HESI EXIT EXAM TEST BANK COMPREHENSIVE - EXAMINATION COMPLETE
QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE THIS YEAR JUST
RELEASED
Question 1: In assessing an adult client with a partial rebreather
mask, the nurse notes that the oxygen reservoir bag does not
deflate completely during inspiration and the client’s respiratory
rate is 14 breaths / minute. What action should the nurse
implement?
A. Document the assessment data
Answer:
Document the assessment data - Rationale: reservoir bag should not deflate completely
during inspiration and the client’s respiratory rate is within normal limits.
Question 2: During shift report, the central electrocardiogram
(EKG) monitoring system alarms. Which client alarm should the
nurse investigate firs?
A. Respiratory apnea of 30 seconds
Answer:
Respiratory apnea of 30 seconds
Question 3: An adolescent with major depressive disorder has
been taking duloxetine (Cymbalta) for the past 12 days. Which
assessment finding requires immediate follow-up?
A. Describes life without purpose
Answer:
Describes life without purpose
Question 4: A 60-year-old female client with a positive family
history of ovarian cancer has developed an abdominal mass and is
,being evaluated for possible ovarian cancer. Her Papanicolau (Pap)
smear results are negative. What information should the nurse
include in the client’s teaching plan?
A. Further evaluation involving surgery may be needed
Answer:
Further evaluation involving surgery may be needed
Question 5: A client who recently underwear a tracheostomy is
being prepared for discharge to home. Which instructions is most
important for the nurse to include in the discharge plan?
A. Teach tracheal suctioning techniques
Answer:
Teach tracheal suctioning techniques
Question 6: During a home visit, the nurse observed an elderly
client with diabetes slip and fall. What action should the nurse take
first?
A. Check the client for lacerations or fractures
Answer:
Check the client for lacerations or fractures
Question 7: At 0600 while admitting a woman for a schedule repeat
cesarean section (C- Section), the client tells the nurse that she
drank a cup a coffee at 0400 because she wanted to avoid getting a
headache. Which action should the nurse take first? ===PAGE===
A. Medicare
A. Toasted wheat bread and jelly
A. Inform the anesthesia care provider
Answer:
, Medicare
Question 8: After placing a stethoscope as seen in the picture, the
nurse auscultates S1 and S2 heart sounds. To determine if an S3
heart sound is present, what action should the nurse take first?
A. Listen with the bell at the same location
Answer:
Listen with the bell at the same location
Question 9: A 66-year-old woman is retiring and will no longer have
a health insurance through her place of employment. Which agency
should the client be referred to by the employee health nurse for
health insurance needs?
Answer:
Question 10: A client who is taking an oral dose of a tetracycline
complains of gastrointestinal upset. What snack should the nurse
instruct the client to take with the tetracycline?
Answer:
Question 11: Following a lumbar puncture, a client voices several
complaints. What complaint indicated to the nurse that the client is
experiencing a complication?
A. “I have a headache that gets worse when I sit up”
B. “I am having pain in my lower back when I move my legs”
C. “My throat hurts when I swallow”
D. “I feel sick to my stomach and am going to throw up”
Answer:
, “I have a headache that gets worse when I sit up”
Question 12: Following disc Sh tua vir ag .ce omt -e T a he ch Mi a n
rk g et , pla acem toa Bl u e y a c nl d ie Sn ellt yo w ur it S h tud
with duodenal ulcer tells the nurse the he will drink plenty of dairy
products, such as milk, to help coat and protect his ulcer. What is
the best follow-up action by the nurse?
A. Review with the client the need to avoid foods that are rich in milk
and cream
Answer:
Review with the client the need to avoid foods that are rich in milk and cream
Question 13: A male client with hypertension, who received new
antihypertensive prescriptions at his last visit returns to the clinic
two weeks later to evaluate his blood pressure (BP). His BP is
158/106 and he admits that he has not been taking the prescribed
medication because the drugs make him “feel bad”. In explaining
the need for hypertension control, the nurse should stress that an
elevated BP places the client at risk for which pathophysiological
condition?
A. Stroke secondary to hemorrhage
Answer:
Stroke secondary to hemorrhage
Question 14: The nurse observes an unlicensed assistive
personnel (UAP) positioning a newly admitted client who has a
seizure disorder. The client is supine and the UAP is placing soft
pillows along the side rails. What action should the nurse
implement? Instruct the UAP to obtain soft blankets to secure to
the side rails instead of pillows.
A. ===PAGE===
QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE THIS YEAR JUST
RELEASED
Question 1: In assessing an adult client with a partial rebreather
mask, the nurse notes that the oxygen reservoir bag does not
deflate completely during inspiration and the client’s respiratory
rate is 14 breaths / minute. What action should the nurse
implement?
A. Document the assessment data
Answer:
Document the assessment data - Rationale: reservoir bag should not deflate completely
during inspiration and the client’s respiratory rate is within normal limits.
Question 2: During shift report, the central electrocardiogram
(EKG) monitoring system alarms. Which client alarm should the
nurse investigate firs?
A. Respiratory apnea of 30 seconds
Answer:
Respiratory apnea of 30 seconds
Question 3: An adolescent with major depressive disorder has
been taking duloxetine (Cymbalta) for the past 12 days. Which
assessment finding requires immediate follow-up?
A. Describes life without purpose
Answer:
Describes life without purpose
Question 4: A 60-year-old female client with a positive family
history of ovarian cancer has developed an abdominal mass and is
,being evaluated for possible ovarian cancer. Her Papanicolau (Pap)
smear results are negative. What information should the nurse
include in the client’s teaching plan?
A. Further evaluation involving surgery may be needed
Answer:
Further evaluation involving surgery may be needed
Question 5: A client who recently underwear a tracheostomy is
being prepared for discharge to home. Which instructions is most
important for the nurse to include in the discharge plan?
A. Teach tracheal suctioning techniques
Answer:
Teach tracheal suctioning techniques
Question 6: During a home visit, the nurse observed an elderly
client with diabetes slip and fall. What action should the nurse take
first?
A. Check the client for lacerations or fractures
Answer:
Check the client for lacerations or fractures
Question 7: At 0600 while admitting a woman for a schedule repeat
cesarean section (C- Section), the client tells the nurse that she
drank a cup a coffee at 0400 because she wanted to avoid getting a
headache. Which action should the nurse take first? ===PAGE===
A. Medicare
A. Toasted wheat bread and jelly
A. Inform the anesthesia care provider
Answer:
, Medicare
Question 8: After placing a stethoscope as seen in the picture, the
nurse auscultates S1 and S2 heart sounds. To determine if an S3
heart sound is present, what action should the nurse take first?
A. Listen with the bell at the same location
Answer:
Listen with the bell at the same location
Question 9: A 66-year-old woman is retiring and will no longer have
a health insurance through her place of employment. Which agency
should the client be referred to by the employee health nurse for
health insurance needs?
Answer:
Question 10: A client who is taking an oral dose of a tetracycline
complains of gastrointestinal upset. What snack should the nurse
instruct the client to take with the tetracycline?
Answer:
Question 11: Following a lumbar puncture, a client voices several
complaints. What complaint indicated to the nurse that the client is
experiencing a complication?
A. “I have a headache that gets worse when I sit up”
B. “I am having pain in my lower back when I move my legs”
C. “My throat hurts when I swallow”
D. “I feel sick to my stomach and am going to throw up”
Answer:
, “I have a headache that gets worse when I sit up”
Question 12: Following disc Sh tua vir ag .ce omt -e T a he ch Mi a n
rk g et , pla acem toa Bl u e y a c nl d ie Sn ellt yo w ur it S h tud
with duodenal ulcer tells the nurse the he will drink plenty of dairy
products, such as milk, to help coat and protect his ulcer. What is
the best follow-up action by the nurse?
A. Review with the client the need to avoid foods that are rich in milk
and cream
Answer:
Review with the client the need to avoid foods that are rich in milk and cream
Question 13: A male client with hypertension, who received new
antihypertensive prescriptions at his last visit returns to the clinic
two weeks later to evaluate his blood pressure (BP). His BP is
158/106 and he admits that he has not been taking the prescribed
medication because the drugs make him “feel bad”. In explaining
the need for hypertension control, the nurse should stress that an
elevated BP places the client at risk for which pathophysiological
condition?
A. Stroke secondary to hemorrhage
Answer:
Stroke secondary to hemorrhage
Question 14: The nurse observes an unlicensed assistive
personnel (UAP) positioning a newly admitted client who has a
seizure disorder. The client is supine and the UAP is placing soft
pillows along the side rails. What action should the nurse
implement? Instruct the UAP to obtain soft blankets to secure to
the side rails instead of pillows.
A. ===PAGE===
