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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 Rationalized Answers,
100% VERIFIED NEWEST VERSION.
The exam has: 160 Multiple-choice questions
Performance Score is Above 1100
1. The nurse is providing teaching to a client with type 2 DM about important
points for disease and symptom management. Which statement by the client
indicates understanding?
A) Using salt, herbs, and spices will improve the flavor of foods
B) Get an eye exam with an opthalmologist annually
C) Arrange diet schedule around three regular meals a day
D) Inspect feet every month for ingrown nails, cuts, and caluses
Ans>>: B) Get an eye exam with an opthalmologist annually
2. The nurse is providing educations to a client who experiences recurrent
levels of moderate anxiety to situations and perceived stress. In addition to
informations about prescribed medications and administration, which instruction should the nurse include in the teaching?
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A) Center attention on positive upbeat music
B) Find outlets for more social interaction
C) Practice using muscle relaxation techniques
D) Think about reasons the episodes occur
Ans>>: C) Practice using muscle relaxation techniques
3. The charge nurse is planning for the shift and has a RN and a PN on the
team. Which client should the charge nurse assign to the RN?
A) A 75-year old client with renal calculi who requires urine straining
B) A 64-year old client who had a total hip replacement the preious day
C) A 30-year old depresses client who admits to suicide ideation
D) An adolescent with multiple contusions due to a fall that occurred 2 days
ago
Ans>>: C) A 30-year old depresses client who admits to suicide ideation
4. NGN: (Nurses Notes)
1800: The client is a female neonate born at 37 weeks of gestation to a G
2 P 1 mother, who was diagnosed with gestational diabetes. Following a
spontaneous vaginal birth, she received Apgar scores of seven at one minute
and eight at five minutes. The client weighs 4036.97g (8lbs 9oz) and appears
pink with acrocyanosis and a moderate amount of subcutaneous fat. She is
noted to be slightly jittery at 30min of age. Axillary temperature 96F, pulse 140,
RR 80. Blood glucose 35, Billy Rubin seven, fontanelles soft, mongolian spot
noted on lower back, Ballard maturity rating 37 weeks. (For each assessment
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finding, click to indicate whether the findings are associated with an infant of
a diabetic mother or normal presentation.)
Soft Fontanelles
Blood Glucose 35
Axillary temp. 96F
Acrocyanosis
Ballard score maturity rating 37: Diabetic Findings:
BG 35
Axillary temp 96
Ballard score maturity rating 37
Normal Presentation:
Soft Fontanelles
Acrocyanosis
(normal findings include acrocyanosis, soft fontanelles, mongolian spots, and Apgar
scores 7 to 10)
5. NGN: (Nurses Notes)
1800: The client is a female neonate born at 37 weeks of gestation to a G
2 P 1 mother, who was diagnosed with gestational diabetes. Following a
spontaneous vaginal birth, she received Apgar scores of seven at one minute
and eight at five minutes. The client weighs 4036.97g (8lbs 9oz) and appears
pink with acrocyanosis and a moderate amount of subcutaneous fat. She is
noted to be slightly jittery at 30min of age. Axillary temperature 96F, pulse 140,
RR 80. Blood glucose 35, Billy Rubin seven, fontanelles soft, mongolian spot
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noted on lower back, Ballard maturity rating 37 weeks.
The nurse recognizes that the infant of a diabetic mother is at risk for
,
, and
: Hyperbilirubinemia , Re-
sppiratory Distress Syndrome , and Cardiomyopathy
6. NGN: Orders
Breast-feed immediately once stable then on demand. If unstable, may feed
breastmilk via orogastric tube. If two feeding attempts failed to increase the
glucose levels or if symptoms of hypoglycemia develop, apply dextrose gel
inside the babies cheek. If the above are ineffective, IV glucose should be
administered to maintain glucose levels above 45. Bolus of 2mL/kg glucose
10% IV, hello by a continuous glucose perfusion of 6 to 8mg/kg/min, maintain
glycemic levels over 40.
Which 6 orders take priority?
A) Feed Immediately
B) Monitor for respiratory distress
C) Apply dextrose gell inside the baby's cheek
D) Keep in warmer with bilirubin lights
E) Monitor temp every 30 min
F) Bolus 2 mL/kg glucose 10% IV
G) Contact RT for ABG and oxygen therapy
H) Echo
I) Transfer to NICU
J) Blood glucose level
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Ans>>: A) Feed Immedicately
B) Monitor for Respiratory Distress
D) Keep in warmer with bili lights
E) Monitor temp q30min
G) Contact RT for ABG and O2 therapy
J) Blood glucose level
7. NGN Laboratory Results (same case of patient who just gave birth)
Which actions are appropriate for the nurse to take at this time? SATA
A) Keep infant in warmer with bili lights to maintain temp of 97.6F
B) Monitor Temp
C) Continue to monitor glucose level
D) Tell the mother that she will need to discuss this with the neonatologist
E) Explain to the mother that the babys RR needs to be below 60
F) Inform the mother that the baby is stable enought to take out of the warmer
G) Observe for signs of respiratory distress and monitor O2 with pulse ox
Ans>>: A) Keep infant in warmer with bili lights to maintain temp of 97F
E) Explain to the mother that the babys RR need to be below 60
F) Inform the mother that the baby is stable enough to take out of the warmer
G) Observe for signs of respiratory distress and monitor oxygenation by pulse ox
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8. NGN: 1800: The client is a female neonate born at 37 weeks of gestation to
a G 2 P 1 mother, who was diagnosed with gestational diabetes. Following a
spontaneous vaginal birth, she received Apgar scores of seven at one minute
and eight at five minutes. The client weighs 4036.97g (8lbs 9oz) and appears
pink with acrocyanosis and a moderate amount of subcutaneous fat. She is
noted to be slightly jittery at 30min of age. Axillary temperature 96F, pulse 140,
RR 80. Blood glucose 35, Billy Rubin seven, fontanelles soft, mongolian spot
noted on lower back, Ballard maturity rating 37 weeks.
(The day shift nurse reviews the nurses notes, labs, and flow sheet from the
night before. The nurse plans on providing health teaching for the client and
her family in preparation for discharge.)
For each teaching point, click to indicate whether it is indicated or contraindicated. Only one right option per row.
A) You will need to se
Ans>>: A) B)
C)
D) Indicated
E)
9. NGN: 1800: The client is a female neonate born at 37 weeks of gestation to
a G 2 P 1 mother, who was diagnosed with gestational diabetes. Following a
spontaneous vaginal birth, she received Apgar scores of seven at one minute
and eight at five minutes. The client weighs 4036.97g (8lbs 9oz) and appears
pink with acrocyanosis and a moderate amount of subcutaneous fat. She is
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noted to be slightly jittery at 30min of age. Axillary temperature 96F, pulse 140,
RR 80. Blood glucose 35, Billy Rubin seven, fontanelles soft, mongolian spot
noted on lower back, Ballard maturity rating 37 weeks.
(Click to highlight notes that demonstrate a positive outcome)
Day 2, 0630: Vitals have remained stable throughout the night. Oxygen 98% on
nasal canal. Mother to breastfeed in the nursery on demand. Able to tolerate
breastmilk. Glucose after feeding was 60, temp 97.8F, when returned to warmer
and bili light. CXR and echo results were: Glucose after feeding was 60
Direct bili 5
Temp 97.8
Oxygen 98%
Able to tolerate breastmilk
10. A client with pancreatitis complains of severe epigastric pain, so the
nurse administers a prescribed narcotic analgesic.Ten minutes later, the client
insists on sitting up and leaning forward. Which intervention should the nurse
implement?
A) Rains HOB to 90 degrees
B) Position bedside table so the client can lean across it
C) Place bed in a reverse tren posiiton
D) Encourage rest until the analgesic becomes effective.
Ans>>: B) Position bedside table so the client can lean across it
11. The nurse is caring for a client who arrives to the ED with reports of
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experiencing dizziness and difficulty walking to the bathroom. The nurse
observes R-sided weakness and sluggish enunciation of speech. The nurse
should immediately take which action?
A) Maintain elevated positioning of the dependent joints on the affected side.
B) Keep the bed in the lowest position and initiate seizure and fall precautions
C) Place an indwelling urinary catheter and measure strict I/Os
D) Start two large-bore IV catheters and review inclusion criteria for IV fibrinolytic therapy.
Ans>>: D) Start two large-bore IV catheters and review inclusion criteria for IV
fibrinolytic therapy
12. A male client with a brain tumor is scheduled for a biopsy in the morning.
During the admission procedure, the client has a tonic colonic seizure that
last 50 seconds. Following the seizure, the client is lethargic and confused,
and his wife tells the nurse that her husband has never had a seizure before
and has always been alert and communicative. Which action should the nurse
take?
A) ask the wife to wait outside the room until the nurse can talk with her.
B) keep orienting the client the client to time in space until he is less confused
C) notify the emergency response team of the client's seizure
D) explain the postictal state that usually follows seizures
Ans>>: D) explain the postical state that usually follows seizures
13. A nurse is providing lifestyle change education for a client to slow the
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progression of coronary artery disease. Which statement made by the client
should the nurse recognize as needing additional education?
A) Keep a food diary.
B) Eat more canned vegetables.
C) Consume foods with saturated fat.
D) Walk 30 minutes per day.
E) Include oatmeal for breakfast.
F) Use a salt substitute
Ans>>: B) Eat more canned vegetables.
C) Consume foods with saturated fats.
14. While caring for a toddler receiving oxygen via facemask, the nurse observes that the child's lips and nares are dry and cracked. Which intervention
should the nurse implement?
A) Use a water-soluble lubricant on affected oral and nasal mucosa.
B) Use a topical lidocaine analgesic for cracked lips.
C) Ask the mother what she usually uses on the child's lips and nose.
D) Apply a petroleum jelly to the child's nose and lips.
Ans>>: A) use a water-soluble
lubricant on affected oral and nasal mucosa
15. When assessing a multigravida on the first postpartum day, the nurse finds
a moderate amount of lochia rubra, with the uterus firm, and three finger
breaths above the umbilicus. What action should the nurse implement first?
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A) Increase IV infusion.
B) Massage the uterus to decrease attorney.
C) Review the hemoglobin to determine hemorrhage.
D)Check for a distended bladder.
Ans>>: D) Check for a distended bladder
16. The nurse is caring for a client on the first day post-operative for a descending aortic aneurysm repair. Which assessment finding should the nurse
prioritize reporting to the healthcare provider?
A) Serum potassium 4.8.
B) Electrocardiogram ST segment elevation.
C) Urine output 30 mils per hour.
D) Blood pressure 130/80
Ans>>: B) Electrocardiogram ST segment elevation
17. The healthcare provider prescribes a low-fiber diet for a client with ulcerative colitis. Which food selection indicates to the nurse that the client
understands the prescribed diet?
A) Roast pork, fresh strawberries.
B) Baked potato with skin, raw carrots.
C) Roasted turkey, canned vegetables.
D) Pancakes, whole-grain cereals.
Ans>>: C) Roasted turkey, canned vegetables.
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18. The psychiatric nurse is caring for clients in an adolescent unit. Which
client requires the nurse's immediate attention?
A) An 18-year-old client with antisocial behavior who is being yelled at by other
clients.
B) A 17-year-old client diagnosed with bipolar disorder who is pacing around
the lobby.
C) A 16-year-old client diagnosed with major depression who refuses to
participate in a room.
D) A 14-year-old client with anorexia nervosa who is refusing to eat the evening
snack
Ans>>: A) An 18-year-old client with antisocial behavior who is being yelled at by
other clients.
19. A client recovering from pneumonia who has a history of severe chronic
obstructive pulmonary disease and peripheral vascular disease is being discharged from the skilled nursing facility. Which action is most important for
the nurse to implement?
A) Explain exercise daily regimen.
B) Demonstrate specific strengthening exercises.
C) Provide typed instructions for healthy diet selection.
D) Reinforce need for adequate hydration.
Ans>>: C) Provide typed instructions for healthy diet selection.
20. A six week old infant with pyloric stenosis is scheduled for a pyloromyoto11 /
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my which pre-operative nursing action has the highest priority?
A) Instruct Parents regarding care of the incisional area.
B) Mark and outline of the olive shaped mass in the right epigastric area.
C) Initiate a continuous infusion of IV fluids per prescription.
D) Monitor the amount of intake and infant's response to feedings.
Ans>>: C) Initiate a continuous infusion of IV fluids per prescription.
21. NGN: the client has returned to work at an accounting firm and has started
going to a grief support group. She states she is seeking care from a healthcare professional because her father is worried about her. The client states
she only gets 2 to 3 hours of sleep due to nightmares about the crash. She
states that exercising right after work helps her get better sleep and to relax.
She feels that she is jumpy after the accident, especially when she is in the
car. She also stated, "I feel so sad that I can't seem to feel anything...
(highlight the areas that the nurse should....): ??????
22. NGN: the client is a 26 year-old female who was in a car accident six months
ago that killed her mother, husband, and two-year-old son. She and her father
were the only survivors of the crash. She is seeking care for depression.
The client is exhibiting symptoms of
and
related
to
: Post-traumatic stress disorder , experiencing a life-threatening
event , losing a loved one
23. NGN: ORDERS: diagnosis, depression, and posttraumatic stress disorder.
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Diphenhydramine 12.5 mg by mouth every night before bed. Buspirone hydrochloride 7.5 mg by mouth twice a day
(can the nurse build a therapeutic relationship with the client? SATA)
A) The nurse can establish a meaningful connection.
B) The nurse can be open, honest, and sincere.
C) The nurse can communicate acceptance to the client as she is.
D) The nurse can talk as much as needed to get the client talking.
E) The nurse can focus energy on the client.
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F) The nurse can show no emotion when talking to the client.
Ans>>: A) The nurse can
establish a meaningful connection.
B) The nurse can be open, honest, and sincere.
C) The nurse can communicate acceptance to the client as she is.
24. NGN: the client is a 26 year-old female who was in a car accident six months
ago that killed her mother, husband, and two-year-old son. She and her father
were the only survivors of the crash. She is seeking care for depression.
(Who is the most likely options for the information missing from the statement
by selecting from the list of options provided.)
The statement by the client presents
up with
and should be followed
.: Suicidal ideation, assessment of respecters for suicide.
25. NGN: ORDERS: diagnosis, depression, and posttraumatic stress disorder.
Diphenhydramine 12.5 mg by mouth every night before bed. Buspirone hydrochloride 7.5 mg by mouth twice a day
(What would be some effective strategies that the nurse could use to decrease
the clients risk for suicide in the future?)
A) Have the client sign a non-suicide contract.
B) Refer the client for cognitive behavioral therapy.
C) Make the client feel too guilty to commit suicide.
D) Place the client in a locked unit.
E) Have the client remove any sharp objects from the home.
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F) Help the client enlist the help of friends and family
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Ans>>: A) Have the client sign a non-suicide contract. B) Refer the client for
cognitive behavioral therapy.
F) Help the client enlist the help of friends and family
26. NGN: the client is a 26 year-old female who was in a car accident six months
ago that killed her mother, husband, and two-year-old son. She and her father
were the only survivors of the crash. She is seeking care for depression.
(which findings are effective or ineffective)
-The client states she feels less jumpy and more relaxed.
-The client states she feels numb when thinking about the crash.
-The client talks to her father and her best friend when she starts to feel sad.
-The client reports sleeping 6 to 7 hours per night.
-The client states that she avoids driving altogether and takes the bus.: -The
client states she feels less jumpy and more relaxed. (EFFECTIVE)
-The client states she feels numb when thinking about the crash. (INEFFECTIVE)
-The client talks to her father and her best friend when she starts to feel sad.
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(EFFECTIVE)
-The client reports sleeping 6 to 7 hours per night. (EFFECTIVE)
-The client states that she avoids driving altogether and takes the bus. (INEFFECTIVE)
27. Dopamine 5mcg/kg/min IV is prescribed for a client who weighs 132
pounds. The pharmacy dispenses a 500 mL IV solution of 0.9% normal saline
with dopamine 1600 mg. The nurse should program the infusion pump to
deliver how many mL/hour? (Enter numeric value only if rounding is required,
round to the nearest 10th):
28. An adult client who is admitted to the mental health unit for treatment of
bipolar disorder has a slightly slurred speech pattern and an unsteady gait.
Which assessment finding is most important for the nurse to report to the
healthcare provider?
A) blood alcohol level of 0.09% (90 mmol/L)
B) serum lithium level of 1.6 mEq/L
C) six hours of sleep in the past three days.
D) Weight loss of 10 pounds in the past month
Ans>>: B) serum lithium level of 1.6 mEq/L
29. A male client reports to the on-call clinic nurse that he took tadalafil 10 mg
by mouth two hours ago and his skin now feels flushed. He reports a history
of stable angina, but denies experiencing any current or recent chest pain.
Which action should the nurse take?
A) tell the client to have someone bring him to an emergency department
immediately.
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B) instruct the client to increase his intake of oral fluids until the skin flushing
is relieved.
C) reassure the client that skin flushing is a common side effect of the
medication.
D) advise the client to place one nitroglycerin tablet under his tongue as a
precaution.
Ans>>: C) reassure the client that skin flushing is a common side effect of the
medication.
30. An adult client experiences a gasoline tank fire when riding a motorcycle
and is admitted to the emergency department (ED) with full thickness burns to
all surfaces of both lower extremities. What percentage of body surface area
should the nurse document in the electronic medical record (EMR)?
A) 9%
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B) 36%
C) 18%
D) 45%
Ans>>: B) 36%
31. An unlicensed assistive personnel leaves the unit without notifying the
staff. In which order should the unit manager implement these interventions
to address the UP's behavior? (Please to actions in order from first on top to
last on bottom)
Discuss the issue privately with the UAP
Plan for scheduled break times
Evaluate the UP for signs of improvement
Note date and time of the behavior: Note date and time of the behavior.
Discuss the issue privately with a UAP.
Plan for scheduled break times.
Evaluate the UPC for signs of improvement.
32. NO QUESTION 32:
33. What nursing intervention is particularly indicated for the second stage of
labor?
A) Assessing the fetal heart rate and pattern for signs of fetal distress.
B) Monitoring effects of oxytocin administration to help achieve cervical
dilation.
C) Providing pain medication to increase the clients tolerance of labor pains.
D) Assisting the client to push effectively so that expulsion of the fetus can be
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achieved.
Ans>>: D) Assisting the client to push effectively so that expulsion of the fetus can
be achieved.
34. A child with peripheral edema who weighs 44 pounds receives a prescription for furosemide 2 mg/kg IV every 12 hours. The vile is labeled 10
mg/mL. How many milliliters should the nurse administer? (Enter numeric
value only): 4mL
35. Laboratory results should the nurse closely monitor in a client who has
end-stage renal disease?
A) Erythrocytes, hemoglobin, and hematocrit.
B) Serum potassium, calcium, and phosphorus.
C) Blood pressure, heart rate, and temperature.
D) Leukocytes, neutrophils, and thyroxine.
Ans>>: B) Serum potassium, calcium, and phosphorus.
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