2023 HESI EXIT RN EXAM
2 2 2 2
V1.V2,V3,V4,V5,V6,V7 Latest Volumes 2 2
20232HESI2EXIT2RN2EXAM2V1-
V721102OUT2OF2THE21602TOTAL2QUESTIONS2FOR2
EACH2VERSION
HESI V1- 2
V72023 2
TEST BANK 2
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, 2023 HESI EXIT RN EXAM
2 2 2 2
V1.V2,V3,V4,V5,V6,V7 Latest Volumes 2 2
20232 HESI2 EXIT2 RN2 EXAM
V1-V72 1602 TOTAL2 QUESTIONS2 EACH2 VOLUME
1. Following2discharge2teaching,2a2male2client2with2duodenal2ulcer2tells2the2nurse2the2he2will2drink2plen
ty2of2dairy2products,2such2as2milk,2to2help2coat2and2protect2his2ulcer.2What2is2the2best2follow-
up2action2by2the2nurse?
• Review2with2the2client2the2need2to2avoid2foods2that2are2rich2in2milk2and2cream
2. A2 male2client2with2hypertension,2who2received2new2antihypertensive2prescriptions 2at2his2last2visit2retu
rns2to2the2clinic2two2weeks2later2to2evaluate2his2blood2pressure2(BP).2His2BP2is2158/1062and2he2admits2
that2he2has2not2been2taking2the2prescribed2medication2because2the2drugs2make2him2“feel2bad”.2In2explai
ning2the2need2for2hypertension2control,2the2nurse2should2stress2that2an2elevated2BP2places2the2client2at2r
isk2for2which2pathophysiological2condition?
• Stroke2secondary2to2hemorrhage
• The2nurse2observes2an2unlicensed2assistive2personnel2(UAP)2positioning2a2newly2admitted2client2who2h
as2a2seizure2disorder.2The2client2is2supine2and2the2UAP2is2placing2soft2pillows2along2the2side2rails.2W
hat2action2should2the2 nurse2 implement?
An2adolescent2with2major2depressive2disorder2has2been2taking2duloxetine2(Cymbalta)2for2the2past2122days.2Wh
ich2assessment2finding2requires2 immediate2 follow-up?
• Describes2life2without2purpose
5. A260-year-
old2female2client2with2a2positive2family2history2of2ovarian2cancer2has2developed2an2abdominal2mass2and
2is2being2evaluated2for2possible2ovarian2cancer.2Her2Papanicolau2(Pap)2smear2results2are2negative.2 What2in
formation2should2the2nurse2 include2in2the2client’s2teaching2plan?
• Further2evaluation2 involving2surgery2 may2be2needed
6. A2client2who2recently2underwear2a2tracheostomy2is2being2prepared2for2discharge2to2home.2Which2instru
ctions2is2 most2 important2 for2the2 nurse2to2include2 in2the2discharge2plan?
• Teach2tracheal2suctioning2techniques
7. In2assessing2an2adult2client2with2a2partial2rebreather2mask,2 the2nurse2 notes2that2the2oxygen
reservoir2 bag2 does2 not2 deflate2 completely2 during2 inspiration2 and2 the2 client’s2 respiratory2 rate2 is
2 142breaths2 /2 minute.2 What2 action2 should2 the2 nurse2 implement?
• Document2the2assessment2data
• Rational:2 reservoir2bag2should2 not2deflate2completely2 during2 inspiration2 and2the2cli
ent’s2respiratory2 rate2 is2 within2 normal2 limits.
8. During2shift2report,2the2central2electrocardiogram2(EKG)2monitoring2system2alarms.2Which2client2
alarm2should2the2 nurse2 investigate2 firs?
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, 2023 HESI EXIT RN EXAM
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V1.V2,V3,V4,V5,V6,V7 Latest Volumes 2 2
• Respiratory2apnea2of2302seconds
9. During2a2home2visit,2the2nurse2observed2an2elderly2client2with2diabetes2slip2and2fall.2What2action2sho
uld2the2nurse2take2 first?
• Check2the2client2 for2lacerations2or2fractures
10. At206002while2admitting2a2woman2for2a2schedule2repeat2cesarean2section2(C-
Section),2the2client2tells2the2nurse2that2she2drank2a2cup2a2coffee2at204002because2she2wanted2to2avoid2gett
ing2a2headache.2Which2action2should2the2 nurse2take2 first?
• Inform2the2anesthesia2care2provider
11. After2placing2a2stethoscope2as2seen2in2the2picture,2the2nurse2auscultates2S12and2S22heart2sounds.2To2de
termine2if2an2S32 heart2sound2 is2present,2what2action2should2the2 nurse2take2 first?
• Listen2with2the2bell2at2the2same2 location
12. A266-year-
old2woman2is2retiring2and2will2no2longer2have2a2health2insurance2through2her2place2of2employm
ent.2Which2agency2should2the2client2be2referred2to2by2the2employee2health2nurse2for2health2insur
ance2needs?
• Medicare
13. A2client2who2is2taking2an2oral2dose2of2a2tetracycline2complains2of2gastrointestinal2upset.2What2s
nack2should2the2 nurse2 instruct2the2 client2to2take2with2the2tetracycline?
• Toasted2wheat2bread2and2jelly
14. Following2a2lumbar2puncture,2a2client2voices2several2complaints.2What2complaint2indicated2to2the
2nurse2that2the2client2 is2experiencing2a2complication?
• “I2have2 a2 headache2 that2 gets2 worse2 when2 I2 sit2 up”2
• “I2am2having2pain2in2 my2 lower2back2when2I2 move2 my2 legs”
• “My2throat2 hurts2when2I2swallow”
• “I2feel2sick2to2 my2stomach2and2am2going2to2throw2 up”
15. An2elderly2client2seems2 confused2and2 reports2the2onset2of2nausea,2dysuria,2 and2urgenc
y2with2incontinence.2Which2action2should2the2 nurse2implement?
• Obtain2a2clean2catch2mid-stream2specimen
16. The2nurse2is2assisting2the2 mother2of2a2child2with2phenylketonuria2(PKU)2to2select2foods2that2are2in2
keeping2with2the2 child’s2dietary2 restrictions.2 Which2 foods2 are2 contraindicated2 for2 this2 child?
• Foods2sweetened2with2aspartame
17. Before2preparing2a2client2for2the2first2surgical2case2of2the2day,2a2part-
time2scrub2nurse2asks2the2circulating2nurse2if2a232 minute2surgical2hand2scrub2is2adequate2preparation2for
2this2client.2Which2response2should2the2circulating2nurse2provide?
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• Direct2the2nurse2to2continue2the2surgical2hand2scrub2for2a252 minute2duration
18. Which2breakfast2selection2indicates2that2the2client2understands2the2nurse’s2instructions2about2the2diet
ary2management2 of2 osteoporosis?
• Bagel2with2jelly2and2skim2 milk
19. The2charge2nurse2of2a2critical2care2unit2is2informed2at2the2beginning2of2the2shift2that2less2than2the2o
ptimal2number2of2registered2nurses2will2be2working2that2shift.2In2planning2assignments,2which2client2shou
ld2receive2the2most2care2 hours2 by2a2registered2 nurse2(RN)?
• An282-year-old2client2with2Alzheimer’s2disease2newly-
fractures2femur2who2has2a2Foley2catheter2and2soft2wrist2restrains2 applied
20. A2 mother2brings2her26-year-
old2child,2who2has2just2stepped2on2a2rusty2nail,2to2the2pediatrician’s2office.2Upon2inspection,2the2
nurse2notes2that2the2nail2went2through2the2shoe2and2pierced2the2bottom2of2the2 child’s2foot.2Which2
action2should2the2 nurse2 implement2 first?
• Cleanse2 the2 foot2 with2 soap2 and2 water2 and2 apply2 an2 antibiotic2 ointment
• Provide2teaching2about2the2 need2 for2a2tetanus2 booster2within2the2 next2722 hours.
• have2the2 mother2check2the2child's2temperature2q4h2for2the2next2242hours
• transfer2the2child2to2the2emergency2department2to2receive2a2gamma2 globulin2 injection
21. The2 mother2of2an2adolescent2tells2the2clinic2 nurse,2“My2son2has2athlete’s2foot,2I2have2been
applying2triple2antibiotic2ointment2for2two2days,2but2there2has2been2no2improvement.”2What2instru
ction2should2the2 nurse2provide?
Stop2using2the2ointment2and2encourage2complete2drying2of2the2 feet2and2wearing2clean2socks.
22. A226-year-
old2female2client2is2admitted2to2the2hospital2for2treatment2of2a2simple2goiter,2and2levothyroxine2sod
ium2(Synthroid)2is2prescribed.2Which2symptoms2indicate2to2the2nurse2that2the2prescribed2dosage2i
s2too2high2 for2this2client?2 The2client2experiences
• Bradycardia2and2constipation
• Lethargy2and2 lack2of2appetite
• Muscle2cramping2and2dry,2 flushed2skin
• Palpitations2 and2 shortness2 of2 breath
23. A2client2with2a2history2of2heart2failure2presents2to2the2clinic2with2a2nausea,2vomiting,2yellow2vis
ion2and2palpitations.2Which2 finding2is2 most2important2 for2the2 nurse2to2assess2to2the2client?
• Obtain2a2 list2of2medications2 taken2for2cardiac2 history
24. The2healthcare2provider2 prescribes2an2IV2solution2of2isoproterenol2(Isuprel)212 mg2in2 2502 ml2of
2D5W2at23002 mcg/hour.2The2nurse2should2program2the2infusion2pump2to2deliver2how2 many2ml/h
our?2(Enter2numeric2 value2only.)
• 75
• Rationale:2Convert2mg2to2mcg2and2use2the2formula2D/H2x2Q.23002mcg/hour2/21,0002mcg
2x22502ml2=23/12 x2252=2752 ml/hour
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