HESI EXIT PRACTICE QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

HESI EXIT PRACTICE QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
1.UBeforeUleavingUtheUroomUofUaUconfusedUclient,UtheUnurseUnotesUthatUaUhalfUbowUknotUwasUusedUtoUatta
chUtheUclient'sUwristUrestraintsUtoUtheUmovableUportionUofUtheUclient'sUbedUframe.UWhatUactionUshouldUth
eUnurseUtakeUbeforeUleavingUtheUroom?U

a)UEnsureUthatUtheUrestraintsUareUsnugUagainstUtheUclient'sUwrists.

b)UMoveUtheUtiesUsoUtheUrestraintsUareUsecuredUtoUtheUsideUrails.

c)UEnsureUthatUtheUknotUcanUbeUquicklyUreleased.

d)UTieUtheUknotUwithUaUdoubleUturnUorUsquareUknot.U-
UANSWERUc)UEnsureUthatUtheUknotUcanUbeUquicklyUreleased.




2.UWhenUgatheringUforUaUgroupUtherapyUsessionUatU1400Uhours,UaUfemaleUclientUcomplainsUtoUtheUnurseUt
hatUaUsmokingUbreakUhasUnotUbeenUallowedUallUday.UTheUnurseUrespondsUthatU15UminuteUbreaksUwereUcall
edUoverUtheUunitUintercomUafterUbreakfastUandUafterUlunch.UTheUnurseUisUusingUwhatUcommunicationUtech
niqueUinUrespondingUtoUtheUclient?

a)UDoubt

b)UObservation

c)UConfrontation

d)UReflectionU-UANSWERUd)UReflection



3.UTheUnurseUisUinterviewingUaUclientUwithUschizophrenia.UWhichUclientUbehaviorUrequiresUimmediateUinte
rvention?

a)ULipUsmackingUandUfrequentUeyeUblinking

b)UShufflingUgaitUandUstoopedUposture

c)URocksUbackUandUforthUinUtheUchair

d)UMuscleUspasmsUofUtheUbackUandUneckU-UANSWERUd)UMuscleUspasmsUofUtheUbackUandUneck



4.UAUfemaleUclientUwithUrheumatoidUarthritisU(RA)UcomesUtoUtheUclinicUcomplainingUofUjointUpainUandUswel
ling.UTheUclientUhasUbeenUtakingUprednisoneU(Deltasone)UandUibuprofenU(MotrinUExtraUStrength)UeveryUda
y.UToUassistUtheUclientUwithUself-managementUofUherUpain,UwhichUinformationUshouldUtheUnurseUobtain?

a)UPresenceUofUbruising,Uweakness,UorUfatigue

,b)UTherapeuticUexerciseUincludedUinUdailyUroutine.

c)UAverageUamountUofUproteinUeatenUdaily

d)UExistenceUofUgastrointestinalUdiscomfortU-UANSWERUb)UTherapeuticUexerciseUincludedUinUdailyUroutine.



5.UTheUchargeUnurseUofUtheUIntensiveUCareUUnitUisUmakingUassignmentsUforUtheUpermanentUstaffUandUoneU
RNUwhoUwasUfloatedUfromUaUmedicalUunit.UTheUclientUwithUwhichUconditionUisUtheUbestUtoUassignUtoUtheUfl
oatUnurse?

a)UDiabeticUketoacidosisUandUtitratedUIVUinsulinUinfusion

b)UEmphysemaUextubatedU3UhoursUagoUreceivingUheatedUmist

c)USubduralUhematomaUwithUanUintracranialUmonitoringUdevice

d)UAcuteUcoronaryUsyndromeUtreatedUwithUvasopressorsU-
UANSWERUa)UDiabeticUketoacidosisUandUtitratedUIVUinsulinUinfusion




6.UAUclientUadmittedUtoUtheUemergencyUcenterUhadUinspiratoryUandUexpiratoryUwheezing,UnasalUflaring,Uan
dUthick,UtenaciousUsputumUsecretionsUobservedUduringUtheUphysicalUexamination.UBasedUonUtheseUassess
mentUfindings,UwhatUclassificationUofUpharmacologicUagentsUshouldUtheUnurseUanticipateUadministering?

a)UBetaUblockers

b)UBronchodilators

c)UCorticosteroids

d)UBeta-adrenergicsU-UANSWERUb)UBronchodilators



7.UTheUnurseUweighsUaU6-month-oldUinfantUduringUaUwellUbabyUcheck-
upUandUdeterminesUthatUtheUbaby'sUweightUhasUtripledUcomparedUtoUtheUbirthUweightUofU7UpoundsU8Uoun
ces.UTheUmotherUasksUifUtheUbabyUisUgainingUenoughUweight.UWhatUresponseUshouldUtheUnurseUoffer?

a)UWhatUfoodUdoesUyourUbabyUusuallyUeatUinUaUnormalUday?

b)UWhatUwasUtheUbaby'sUweightUatUtheUlastUwell-babyUclinicUvisit?

c)UTheUbabyUisUbelowUtheUnormalUpercentileUforUweightUgain

d)UYourUbabyUisUgainingUweightUrightUonUscheduleU-
UANSWERUWhatUfoodUdoesUyourUbabyUusuallyUeatUinUaUnormalUday?




8.UTheUhomeUhealthUnurseUisUassessingUaUmaleUclientUwhoUhasUstartedUperitonealUdialysisU(PD)U5UdaysUago
.UWhichUassessmentUfindingUwarrantsUimmediateUinterventionUbyUtheUnurse?

,a)UFingerUstickUbloodUglucoseU120Umg/dLUpostUexchange

b)UArteriovenousU(AV)UgraftUsurgicalUsiteUpulsations.

c)UAnorexiaUandUpoorUintakeUofUadequateUdietaryUprotein

d)UCloudyUdialysateUoutputUandUreboundUabdominalUpainU-
UANSWERUCloudyUdialysateUoutputUandUreboundUabdominalUpain




9.UAUmaleUclientUwithUrenalUcellUcarcinomaUisUreturnedUtoUtheUunitUfollowingUaUradicalUnephrectomy.UTheU
nurseUnotesUthatUhisUvitalUsignsUandUurineUoutputUareUwithinUnormalUrange,UhisUbandageUisUdry,UandUtheUd
rainUfromUtheUincisionUsiteUisUproducingUaUsmallUamountUofUserasanguinousUdrainage.UWhichUintervention
UshouldUtheUnurseUimplement?



a)UPlaceUaUpressureUbandageUatUtheUdrainageUsite

b)UDocumentUassessmentUfindingsUinUtheUelectronicUmedicalUrecord

c)UMonitorUurinaryUcatheterUoutputUforUaUdecreaseUbelowU30Uml/hr

d)UNotifyUsurgeonUofUcolorUandUamountUofUwoundUdrainage.U-
UANSWERUNotifyUsurgeonUofUcolorUandUamountUofUwoundUdrainage




10.UAUclientUwithUchronicUobstructiveUlungUdisease,UwhoUisUreceivingUoxygenUatU1.5Uliters/minuteUbyUnasal
Ucannula,UisUcurrentlyUshortUofUbreath.UWhatUactionUshouldUtheUnurseUtake?



a)UAskUtheUclientUtoUtakeUshort,UrapidUbreaths

b)UInstructUtheUclientUinUpursedUlipUbreathing

c)UIncreaseUoxygenUtoUthreeUliters/minute

d)UHaveUtheUclientUbreatheUintoUaUpaperUbagU-UANSWERUInstructUtheUclientUinUpursedUlipUbreathing



11.UTheUnurseUassessesUaUmaleUclientUfollowingUsurgeryUforUaUgunshotUwoundUtoUtheUabdomenUandUdeter
minesUthatUhisUdressingUisUsaturatedUwithUbloodUandUpetechiaeUareUonUhisUextremities.UHisUcurrentUblood
UpressureUisU80/40,UandUhisUheartUrateUisU130Ubeats/minute.UWhichUlaboratoryUfindingUconfirmsUtheUpres

enceUofUdisseminatedUintravascularUcoagulopathyU(DIC)?

a)ULowUprothrombinUtime

b)UElevatedUfibrinogen

c)UPositiveUd-Dimer

d)UNormalUhemoglobinU-UANSWERUElevatedUfibrinogen

, 12.UAfterUaUroutineUphysicalUexamination,UtheUhealthcareUadmitsUaUwomanUwithUaUhistoryUofUSystemicULu
pusUErythematousU(SLE)UtoUtheUhospitalUbecauseUsheUhasU3+UpittingUankleUedemaUandUbloodUinUherUurine
.UWhichUassessmentUfindingUwarrantsUimmediateUinterventionUbyUtheUnurse?

a)UBloodUpressureU170/98

b)UJointUandUmuscleUaches

c)UUrineUoutputU300Uml/hr

d)UDark,Urust-coloredUurineU-UANSWERUUrineUoutputU300Uml/hr



13.UInUevaluatingUtheUeffectivenessUofUaUpostoperativeUclient'sUintermittentUpneumaticUcompressionUdevi
ces,UwhichUassessmentUisUmostUimportantUforUtheUnurseUtoUcomplete?

a)UEvaluateUtheUclient'sUabilityUtoUuseUanUincentiveUspirometer

b)UMonitorUtheUamountUofUdrainageUfromUtheUclient'sUincision

c)UObserveUbothUlowerUextremitiesUforUrednessUandUswelling

d)UPalpateUallUperipheralUpulseUpointsUforUvolumeUandUstrengthU-
UANSWERUMonitorUtheUamountUofUdrainageUfromUtheUclient'sUincision




14.UWhileUcaringUforUaUtoddlerUreceivingUoxygenU(02)UviaUfaceUmask,UtheUnurseUobservesUthatUtheUchild'sUl
ipsUandUnaresUareUdryUandUcracked.UWhichUinterventionUshouldUtheUnurseUimplement?

a)UAskUtheUmotherUwhatUsheUusuallyUusesUonUtheUchild'sUlipsUandUnose

b)UApplyUaUpetroleumUjellyU(Vaseline)UtoUtheUchild'sUnoseUandUlips

c)UUseUaUtopicalUlidocaineU(ZylocaineUviscous)UanalgesicUforUcrackedUlips

d)UUseUaUwaterUsolubleUlubricantUonUaffectedUoralUandUnasalUmucosaU-
UANSWERUUseUaUwaterUsolubleUlubricantUonUaffectedUoralUandUnasalUmucosa




15.UAUclientUdevelopsUurticariaUonUtheUtrunkUandUneckUshortlyUafterUaUsecondaryUinfusionUofUpipercillinU(Z
osyn)UisUinitiated.UInUwhatUorderUshouldUtheUnurseUimplementUtheseUinterventions?U(ArrangeUtheUactionsU
inUorderUofUpriority,UwithUtheUhighestUpriorityUfirst,UandUleastUpriorityUlastUorUatUtheUbottom.)



a)UStopUtheUinfusion

b)UAssessUvitalUsigns

c)UContactUtheUhealthcareUprovider

d)UDocumentUreactionUtoUtheUdrug