2024-2025 RN HESI EXIT EXAM - Version 1 (V1)
Questions and Verified Answers 100% Correct | Grade
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1. The nurse is reviewing medical prescriptions for newly admitted patients. It
would be a priority for the nurse to follow up with the physician if a patient
with
(a) a potassium level of 4.5mEq/L has Kayexalate (sodium polystyrene) prescribed C0RRECT
ANSWER
(b) a Dilantin (phenytoin) level of 8 mcg/ml is placed on seizure precautions(c)
sensitivity to Aspirin (acetylsalicylic acid) is prescribed Tylenol
(acetaminophen)
(d) sensitivity to Penicillin is prescribed Zithromax (azithromycin)
2. The nurse should intervene if the nurse notes a staff member
(a) obtaining a patients consent prior to their operative procedure after
receivingAtivan (lorazepam) CORRECT ANSWER
(b) placing a patient on the affected side following surgical repair of
aretinal detachment
(c) handling a wet cast with the palms of the hands
(d) using a broad base of support while transferring a patient
3. The community health nurse is caring for the following patients. It would be a
priority for the nurse to initiate a multidisciplinary conference for the patient who is
(a) 12 years old with Autism who is starting a new school and recently had
a URI (upper respiratory tract infection)
(b) 16 years old, has type 1 Diabetes Mellitus, is unemployed and had a
recent Hemoglobin A1c of 13% CORRECT ANSWER
(c) 52 years old, with Myasthenia Gravis, recently prescribed
Mestinon (pyridostigmine) and employed as a mail carrier
(d) 70 years old, has schizophrenia, lives alone and reports hearing non
threatening voices.
4. The nurse from the postpartum unit has been temporarily assigned to the
medical surgical unit. It would be most appropriate to assign this nurse to the
patient who*
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, (a) has returned from right total hip replacement surgery four hours ago
(b) is being observed for increased intracranial pressure
(c) had surgery two hours ago to remove the appendix CORRECT ANSWER
(d) is two weeks post partum being maintained on a mechanical ventilator
for respiratory failure
5. The nurse in a well baby clinic has assessed several children today. It would be a
priority for the nurse to suggest follow up for the child who is (a) 2 months old with
a positive babinski refl ex
(b) 5 months old and does not hold their own bottle
(c) 10 months old who cries around strangers
(d) 18 months old who needs support while ambulating CORRECT ANSWER
6. The nurse is caring for a mechanically ventilated patient who was declared brain
dead. An Advance Directive is not documented on the medical record. It would be
most appropriate to obtain consent for organ donation from the
(a) patient‘s primary care provider
(b) patient‘s nurse manager
(c) closest living family member CORRECT ANSWER
(d) hospital‘s ethics committee
7. The nurse has received report on four patients. The nurse should fi rst
assess the patient who has*
(a) Chronic Obstructive Pulmonary Disease (COPD) with a pulse oximetry reading
of 90%
(b) Parkinson‘s Disease and is demanding to leave the hospital against medical
advice (AMA)
(c) been admitted with suspected Guillian-Barre´ Syndrome and has
begun plasmapheresis therapy CORRECT ANSWER
(d) Congestive Heart Failure (CHF) whose pitting edema has increased to 2(+)
8. It would be appropriate to assign which of these tasks to the CNA?
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, RN HESI EXIT EXAM - Version 1 (V1) All 160 Qs
& As Included - Guaranteed Pass A+!!! (All Brand New
Q&A Pics Included)
(a) Feeding a patient who is experiencing dysphagia
(b) One-on-one patient observation for safety CORRECT ANSWER
(c) Removal of an indwelling catheter
(d) Performing a simple dressing change
9. The nurse should intervene if a staff member is observed
(a) discussing a patient‘s diagnosis with visiting family members CORRECT ANSWER
(b) collaborating with another nurse to review a prescription for blood transfusion
(c) interrupting other staff members discussing a patient in the cafeteria
(d) reviewing a patients lab values with the nutritionist
10. The nurse is preparing a staff presentation on legal and ethical issues in nursing.
The nurse would be correct to include which of the following examples?
(a) Putting a patient in a geriatric chair with the lap tray in front of the patient in the
dayroom to watch television is false imprisonment CORRECT ANSWER
(b) Telling a patient that you will put in a feeding tube if the patient does not eat
isan example of battery
(c) Telling a patient with bipolar disorder who is suicidal that they have a right
torefuse to take their medications is an example of malpractice
(d) Placing hands on a patient who says ―do not touch me‖ is an example of assault
11. The nurse from the pediatric unit has been temporarily assigned to the Emergency
Department. It would be most appropriate to assign that nurse to the patient
who*
(a) reports epigastric pain that ―feels like indigestion‖
(b) has back pain and a pulsating abdominal mass
(c) is HIV+ reporting vomiting and diarrhea CORRECT ANSWER
(d) presents with lower abdominal pain and is six weeks pregnant
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, 12. Four patients recently returned to the unit following invasive diagnostic testing.
The nurse should immediately intervene if one of the patients
(a) reports blood tinged sputum following a bronchoscopy
(b) has decreased abdominal girth following paracentesis
(c) reports a headache following a lumbar puncture
(d) is observed flexing and extending the legs two hours after cardiac catheterization CORRECT
ANSWER
13. The nurse is made aware of the following situations. The nurse should fi rst
check the patient who
(a) had a transurethral prostatectomy (TURP) and is reporting urinary dribbling
two hours after the indwelling catheter is removed
(b) has cervical traction and is moving the legs by fl exing and extending the feet
(c) has Alzheimer‘s disease (stage 1) and was returned to the room after being
found wandering in the hallway
(d) has a history of partial seizures and is sitting in the bed picking at the clothing
and smacking the lips CORRECT ANSWER
14. The nurse in a community health clinic is talking with the parent of a child with
Celiac Disease. Which of the following statements would require follow-up by
the
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