Real HESI Exit Exams Review Test Bank 3 Versions / HESI Exit Exams (Versions 1, 2 & 3) Review – Each Version Contains 160 Questions and Correct Answers (A review of Past Real Exams

HESI Exit Exam

Real HESI Exit Exams Review Test Bank
3 Versions / HESI Exit Exams (Versions 1,
2 & 3) Review – Each Version Contains
160 Questions and Correct Answers (A
review of Past Real Exams




The nurse is preparing to administer 0.32 mL of medication subcutaneously. What supplies will
the nurse need to deliver the medication? (Select all that apply.)
A.
A 1 mL syringe
B.
A 3 mL syringe
C.
Alcohol prep pads


A+ TEST BANK 1

, HESI Exit Exam
D.
Sterile gloves
E.
A 24-gauge ¾″ needle
F.
A 20-gauge 1″ needle –


Correct Answer :A, C, E
Rationale:


The best syringe is a 1 mL syringe as it is marked in 100ths; 3 mL syringes are marked off in
10ths. Clean, not sterile gloves are needed. For sub-q, the 3/4″ needle is sufficient and less
painful for the client.


When taking a client's blood pressure, the nurse is unable to distinguish the point at which the
first sound was heard. Which is the best action for the nurse to take?
A.
Deflate the cuff completely and immediately reattempt the reading.
B.
Reinflate the cuff completely and leave it inflated for 90 to 110 seconds before taking the
second reading.
C.
Deflate the cuff to zero and wait 30 to 60 seconds before reattempting the reading.
D.
Document the exact level visualized on the sphygmomanometer where the first fluctuation
was seen. –
Correct Answer :C


A+ TEST BANK 2

, HESI Exit Exam
Rationale:


Deflating the cuff for 30 to 60 seconds allows blood flow to return to the extremity so that an
accurate reading can be obtained on that extremity a second time. Option A could result in a
falsely high reading. Option B reduces circulation, causes pain, and could alter the reading.
Option D is not an accurate method of assessing blood pressure.


The nurse is obtaining a lie-sit-stand blood pressure reading on a client. Which action is most
important for the nurse to take for this client?
A.
Stay with the client while the client is standing.
B.
Record the findings on the graphic sheet in the chart.
C.
Keep the blood pressure cuff on the same arm.
D.
Record changes in the client's pulse rate. –


Correct Answer :A
Rationale:


Although all these measures are important, option A is most important because it helps
ensure client safety. Option B is necessary but does not have the priority of option A. Options
C and D are important measures to ensure accuracy of the recording but are of less
importance than providing client safety.


The client 12 hours after a laparotomy reports to the nurse a pain rating of 7 to 10. The nurse
reviews the medication orders and it is another hour before the client can have another dose
of pain medication. What actions can the nurse take to assist the client? (Select all that apply.)
A+ TEST BANK 3

, HESI Exit Exam
A.
Administer the IV pain medication an hour early.
B.
Assist the client into side-lying, curled position.
C.
Obtain a warm pack to apply to the site of the incision.
D.
Suggest to the client taking 10 deep breaths, in through the nose and out through the mouth.
E.
Help the client with sustained concentration of a personally pleasant topic. –


Correct Answer :B, C, D, E
Rationale:


The nurse would be not following the health care provider's prescription if the pain
medication were delivered an hour early. The nurse could call for an additional dose of
medication for break-through pain, but administering medication early is prescribing without
authority. The remaining selections are all non-pharmacologic measures for pain relief


The nurse finds a client crying behind a locked bathroom door. The client will not open the
door. Which action should the nurse take first?
A.
Instruct an unlicensed assistive personnel (UAP) to stay and keep talking to the client.
B.
Sit quietly in the client's room until the client leaves the bathroom.
C.
Allow the client to cry alone and leave the client in the bathroom.

A+ TEST BANK 4