HESI EXIT RN V1, V2, V3, V4, V5, V6, V7,
EXAM WITH NGN QUESTIONS AND
ANSWERS, 100% VERIFIED NEWEST
VERSION UPDATED FOR 2024-2026
Which client is at the greatest risk for developing delirium?
a. An adult client who cannot sleep due to constant pain.
b. an older client who attempted 1 month ago
c. a young adult who takes antipsychotic medications twice a day
d. a middle-aged woman who uses a tank for supplemental oxygen
An adult client who cannot sleep due to constant pain.
Rationale: Client who are in constant pain ad have difficulty sleeping or resting are at
high risk for delirium. Supplemental oxygen may cause confusion. B is taking
medication so is not at high risk of delirium.
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Which intervention should the nurse include in a long-term plan of care for a client with
Chronic Obstructive Pulmonary Disease (COPD)?
a. Reduce risks factors for infection
b. Administer high flow oxygen during sleep
c. Limit fluid intake to reduce secretions
d. Use diaphragmatic breathing to achieve better exhalation
Reduce risks factors for infection
Rationale: Interventions aimed at reducing the risk factors of infections should be
included in the plan of care COPD client are at particular risk for respiratory infection.
Prevention and early detection of infections are necessary.
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Which location should the nurse choose as the best for beginning a screening program
for hypothyroidism?
,a. A business and professional women's group.
b. An African-American senior citizens center
c. A daycare center in a Hispanic neighborhood
d. An after-school center for Native-American teens
A business and professional women's group
Rationale: The population at highest risk is A so this is the group that would benefit the
most for a screening program of hypothyroidism and occurs between 35 and 60 years of
age and is most common in females.
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A female client has been taking a high dose of prednisone, a corticosteroid, for several
months. After stopping the medication abruptly, the client reports feeling "very tired".
Which nursing intervention is most important for the nurse to implement?
a. Measure vital signs
b. Auscultate breath sounds
c. Palpate the abdomen
d. Observe the skin for bruising
Measure vital signs
Rationale: Abrupt withdrawal of an exogenous corticosteroids can precipitate adrenal
insufficiency and hypoglycemia, hypokalemia, and circulatory collapse can occur. Is
most important for the nurse to assess vital sign to impending shock.
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A male client reports the onset of numbness and tingling in his fingers and around his
mouth. Which lab is important for the nurse to review before contacting the health care
provider?
a. capillary glucose
b. urine specific gravity
c. Serum calcium
d. white blood cell count
Serum calcium
Rationale: Numbness and tingling of the fingers and around the mouth, along with
muscle cramps are signs of hypocalcemia
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,What explanation is best for the nurse to provide a client who asks the purpose of using
the log-rolling technique for turning?
a. working together can decrease the risk for back injury
b. The technique is intended to maintain straight spinal alignment.
c. Using two or three people increases client safety.
d. turning instead of pulling reduces the likelihood of skin damage
The technique is intended to maintain straight spinal alignment.
Rationale: The main rationale for use of the long-rolling technique is to maintain the
client's spine straight alignment.
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A client receiving chemotherapy has severe neutropenia. Which snack is best for the
nurse to recommend to the client?
a. Plain yogurt with sweetened with raw honey
b. Peanuts in the shell, roasted or un-roasted.
c. Aged farmer's cheese with celery sticks
d. Baked apples topped with dried raisins
Baked apples topped with dried raisins
Rationale: A patient with chemotherapy-induced severe neutropenia is at high risk for
infection. A low bacteria diet is required D is a healthy snack for a client receiving
chemotherapy. A, B and C have a high bacterial count and should be avoided.
Which action should the school nurse take first when conducting a screening for
scoliosis?
a. Compare dorsal measurement of trunk
b. Extend arms over head for visualization
c. Inspect for symmetrical shoulder height.
d. Observe weight-bearing on each leg.
Inspect for symmetrical shoulder height.
Rationale: Children between 9 and 15 years old should be screening for scoliosis, which
is exhibited.... Vertebral column. Screening for scoliosis should begin with inspection of
shoulder height
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An unlicensed assistive personnel (UAP) assigned to obtain client vital signs reports to
the charge nurse that a client has a weak pulse with a rate of 44 beat/ minutes. What
action should the charge nurse implement?
a- Instruct the UAP to count the client apical pulse rate for sixty seconds
, b- Determine if the UAP also measured the client's capillary refill time.
c- Assign a practical nurse (LPN) to determine if an apical radial deficit is present.
d- Notify the health care provider of the abnormal pulse rate and pulse volume.
Assign a practical nurse (LPN) to determine if an apical radial deficit is present
After a sudden loss of consciousness, a female client is taken to the ED and initial
assessment indicate that her blood glucose level is critically low. Once her glucose level
is stabilized, the client reports that was recently diagnosed with anorexia nervosa and is
being treated at an outpatient clinic. Which intervention is more important to include in
this client's discharge plan?
a. Describe the signs and symptoms of hypoglycemia.
b. Encourage a low-carbohydrate and high-protein diet
c. Reinforce the need to continue outpatient treatment
d. Suggest wearing a medical alert bracelet at all time.
Encourage a low-carbohydrate and high-protein diet
Rationale: A client with anorexia nervosa with long term starvation or who self-restrict
intake can sign.... Reserves. Providing the client with dietary selections such as low-
carbohydrate, high protein.... Hypoglycemic episodes, which can become life-threating
Following discharge teaching, a male client with duodenal ulcer tells the nurse the he
will drink plenty of dairy products, such as milk, to help coat and protect his ulcer. What
is the best follow-up action by the nurse?
a. Remind the client that it is also important to switch to decaffeinated coffee and tea.
b. Suggest that the client also plan to eat frequent small meals to reduce discomfort
c. Review with the client the need to avoid foods that are rich in milk and cream.
d. Reinforce this teaching by asking the client to list a dairy food that he might select.
Review with the client the need to avoid foods that are rich in milk and cream
Rationale: Diets rich in milk and cream stimulate gastric acid secretion and should be
avoided.
A male client with hypertension, who received new antihypertensive prescriptions at his
last visit returns to the clinic two weeks later to evaluate his blood pressure (BP). His BP
is 158/106 and he admits that he has not been taking the prescribed medication
because the drugs make him "feel bad". In explaining the need for hypertension control,
the nurse should stress that an elevated BP places the client at risk for which
pathophysiological condition?
a. Blindness secondary to cataracts
b. Acute kidney injury due to glomerular damage
c. Stroke secondary to hemorrhage
d. Heart block due to myocardial damage
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