HESI RN EXIT EXAM
WITH QUESTIONS
AND WELL
IDENTIFIED
ANSWERS
[GRADED A+]
The nurse is completing the admission assessment of a 3-year
old who is admitted with bacterial meningitis and hydrocephalus.
Which assessment finding is evidence that the child is
experiencing increased intracranial pressure (ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope - CORRECT
ANSWER-B. Sluggish and unequal pupillary responses
A client with acute pancreatitis is admitted with severe, piercing
abdominal pain and an elevated serum amylase. Which additional
information is the client most likely to report to the nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly. -
CORRECT ANSWER-A. Abdominal pain decreases when lying
supine
A child newly diagnosed with sickle cell anemia (SCA) is being
discharged from the hospital. Which information is most important
for the nurse to provide the parents prior to discharge?
A. Instructions about how much fluid the child should drink daily.
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family - CORRECT
ANSWER-A. Instructions about how much fluid the child should
drink daily
After receiving report on an inpatient acute care unit, which client
should the nurse assess first?
A. The client with an obstruction of the large intestine who is
experiencing abdominal distention
B. The client who had surgery yesterday and is experiencing a
paralytic ileus with absent bowel sounds
C. The client with a small bowel obstruction who has a
nasogastric tube that is draining greenish fluid
D. The client with a bowel obstruction due to a volvulus who is
experiencing abdominal rigidity - CORRECT ANSWER-D. The
client with a bowel obstruction due to a volvulus who is
experiencing abdominal rigidity
To auscultate for a carotid bruit, the nurse places the stethoscope
at what location. (Select the location on the image with a red dot).
- CORRECT ANSWER-I placed the red dot on the base of the
neck o
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