HESI RN COMPREHENSIVE EXIT EXAM

HESI RN COMPREHENSIVE EXIT EXAM

VERSION 2

• A nurse in a pediatric unit is preparing to insert an IV catheter for 7-year-old. Which of the

following actions should the nurse take?

• (Unable to read)
• Tell the child they will feel discomfort during the catheter insertion.
• Use a mummy restraint to hold the child during the catheter insertion.
• Require the parents to leave the room during the procedure.
• A nurse is caring for a client who has arteriovenous fistula Which of the following findings

should the nurse report?

• Thrill upon palpation.
• Absence of a bruit.
• Distended blood vessels
• Swishing sound upon auscultation.
• A nurse is providing discharge teaching for a client who has an implantable cardioverter

defibrillator which of the following statements demonstrates understanding of the teaching?

• “I will soak in the tub rather and showering”
• “I will wear loose clothing around my ICD”
• “I will stop using my microwave oven at home because of my ICD”
• “I can hold my cellphone on the same side of my body as the ICD”
• A nurse is caring for a client who is at 14 weeks gestation and reports feelings of ambivalence

about being pregnant. Which of the following responses should the nurse make?

• “Describe your feelings to me about being pregnant”
• “You should discuss your feelings about being pregnant with your provider”
• “Have you discussed these feelings with your partner?”
• “When did you start having these feelings?”
• A nurse is planning care for a client who has a prescription for a bowel- training program

following a spinal cord injury. Which of the following actions should the nurse include in the plan of care?

• Encourage a maximum fluid intake of 1,500 ml per day.
• Increase the amount of refined grains in the client’s diet.
• Provide the client with a cold drink prior to defecation.
• Administer a rectal suppository 30 minutes prior to scheduled defecation times.

• A nurse is caring for a client who is in active labor and requests pain management. Which of the

following actions should the nurse take?

• Administer ondansetron.
• Place the client in a warm shower.
• Apply fundal pressure during contractions.
• Assist the client to a supine position.
• a nurse in an emergency department is performing triage for multiple clients following a disaster

in the community. To which of the following types of injuries should the nurse assign the highest priority?

• Below-the knee amputationB. Fracturedtibia
• 95% full-thickness body burn 1 / 3

• 10cm (4in) laceration to the forearm
• a nurse manager is updating protocols for the use of belt restraints. Which of the following

guidelines should the nurse include?

• Remove the client’s restraint every 4hr
• Document the client’s condition every 15 min
• Attach the restrain to the bed’s side rails
• Request a PRN restrain prescription for clients who are aggressive
• A nurse is teaching an in-service about nursing leadership. Which of the following information

should the nurse include about an effective leader?

• Acts as an advocate for the nursing unit.
• (Unable to read) for the unit
• Priorities staff request over client needs.
• Provides routine client care and documentation.
• A nurse is reviewing the laboratory findings of a client who has diabetes mellitus and reports

that she has been following her (unable to read) care. The nurse should identify which of the following findings indicates a need to revise the client’s plan of care.

• Serum sodium 144 mEq/
• (Unable to read)
• Hba1c 10 %
• Random serum glucose 190 mg/dl.

• A nurse in a provider’s office is reviewing the laboratory results of a group of clients. The nurse

should identify that which of the following sexually transmitted infections is a nationally notifiable infectious disease that should be reported to the state health department?

• Chlamydia
• Human papillomavirus
• Candidiasis
• Herps simplex virus
• A nurse is teaching a newly licensed nurse about therapeutic techniques to use when leading a

group on a mental health unit. Which of the following group facilitation techniques should the nurse include in the teaching?

• Share personal opinions to help influence the group’s values
• Measure the accomplishments of the group against a previous group
• Yield in situations of conflicts to maintain group harmony
• Use modeling to help the clients improve their interpersonal skills
• A nurse is planning for a client who practices Orthodox Judaism. The client tells the nurse that

(Unable to read) Passover holiday. Which of the following action should the nurse include in the plan of care?

• Provide chicken with cream sauce.
• Avoid serving fish with fins and scales.
• Provide unleavened bread.
• Avoid serving foods containing lamb.
• A nurse is caring for a client who has a pulmonary embolism. The nurse should identify the

effectiveness of the treatment

• A chest x-ray reveals increased density in all fields. 2 / 3

• The client reports feeling less anxious.
• Diminished breath sounds are auscultated bilaterally
• ABG results include Ph 7.48 PaO2 77 mm Hg and PaCO2 47 mm Hg.
• A nurse in an emergency department is assessing a client who reports ingesting thirty diazepam

tablets (Unable to read) a respiratory rate of 10/min. After securing the client’s airway and initiating an IV, which of the following actions should the nurse do next.

• Monitor the client’s IV site for thrombophlebitis.
• Administer flumazenil to the client.
• Evaluate the client for further suicidal behavior.
• Initiate seizure precautions for the client.

• A nurse in an emergency department is caring for a client who reports cocaine use 1hr ago.

Which of the following findings should the nurse expect?

• Hypotension
• Memory loss
• Slurred speech
• Elevated temperature
• A nurse is assessing a newborn who has a blood glucose level of 30 mg/dl. Which of the

following manifestations should the nurse expect?

• Loose stools
• Jitteriness
• Hypertonia
• Abdominal distention
• A nurse in a pediatric clinic is reviewing the laboratory test results of a school age child. Which

of the following findings should the nurse report to the provider?

• Hgb 12.5 g/dl
• Platelets 250,000/mm3
• Hct 40%
• WBC 14,000/mm3
• A charge nurse is teaching a newly licensed nurse about clients designating a health care proxy

in situations that require a durable power of attorney for heal care (DPSHC). Which of the following information should the charge nurse include?

• “The proxy should make health care decisions for the client regardless of the client’s ability

to do so.”

• “The proxy can make financial decisions if the need arises.”
• “The proxy can make treatment decisions if the client is under anesthesia.”
• “The proxy should manage legal issues for the client.”
• A nurse in the PACU is caring for a client who reports nausea. Which of the following actions

should the nurse take first?

• Turn the client on their side.
• Administer an analgesic
• Administer antiemetic
• Monitor the client’s vital signs.
• / 3