SPRING 2023 HESI EXIT
1. B Get an eye examination with an ophthalmologist annually.: The nurse is
providing teaching to a client with type 2 diabetes mellitus about important pointsfor
disease and symptom management. Which statement by the client indicates
understanding?
A Using salt, herbs, and spices will improve the flavor of foods.B
Get an eye examination with an ophthalmologist annually.
C Arrange diet schedule around three regular meals a day.
D Inspect feet every month for ingrown nails, cuts, and calluses.
2. C Practice using muscle relaxation techniques.: The nurse is providing edu-cation to
a client who experiences recurrent levels of moderate anxiety to situationsand perceived
stress. In addition to information about prescribed medication and administration, which
instruction should the nurse include in the teaching?
A Center attention on positive upbeat music.B
Find outlets for more social interaction.
C Practice using muscle relaxation techniques.D
Think about reasons the episodes occur.
3. C A 30-year-old depressed client who admits to suicide ideation.: The charge nurse is
planning for the shift and has a registered nurse (RN) and a practical nurse (PN) on the
team. Which client should the charge nurse assign to the RN?
A A 75-year-old client with renal calculi who requires urine straining.
B A 64-year-old client who had a total hip replacement the previous day.C A
30-year-old depressed client who admits to suicide ideation.
D An adolescent with multiple contusions due to a fall that occurred 2 days ago.
4. B Position bedside table so the client can lean across it.: A client with pan- creatitis
complains of severe epigastric pain, so the nurse administers a prescribednarcotic
analgesic. Ten minutes later, the client insists on sitting up and leaning forward. Which
intervention should the nurse implement?
A Raise head of bed until to a 90 degree angle.
B Position bedside table so the client can lean across it.C
Place bed in a reverse trendelenburg position.
D Encourage rest until the analgesic becomes effective.
5. D Start two large bore IV catheters and review inclusion criteria for IV
fibrinolytic therapy.: The nurse is caring for a client who arrives to the emergency
department with reports of experiencing dizziness and difficulty walking to the bathroom.
, SPRING 2023 HESI EXIT
The nurse observes right-sided weakness and sluggish enunciation of
, SPRING 2023 HESI EXIT
speech. The nurse should immediately take which action?
A Maintain elevated positioning of the dependent joints on affected side.
B Keep the bed in the lowest position and initiate seizure and fall precautions.C Place
an indwelling urinary catheter and measure strict intake and output.
D Start two large bore IV catheters and review inclusion criteria for IV fibrinolytictherapy.
6. D Explain the postictal state that usually follows seizures.: A male client with a
brain tumor is scheduled for a biopsy in the morning. During the admissionprocedure,
the client has a tonic-clonic seizure that lasts 50 seconds. Following the seizure, the
client is lethargic and confused and his wife tells the nurse that her husband has never
had a seizure before and has always been alert and communicative. Which action should
the nurse take?
A Ask the wife to wait outside the room until the nurse can talk with her.B
Keep orienting the client to time and space until he is less confused. C Notify
the emergency response team of the client's seizure.
D Explain the postictal state that usually follows seizures.
7. B Eat more canned vegetables.
C Consume foods with saturated fats.: The nurse is providing lifestyle change
education for a client to slow the progression of coronary artery disease. Which
statement(s)made by the client should the nurse recognize as needing additional
education? (Select all that apply.)
A Keep a food diary.
B Eat more canned vegetables.
C Consume foods with saturated fats.D
Walk 30 minutes per day.
E Include oatmeal for breakfast.F
Use a salt substitute.
8. A Use a water soluble lubricant on affected oral and nasal mucosa.: Whilecaring
for a toddler receiving oxygen via face mask, the nurse observes that the child's lips and
nares are dry and cracked. Which intervention should the nurse implement?
A Use a water soluble lubricant on affected oral and nasal mucosa.B Use a
topical lidocaine analgesic for cracked lips.
C Ask the mother what she usually uses on the child's lips and nose.D
Apply a petroleum jelly to the child's nose and lips.
, SPRING 2023 HESI EXIT
9. D Check for a distended bladder.: When assessing a multigravida on the first
postpartum day, the nurse finds a moderate amount of lochia rubra, with the uterusfirm,
and three fingerbreadths above the umbilicus. What action should the nurse implement
first?
A Increase intravenous infusion.
B Massage the uterus to decrease atony.
C Review the hemoglobin to determine hemorrhage.D
Check for a distended bladder.
10. B Electrocardiogram ST segment elevation.: The nurse is caring for a clienton the
first day postoperative for a descending aortic aneurysm repair. Which assessment finding
should the nurse prioritize reporting to the healthcare provider?
Reference Range
Potassium (Reference Range: 3.5 to 5 mEq/L (3.5 to 5 mmol/L)]
A Serum potassium 4.8 mEg/L (4.8 mmol/L).B
Electrocardiogram ST segment elevation. C
Urine output 30 mL/hour.
D Blood pressure 130/80.
11. C Roasted turkey, canned vegetables.: The healthcare provider prescribes alow-fiber
diet for a client with ulcerative colitis. Which food selection indicate to thenurse that the
client understand the prescribed diet?
A Roast pork, fresh strawberries.
B Baked potato with skin, raw carrots. C
Roasted turkey, canned vegetables. D
Pancakes, whole-grain cereals.
12. A An 18-year-old client with antisocial behavior who is being yelled at by other
clients.: The psychiatric nurse is caring for clients in an adolescent unit. Whichclient requires
the nurse's immediate attention?
A An 18-year-old client with antisocial behavior who is being yelled at by other
clients.
B A 17-year-old client diagnosed with bipolar disorder who is pacing around thelobby.
C A 16-year-old client diagnosed with major depression who refuses to participatein a
group.
1. B Get an eye examination with an ophthalmologist annually.: The nurse is
providing teaching to a client with type 2 diabetes mellitus about important pointsfor
disease and symptom management. Which statement by the client indicates
understanding?
A Using salt, herbs, and spices will improve the flavor of foods.B
Get an eye examination with an ophthalmologist annually.
C Arrange diet schedule around three regular meals a day.
D Inspect feet every month for ingrown nails, cuts, and calluses.
2. C Practice using muscle relaxation techniques.: The nurse is providing edu-cation to
a client who experiences recurrent levels of moderate anxiety to situationsand perceived
stress. In addition to information about prescribed medication and administration, which
instruction should the nurse include in the teaching?
A Center attention on positive upbeat music.B
Find outlets for more social interaction.
C Practice using muscle relaxation techniques.D
Think about reasons the episodes occur.
3. C A 30-year-old depressed client who admits to suicide ideation.: The charge nurse is
planning for the shift and has a registered nurse (RN) and a practical nurse (PN) on the
team. Which client should the charge nurse assign to the RN?
A A 75-year-old client with renal calculi who requires urine straining.
B A 64-year-old client who had a total hip replacement the previous day.C A
30-year-old depressed client who admits to suicide ideation.
D An adolescent with multiple contusions due to a fall that occurred 2 days ago.
4. B Position bedside table so the client can lean across it.: A client with pan- creatitis
complains of severe epigastric pain, so the nurse administers a prescribednarcotic
analgesic. Ten minutes later, the client insists on sitting up and leaning forward. Which
intervention should the nurse implement?
A Raise head of bed until to a 90 degree angle.
B Position bedside table so the client can lean across it.C
Place bed in a reverse trendelenburg position.
D Encourage rest until the analgesic becomes effective.
5. D Start two large bore IV catheters and review inclusion criteria for IV
fibrinolytic therapy.: The nurse is caring for a client who arrives to the emergency
department with reports of experiencing dizziness and difficulty walking to the bathroom.
, SPRING 2023 HESI EXIT
The nurse observes right-sided weakness and sluggish enunciation of
, SPRING 2023 HESI EXIT
speech. The nurse should immediately take which action?
A Maintain elevated positioning of the dependent joints on affected side.
B Keep the bed in the lowest position and initiate seizure and fall precautions.C Place
an indwelling urinary catheter and measure strict intake and output.
D Start two large bore IV catheters and review inclusion criteria for IV fibrinolytictherapy.
6. D Explain the postictal state that usually follows seizures.: A male client with a
brain tumor is scheduled for a biopsy in the morning. During the admissionprocedure,
the client has a tonic-clonic seizure that lasts 50 seconds. Following the seizure, the
client is lethargic and confused and his wife tells the nurse that her husband has never
had a seizure before and has always been alert and communicative. Which action should
the nurse take?
A Ask the wife to wait outside the room until the nurse can talk with her.B
Keep orienting the client to time and space until he is less confused. C Notify
the emergency response team of the client's seizure.
D Explain the postictal state that usually follows seizures.
7. B Eat more canned vegetables.
C Consume foods with saturated fats.: The nurse is providing lifestyle change
education for a client to slow the progression of coronary artery disease. Which
statement(s)made by the client should the nurse recognize as needing additional
education? (Select all that apply.)
A Keep a food diary.
B Eat more canned vegetables.
C Consume foods with saturated fats.D
Walk 30 minutes per day.
E Include oatmeal for breakfast.F
Use a salt substitute.
8. A Use a water soluble lubricant on affected oral and nasal mucosa.: Whilecaring
for a toddler receiving oxygen via face mask, the nurse observes that the child's lips and
nares are dry and cracked. Which intervention should the nurse implement?
A Use a water soluble lubricant on affected oral and nasal mucosa.B Use a
topical lidocaine analgesic for cracked lips.
C Ask the mother what she usually uses on the child's lips and nose.D
Apply a petroleum jelly to the child's nose and lips.
, SPRING 2023 HESI EXIT
9. D Check for a distended bladder.: When assessing a multigravida on the first
postpartum day, the nurse finds a moderate amount of lochia rubra, with the uterusfirm,
and three fingerbreadths above the umbilicus. What action should the nurse implement
first?
A Increase intravenous infusion.
B Massage the uterus to decrease atony.
C Review the hemoglobin to determine hemorrhage.D
Check for a distended bladder.
10. B Electrocardiogram ST segment elevation.: The nurse is caring for a clienton the
first day postoperative for a descending aortic aneurysm repair. Which assessment finding
should the nurse prioritize reporting to the healthcare provider?
Reference Range
Potassium (Reference Range: 3.5 to 5 mEq/L (3.5 to 5 mmol/L)]
A Serum potassium 4.8 mEg/L (4.8 mmol/L).B
Electrocardiogram ST segment elevation. C
Urine output 30 mL/hour.
D Blood pressure 130/80.
11. C Roasted turkey, canned vegetables.: The healthcare provider prescribes alow-fiber
diet for a client with ulcerative colitis. Which food selection indicate to thenurse that the
client understand the prescribed diet?
A Roast pork, fresh strawberries.
B Baked potato with skin, raw carrots. C
Roasted turkey, canned vegetables. D
Pancakes, whole-grain cereals.
12. A An 18-year-old client with antisocial behavior who is being yelled at by other
clients.: The psychiatric nurse is caring for clients in an adolescent unit. Whichclient requires
the nurse's immediate attention?
A An 18-year-old client with antisocial behavior who is being yelled at by other
clients.
B A 17-year-old client diagnosed with bipolar disorder who is pacing around thelobby.
C A 16-year-old client diagnosed with major depression who refuses to participatein a
group.
