HESI Exit Exam Test Bank 2025 NEWEST 2025 ACTUAL
COMPLETE EXAM MOST TESTED QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
The nurse is discussing nutritional requirements with the parents
of an 18 month-
old
child. Which of these statements about milk consumption is
correct?
A) May drink as much milk as desired
B) Can have milk mixed with other foods
C) Will benefit from fat-free cow's milk
D) Should be limited to 3-4 cups of milk daily - ANSWER -D)
Should be limited to 3-4 cups of milk daily
A client tells the nurse, "I have something very important to tell
you if you promise not to tell." The best response by the nurse
is A) "I must document and report any information."
B) "I can't make such a promise."
C) "That depends on what you tell me."
D) "I must report everything to the treatment team." - ANSWER -C)
Was minimally responsive to voice and touch
,Which task could be safely delegated by the nurse to an
unlicensed assistive personnel (UAP)?
A) Be with a client who self-administers insulin
B) Cleanse and dress a small decubitus ulcer
C) Monitor a client's response to passive range of motion
exercises
D) Apply and care for a client's rectal pouch - ANSWER -D) Apply
and care for a client's rectal pouch
A client asks the nurse to call the police and states: "I need
to report that I am being abused by a nurse." The nurse
should first A) Focus on reality orientation to place and
person
B) Assist with the report of the client's complaint to the police
C) Obtain more details of the client's claim of abuse
D) Document the statement on the client's chart with a report to
the manager - ANSWER -C) Obtain more details of the client's
claim of abuse
A nurse from the maternity unit is floated to the critical care unit
because of staff
shortage on the evening shift. Which client would be appropriate
to assign to this
,nurse? A client
with
A) A Dopamine drip IV with vital signs monitored
every 5 minutes
B) A myocardial infarction that is free from pain and
dysrhythmias
C) A tracheotomy of 24 hours in some
respiratory distress
D) A pacemaker inserted this morning with intermittent capture -
ANSWER -B) A
myocardial infarction that is free from pain and
dysrhythmias
An unlicensed assistive personnel (UAP), who usually works on a
surgical unit is assigned to float to a pediatric unit. Which
question by the charge nurse would be most appropriate when
making delegation decisions?
A) "How long have you been a UAP and what units you have
worked on?"
B) "What type of care do you give on the surgical unit and what
ages of clients?"
C) "What is your comfort level in caring for children and at what
ages?"
D) "Have you reviewed the list of expected skills you might need
on this unit?" -
, ANSWER -D) "Have you reviewed the list of expected skills you
might need on this unit?"
A client frequently admitted to the locked psychiatric unit
repeatedly compliments and invites one of the nurses to go out
on a date. The nurse's response should be to
A) Ask to not be assigned to this client or to work on another unit
B) Tell the client that such behavior is inappropriate
C) Inform the client that hospital policy prohibits staff to date
clients
D) Discuss the boundaries of the therapeutic relationship with the
client - ANSWER -D) Discuss the boundaries of the therapeutic
relationship with the client
In order to enhance a client's response to medication for chest
pain from acute angina, the nurse should emphasize
A) Learning relaxation techniques
B) Limiting alcohol use
C) Eating smaller meals
D) Avoiding passive smoke - ANSWER -A) Learning relaxation
techniques
The nurse is caring for 2 children who have had surgical repair of
congenital heart defects. For which defect is it a priority to assess
for findings of heart conduction disturbance?
COMPLETE EXAM MOST TESTED QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
The nurse is discussing nutritional requirements with the parents
of an 18 month-
old
child. Which of these statements about milk consumption is
correct?
A) May drink as much milk as desired
B) Can have milk mixed with other foods
C) Will benefit from fat-free cow's milk
D) Should be limited to 3-4 cups of milk daily - ANSWER -D)
Should be limited to 3-4 cups of milk daily
A client tells the nurse, "I have something very important to tell
you if you promise not to tell." The best response by the nurse
is A) "I must document and report any information."
B) "I can't make such a promise."
C) "That depends on what you tell me."
D) "I must report everything to the treatment team." - ANSWER -C)
Was minimally responsive to voice and touch
,Which task could be safely delegated by the nurse to an
unlicensed assistive personnel (UAP)?
A) Be with a client who self-administers insulin
B) Cleanse and dress a small decubitus ulcer
C) Monitor a client's response to passive range of motion
exercises
D) Apply and care for a client's rectal pouch - ANSWER -D) Apply
and care for a client's rectal pouch
A client asks the nurse to call the police and states: "I need
to report that I am being abused by a nurse." The nurse
should first A) Focus on reality orientation to place and
person
B) Assist with the report of the client's complaint to the police
C) Obtain more details of the client's claim of abuse
D) Document the statement on the client's chart with a report to
the manager - ANSWER -C) Obtain more details of the client's
claim of abuse
A nurse from the maternity unit is floated to the critical care unit
because of staff
shortage on the evening shift. Which client would be appropriate
to assign to this
,nurse? A client
with
A) A Dopamine drip IV with vital signs monitored
every 5 minutes
B) A myocardial infarction that is free from pain and
dysrhythmias
C) A tracheotomy of 24 hours in some
respiratory distress
D) A pacemaker inserted this morning with intermittent capture -
ANSWER -B) A
myocardial infarction that is free from pain and
dysrhythmias
An unlicensed assistive personnel (UAP), who usually works on a
surgical unit is assigned to float to a pediatric unit. Which
question by the charge nurse would be most appropriate when
making delegation decisions?
A) "How long have you been a UAP and what units you have
worked on?"
B) "What type of care do you give on the surgical unit and what
ages of clients?"
C) "What is your comfort level in caring for children and at what
ages?"
D) "Have you reviewed the list of expected skills you might need
on this unit?" -
, ANSWER -D) "Have you reviewed the list of expected skills you
might need on this unit?"
A client frequently admitted to the locked psychiatric unit
repeatedly compliments and invites one of the nurses to go out
on a date. The nurse's response should be to
A) Ask to not be assigned to this client or to work on another unit
B) Tell the client that such behavior is inappropriate
C) Inform the client that hospital policy prohibits staff to date
clients
D) Discuss the boundaries of the therapeutic relationship with the
client - ANSWER -D) Discuss the boundaries of the therapeutic
relationship with the client
In order to enhance a client's response to medication for chest
pain from acute angina, the nurse should emphasize
A) Learning relaxation techniques
B) Limiting alcohol use
C) Eating smaller meals
D) Avoiding passive smoke - ANSWER -A) Learning relaxation
techniques
The nurse is caring for 2 children who have had surgical repair of
congenital heart defects. For which defect is it a priority to assess
for findings of heart conduction disturbance?
