HESI RN Exit Exam HESI RN Final Exam

pg. 1 HESI RN Exit Exam/ HESI RN Final Exam/ Questions with Correct Verified Answers/ Latest Update 2024 – Rated A+

• Which information is a priority for the RN to reinforce to an older client after

intravenous pyelography?

• Eat a light diet for the rest of the day
• Rest for the next 24 hours since the preparation and the test is tiring.
• During waking hours drink at least 1 8-ounce glass of fluid every hour for the next
• days
• Measure the urine output for the next day and immediately notify the health care

provider if it should decrease.The correct answer is D: Measure the urine output for the next day and immediately notify the health care provider if it should decrease.

• A client has altered renal function and is being treated at home. The nurse recognizes that

the most accurate indicator of fluid balance during the weekly visits is

• difference in the intake and output
• changes in the mucous membranes
• skin turgor

D)weekly weight

The correct answer is D: weekly weight

• A client has been diagnosed with Zollinger-Ellison syndrome.Which information is most

important for the nurse to reinforce with the client?

• It is a condition in which one or more tumors called gastrinomas form in the pancreas or in

the upper part of the small intestine (duodenum)

B)It is critical to report promptly to your health care provider any findings of peptic ulcers

c) Treatment consists of medications to reduce acid and heal any peptic ulcers and, if possible,

surgery to remove any tumors

• With the average age at diagnosis at 50 years the peptic ulcers may occur at unusual areas of

the stomach or intestine The correct answer is B: It is critical to report promptly to your health care provider any findings of peptic ulcers.

• A primigravida in the third trimester is hospitalized for preeclampsia. The nurse determines

that the client’s blood pressure is increasing. Which action should the nurse take first?

• Check the protein level in urine
• Have the client turn to the left

side

• Take the temperature
• Monitor the urine output

The correct answer is B: Have the client turn to the left side

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pg. 2 The nurse is completing the admission assessment of a 3-year old who is admitted with bacterial meningitis and hydrocephalus. Which assessment finding is evidence that the child is experiencing increased intracranial pressure (ICP)?

• Tachycardia and tachypnea
• Sluggish and unequal pupillary responses
• Increased head circumference and bulging fontanels
• Blood pressure fluctuations and syncope - ANSWER - B. Sluggish and unequal

pupillary responses

A client with acute pancreatitis is admitted with severe, piercing abdominal pain and an elevated serum amylase. Which additional information is the client most likely to report to the nurse?

• Abdominal pain decreases when lying supine
• Pain lasts an hour and leaves the abdomen tender
• Right upper quadrant pain refers to right scapula
• Drinks alcohol until intoxicated at least twice weekly. - ANSWER - A. Abdominal

pain decreases when lying supine

A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the hospital. Which information is most important for the nurse to provide the parents prior to discharge?

• Instructions about how much fluid the child should drink daily.
• Signs of addiction to opioid pain medications
• Information about non-pharmaceutical pain relief measures
• Referral for social services for the child and family - ANSWER - A. Instructions

about how much fluid the child should drink daily

After receiving report on an inpatient acute care unit, which client should the nurse assess first?

• The client with an obstruction of the large intestine who is experiencing abdominal

distention

• The client who had surgery yesterday and is experiencing a paralytic ileus with

absent bowel sounds

• The client with a small bowel obstruction who has a nasogastric tube that is draining

greenish fluid

• The client with a bowel obstruction due to a volvulus who is experiencing

abdominal rigidity - ANSWER - D. The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity

A teenager presents to the emergency department with palpitations after vaping at a party. The client is anxious, fearful, and hyperventilating. The nurse anticipates the client developing which acid base imbalance?

• Respiratory acidosis
• Metabolic alkalosis
• Metabolic acidosis
• Respiratory alkalosis - ANSWER - D. Respiratory alkalosis

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pg. 3 A client with dyspnea is being admitted to the medical unit. To best prepare for the client's arrival, the nurse should ensure that the client's bed is in which position?

• Supine
• supine; feet elevated higher than head
• supine; head elevated higher than feet
• Fowlers - ANSWER - Fowlers

The nurse is taking the blood pressure measurement of a client with Parkinson's disease. Which information in the client's admission assessment is relevant to the nurse's plan for taking the blood pressure reading? (Select all the apply)

• Frequent syncope
• Occasional nocturia
• Flat affect
• Blurred vision
• Frequent drooling - ANSWER - A. Frequent syncope
• Flat affect
• Blurred vision

While caring for a client's postoperative dressing, the nurse observes purulent drainage at the wound. Before reporting this finding to the healthcare provider, the nurse should review which of the client's laboratory values?

• Serum albumin
• Culture for sensitive organisms
• Serum blood glucose level
• Creatinine level - ANSWER - B. Culture for sensitive organisms

A preschool-aged boy is admitted to the pediatric unit following successful resuscitation from a near-drowning incident. While providing care to the child, the nurse begins talking with his preadolescent brother who rescued the child from the swimming pool and initiated resuscitation. The nurse notices the older boy becomes withdrawn when asked about what happened. Which action should the nurse take?

• Develop a water safety teaching plan for the family
• Ask the older brother how he felt during the incident
• Tell the older brother that he seems depressed
• Commend the older brother for his heroic actions - ANSWER - B. Ask the older

brother how he felt during the incident

A male client with cirrhosis has jaundice and pruritus. He tells the nurse that he has been soaking in hot baths at night with no relief of his discomfort. Which action should the nurse take?

• Encourage the client to use cooler water and apply calamine lotion after soaking
• Obtain a PRN prescription for an analgesic that the client can use for symptom

relief

• Suggest that the client take brief showers and apply oil-based lotion after showering
• Explain that the symptoms are caused by liver damage and cannot be relieved -

ANSWER - A. Encourage the client to use cooler water and apply calamine lotion after soaking

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pg. 4 An older client with a long history of coronary artery disease (CAD), hypertension (HTN), and heart failure (HF) arrives in the Emergency Department (ED) in respiratory distress. The healthcare provider prescribes furosemide IV. Which therapeutic response to furosemide should the nurse expected in the client with acute HF?

• Increased cardiac contractility
• Reduced preload
• Relaxed vascular tone
• Decreased afterload - ANSWER - B. Reduced preload

Which intervention should the nurse include in the plan of care for a child with tetanus?

• Encourage coughing and deep breathing
• Minimize the amount of stimuli in the room
• Reposition from side to side every hour
• Open window shades to provide natural light - ANSWER - B. Minimize the amount

of stimuli in the room

An adolescent who was diagnosed with diabetes mellitus Type 1 at the age of 9, is admitted to the hospital in diabetic ketoacidosis. Which occurrence is the most likely cause of the ketoacidosis?

• Ate an extra peanut butter sandwich before gym class
• incorrectly administered too much insulin
• Had a cold and ear infection for the past two days
• Skipped eating lunch - ANSWER - C. Had a cold and ear infection for the past two

days

A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs of impending death. After notifying the family of the client's status, what priority action should the nurse implement?

• The impending signs of death should be documented
• The client's status should be conveyed to the chaplain
• The client's need for pain medication should be determined
• The nurse manager should be updated on the client's status - ANSWER - C. The

client's need for pain medication should be determined

Which self care measure is most important for the nurse to include in the plan of care of a client recently diagnosed with type 2 diabetes mellitus?

• Self-injection techniques
• Blood glucose monitoring
• Diabetic diet meal planning
• A realistic exercise plan - ANSWER - B. Blood glucose monitoring

A client who gave birth 48 hours ago has decided to bottle feed the infant. During the assessment, the nurse observes that both breasts are swollen, warm, and tender on palpation. Which instruction should the nurse provide?

• Apply ice to the breasts for comfort
• Wear a loose-fitting bra during the day to prevent nipple irritation
• Run warm water over breasts
• Express small amounts of milk from the breasts to relieve pressure - ANSWER - A.

Apply ice to the breasts for comfort

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