HESI Exit RN Herzing

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Sample questions from HESI Exit RN Herzing

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.In the emergency department, a client with a suspected stroke has right facial droop and slurred speech that began 45 minutes ago. Which action should the nurse take first?

   • A.Administer prescribed aspirin
   • B.Ask the client to drink water to assess swallowing
   • C.Lower the head of the bed and keep it flat
   • D.Obtain a bedside blood glucose level

   Rationale: A bedside glucose check quickly identifies hypoglycemia, which can mimic stroke and requires prompt treatment. Aspirin is not given until hemorrhage is excluded, and oral intake is unsafe until swallowing is assessed. Keeping the client flat is not the priority over identifying a reversible stroke mimic.

2. 2.A client with chronic obstructive pulmonary disease is receiving oxygen at 2 L/min by nasal cannula. Which finding requires immediate follow-up?

   • A.SpO2 of 90%
   • B.Respiratory rate of 10/min and increasing drowsiness
   • C.Barrel-shaped chest
   • D.Productive cough with clear sputum

   Rationale: New drowsiness with a respiratory rate of 10/min can indicate worsening hypoventilation and requires immediate assessment of airway and ventilation. An SpO2 of 90% may be within the prescribed target for some clients with COPD. Barrel chest and clear sputum are common chronic findings and do not indicate the same acute deterioration.

3. 3.A client with heart failure reports waking at night gasping for breath. Which assessment finding should the nurse report promptly?

   • A.A 2-kg weight gain over 2 days
   • B.Mild fatigue after walking
   • C.Heart rate of 84/min
   • D.Urine output of 40 mL/hr

   Rationale: Rapid weight gain suggests fluid retention and worsening heart failure, especially with new orthopnea. A heart rate of 84/min and urine output of 40 mL/hr are not independently alarming. Mild exertional fatigue can occur with heart failure but is less urgent than evidence of increasing fluid volume.

4. 4.Refer to the client's chart. Which actions should the nurse take now for this client with suspected sepsis? Select all that apply.

   • A.Begin the prescribed isotonic IV fluid bolus
   • B.Delay antimicrobial therapy until the culture results are available
   • C.Reassess blood pressure and urine output frequently
   • D.Obtain ordered blood cultures before the first antibiotic dose if this does not delay treatment
   • E.Apply oxygen as needed to maintain the prescribed saturation target

   Answer and rationale are in the full material.

5. 5.Which finding in a client 6 hours after thyroidectomy requires the most immediate action?

   • A.Small amount of serosanguineous drainage
   • B.Incisional pain rated 5 of 10
   • C.Inspiratory stridor
   • D.Hoarse voice

   Answer and rationale are in the full material.