HESI Exit Exams (Versions 4, 5 & 6) Review – Each Version 160 Questions and Correct Answers (A review of Past Real Exams) | 3 Versions of Real HESI Exit Exams Review Test Bank

1
HESI Exit Exams
HESI Exit Exams (Versions 4, 5 & 6) Review
– Each Version 160 Questions and Correct
Answers (A review of Past Real Exams) | 3
Versions of Real HESI Exit Exams Review
Test Bank




When caring for a client hospitalized with Guillain-Barré syndrome, which
information is most important for the nurse to report to the primary health care
provider?
A. Ascending numbness from the feet to the knees
B. Decrease in cognitive status of the client

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HESI Exit Exams
C. Blurred vision and sensation changes
D. Persistent unilateral headache –


Correct Answer :B. Decrease in cognitive status of the client


Rationale
A decline in cognitive status in a client is indicative of symptoms of hypoxia and a
possible need to assist the client with mechanical ventilation. A primary health care
provider will need to be contacted immediately. Options A, C, and D are findings
associated with Guillain-Barré syndrome that should also be reported but are not as
critical as the client's hypoxic status.




Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which assessment does the
nurse perform as a priority before administering the medication?
A) Checking the client's blood pressure
B) checking the client's peripheral pulses
C) checking the most recent potassium level
D) checking the client's intake and output record for the last 24 hours –




Correct Answer :A) Checking the client's blood pressure


Rationale—
enalapril maleate is an angiotensin-converting enzyme (ACE) inhibitor used to treat
hypertension. One common side effect is postural hypotension. Therefore the nurse would
check the client's blood pressure immediately before administering each dose.

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HESI Exit Exams
A client is scheduled to undergo an upper gastrointestinal (GI) series, and the nurse provides
instructions to the client about the test. Which statement by the client indicates a need for
further instruction?


A) "The test will take about 30 minutes"
B) "I need to fast for 8 hours before the test"
C) "I need to drink citrate of magnesia the night before the test and give myself a Fleet enema
on the morning of the test."
D) "I need to take a laxative after the test is completed, because the liquid that I'll have to
drink for the test can be constipating." –


Correct Answer :C) "I need to drink citrate of magnesia the night before the test and give
myself a Fleet enema on the morning of the test."


Rationale
An upper GI series involves visualization of the esophagus, duodenum, and upper
jejunum by means of the use of a contrast medium. It involves swallowing a contrast
medium (usually barium), which is administered in a flavored milkshake. Films are taken
at intervals during the test, which takes about 30 minutes. No special preparation is
necessary before a GI series, except that NPO status must be maintained for 8 hours
before the test. After an upper GI series, the client is prescribed a laxative to hasten
elimination of the barium. Barium that remains in the colon may become hard and
difficult to expel, leading to fecal impaction.




Which of the following local anesthetics may be useful in patients with herpetic dysfunction?
A. lidocaine
B. mepivacaine
C. articaine

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HESI Exit Exams
D. bupivacaine –


Correct Answer :articaine




Which ester local anesthetic is no longer used in dentistry?
A. propoxycaine (Ravocaine)
B. tetracaine (Pontocaine)
C. procaine (Novocaine) - Correct Answer :procaine (NOvocain) like no


All are amide local anesthetics except:
A. lidocaine
B. mepivacaine
C. prilocaine
D. bupivacaine
E. benzocaine
F. articaine - Correct Answer :benzocaine (ester)


What is the most commonly used anesthetic in dentistry?
A. lidocaine
B. mepivacaine
C. prilocaine
D. bupivacaine
E. benzocaine
F. articaine - Correct Answer :lidocaine