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RN HESI Exit Exam Questions with Correct and Verified Answers
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RN HESI Exit Exam Questions with Correct and Verified Answers "In assessing the scrotum of a male client, which finding would need to be reported to the healthcare provider? a) Asymmetric appearance. b) Taut appearance of skin surface. c) Deeper pigmentation of the underside. d) Presence o...

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  • 27 de enero de 2025
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  • 2024/2025
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  • rn hesi exit exam questions and answers

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RN HESI Exit Exam
Questions with Correct
and Verified Answers
"In assessing the scrotum of a male client, which finding would need to be
reported to the healthcare provider?

a) Asymmetric appearance.
b) Taut appearance of skin surface.
c) Deeper pigmentation of the underside.
d) Presence of sebaceous cysts. - Correct answer b) Taut appearance of skin
surface.

Rationale
The skin surface of the scrotum should appear coarse, rather than taut, which
may indicate swelling or edema and should be reported to the healthcare
provider."

"The nurse is caring for an older client being treated for a cardiac condition who
has developed "dry eyes". Which medication may be contributing to this
condition?

a) Procainamide (Procanbid).
b) Iron supplements.
c) Atenolol (Tenormin).
d) Lipitor (Atorvastatin). - Correct answer c) Atenolol (Tenormin).

Rationale
Dry eyes is an annoying side effect of some medications that can cause a client
to feel like they have something in their eye or a continuous scratchy sensation.
This condition can cause eye strain and discomfort to a client. Clients prescribed
Atenolol for hypertension are at risk of developing dry eyes as a side effect of the
medication."

"The UAP is assisting a client getting into the shower. The charge nurse answers
a call from the cast clinic to immediately send the UAP's other assigned client to
the clinic. Which action should the nurse take?

a) Ask the UAP to find another team member to take the client to the clinic.
b) Notify the delegating nurse of the current request from the cast clinic.
c) Instruct the UAP to take the client to clinic after helping the other client taking
a shower.

,d) While the client is showering the UAP should take the other client to cast
clinic. - Correct answer b) Notify the delegating nurse of the current request from
the cast clinic.

Rationale
The charge nurse should notify the delegating nurse of the situation. The third
principle of delegation is "The person to whom the assignment was delegated
cannot delegate that assignment to someone else... the delegating nurse needs
to be notified and reassign the task...""

The nurse is caring for a client who has a fiberglass long leg cast on the right leg.
Which nursing actions should be implemented in the cast care of this client?
SATA


a) Smelling the cast and feeling for the presence of hot spots on the cast.
b) Checking neurovascular status of the right exposed foot and toes every four
hours.
c) Using a soft cotton-tipped 6-inch swab to help scratch beneath the cast.
d) Placing the nurse's finger in the client's cast while performing cast care.
e) Covering the perineal area of the cast with plastic before client uses the
fracture bedpan. - Correct answer a) Smelling the cast and feeling for the
presence of hot spots on the cast.
b) Checking neurovascular status of the right exposed foot and toes every four
hours.
d) Placing the nurse's finger in the client's cast while performing cast care.
e) Covering the perineal area of the cast with plastic before client uses the
fracture bedpan.


Rationale
Cast care should include ensuring the cast is not too tight, by placing a finger
between the client's skin and cast; by protecting the cast from being soiled by
placing a protective plastic covering in the perineal area before the client uses a
bedpan; by smelling for a foul odor coming from the cast; by palpating for hot
spots on the cast every shift; and by performing neurovascular checks distal to
the cast every four hours. Nothing should be placed in the cast to facilitate
scratching beneath the cast."


"During a literature review for a research study, the nurse discovers a separate
study has already proved the proposed hypothesis to be true. Which action
should the nurse take regarding the proposed research study?

a) Discontinue the research.
b) Revise the hypothesis of the current study so it is unique.

,c) Perform the current study as a replication study.
d) Contact the authors of the original study for permission to continue. - Correct
answer c) Perform the current study as a replication study.

Rationale
Because of inherent scientific error that may exist within all research studies,
hypotheses require more than one test to support their accuracy. A critical
weakness with nursing research is a lack of replication. Retesting a hypothesis
that has been shown to be true strengthens the findings of the earlier study and
supports the use of those findings to influence clinical practice."

"Which nursing intervention should the nurse implement when caring for a child
with nephrotic syndrome?

a) Take vital signs every 2 hours.
b) Restrict the number of visitors.
c) Reposition the client every 2 hours.
d) Monitor fluid intake and urine output. - Correct answer d) Monitor fluid intake
and urine output.

Rationale
Due to the pathophysiology of nephrotic syndrome, decreased colloidal osmotic
pressure in the capillaries is decreased, resulting in overall body edema.
Treatment usually includes infusion of 25% albumin and use of diuretics to help
pull fluids out of the interstitial tissues back into the vascular system. Fluid
intake and urine output should be carefully monitored to prevent hypervolemia
and edema and monitor the efficacy of the medical interventions."

"A six-year-old client, who received a kidney transplant presents with signs
including fever, decreased urine output, and tenderness over the transplanted
organ. Laboratory results reveal an elevated serum creatinine level. This
presentation is likely due to which cause?

a) Immunosuppression medications.
b) Obstructive uropathy.
c) Transplant rejection.
d) Nephrotic syndrome. - Correct answer c) Transplant rejection.

Rationale
Transplant rejection is caused by the recipient's immune system response to
foreign tissue. Signs that may alert the nurse to rejection of a kidney transplant
include fever, tenderness over the graft area, decreased urine output, and
elevated serum creatinine."

"A child diagnosed with Wilms tumor is being treated with dactinomycin. What
class of drug is this medication?

a) Mitotic inhibitor.
b) Antitumor antibiotic.
c) Corticosteroid.

, d) Alkylating agent. - Correct answer b) Antitumor antibiotic.

Rationale
Dactinomycin, also known as actinomycin D, is an anti-tumor antibiotic used in
the treatment of a variety of cancers, including Wilms tumor."

"The nurse is reviewing medication education with a client who was prescribed
triamcinolone (Dermasorb) for the treatment of eczema. Which statement by the
client indicates the client misunderstands safe administration?

a) Apply to affected areas, avoiding contact with the eyes.
b) Continue to apply medication for a few days after area has cleared.
c) Cover weeping or denuded areas with an occlusive dressing after medication
application.
d) Affected areas treated with the medication can burn easily with sunlight
exposure. - Correct answer c) Cover weeping or denuded areas with an occlusive
dressing after medication application."

"The nurse explains to a new staff member that the goals of the therapeutic
milieu for eating disorder are designed to help a client establish more adaptive
behavioral patterns and develop normal eating habits. Which environmental
characteristics of the milieu should the nurse include?

a) Precise meal times, adherence to the selected menu, observation during and
after meals, and regularly scheduled weighing.
b) Client freedom to decide when and what to eat, observation before and after
meals, and no weighing for the first week.
c) Menus that can be altered to suit the client's taste, observation before and
after meals, and regular weighing.
d) Client freedom to design the meals, infrequent observation to allow the client
some space, and daily weighing. - Correct answer a) Precise meal times,
adherence to the selected menu, observation during and after meals, and
regularly scheduled weighing."

"The nurse is assessing the femoral insertion site of a client who recently had a
cardiac catheterization. The client reports discomfort at the site. According to the
standing orders, which action should the nurse implement? (Click on the chart
tab for additional information. Please scroll to the bottom right corner to view all
information contained in the client's medical record.)
Vital signs:
1.Every 15 mins x4; then every 30 mins x 4; then every 1 hour x 2 and then 4
times daily while awake.
2. Notify Cardiologist for symptomatic hypotension; systolic BP less than 90;
heart rate less than 50 beats/minute.
Activity:
1.Bedrest for 6 hours; HOB less than 30 degrees for 6 hours
2.(R) leg straight for 6 hours with a 5 pounds weighted sandbag at femoral
insertion site.
Medications:
1. Aspirin (ASA) 325mg (1) tablet PO daily

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