HESI Exit Exam Updated Questions with Answers 100% Solved
1. Which type of management style is a case A
management model for nursing care
delivery?
a. Patient focused and primary nursing.
b. Clinically oriented and business oriented.
c. Centralized and decentralized systems
models.
d. Clinical pathways and patient
classifications
HESI Exit Exam Updated Questions with Answers 100% Solved
,HESI Exit Exam Updated Questions with Answers 100% Solved
2. The nurse is assessing a client with B
multiple trauma from a motorcycle crash
who is being ventilated due to multiple
organ dysfunction syndrome (MODS).
Which system assessment should the nurse
monitor as an indicator of MODS
progression?
a. Cardiac function.
b. Renal function.
c. Hepatic function.
d. Coagulation system.
3. A staff member tells the charge nurse that D
a float nurse assigned to work on the unit
has made several medication errors in the
past, but is currently working with the
education department to improve this skill.
What action is best for the charge nurse to
take?
a. Dismiss the staff nurse's report about the
float nurse because it may be just gossip.
b. Call the nursing supervisor and request a
different employee be sent to the unit.
c. Assign the float nurse to function as an
unlicensed assistive personnel (UAP) for the
day.
d. Arrange for someone to be available to
assess and assist the float nurse.
4. Parents of a toddler tell the nurse that A
their child eats little at mealtime, sits at the
table with the family only briefly, and wants
snacks "all the time." What recommendation
should the nurse provide?
a. Give the toddler nutritious snacks.
b. Offer rewards for eating at mealtimes.
c. Avoid snacks so the child is hungry at
mealtimes.
d. Explain to the child in a firm manner what
is expected.
HESI Exit Exam Updated Questions with Answers 100% Solved
,HESI Exit Exam Updated Questions with Answers 100% Solved
5. Which action should the nurse implement C
when implementing a physical assessment
of an older client?
a. Avoid unnecessary touching while
interacting with the client.
b. Apply additional pressure to palpate the
hepatic edge.
c. Arrange the exam sequence to minimizes
position changes.
d. Speak loudly and slowly when telling the
client how to assist.
6. When culturing a wound, the nurse should C
obtain the sample from which part of the
wound?
a. The outer edges of the wound.
b. All necrotic sections of the wound.
c. Areas containing purulent or pooled
exudates.
d. Any particularly painful area of the
wound.
7. An adult male with a history of heart C
failure tells the nurse that his lower
extremities and feet swell when he sits at his
computer all day. Which response is best for
the nurse to provide?
a. Limit the amount of table salt that you add
to your meals.
b. Take a daily vitamin with minerals to
correct imbalances.
c. Get up and walk around frequently during
the day.
d. Elevate your feet every night to reduce
swelling.
8. A client is transferred to the postoperative B
unit after 2 hours in the postanesthesia care
unit (PACU). What is the priority nursing
action?
a. Determine the client's pain.
b. Take the client's vital signs.
c. Calculate the IV infusion rate.
d. Check the postop prescriptions.
HESI Exit Exam Updated Questions with Answers 100% Solved
, HESI Exit Exam Updated Questions with Answers 100% Solved
9. The nurse is teaching a client how to self- B
administer a subcutaneous injection. To help
ensure sterility of the procedure, which
subject is most important for the nurse to
include in the teaching plan?
a. Hand washing prior to preparation of the
injection.
b. Method used to aspirate medication from
a vial.
c. Selection and rotation of injection sites.
d. Proper disposal of injection equipment.
10. The nurse observes an empty secondary B, A, D, C
infusion of diltiazem (Cardizem) is attached
to the client's IV pump, but realizes that this
client has no prescription for Cardizem. In
what sequence, from first to last, should the
following interventions be implemented?
(Place the first action on top and last action
on the bottom.)
a. Review medications client is taking.
b. Measure the client's vital signs.
c. Complete an incident report.
d. Notify the healthcare provider.
11. A client with terminal pancreatic cancer is C
receiving hospice care at home and reports
increasing shortness of breath and
associated anxiety. Which prescription
should the nurse implement first?
a. Prednisone (Deltasone) 10 mg PO.
b. Albuterol (Proventil) 0.5% solution per
nebulizer.
c. Morphine sulfate (Roxanol) 5 to 10 mg SL
as needed.
d. Oxygen 2 to 6 liters per minute using a
nasal cannula.
HESI Exit Exam Updated Questions with Answers 100% Solved
1. Which type of management style is a case A
management model for nursing care
delivery?
a. Patient focused and primary nursing.
b. Clinically oriented and business oriented.
c. Centralized and decentralized systems
models.
d. Clinical pathways and patient
classifications
HESI Exit Exam Updated Questions with Answers 100% Solved
,HESI Exit Exam Updated Questions with Answers 100% Solved
2. The nurse is assessing a client with B
multiple trauma from a motorcycle crash
who is being ventilated due to multiple
organ dysfunction syndrome (MODS).
Which system assessment should the nurse
monitor as an indicator of MODS
progression?
a. Cardiac function.
b. Renal function.
c. Hepatic function.
d. Coagulation system.
3. A staff member tells the charge nurse that D
a float nurse assigned to work on the unit
has made several medication errors in the
past, but is currently working with the
education department to improve this skill.
What action is best for the charge nurse to
take?
a. Dismiss the staff nurse's report about the
float nurse because it may be just gossip.
b. Call the nursing supervisor and request a
different employee be sent to the unit.
c. Assign the float nurse to function as an
unlicensed assistive personnel (UAP) for the
day.
d. Arrange for someone to be available to
assess and assist the float nurse.
4. Parents of a toddler tell the nurse that A
their child eats little at mealtime, sits at the
table with the family only briefly, and wants
snacks "all the time." What recommendation
should the nurse provide?
a. Give the toddler nutritious snacks.
b. Offer rewards for eating at mealtimes.
c. Avoid snacks so the child is hungry at
mealtimes.
d. Explain to the child in a firm manner what
is expected.
HESI Exit Exam Updated Questions with Answers 100% Solved
,HESI Exit Exam Updated Questions with Answers 100% Solved
5. Which action should the nurse implement C
when implementing a physical assessment
of an older client?
a. Avoid unnecessary touching while
interacting with the client.
b. Apply additional pressure to palpate the
hepatic edge.
c. Arrange the exam sequence to minimizes
position changes.
d. Speak loudly and slowly when telling the
client how to assist.
6. When culturing a wound, the nurse should C
obtain the sample from which part of the
wound?
a. The outer edges of the wound.
b. All necrotic sections of the wound.
c. Areas containing purulent or pooled
exudates.
d. Any particularly painful area of the
wound.
7. An adult male with a history of heart C
failure tells the nurse that his lower
extremities and feet swell when he sits at his
computer all day. Which response is best for
the nurse to provide?
a. Limit the amount of table salt that you add
to your meals.
b. Take a daily vitamin with minerals to
correct imbalances.
c. Get up and walk around frequently during
the day.
d. Elevate your feet every night to reduce
swelling.
8. A client is transferred to the postoperative B
unit after 2 hours in the postanesthesia care
unit (PACU). What is the priority nursing
action?
a. Determine the client's pain.
b. Take the client's vital signs.
c. Calculate the IV infusion rate.
d. Check the postop prescriptions.
HESI Exit Exam Updated Questions with Answers 100% Solved
, HESI Exit Exam Updated Questions with Answers 100% Solved
9. The nurse is teaching a client how to self- B
administer a subcutaneous injection. To help
ensure sterility of the procedure, which
subject is most important for the nurse to
include in the teaching plan?
a. Hand washing prior to preparation of the
injection.
b. Method used to aspirate medication from
a vial.
c. Selection and rotation of injection sites.
d. Proper disposal of injection equipment.
10. The nurse observes an empty secondary B, A, D, C
infusion of diltiazem (Cardizem) is attached
to the client's IV pump, but realizes that this
client has no prescription for Cardizem. In
what sequence, from first to last, should the
following interventions be implemented?
(Place the first action on top and last action
on the bottom.)
a. Review medications client is taking.
b. Measure the client's vital signs.
c. Complete an incident report.
d. Notify the healthcare provider.
11. A client with terminal pancreatic cancer is C
receiving hospice care at home and reports
increasing shortness of breath and
associated anxiety. Which prescription
should the nurse implement first?
a. Prednisone (Deltasone) 10 mg PO.
b. Albuterol (Proventil) 0.5% solution per
nebulizer.
c. Morphine sulfate (Roxanol) 5 to 10 mg SL
as needed.
d. Oxygen 2 to 6 liters per minute using a
nasal cannula.
HESI Exit Exam Updated Questions with Answers 100% Solved