to voidD) Wait 2 hours and have him try to void againC) Assist him to stand by the side of the bed to voidThe nurse is caring for a client who requires a mechanical ventilator forbreathing.The high pressure alarm goes off on the ventilator. What is the firstaction the nurse should perform?A) Disconnect the client from the ventilator and use a manual resuscitation bag

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