HESI RN
RN HESI Exit Exam Questions
Question 1 of 5
A female client reports that she drank a liter of a solution to cleanse her intestines but vomited immediately after. How many ml of fluid intake should the nurse document?
Correct Answer: C
Rationale: The correct answer is 760 ml. One liter equals 1000 ml. As the client vomited immediately after drinking, she would have expelled approximately 240 ml (1 cup). Subtracting this from the initial intake of 1000 ml gives us 760 ml as the remaining fluid intake that should be documented. Choices A, B, and D are incorrect because they do not reflect the correct calculation of subtracting the amount vomited from the initial intake.
Question 2 of 5
When finding a client sitting on the floor, the nurse calls for help from the unlicensed assistive personnel (UAP). Which task should the nurse ask the UAP to do?
Correct Answer: C
Rationale: The correct task for the nurse to ask the unlicensed assistive personnel (UAP) to do in this situation is to "Get a blood pressure cuff." This is important because assessing the client's vital signs, including blood pressure, is crucial after a fall to ensure there are no underlying issues like hypotension. Choices A and B may be important tasks for the nurse to perform as part of the assessment and care of the client. However, in this scenario, the immediate concern should be to check the client's blood pressure. Choice D is not the most urgent task at this time, as assessing the client's condition takes precedence.
Question 3 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 4 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: The correct answer is B) "His smaller size is probably due to the heart disease." This response is the best because it provides an accurate explanation related to the child's congenital heart defect. Children with congenital heart defects often have growth delays due to the increased metabolic demands and compromised cardiac function associated with their condition. By acknowledging the impact of the heart disease on the child's growth, the nurse helps the mother understand the underlying reason for her child's size percentile. Option A) "Does your child seem mentally slower than his peers also?" is incorrect as it introduces an unrelated and potentially insensitive question about the child's mental abilities, which is not relevant to the growth percentile issue. Option C) "Haven't you been feeding him according to recommended daily allowances for children?" is incorrect because it implies that the mother may be at fault for her child's growth percentile, which can be perceived as blaming and unhelpful in addressing the actual medical cause. Option D) "You should not worry about the growth tables. They are only averages for children" is also incorrect as it dismisses the mother's concern and fails to provide her with a valid explanation for her child's growth pattern. In an educational context, it is crucial for nurses to understand the impact of various health conditions on growth and development, especially in pediatric patients. By providing accurate and empathetic explanations to parents, nurses can help them better comprehend their child's health status and collaborate effectively in the child's care plan. This scenario highlights the importance of patient education and communication skills in nursing practice.
Question 5 of 5
The nurse weighs a 6-month-old infant during a well-baby check-up and determines that the baby's weight has tripled compared to the birth weight of 7 pounds 8 ounces. The mother asks if the baby is gaining enough weight. What response should the nurse offer?
Correct Answer: A
Rationale: The correct answer is A: 'Your baby is gaining weight right on schedule.' Tripling of birth weight by 6 months is a normal growth pattern in infants, indicating appropriate weight gain and development. Choice B is unrelated to the question as it focuses on the baby's diet rather than addressing the weight gain concern. Choice C is incorrect as tripling the birth weight is considered a healthy growth pattern, not below normal percentile. Choice D is irrelevant to the mother's question about the adequacy of weight gain.