HESI EXIT NGN, HESI RN Exit
Exam 2024 QUESTIONS AND
CORRECT DETAILED ANSWERS
The nurse is managing 4 clients in the intensive care unit who are
mechanically ventilated. After performing a quick visual
assessment, the nurse should prioritize care for the client who is
exhibiting which finding?
A. An audible voice when client is trying to communicate
B. High pressure alarm sounds when client is coughing
C. Restrained and restless with a low volume alarm sounding
D. Diminished breath sounds in the right posterior base -
ANSWER ✔ C. Restrained and restless with a low volume alarm
sounding
A male client tells the nurse that he is concerned that he may
have a stomach ulcer, because he is experiencing heartburn and
a dull gnawing pain that is relieved when he eats. Which is the
best response by the nurse?
A. Instruct the client that these mild symptoms can generally be
controlled with changes in his diet
B. Advise the client that he needs to seek immediate medical
evaluation and treatment of these symptoms
C. Encourage the client to obtain a complete physical exam, since
these symptoms are consistent with an ulcer
D. Assure the client that his symptoms may only reflect reflux,
since ulcer pain is not relieved with food - ANSWER ✔ C.
Encourage the client to obtain a complete physical exam, since
these symptoms are consistent with an ulcer
, The nurse is evaluating the diet teaching of a client with
hypertension. What dinner selection indicates that the client
understands the dietary recommendations for hypertension?
A. Grilled steak, baked potato with sour cream, green beans,
coffee, and raisin cream pie
B. Baked pork chops, applesauce, corn on the cob, 1% milk, and
key-lime pie
C. Tomato soup, grilled cheese sandwich, pickles, skim milk, and
lemon meringue pie
D. Beef stir fry, fried rice, egg drop soup, diet soda, and pumpkin
pie - ANSWER ✔ B. Baked pork chops, applesauce, corn on the
cob, 1% milk, and key-lime pie
A client is admitted with a diagnosis of urolithiasis. Which finding
is most important for the nurse to report to the healthcare
provider?
A. Volume of each voiding is more than 300mL
B. Serum potassium that is elevated
C. Relief of flank pain that radiated into the groin
D. Hematuria that is beginning to turn pink - ANSWER ✔ D.
Hematuria that is beginning to turn pink
Three days after initiating parenteral fluids for a newborn with a
ventricular septal defect (VSD), the nurse assesses an increase in
heart rate and blood pressure. Which intervention is most
important for the nurse to implement?
A. View the graph of daily weights
B. Restrict intake of oral fluids
C. Assess bilateral lung sounds
D. Decrease IV flow rate - ANSWER ✔ B. Restrict intake of oral
fluids
, During an admission assessment, a client reports currently using
heroin. Which information is most important for the nurse to
consider in the plan of care?
A. History of suicide attempts
B. Feelings of disorientation
C. Undiagnosed social anxiety symptoms (SAD)
D. Family history of schizophrenia - ANSWER ✔ A. History of
suicide attempts
The healthcare provider prescribes penicillin G benzathine
2,400,000 units intramuscularly for a client who has a
postoperative wound infection. The prefilled syringe is labeled,
penicillin G benzathine 1,200,000 units/2mL. How many mL
should the nurse administer to this client? - ANSWER ✔ 4mL
A client who experienced a cerebrovascular accident (CVA) is
aphasic and has left sided paralysis. Which nurse should be
responsible for coordinating the progression of this client's care?
A. Nurse case manager
B. Adult nurse practitioner
C. Neurology unit supervisor
D. Risk management nurse - ANSWER ✔ B. Adult nurse
practitioner
A client who is admitted with complications related to
hypopituitarism is diaphoretic and hypotensive. Which
assessment finding warrants immediate intervention by the
nurse? - ANSWER ✔ Lethargy
A client with postpartum depression, who is admitted to the
behavioral health unit, refuses to leave her room or eat meals. In
addition to maintaining physical safety, which short-term goal
should the nurse include in the plan of care?
A. Sleeps at least 6 hours per night
, B. Consumes 3 meals and 1500 mL of fluid per day
C. Engages in one client to client interaction daily
D. Attends one group activity per day - ANSWER ✔ D. Attends
one group activity per day
A 7-year old is admitted to the hospital with persistent vomiting,
and a nasogastric tube attached to low intermittent suction is
applied. Which finding is most important for the nurse to report to
the healthcare provider?
A. Shift intake of 640mL IV fluids plus 30mL PO ice chips
B. Serum pH of 7.45
C. Gastric output of 100 mL in the last 8 hours
D. Serum potassium of 3.0 mg/dL - ANSWER ✔ D. Serum
potassium of 3.0 mg/dL
A male client approaches the nurse with an angry expression on
his face and raises his voice, saying "My roommate is the most
selfish, self-centered, angry person I have ever met and if he
loses his temper one more time with me, I am going to punch him
out!" The nurse recognizes that the client is using which defense
mechanism?
A. Splitting
B. Projection
C. Rationalization
D. Denial - ANSWER ✔ B. Projection
The nurse is teaching the client about home care after surgery for
an ileal conduit placement. When reviewing the information, which
statement should the nurse recognize as needing additional
education?
A. report presence of mucus in the urine
B. Empty pouch when it is half full
C. Look at the stoma when replacing appliance
