ADRESSED HESI EXIT EXAM
QUESTIONS AND ANSWERS
1. The home health nurse supervises an UAP in providing home care for a client who is awaiting a
liver transplant. The UAP reports that the client is often angry. Which instruction should the nurse
emphasize with the UAP? - CORRECT ANSWER -
-Provide the client with choices about personal care. - CORRECT ANSWER -
2. Two days after receiving a pathology report, a male client requests to speak with someone
concerning end-of-life issues. While assisting the client with his palliative care requests, which action is
most important for the nurse to take? - CORRECT ANSWER -
-Document the end-of-life requests. - CORRECT ANSWER -
3. A client who is at 36 weeks gestations is admitted with severe preclampsia. After a 6 gram
loading dose of magnesium sulfate is administered, an intravenous infusion of magnesium sulfate at a
rate of 2 grams/hour is initiated. Which assessment finding warrants immediate intervention by the
nurse? - CORRECT ANSWER -
-Urine output 20 ml/hour - CORRECT ANSWER -
4. The mother of a 1-year-old brings her child to the clinic because of severe diarrhea. Physical
exam by the nurse reveals that the child is febrile and has a distended and tympanic abdomen. Which
action should the nurse take first? - CORRECT ANSWER -
-Collect a stool sample - CORRECT ANSWER -
, 5. A mclient mis madmitted mfor mcellulitis msurrounding mas minsect mbite mon mthe mlower, mright marm mand
mintravenous m(IV) mantibiotic mtherapy mis mprescribed. mWhich maction mshould mthe mnurse mimplement
mbefore mperforming mthe mvenipuncture? m- mCORRECT mANSWER m- m
m
-Lower mthe mleft marm mbelow mthe mlevel mof mthe mheart m- mCORRECT mANSWER m- m
m
6. A mwoman mwho mis ma mgravid m2, mpara m1 mhas mbeen min mlabor mfor m10 mhours, mwithout man mepidural
mor mintravenous mpain mmedication, mand mis mnow mexperiencing mintensifying mcontractions mthat mare
moccurring mevery m2 mminutes. mAssessment mby mthe mnurse mdetermines mthat mthe mclient's mcervix mis m100%
meffaced mand mdilated m8 mcm. mThe mclient mis mrequesting mintravenous mnalbuphine mhydrochloride. mWhich
maction mshould mthe mnurse mimplement? m- mCORRECT mANSWER m- m
m
-Reinforce mrelaxation mtechnique m- mCORRECT mANSWER m- m
m
7. The mhealthcare mprovider mprescribes mceftazidime m35 mmg mevery m8 mhours mIM mfor man minfant.
mThe m500 mmg mvial mis mlabeled mwith mthe minstructions mto mad m5.3 mml mdiluent mto mprovide ma
mconcentration mof m100 mmg/ml. mHow mmany mml mshould mthe mnurse madminister mfor meach mdose? m-
mCORRECT mANSWER m- m
m
-0.4 m(using mthe mformula, mD/H mx mQ m35/100x1=0.35=0.4 mml) m- mCORRECT mANSWER m- m
m
8. A mclient mis mreceiving man mIV msolution mof mnitroglycerin m100 mmg/500 mml mD5W mat m10
mmcg/minute. mThe mnurse mshould mprogram mthe minfusion mpump mto mdeliver mhow mmany mml/hour? m-
mCORRECT mANSWER m- m
m
-3 m(First mconvert mmcg/minute mto mmg/hour. m10 mmcg/minute mx m1000 mmcg/mg mx m60 mminutes m=0.6
mmg/hour mnext muse mthe mformula, mdose mprescribed m(0.6 mmg/hour) m/ mdose mavailable m(100 mmg) mx
mvolume mavailable m(500 mml)=3 mml/hour) m- mCORRECT mANSWER m- m
m
9. In mcaring mfor ma mclient mreceiving mthe mamino mglycoside mantibiotic mgentamicin, mit mis mmost
mimportant mfor mthe mnurse mto mmonitor mwhich mdiagnostic mtest? m- mCORRECT mANSWER m- m
m
-Serum mcreatinine m- mCORRECT mANSWER m- m
m
QUESTIONS AND ANSWERS
1. The home health nurse supervises an UAP in providing home care for a client who is awaiting a
liver transplant. The UAP reports that the client is often angry. Which instruction should the nurse
emphasize with the UAP? - CORRECT ANSWER -
-Provide the client with choices about personal care. - CORRECT ANSWER -
2. Two days after receiving a pathology report, a male client requests to speak with someone
concerning end-of-life issues. While assisting the client with his palliative care requests, which action is
most important for the nurse to take? - CORRECT ANSWER -
-Document the end-of-life requests. - CORRECT ANSWER -
3. A client who is at 36 weeks gestations is admitted with severe preclampsia. After a 6 gram
loading dose of magnesium sulfate is administered, an intravenous infusion of magnesium sulfate at a
rate of 2 grams/hour is initiated. Which assessment finding warrants immediate intervention by the
nurse? - CORRECT ANSWER -
-Urine output 20 ml/hour - CORRECT ANSWER -
4. The mother of a 1-year-old brings her child to the clinic because of severe diarrhea. Physical
exam by the nurse reveals that the child is febrile and has a distended and tympanic abdomen. Which
action should the nurse take first? - CORRECT ANSWER -
-Collect a stool sample - CORRECT ANSWER -
, 5. A mclient mis madmitted mfor mcellulitis msurrounding mas minsect mbite mon mthe mlower, mright marm mand
mintravenous m(IV) mantibiotic mtherapy mis mprescribed. mWhich maction mshould mthe mnurse mimplement
mbefore mperforming mthe mvenipuncture? m- mCORRECT mANSWER m- m
m
-Lower mthe mleft marm mbelow mthe mlevel mof mthe mheart m- mCORRECT mANSWER m- m
m
6. A mwoman mwho mis ma mgravid m2, mpara m1 mhas mbeen min mlabor mfor m10 mhours, mwithout man mepidural
mor mintravenous mpain mmedication, mand mis mnow mexperiencing mintensifying mcontractions mthat mare
moccurring mevery m2 mminutes. mAssessment mby mthe mnurse mdetermines mthat mthe mclient's mcervix mis m100%
meffaced mand mdilated m8 mcm. mThe mclient mis mrequesting mintravenous mnalbuphine mhydrochloride. mWhich
maction mshould mthe mnurse mimplement? m- mCORRECT mANSWER m- m
m
-Reinforce mrelaxation mtechnique m- mCORRECT mANSWER m- m
m
7. The mhealthcare mprovider mprescribes mceftazidime m35 mmg mevery m8 mhours mIM mfor man minfant.
mThe m500 mmg mvial mis mlabeled mwith mthe minstructions mto mad m5.3 mml mdiluent mto mprovide ma
mconcentration mof m100 mmg/ml. mHow mmany mml mshould mthe mnurse madminister mfor meach mdose? m-
mCORRECT mANSWER m- m
m
-0.4 m(using mthe mformula, mD/H mx mQ m35/100x1=0.35=0.4 mml) m- mCORRECT mANSWER m- m
m
8. A mclient mis mreceiving man mIV msolution mof mnitroglycerin m100 mmg/500 mml mD5W mat m10
mmcg/minute. mThe mnurse mshould mprogram mthe minfusion mpump mto mdeliver mhow mmany mml/hour? m-
mCORRECT mANSWER m- m
m
-3 m(First mconvert mmcg/minute mto mmg/hour. m10 mmcg/minute mx m1000 mmcg/mg mx m60 mminutes m=0.6
mmg/hour mnext muse mthe mformula, mdose mprescribed m(0.6 mmg/hour) m/ mdose mavailable m(100 mmg) mx
mvolume mavailable m(500 mml)=3 mml/hour) m- mCORRECT mANSWER m- m
m
9. In mcaring mfor ma mclient mreceiving mthe mamino mglycoside mantibiotic mgentamicin, mit mis mmost
mimportant mfor mthe mnurse mto mmonitor mwhich mdiagnostic mtest? m- mCORRECT mANSWER m- m
m
-Serum mcreatinine m- mCORRECT mANSWER m- m
m
