ASSESSED HESI EXIT FINAL
EXAM QUESTIONS AND
ANSWERS
181. In assessing a client twelve hours following transurethral resection of the prostate (TURP), the
nurse observes that the urinary drainage tubing contains a large amount of clear pale pink urine and the
continuous bladder irrigation is infusing slowly. What action should the nurse implement? - CORRECT
ANSWER -Ensure that no dependent loops are present in the tubing.
182. The healthcare provider prescribes the antibiotic Cefdinir (cephalosporin) 300mg PO every 12 h for
a client with postoperative wound infections. Which feeds should the nurse encourage this client to eat?
- CORRECT ANSWER -Yogurt and/or buttermilk.
183. The charge nurse is making assignment on a psychiatric unit for a practical nurse (PN) and newly
license register nurse (RN). Which client should be assigned to the RN? - CORRECT ANSWER -A young
male with schizophrenia who said voices is telling him to kill his psychiatric.
184. A client at 30 week gestation is admitted due to preterm labor. A prescription of terbutaline sulfate
8.35 mg is gives subcutaneously. Based on which finding should the nurse withhold the next dose of this
drug? - CORRECT ANSWER -Maternal pulse rate of 162 beats per min
185. In assessing an older female client with complication associated with chronic obstructive
pulmonary disease (COPD), the nurse notices a change in the client's appearance. Her face appears
tense and she begs the nurse not to leave her alone. Her pulse rate is 100, and respirations are 26 per
min. What is the primary nursing diagnosis? - CORRECT ANSWER -Anxiety related to fear of suffocation.
186. A client with a cervical spinal cord injury (SCI) has Crutchfield tongs and skeletal traction applied as
a method of closed reduction. Which intervention is most important for the nurse to include in the
, client's a plan of care? - CORRECT ANSWER -Provide daily care of tong insertion sites using saline and
antibiotic ointment
187. A client arrives on the surgical floor after major abdominal surgery. What intervention should the
nurse perform first? - CORRECT ANSWER -Determine the client's vital sign.
188. A client is admitted to the emergency department with a respiratory rate of 34 breaths per minute
and high pitched wheezing on inspiration and expiration, the medical diagnosis is severe exacerbation of
asthma. Which assessment finding, obtained 10 min after the admission assessment, should the nurse
report immediately to the emergency department healthcare provider? - CORRECT ANSWER -No
wheezing upon auscultation of the chest.
189. The nurse is planning a class for a group of clients with diabetes mellitus about blood glucose
monitoring. In teaching the class as a whole, the nurse should emphasize the need to check glucose
levels in which situation? - CORRECT ANSWER -During acute illness
190. A 350-bed acute care hospital declares an internal disaster because the emergency generators
malfunctioned during a city-wide power failure. The UAPs working on a general medical unit ask the
charge nurse what they should do first. What instruction should the charge nurse provide to these
UAPs? - CORRECT ANSWER -Tell all their assigned clients to stay in their rooms.
191. The nurse is auscultating is auscultating a client's heart sounds. Which description should the nurse
use to document this sound? (Please listen to the audio file to select the option that applies.) - CORRECT
ANSWER -Murmur
192. The healthcare provider changes a client's medication prescription from IV to PO administration
and double the dose. The nurse notes in the drug guide that the prescribed medication, when given
orally, has a high first-pass effect and reduce bioavailability. What action should the nurse implement? -
CORRECT ANSWER -Administer the medication via the oral route as prescribed
193. A client refuses to ambulate, reporting abdominal discomfort and bloating caused by "too much gas
buildup" the client's abdomen is distended. Which prescribed PRN medication should the nurse
administer? - CORRECT ANSWER -Simethicone (Mylicon)
EXAM QUESTIONS AND
ANSWERS
181. In assessing a client twelve hours following transurethral resection of the prostate (TURP), the
nurse observes that the urinary drainage tubing contains a large amount of clear pale pink urine and the
continuous bladder irrigation is infusing slowly. What action should the nurse implement? - CORRECT
ANSWER -Ensure that no dependent loops are present in the tubing.
182. The healthcare provider prescribes the antibiotic Cefdinir (cephalosporin) 300mg PO every 12 h for
a client with postoperative wound infections. Which feeds should the nurse encourage this client to eat?
- CORRECT ANSWER -Yogurt and/or buttermilk.
183. The charge nurse is making assignment on a psychiatric unit for a practical nurse (PN) and newly
license register nurse (RN). Which client should be assigned to the RN? - CORRECT ANSWER -A young
male with schizophrenia who said voices is telling him to kill his psychiatric.
184. A client at 30 week gestation is admitted due to preterm labor. A prescription of terbutaline sulfate
8.35 mg is gives subcutaneously. Based on which finding should the nurse withhold the next dose of this
drug? - CORRECT ANSWER -Maternal pulse rate of 162 beats per min
185. In assessing an older female client with complication associated with chronic obstructive
pulmonary disease (COPD), the nurse notices a change in the client's appearance. Her face appears
tense and she begs the nurse not to leave her alone. Her pulse rate is 100, and respirations are 26 per
min. What is the primary nursing diagnosis? - CORRECT ANSWER -Anxiety related to fear of suffocation.
186. A client with a cervical spinal cord injury (SCI) has Crutchfield tongs and skeletal traction applied as
a method of closed reduction. Which intervention is most important for the nurse to include in the
, client's a plan of care? - CORRECT ANSWER -Provide daily care of tong insertion sites using saline and
antibiotic ointment
187. A client arrives on the surgical floor after major abdominal surgery. What intervention should the
nurse perform first? - CORRECT ANSWER -Determine the client's vital sign.
188. A client is admitted to the emergency department with a respiratory rate of 34 breaths per minute
and high pitched wheezing on inspiration and expiration, the medical diagnosis is severe exacerbation of
asthma. Which assessment finding, obtained 10 min after the admission assessment, should the nurse
report immediately to the emergency department healthcare provider? - CORRECT ANSWER -No
wheezing upon auscultation of the chest.
189. The nurse is planning a class for a group of clients with diabetes mellitus about blood glucose
monitoring. In teaching the class as a whole, the nurse should emphasize the need to check glucose
levels in which situation? - CORRECT ANSWER -During acute illness
190. A 350-bed acute care hospital declares an internal disaster because the emergency generators
malfunctioned during a city-wide power failure. The UAPs working on a general medical unit ask the
charge nurse what they should do first. What instruction should the charge nurse provide to these
UAPs? - CORRECT ANSWER -Tell all their assigned clients to stay in their rooms.
191. The nurse is auscultating is auscultating a client's heart sounds. Which description should the nurse
use to document this sound? (Please listen to the audio file to select the option that applies.) - CORRECT
ANSWER -Murmur
192. The healthcare provider changes a client's medication prescription from IV to PO administration
and double the dose. The nurse notes in the drug guide that the prescribed medication, when given
orally, has a high first-pass effect and reduce bioavailability. What action should the nurse implement? -
CORRECT ANSWER -Administer the medication via the oral route as prescribed
193. A client refuses to ambulate, reporting abdominal discomfort and bloating caused by "too much gas
buildup" the client's abdomen is distended. Which prescribed PRN medication should the nurse
administer? - CORRECT ANSWER -Simethicone (Mylicon)
