HESI EXIT EXAM REVIEW (NIGHTGALE COLLEGE) -
EXAMINATION COMPLETE QUESTIONS AND DETAILED
SOLUTIONS LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: The nurse enters a client's room to administer oral
medications and finds an unlicensed assistive personnel providing
personal care to the client, whose condition has obviously
deteriorated. The client is lying in a supine position and is weak,
pale, and diaphoretic. What is the priority nursing action?
A. Determine why the UAP did not notify the nurse of the change in
the client's condition
B. Advise the UAP to stop providing care so the nurse can assess the
client's condition
C. Explain to the UAP that changes in a client's condition should be
reported immediately
D. Ask the UAP to position the client so the oral medication can be
administered.
Answer:
D) Ask the UAP to position the client so the oral medication can be
administered.
Question 2: An adult male reports that he recently experience an
episode of chest pressure and breathlessness when he was
jogging. The client expresses concern because both of his
deceased parents had heart disease and his father had diabetes. He
lives with his male partner, is a vegetarian, and takes atenolo which
maintains his blood pressure at 130/74 mmHg. Which risk factors
should the nurse explore further with the client? (SATA)
A. Family health history
B. Homosexual lifestyle
, C. History of hypertension
D. Vegetarian diet
E. Excessive aerobic exercises
Answer:
A) Family health history
Question 3:
C. History of hypertension An older client returns to the clinic and
receives refills on several medications. The client shares concerns
with the nurse about having to take so many medications and asks if
one pill could be substituted for many of the others. Which instruction
should the nurse implement to address the client's concerns?
A. Do not take any over-the-counter drugs while taking medications
prescribed by a healthcare provider
B. Make certain a family member knows the name and use of all
medications currently being taken
C. Use a medication reminder system to prevent forgetting to take the
right medications at the right time
D. Bring all medications supplements, and herbs currently being
taken to the next clinic appointment.
Answer:
C) Use a medication reminder system to prevent forgetting to take the right
medications at the right time
Question 4: Which laboratory values are critical for the nurse to
monitor for a client who is experiencing thyrotoxic crisis?
A. Blood and urine culture
B. Glucose and calcium levels
C. Renal and liver function tests
D. Electrolytes and hemoglobin
,Answer:
C) Renal and liver function tests
Question 5: A 46-year-old male client who had a myocardial
infarction 24-hours ago comes to the nurses station fully dressed
and wanting to go home. He tells the nurse that he is feeling much
better at this time. Based on this behavior, which client problem
should the nurse include in the plan of care?
A. Deficient knowledge of lifestyle changes
B. Decisional conflict due to stress
C. Anxiety related to treatment plan
D. Ineffective coping related to denial
Answer:
D) Ineffective coping related to denial
Question 6: The nurse observes a client prepare a meal in the
kitchen of rehabilitation facility prior to discharge. Which behaviors
indicate the client understands how to maintain balance safely?
(SATA)
A. Leans forward to pull a pan from a high shelf
B. Bends from the waist to pick trash off the floor
C. Locks knees while preparing food on the counter
D. Brings a heavy can close to the body before lifting
E. Widens stance while working near the sink
Answer:
B) Bends from the waist to pick trash off the floor
Question 7:
, D. Brings a heavy can close to the body before lifting A client arrives
on the surgical floor after major abdominal surgery. Which
intervention should the nurse perform first?
A. Determine the client's vital signs
B. Assess the surgical site
C. Apply warmed blankets
D. Administer prescribed pain medication
Answer:
A) Determine the client's vital signs
Question 8: An older client comes to the clinic with a family
member. When the nurse attempts to take the client's health
history, the client does not respond to questions in a clear manner.
Which action should the nurse implement first?
A. Provide a printed health care assessment form.
B. Assess the surroundings for noise and distractions
C. Ask the family member to answer the questions
D. Defer the health history until the client is less anxious
Answer:
B) Assess the surroundings for noise and distractions
Question 9: While making rounds, the charge nurse notices that a
young adult client with asthma who was admitted yesterday is
sitting on the side of the bed and leaning over the bed-side table.
The client is currently receiving oxygen at 2 liters/minute via nasal
cannula. The client is wheezing and is using pursed-lip breathing.
Which intervention should the nurse implement?
A. Increase oxygen to 6 liters/minute
B. Call for an Ambu resuscitation bag
C. Assist the client to lie back in bed
EXAMINATION COMPLETE QUESTIONS AND DETAILED
SOLUTIONS LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: The nurse enters a client's room to administer oral
medications and finds an unlicensed assistive personnel providing
personal care to the client, whose condition has obviously
deteriorated. The client is lying in a supine position and is weak,
pale, and diaphoretic. What is the priority nursing action?
A. Determine why the UAP did not notify the nurse of the change in
the client's condition
B. Advise the UAP to stop providing care so the nurse can assess the
client's condition
C. Explain to the UAP that changes in a client's condition should be
reported immediately
D. Ask the UAP to position the client so the oral medication can be
administered.
Answer:
D) Ask the UAP to position the client so the oral medication can be
administered.
Question 2: An adult male reports that he recently experience an
episode of chest pressure and breathlessness when he was
jogging. The client expresses concern because both of his
deceased parents had heart disease and his father had diabetes. He
lives with his male partner, is a vegetarian, and takes atenolo which
maintains his blood pressure at 130/74 mmHg. Which risk factors
should the nurse explore further with the client? (SATA)
A. Family health history
B. Homosexual lifestyle
, C. History of hypertension
D. Vegetarian diet
E. Excessive aerobic exercises
Answer:
A) Family health history
Question 3:
C. History of hypertension An older client returns to the clinic and
receives refills on several medications. The client shares concerns
with the nurse about having to take so many medications and asks if
one pill could be substituted for many of the others. Which instruction
should the nurse implement to address the client's concerns?
A. Do not take any over-the-counter drugs while taking medications
prescribed by a healthcare provider
B. Make certain a family member knows the name and use of all
medications currently being taken
C. Use a medication reminder system to prevent forgetting to take the
right medications at the right time
D. Bring all medications supplements, and herbs currently being
taken to the next clinic appointment.
Answer:
C) Use a medication reminder system to prevent forgetting to take the right
medications at the right time
Question 4: Which laboratory values are critical for the nurse to
monitor for a client who is experiencing thyrotoxic crisis?
A. Blood and urine culture
B. Glucose and calcium levels
C. Renal and liver function tests
D. Electrolytes and hemoglobin
,Answer:
C) Renal and liver function tests
Question 5: A 46-year-old male client who had a myocardial
infarction 24-hours ago comes to the nurses station fully dressed
and wanting to go home. He tells the nurse that he is feeling much
better at this time. Based on this behavior, which client problem
should the nurse include in the plan of care?
A. Deficient knowledge of lifestyle changes
B. Decisional conflict due to stress
C. Anxiety related to treatment plan
D. Ineffective coping related to denial
Answer:
D) Ineffective coping related to denial
Question 6: The nurse observes a client prepare a meal in the
kitchen of rehabilitation facility prior to discharge. Which behaviors
indicate the client understands how to maintain balance safely?
(SATA)
A. Leans forward to pull a pan from a high shelf
B. Bends from the waist to pick trash off the floor
C. Locks knees while preparing food on the counter
D. Brings a heavy can close to the body before lifting
E. Widens stance while working near the sink
Answer:
B) Bends from the waist to pick trash off the floor
Question 7:
, D. Brings a heavy can close to the body before lifting A client arrives
on the surgical floor after major abdominal surgery. Which
intervention should the nurse perform first?
A. Determine the client's vital signs
B. Assess the surgical site
C. Apply warmed blankets
D. Administer prescribed pain medication
Answer:
A) Determine the client's vital signs
Question 8: An older client comes to the clinic with a family
member. When the nurse attempts to take the client's health
history, the client does not respond to questions in a clear manner.
Which action should the nurse implement first?
A. Provide a printed health care assessment form.
B. Assess the surroundings for noise and distractions
C. Ask the family member to answer the questions
D. Defer the health history until the client is less anxious
Answer:
B) Assess the surroundings for noise and distractions
Question 9: While making rounds, the charge nurse notices that a
young adult client with asthma who was admitted yesterday is
sitting on the side of the bed and leaning over the bed-side table.
The client is currently receiving oxygen at 2 liters/minute via nasal
cannula. The client is wheezing and is using pursed-lip breathing.
Which intervention should the nurse implement?
A. Increase oxygen to 6 liters/minute
B. Call for an Ambu resuscitation bag
C. Assist the client to lie back in bed
