HESI RN
RN HESI Exit Exam Questions
Question 1 of 5
A 3-year-old boy with a congenital heart defect is brought to the clinic by his mother. During the assessment, the mother asks the nurse why her child is at the 5th percentile for growth. What response is best for the nurse to provide?
Correct Answer: B
Rationale: Heart disease can affect growth, leading to smaller size in children.
Question 2 of 5
A client presents at the clinic with blepharitis. What instructions should the nurse provide for home care?
Correct Answer: D
Rationale: The correct answer is D. Blepharitis is managed with warm moist compresses to help loosen debris and oils on the eyelids, followed by gentle scrubbing with a mild solution like diluted baby shampoo. This helps in controlling the condition.
Choice A is incorrect as using eye patches while sleeping is not a standard recommendation for blepharitis.
Choice B is incorrect as wearing sunglasses does not directly treat blepharitis but may help with light sensitivity.
Choice C is incorrect as cold compresses are not typically used for blepharitis, as warm compresses are more effective in managing the condition.
Question 3 of 5
The nurse is planning care for a client admitted with a diagnosis of pheochromocytoma. Which intervention has the highest priority for inclusion in this client's plan of care?
Correct Answer: B
Rationale: Monitoring blood pressure frequently is the highest priority intervention for a client diagnosed with pheochromocytoma. This rare tumor can lead to life-threatening hypertension due to catecholamine secretion. Evaluating neurological status and maintaining seizure precautions are important but are not the highest priority in this case. Recording urine output, though essential for overall assessment, is not the priority compared to monitoring blood pressure in a client with pheochromocytoma.
Question 4 of 5
A client with cirrhosis is admitted with hepatic encephalopathy. Which laboratory value requires immediate intervention?
Correct Answer: D
Rationale: The correct answer is D. A prothrombin time of 18 seconds is most concerning in a client with hepatic encephalopathy as it indicates impaired liver function and an increased risk of bleeding. This requires immediate intervention to prevent bleeding complications.
Choice A, serum ammonia level of 80 mcg/dl, is elevated but not as urgent as the abnormal prothrombin time.
Choice B, bilirubin level of 3.0 mg/dl, is elevated but does not directly indicate an urgent need for intervention in this situation.
Choice C, serum sodium level of 135 mEq/L, is within the normal range and does not require immediate intervention.
Question 5 of 5
A client with chronic kidney disease (CKD) is scheduled for a renal biopsy. Which laboratory value should the nurse review before the procedure?
Correct Answer: B
Rationale: Before a renal biopsy, the nurse should review the serum creatinine level. Serum creatinine is a key indicator of kidney function. In clients with chronic kidney disease (CK
D), monitoring creatinine levels is crucial as elevated levels may indicate worsening kidney function, which could impact the safety and outcome of the biopsy. Hemoglobin (choice
C) is important for assessing oxygen-carrying capacity but is not directly related to the kidney biopsy procedure. Serum potassium (choice
A) is important to monitor in CKD but is not specifically crucial before a renal biopsy. White blood cell count (choice
D) is more relevant for assessing infection or inflammation, which is not the primary concern before a renal biopsy.