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2024 HESI EXIT EXAM’S
V1, V2, V3, V4, V5, V6
(Each Version with NGN Questions and Answers)
TABLE OF CONTENTS
(Each Version with 160 Questions and Answers)
HESI Exit V1 Exam ..............................................
HESI Exit V2 Exam ..............................................
HESI Exit V3 Exam ..............................................
HESI Exit V4 Exam ..............................................
HESI Exit V5 Exam ..............................................
HESI Exit V6 Exam ..............................................
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HESI EXIT V1 EXAM
with NGN Questions and Verified Rationalized Answers,
100% Guarantee Pass
This exam has: 160 Multiple-choice ques & Ans
Performance Score is Above 1100
NGN: Orders: 0330: place the client on a cardio respiratory monitor, NPO,
sputum culture, start a PIV, start oxygen 3L via nasal cannula, normal saline
150 ML per hour, acetaminophen 350mg PO every six hours for temp greater
than 101F, chest x-ray.
0500: Oxygen 8Lvia simple facemask, titrate to keep oxygen saturation
greater than 94%.
(mark whether the statements by the new grad nurse indicate understanding
or no understanding of the use of facemask in the care of this client)
-I should clean the facemask once per shift.
-The client should take a 1 to 2 minute break from the facemask each hour.
-I should put gauze under the elastic straps over the ears.
-I can adjust the oxygen level on the flow meter to keep the clients oxygen
saturation greater than 94%.
-The mask should cover only the mouth and leave the nose open for
expiration.
-I should place the mask first over the nose and then cover the mouth.
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Understanding of Facemask Use in Client Care
Statement
Understanding
I should clean the facemask once per shift.
No
Understanding
The client should take a 1 to 2 minute break from the facemask each hour.
No
Understanding
I should put gauze under the elastic straps over the ears.
No
Understanding
I can adjust the oxygen level on the flow meter to keep the clients oxygen saturation
greater than 94%.
Understanding
The mask should cover only the mouth and leave the nose open for expiration.
No
Understanding
I should place the mask first over the nose and then cover the mouth.
Understanding
Explanation
1. I should clean the facemask once per shift.
• This statement shows no understanding. Facemasks are typically single-use and
should be replaced rather than cleaned.
2. The client should take a 1 to 2 minute break from the facemask each hour.
• This statement shows no understanding. Removing the mask could lead to a drop in
oxygen saturation, which could be dangerous for the patient.
3. I should put gauze under the elastic straps over the ears.
• This statement shows no understanding. Gauze is not typically used in this way with
a facemask.
4. I can adjust the oxygen level on the flow meter to keep the clients oxygen
saturation greater than 94%.
• This statement shows understanding. Adjusting the oxygen level to maintain
appropriate oxygen saturation is a key part of managing a patient on oxygen
therapy.
5. The mask should cover only the mouth and leave the nose open for
expiration.
• This statement shows no understanding. A facemask should cover both the nose
and mouth to ensure the patient is receiving the correct amount of oxygen.
6. I should place the mask first over the nose and then cover the mouth.
• This statement shows understanding. The mask should be placed over the nose first
and then pulled down to cover the mouth to ensure a proper fit.
1. In planning care for a 6 month-old infant, what must the nurse provide to
assist in the development of trust?
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A) Food
B) Warmth
C) Security
D) Comfort
Ans>> C) Security
Infants develop trust through consistent and reliable caregiving that meets their
needs for comfort, food, warmth, and security. However, security is particularly
crucial for fostering trust as it encompasses the emotional and physical environment
that makes the infant feel safe and protected. When an infant feels secure, they are
more likely to develop a sense of trust in their caregivers and the world around them.
2. A nurse has just received a medication order which is not legible. Which
statement best reflects assertive communication?
A) "I cannot give this medication as it is written. I have no idea of what you
mean."
B) "Would you please clarify what you have written so I am sure I am reading
it correctly?"
C) "I am having difficulty reading your handwriting. It would save me time if
you would be more careful."
D) "Please print in the future so I do not have to spend extra time attempting
to read your writing."
Ans>> B) "Would you please clarify what you have written so I am sure I am
reading it correctly?"
This response is assertive because it communicates the need for clarification in a
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respectful and professional manner, without blaming or criticizing the prescriber. It
seeks to ensure that the nurse understands the medication order correctly and can
safely administer the medication to the patient.
3. What is the most important consideration when teaching parents how to
reduce risks in the home?
A) Age and knowledge level of the parents
B) Proximity to emergency services
C) Number of children in the home
D) Age of children in the home
Ans>> D) Age of children in the home
Understanding the parents' age, knowledge level, and their familiarity with safety
practices is crucial in tailoring education effectively. This ensures that the information provided is comprehensible and actionable for the parents, leading to better
implementation of safety measures within the home environment.
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4. A 35 year-old client with sickle cell crisis is talking on the telephone but
stops as the nurse enters the room to request something for pain. The nurse
should
A) Administer a placebo
B) Encourage increased fluid intake
C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control
Ans>> C) Administer the pre- scribed analgesia
Sickle cell crisis is characterized by severe pain, and prompt administration of prescribed analgesia is essential to manage the client's pain effectively. Administering
a placebo or recommending relaxation exercises may not adequately address the
acute pain associated with sickle cell crisis. Additionally, encouraging increased fluid
intake is generally beneficial in sickle cell disease management but would not be the
first-line intervention for managing acute pain during a crisis
5. While caring for a toddler with croup, which initial sign of croup requires the
nurse's immediate attention?
A) Respiratory rate of 42
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions
Ans>> A) Respiratory rate of 42
A high respiratory rate in a toddler with croup can indicate increased respiratory
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effort and potential respiratory distress, which is a critical concern. Monitoring the
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respiratory rate closely and intervening promptly if it continues to rise or if there are
signs of respiratory distress is essential in managing croup effectively
6. A client is admitted with low T3 and T4 levels and an elevated TSH level.
On initial assessment, the nurse would anticipate which of the following
assessment findings?
A) Lethargy
B) Heat intolerance
C) Diarrhea
D) Skin eruptions
Ans>> A) Lethargy
Lethargy is a common symptom of hypothyroidism, which is characterized by low
levels of thyroid hormones (T3 and T4) and elevated thyroid-stimulating hormone
(TSH) levels. Other common symptoms of hypothyroidism include fatigue, weight
gain, cold intolerance, dry skin, and constipation. Heat intolerance, diarrhea, and
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skin eruptions are more characteristic of hyperthyroidism, where there are elevated
levels of thyroid hormones
7. The emergency room nurse admits a child who experienced a seizure at
school. The father comments that this is the first occurrence, and denies any
family history of epilepsy. What is the best response by the nurse?
A) "Do not worry. Epilepsy can be treated with medications."
B) "The seizure may or may not mean your child has epilepsy."
C) "Since this was the first convulsion, it may not happen again."
D) "Long term treatment will prevent future seizures."
Ans>> B) "The seizure may or may not mean your child has epilepsy."
This response acknowledges the uncertainty surrounding the single occurrence
of a seizure and avoids making definitive statements without further evaluation
and diagnostic testing. It's important for the nurse to provide accurate information
while also acknowledging that additional assessments and investigations may be
necessary to determine the underlying cause of the seizure and whether it is likely
to recur
8. Alcohol and drug abuse impairs judgment and increases risk taking behavior. What nursing diagnosis best applies?
A) Risk for injury
B) Risk for knowledge deficit
C) Altered thought process
D) Disturbance in self-esteem
Ans>> A) Risk for injury
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Substance abuse can lead to impaired judgment and increased risk-taking behavior,
which can elevate the risk of injury to the individual. This nursing diagnosis reflects
the potential danger associated with substance abuse, including the risk of accidents, falls, self-harm, or harm caused by risky behaviors associated with impaired
decision-making.
9. Which these findings would the nurse more closely associate with anemia
in a 10 month-old infant?
A) Hemoglobin level of 12 g/dI
B) Pale mucosa of the eyelids and lips
C) Hypoactivity
D) A heart rate between 140 to 160
Ans>> B) Pale mucosa of the eyelids and lips
Anemia is characterized by a reduced number of red blood cells or a decreased
hemoglobin level, leading to symptoms such as pallor, especially in the mucosa of
the eyelids and lips.This pallor is often noticeable as a paleness or whitening of these
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tissues. While a hemoglobin level of 12 g/dL is within the normal range for infants,
pale mucosa is a more specific finding associated with anemia. Hypoactivity and a
heart rate between 140 to 160 are not specific to anemia and can be influenced by
various factors
10. The nurse is caring for a client in hypertensive crisis in an intensive care
unit. The priority assessment in the first hour of care is
A) Heart rate
B) Pedal pulses
C) Lung sounds
D) Pupil responses
Ans>> D) Pupil responses
11. Which of these clients who are all in the terminal stage of cancer is least
appropriate to suggest the use of patient controlled analgesia (PCA) with a
pump?
A) A young adult with a history of Down's syndrome
B) A teenager who reads at a 4th grade level
C) An elderly client with numerous arthritic nodules on the hands
D) A preschooler with intermittent episodes of alertness
Ans>> D) A preschooler with intermittent episodes of alertness
12. The nurse is about to assess a 6 month-old child with nonorganic failure-to
thrive (NOFTT). Upon entering the room, the nurse would expect the baby to
be
A) Irritable and "colicky" with no attempts to pull to standing
B) Alert, laughing and playing with a rattle, sitting with support
C) Skin color dusky with poor skin turgor over abdomen
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D) Pale, thin arms and legs, uninterested in surroundings
Ans>> D) Pale, thin arms and legs, uninterested in surroundings
Nonorganic failure-to-thrive (NOFTT) is often associated with inadequate nutrition or
feeding difficulties, leading to poor growth and development. The child may appear
pale, have thin extremities, and seem uninterested in their surroundings due to lack
of energy and reduced interaction. These are common manifestations seen in infants
with NOFTT
13. As the nurse is speaking with a group of teens which of these side effects
of chemotherapy for cancer would the nurse expect this group to be more
interested in during the discussion?
A) Mouth sores
B) Fatigue
C) Diarrhea
D) Hair loss
Ans>> D) Hair loss
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14. While caring for a client who was admitted with myocardial infarction (MI)
2 days ago, the nurse notes today's temperature is 101.1 degrees Fahrenheit
(38.5 degrees Celsius). The appropriate nursing intervention is to
A) Call the health care provider immediately
B) Administer acetaminophen as ordered as this is normal at this time
C) Send blood, urine and sputum for culture
D) Increase the client's fluid intake
Ans>> B) Administer acetaminophen as ordered as this is normal at this time
15. A client is admitted for first and second degree burns on the face, neck,
anterior chest and hands. The nurse's priority should be
A) Cover the areas with dry sterile dressings
B) Assess for dyspnea or stridor
C) Initiate intravenous therapy
D) Administer pain medication
Ans>> B) Assess for dyspnea or stridor
Burns involving the face, neck, and chest can potentially lead to airway compromise
due to swelling or damage to the airway. Assessing for signs of respiratory distress
such as dyspnea (difficulty breathing) or stridor (high-pitched breathing sound) is
crucial. If there are indications of airway compromise, immediate intervention is
needed, which may include securing the airway or providing supplemental oxygen.
This assessment takes precedence over other interventions like covering the burns,
initiating intravenous therapy, or administering pain medication
16. Which of these clients who call the community health clinic would the
nurse ask to come in that day to be seen by the health care provider?
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A) I started my period and now my urine has turned bright red.
B) I am an diabetic and today I have been going to the bathroom every hour.
C) I was started on medicine yesterday for a urine infection. Now my lower
belly hurts when I go to the bathroom.
D) I went to the bathroom and my urine looked very red and it didn't hurt when
I went.
Ans>> D) I went to the bathroom and my urine looked very red and it didn't hurt
when I went.
17. Which of these parents' comment for a newborn would most likely reveal
an initial finding of a suspected pyloric stenosis?
A) I noticed a little lump a little above the belly button.
B) The baby seems hungry all the time.
C) Mild vomiting that progressed to vomiting shooting across the room.
D) Irritation and spitting up immediately after feedings.
Ans>> C) Mild vomiting that progressed to vomiting shooting across the room.
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18. The nurse is assessing a child for clinical manifestations of iron deficiency
anemia.
Which factor would the nurse recognize as cause for the findings?
A) Decreased cardiac output
B) Tissue hypoxia
C) Cerebral edema
D) Reduced oxygen saturation
Ans>> B) Tissue hypoxia
19. The nurse would expect the cystic fibrosis client to receive supplemental
pancreatic
enzymes along with a diet
A) High in carbohydrates and proteins
B) Low in carbohydrates and proteins
C) High in carbohydrates, low in proteins
D) Low in carbohydrates, high in proteins
Ans>> A) High in carbohydrates and proteins
20. In evaluating the growth of a 12 month-old child, which of these findings
would the
nurse expect to be present in the infant?
A) Increased 10% in height
B) 2 deciduous teeth
C) Tripled the birth weight
D) Head > chest circumference
Ans>> C) Tripled the birth weight
21. A Hispanic client in the postpartum period refuses the hospital food be-
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cause it is
"cold." The best initial action by the nurse is to
A) 1Have the unlicensed assistive personnel (UAP) reheat the food if the client
wishes
B) Ask the client what foods are acceptable or bad
C) Encourage her to eat for healing and strength
D) Schedule the dietitian to meet with the client as soon as possible
Ans>> B) Ask the client what foods are acceptable or bad
22. The father of an 8 month-old infant asks the nurse if his infant's vocalizations are
normal for his age. Which of the following would the nurse expect at this age?
A) Cooing
B) Imitation of sounds
C) Throaty sounds
D) Laughter
Ans>> B) Imitation of sounds
23. The nurse should recognize that physical dependence is accompanied by
what
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findings when alcohol consumption is first reduced or ended?
A) Seizures
B) Withdrawal
C) Craving
D) Marked
tolerance
Ans>> B) Withdrawal
24. Immediately following an acute battering incident in a violent relationship,
the
batterer may respond to the partner's injuries by
A) Seeking medical help for the victim's injuries
B) Minimizing the episode and underestimating the victim's injuries
C) Contacting a close friend and asking for help
D) Being very remorseful and assisting the victim with medical care
Ans>> B) Mini- mizing the episode and underestimating the victim's injuries
25. A client with pneumococcal pneumonia had been started on antibiotics
16 hours ago.During the nurse's initial evening rounds the nurse notices a
foul smell in the room. The client makes all of these statements during their
conversation. Which statement would alert the nurse to a complication?
A) "I have a sharp pain in my chest when I take a breath.
"B) "I have been coughing up foul-tasting, brown, thick sputum.
" C) "I have been sweating all day.
"D) "I feel hot off and on."
Ans>> "B) "I have been coughing up foul-tasting, brown, thick sputum.
26. The nurse is performing an assessment on a client in congestive heart
failure. Auscultation of the heart is most likely to reveal
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A) S3 ventricular gallop
B) Apical click
C) Systolic murmur
D) Split
S2
Ans>> A) S3 ventricular gallop
27. Which of these observations made by the nurse during an excretory urogram indicate a complicaton?
A) The client complains of a salty taste in the mouth when the dye is injected
B) The client's entire body turns a bright red color
C) The client states "I have a feeling of getting warm."
D) The client gags and complains " I am getting sick."
Ans>> B) The client's entire body turns a bright red color
28. A client is diagnosed with a spontaneous pneumothorax necessitating the
insertion of a chest tube. What is the best explanation for the nurse to provide
this client?
A) "The tube will drain fluid from your chest.
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"B) "The tube will remove excess air from your chest."
C) "The tube controls the amount of air that enters your chest.
" D) "The tube will seal the hole in your lung."
Ans>> "B) "The tube will remove excess air from your chest."
29. The nurse is reviewing laboratory results on a client with acute renal
failure. Which one of the following should be reported immediately?
A) Blood urea nitrogen 50 mg/dl
B) Hemoglobin of 10.3 mg/dl
C) Venous blood pH 7.30
D) Serum potassium 6 mEq/L
Ans>> D) Serum potassium 6 mEq/L
30. The nurse is caring for a client undergoing the placement of a central venous catheter line.Which of the following would require the nurse's immediate
attention?
A) Pallor
B) Increased temperature
C) Dyspnea
D) Involuntary muscle spasms
Ans>> C) Dyspnea
31. The nurse is performing a physical assessment on a client who just had
an endotracheal tube inserted. Which finding would call for immediate action
by the nurse?
A) Breath sounds can be heard bilaterally
B) Mist is visible in the T-Piece
C) Pulse oximetry of 88
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D) Client is unable to speak
Ans>> C) Pulse oximetry of 88
32. A nurse checks a client who is on a volume-cycled ventilator. Which finding
indicates that the client may need suctioning?A) Drowsiness
B) Complaint of nausea
C) Pulse rate of 92
D) Restlessness
Ans>> D) Restlessness
33. During the evaluation phase for a client, the nurse should focus on
A) All finding of physical and psychosocial stressors of the client and in the
family
B) The client's status, progress toward goal achievement, and ongoing re-evaluation
C) Setting short and long-term goals to insure continuity of care from hospital
to home
D) Select interventions that are measurable and achievable within selected
timeframes
Ans>> B) The client's status, progress toward goal achievement, and ongoing reevaluation
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34. The school nurse suspects that a third grade child might have Attention
Deficit Hyperactivity Disorder. Prior to referring the child for further evaluation,
the nurse should
A) Observe the child's behavior on at least 2 occasions
B) Consult with the teacher about how to control impulsivity
C) Compile a history of behavior patterns and developmental accomplishments
D) Compare the child's behavior with classic signs and symptoms
Ans>> C) Compile a history of behavior patterns and developmental
accomplishments
35. Which of the actions suggested to the RN by the PN during a planning
conference for a 10 month-old infant admitted 2 hours ago with bacterial
meningitis would be acceptable to add to the plan of care?
A) Measure head circumference
B) Place in airborne isolation
C) Provide passive range of motion
D) Provide an over-the-crib protective top
Ans>> A) Measure head circumference
36. A client is admitted with a diagnosis of hepatitis B. In reviewing the initial
laboratory
results, the nurse would expect to find elevation in which of the following
values?
A) Blood urea nitrogen
B) Acid phosphatase
C) Bilirubin