2023 HESI EXIT RN EXAM
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V1.V2,V3,V4,V5,V6,V7 Latest Volumes 6 6
20236HESI6EXIT6RN6EXAM6V1-
V761106OUT6OF6THE61606TOTAL6QUESTIONS6FOR6
EACH6VERSION
HESI V1- 6
V72023 6
TEST BANK 6
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, 2023 HESI EXIT RN EXAM
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V1.V2,V3,V4,V5,V6,V7 Latest Volumes 6 6
20236 HESI6 EXIT6 RN6 EXAM
V1-V76 1606 TOTAL6 QUESTIONS6 EACH6 VOLUME
1. Following6discharge6teaching,6a6male6client6with6duodenal6ulcer6tells6the6nurse6the6he6will6drink6plen
ty6of6dairy6products,6such6as6milk,6to6help6coat6and6protect6his6ulcer.6What6is6the6best6follow-
up6action6by6the6nurse?
• Review6with6the6client6the6need6to6avoid6foods6that6are6rich6in6milk6and6cream
2. A6 male6client6with6hypertension,6who6received6new6antihypertensive6prescriptions 6at6his6last6visit6retu
rns6to6the6clinic6two6weeks6later6to6evaluate6his6blood6pressure6(BP).6His6BP6is6158/1066and6he6admits6
that6he6has6not6been6taking6the6prescribed6medication6because6the6drugs6make6him6“feel6bad”.6In6explai
ning6the6need6for6hypertension6control,6the6nurse6should6stress6that6an6elevated6BP6places6the6client6at6r
isk6for6which6pathophysiological6condition?
• Stroke6secondary6to6hemorrhage
• The6nurse6observes6an6unlicensed6assistive6personnel6(UAP)6positioning6a6newly6admitted6client6who6h
as6a6seizure6disorder.6The6client6is6supine6and6the6UAP6is6placing6soft6pillows6along6the6side6rails.6W
hat6action6should6the6 nurse6 implement?
An6adolescent6with6major6depressive6disorder6has6been6taking6duloxetine6(Cymbalta)6for6the6past6126days.6Wh
ich6assessment6finding6requires6 immediate6 follow-up?
• Describes6life6without6purpose
5. A660-year-
old6female6client6with6a6positive6family6history6of6ovarian6cancer6has6developed6an6abdominal6mass6and
6is6being6evaluated6for6possible6ovarian6cancer.6Her6Papanicolau6(Pap)6smear6results6are6negative.6 What6in
formation6should6the6nurse6 include6in6the6client’s6teaching6plan?
• Further6evaluation6 involving6surgery6 may6be6needed
6. A6client6who6recently6underwear6a6tracheostomy6is6being6prepared6for6discharge6to6home.6Which6instru
ctions6is6 most6 important6 for6the6 nurse6to6include6 in6the6discharge6plan?
• Teach6tracheal6suctioning6techniques
7. In6assessing6an6adult6client6with6a6partial6rebreather6mask,6 the6nurse6 notes6that6the6oxygen
reservoir6 bag6 does6 not6 deflate6 completely6 during6 inspiration6 and6 the6 client’s6 respiratory6 rate6 is
6 146breaths6 /6 minute.6 What6 action6 should6 the6 nurse6 implement?
• Document6the6assessment6data
• Rational:6 reservoir6bag6should6 not6deflate6completely6 during6 inspiration6 and6the6cli
ent’s6respiratory6 rate6 is6 within6 normal6 limits.
8. During6shift6report,6the6central6electrocardiogram6(EKG)6monitoring6system6alarms.6Which6client6
alarm6should6the6 nurse6 investigate6 firs?
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• Respiratory6apnea6of6306seconds
9. During6a6home6visit,6the6nurse6observed6an6elderly6client6with6diabetes6slip6and6fall.6What6action6sho
uld6the6nurse6take6 first?
• Check6the6client6 for6lacerations6or6fractures
10. At606006while6admitting6a6woman6for6a6schedule6repeat6cesarean6section6(C-
Section),6the6client6tells6the6nurse6that6she6drank6a6cup6a6coffee6at604006because6she6wanted6to6avoid6gett
ing6a6headache.6Which6action6should6the6 nurse6take6 first?
• Inform6the6anesthesia6care6provider
11. After6placing6a6stethoscope6as6seen6in6the6picture,6the6nurse6auscultates6S16and6S26heart6sounds.6To6de
termine6if6an6S36 heart6sound6 is6present,6what6action6should6the6 nurse6take6 first?
• Listen6with6the6bell6at6the6same6 location
12. A666-year-
old6woman6is6retiring6and6will6no6longer6have6a6health6insurance6through6her6place6of6employm
ent.6Which6agency6should6the6client6be6referred6to6by6the6employee6health6nurse6for6health6insur
ance6needs?
• Medicare
13. A6client6who6is6taking6an6oral6dose6of6a6tetracycline6complains6of6gastrointestinal6upset.6What6s
nack6should6the6 nurse6 instruct6the6 client6to6take6with6the6tetracycline?
• Toasted6wheat6bread6and6jelly
14. Following6a6lumbar6puncture,6a6client6voices6several6complaints.6What6complaint6indicated6to6the
6nurse6that6the6client6 is6experiencing6a6complication?
• “I6have6 a6 headache6 that6 gets6 worse6 when6 I6 sit6 up”6
• “I6am6having6pain6in6 my6 lower6back6when6I6 move6 my6 legs”
• “My6throat6 hurts6when6I6swallow”
• “I6feel6sick6to6 my6stomach6and6am6going6to6throw6 up”
15. An6elderly6client6seems6 confused6and6 reports6the6onset6of6nausea,6dysuria,6 and6urgenc
y6with6incontinence.6Which6action6should6the6 nurse6implement?
• Obtain6a6clean6catch6mid-stream6specimen
16. The6nurse6is6assisting6the6 mother6of6a6child6with6phenylketonuria6(PKU)6to6select6foods6that6are6in6
keeping6with6the6 child’s6dietary6 restrictions.6 Which6 foods6 are6 contraindicated6 for6 this6 child?
• Foods6sweetened6with6aspartame
17. Before6preparing6a6client6for6the6first6surgical6case6of6the6day,6a6part-
time6scrub6nurse6asks6the6circulating6nurse6if6a636 minute6surgical6hand6scrub6is6adequate6preparation6for
6this6client.6Which6response6should6the6circulating6nurse6provide?
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• Direct6the6nurse6to6continue6the6surgical6hand6scrub6for6a656 minute6duration
18. Which6breakfast6selection6indicates6that6the6client6understands6the6nurse’s6instructions6about6the6diet
ary6management6 of6 osteoporosis?
• Bagel6with6jelly6and6skim6 milk
19. The6charge6nurse6of6a6critical6care6unit6is6informed6at6the6beginning6of6the6shift6that6less6than6the6o
ptimal6number6of6registered6nurses6will6be6working6that6shift.6In6planning6assignments,6which6client6shou
ld6receive6the6most6care6 hours6 by6a6registered6 nurse6(RN)?
• An682-year-old6client6with6Alzheimer’s6disease6newly-
fractures6femur6who6has6a6Foley6catheter6and6soft6wrist6restrains6 applied
20. A6 mother6brings6her66-year-
old6child,6who6has6just6stepped6on6a6rusty6nail,6to6the6pediatrician’s6office.6Upon6inspection,6the6
nurse6notes6that6the6nail6went6through6the6shoe6and6pierced6the6bottom6of6the6 child’s6foot.6Which6
action6should6the6 nurse6 implement6 first?
• Cleanse6 the6 foot6 with6 soap6 and6 water6 and6 apply6 an6 antibiotic6 ointment
• Provide6teaching6about6the6 need6 for6a6tetanus6 booster6within6the6 next6726 hours.
• have6the6 mother6check6the6child's6temperature6q4h6for6the6next6246hours
• transfer6the6child6to6the6emergency6department6to6receive6a6gamma6 globulin6 injection
21. The6 mother6of6an6adolescent6tells6the6clinic6 nurse,6“My6son6has6athlete’s6foot,6I6have6been
applying6triple6antibiotic6ointment6for6two6days,6but6there6has6been6no6improvement.”6What6instru
ction6should6the6 nurse6provide?
Stop6using6the6ointment6and6encourage6complete6drying6of6the6 feet6and6wearing6clean6socks.
22. A626-year-
old6female6client6is6admitted6to6the6hospital6for6treatment6of6a6simple6goiter,6and6levothyroxine6sod
ium6(Synthroid)6is6prescribed.6Which6symptoms6indicate6to6the6nurse6that6the6prescribed6dosage6i
s6too6high6 for6this6client?6 The6client6experiences
• Bradycardia6and6constipation
• Lethargy6and6 lack6of6appetite
• Muscle6cramping6and6dry,6 flushed6skin
• Palpitations6 and6 shortness6 of6 breath
23. A6client6with6a6history6of6heart6failure6presents6to6the6clinic6with6a6nausea,6vomiting,6yellow6vis
ion6and6palpitations.6Which6 finding6is6 most6important6 for6the6 nurse6to6assess6to6the6client?
• Obtain6a6 list6of6medications6 taken6for6cardiac6 history
24. The6healthcare6provider6 prescribes6an6IV6solution6of6isoproterenol6(Isuprel)616 mg6in6 2506 ml6of
6D5W6at63006 mcg/hour.6The6nurse6should6program6the6infusion6pump6to6deliver6how6 many6ml/h
our?6(Enter6numeric6 value6only.)
• 75
• Rationale:6Convert6mg6to6mcg6and6use6the6formula6D/H6x6Q.63006mcg/hour6/61,0006mcg
6x62506ml6=63/16 x6256=6756 ml/hour
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