HESI EXIT EXAM VERSION 2
QUESTIONS AND CORRECT
ANSWERS 2025
Seconal 0.1 gram PRN at bedtime is prescribed for rest. The scored tablets are labeled
grain 1.5 per tablet. How many tablets should the nurse plan to administer?
A. 1/2 tablet
B. 1 tablet
C. 1 1/2 tablet
D. 2 tablets CORRECT ANSWER: B. 15 gr = 1 g, 0.1 x 15 = 1.5 grains
Which content about self-care should the nurse include in the teaching plan of a client
who has genital herpes? (Select all that apply.)
A. Encourage annual physical and Pap smear.
B. Take antiviral medication as prescribed.
C. Use condoms to avoid transmission to others.
D. Warm sitz baths may relieve itching.
E. Use Nystatin suppositories to control itching.
F. Douche with weak vinegar solutions to decrease itching CORRECT ANSWER:
A,B,C,D. (E) is specific for Candida infections and (F) is used to treat Trichomonas.
A client with chronic asthma is admitted to postanesthesia complaining of pain at level 8
of 10, with a BP of 124/78, pulse of 88 beats/min, and respirations of 20 breaths/min.
The postanesthesia recovery prescription is, "Morphine 2 to 4 mg IV push while in
recovery for pain level over 5." What intervention should the nurse implement?
A. Give the medication as prescribed to decrease the client's pain.
B. Call the anesthesia provider for a different medication for pain.
C. Use nonpharmacologic techniques before giving the medication.
D. Reassess pain level in 30 Minutes and medicate if it remains elevated CORRECT
ANSWER: B. Call for a different medication because morphine and meperidine
(Demerol) have histamine-releasing narcotics and should be avoided when a client has
asthma. (A) puts the client at risk for asthma attack. (C & D) disregard the clients
prescription and pain relief
During report, the nurse learns that a client with tumor lysis syndrome is receiving an
IV infusion containing insulin. Which assessment should the nurse complete first?
A. Review the client's history for diabetes mellitus.
B. Observe the extremity distal to the IV site.
C. Monitor the client's serum potassium and blood glucose.
D. Evaluate the client's oxygen saturation and breath sounds CORRECT ANSWER: C.
The client with tumor lysis syndrome may experience hyperkalemia, therefore it is
important to monitor serum potassium and blood glucose
,levels. (A, B, D) are not as priority.
During assessment of a client in the intensive care unit, the nurse notes that the client's
breath sounds are clear upon auscultation, but jugular vein distention and muffled heart
sounds are present. Which intervention should the nurse implement?
A. Prepare the client for a pericardial tap.
B. Administer intravenous furosemide (Lasix).
C. Assist the client to cough and deep breathe.
D. Instruct the client to restrict oral fluid intake CORRECT ANSWER: A. The client is
exhibiting symptoms of cardiac tamponade that results in reduced cardiac output.
Treatment is pericardial tap. (B) is not a treatment. (C) is not priority. (D) Fluids are
frequently increased but this is not as priority as (A).
In assessing an older client with dementia for sundowning syndrome, what assessment
technique is best for the nurse to use?
A. Observe for tiredness at the end of the day.
B. Perform a neurologic exam and mental status exam.
C. Monitor for medication side effects.
D. Assess for decreased gross motor movement CORRECT ANSWER: A.
Sundowning syndrome is a pattern of agitated behavior in the evening, believed to be
associated with tiredness at the end of the day combined with fewer orienting stimuli,
such as activities and interactions. (B, C, & D) with not provide information about this
syndrome.
Which condition should the nurse anticipate as a potential problem in a female client
with a neurogenic bladder?
A. Stress incontinence.
B. Infection.
C. Painless, gross hematuria.
D. Peritonitis CORRECT ANSWER: B. Infection is the major complication resulting
from stasis of urine and subsequent catheterization. (A) is the involuntary loss of urine
through an intact urethra as a result of suddenly increased pressure. (C) is the most
common symptom of bladder cancer. (D) is the most common and serious complication
of peritoneal dialysis.
The nurse is interviewing a client who is taking interferon-alfa-2a (Roferon-A) and
ribavirin (Virazole) combination therapy for hepatitis C. The client reports experiencing
overwhelming feelings of depression. What action should the nurse implement first?
A. Recommend mental health counseling.
B. Review the medications actions and interactions.
C. Assess for the client's daily activity level.
D. Provide information regarding a support group CORRECT ANSWER: B. Alpha-
interferon and ribavirin combination therapy can cause severe depression. (A, B, C) may
be implemented after physiological aspect of the situation are assessed.
The nurse is assessing a 75-year-old male client for symptoms of hyperglycemia. Which
symptom of hyperglycemia is an older adult most likely to exhibit?
, A. Polyuria
B. Polydipsia
C. Weight loss
D. Infection CORRECT ANSWER: D. S/Sx of hyperglycemia in older adults may
include fatigue, infection, and neuropathy (such as sensory changes). (A, B, C) are
classic symptoms and may be absent in the older adult.
A client who is receiving an ACE inhibitor for hypertension calls the clinic and reports
the recent onset of a cough to the nurse. What action should the nurse implement?
A. Advise the client to come to the clinic immediately for further assessment.
B. Instruct the client to discontinue use of the drug, and make an appointment at the
clinic.
C. Suggest that the client learn to accept the cough as a side effect to a necessary
prescription.
D. Encourage the client to keep taking the drug until seen by the HCP CORRECT
ANSWER: D. Cough is a common s/e of ACE inhibitors and is not an indication to
discontinue the medication. (A) immediate evaluation is not needed. (B) an
antihypertensive should not be stopped abruptly. (C) is demeaning since the cough may
be disruptive to the client and other medications may produce results without the s/e
The nurse is observing an unlicensed assistive personnel (UPA) who is performing
morning care for a bedfast client with Huntington disease. Which care measure is most
important for the nurse to supervise?
A. Oral care
B. Bathing
C. Foot care
D. Catheter care CORRECT ANSWER: A. A client with Huntington disease
experiences problems with motor skills such as swallowing and is at high risk for
aspiration. (B, C, D) do not pose life-threatening consequences.
A client with alcohol-related liver disease is admitted to the unit. Which prescription
should the nurse question as possibly inappropriate for the client?
A. Vitamin K1 (AquaMEPHYTON) 5 mg IM daily
B. High-calorie, low-sodium diet
C. Fluid restriction to 1500 ml/day
D. Pentobarbital (Nembutal sodium) 50 mg at bedtime for rest CORRECT ANSWER:
D. Sedatives such as Nembutal are contraindicated for clients with liver damage and can
have dangerous consequences. (A) is often prescribed since normal clotting mechanism
is damaged. (B) is needed to restore energy. (C) Fluids are restricted to decrease ascites
which often accompanies cirrhosis, particularly in later stages of the disease.
A client diagnosed with chronic kidney disease (CDK) 2 years ago is regularly treated at
a community hemodialysis facility. In assessing the client before his scheduled dialysis
treatment, which electrolyte imbalance should the nurse anticipate?
A. Hypophosphatemia
B. Hypocalcemia
C. Hyponatremia
QUESTIONS AND CORRECT
ANSWERS 2025
Seconal 0.1 gram PRN at bedtime is prescribed for rest. The scored tablets are labeled
grain 1.5 per tablet. How many tablets should the nurse plan to administer?
A. 1/2 tablet
B. 1 tablet
C. 1 1/2 tablet
D. 2 tablets CORRECT ANSWER: B. 15 gr = 1 g, 0.1 x 15 = 1.5 grains
Which content about self-care should the nurse include in the teaching plan of a client
who has genital herpes? (Select all that apply.)
A. Encourage annual physical and Pap smear.
B. Take antiviral medication as prescribed.
C. Use condoms to avoid transmission to others.
D. Warm sitz baths may relieve itching.
E. Use Nystatin suppositories to control itching.
F. Douche with weak vinegar solutions to decrease itching CORRECT ANSWER:
A,B,C,D. (E) is specific for Candida infections and (F) is used to treat Trichomonas.
A client with chronic asthma is admitted to postanesthesia complaining of pain at level 8
of 10, with a BP of 124/78, pulse of 88 beats/min, and respirations of 20 breaths/min.
The postanesthesia recovery prescription is, "Morphine 2 to 4 mg IV push while in
recovery for pain level over 5." What intervention should the nurse implement?
A. Give the medication as prescribed to decrease the client's pain.
B. Call the anesthesia provider for a different medication for pain.
C. Use nonpharmacologic techniques before giving the medication.
D. Reassess pain level in 30 Minutes and medicate if it remains elevated CORRECT
ANSWER: B. Call for a different medication because morphine and meperidine
(Demerol) have histamine-releasing narcotics and should be avoided when a client has
asthma. (A) puts the client at risk for asthma attack. (C & D) disregard the clients
prescription and pain relief
During report, the nurse learns that a client with tumor lysis syndrome is receiving an
IV infusion containing insulin. Which assessment should the nurse complete first?
A. Review the client's history for diabetes mellitus.
B. Observe the extremity distal to the IV site.
C. Monitor the client's serum potassium and blood glucose.
D. Evaluate the client's oxygen saturation and breath sounds CORRECT ANSWER: C.
The client with tumor lysis syndrome may experience hyperkalemia, therefore it is
important to monitor serum potassium and blood glucose
,levels. (A, B, D) are not as priority.
During assessment of a client in the intensive care unit, the nurse notes that the client's
breath sounds are clear upon auscultation, but jugular vein distention and muffled heart
sounds are present. Which intervention should the nurse implement?
A. Prepare the client for a pericardial tap.
B. Administer intravenous furosemide (Lasix).
C. Assist the client to cough and deep breathe.
D. Instruct the client to restrict oral fluid intake CORRECT ANSWER: A. The client is
exhibiting symptoms of cardiac tamponade that results in reduced cardiac output.
Treatment is pericardial tap. (B) is not a treatment. (C) is not priority. (D) Fluids are
frequently increased but this is not as priority as (A).
In assessing an older client with dementia for sundowning syndrome, what assessment
technique is best for the nurse to use?
A. Observe for tiredness at the end of the day.
B. Perform a neurologic exam and mental status exam.
C. Monitor for medication side effects.
D. Assess for decreased gross motor movement CORRECT ANSWER: A.
Sundowning syndrome is a pattern of agitated behavior in the evening, believed to be
associated with tiredness at the end of the day combined with fewer orienting stimuli,
such as activities and interactions. (B, C, & D) with not provide information about this
syndrome.
Which condition should the nurse anticipate as a potential problem in a female client
with a neurogenic bladder?
A. Stress incontinence.
B. Infection.
C. Painless, gross hematuria.
D. Peritonitis CORRECT ANSWER: B. Infection is the major complication resulting
from stasis of urine and subsequent catheterization. (A) is the involuntary loss of urine
through an intact urethra as a result of suddenly increased pressure. (C) is the most
common symptom of bladder cancer. (D) is the most common and serious complication
of peritoneal dialysis.
The nurse is interviewing a client who is taking interferon-alfa-2a (Roferon-A) and
ribavirin (Virazole) combination therapy for hepatitis C. The client reports experiencing
overwhelming feelings of depression. What action should the nurse implement first?
A. Recommend mental health counseling.
B. Review the medications actions and interactions.
C. Assess for the client's daily activity level.
D. Provide information regarding a support group CORRECT ANSWER: B. Alpha-
interferon and ribavirin combination therapy can cause severe depression. (A, B, C) may
be implemented after physiological aspect of the situation are assessed.
The nurse is assessing a 75-year-old male client for symptoms of hyperglycemia. Which
symptom of hyperglycemia is an older adult most likely to exhibit?
, A. Polyuria
B. Polydipsia
C. Weight loss
D. Infection CORRECT ANSWER: D. S/Sx of hyperglycemia in older adults may
include fatigue, infection, and neuropathy (such as sensory changes). (A, B, C) are
classic symptoms and may be absent in the older adult.
A client who is receiving an ACE inhibitor for hypertension calls the clinic and reports
the recent onset of a cough to the nurse. What action should the nurse implement?
A. Advise the client to come to the clinic immediately for further assessment.
B. Instruct the client to discontinue use of the drug, and make an appointment at the
clinic.
C. Suggest that the client learn to accept the cough as a side effect to a necessary
prescription.
D. Encourage the client to keep taking the drug until seen by the HCP CORRECT
ANSWER: D. Cough is a common s/e of ACE inhibitors and is not an indication to
discontinue the medication. (A) immediate evaluation is not needed. (B) an
antihypertensive should not be stopped abruptly. (C) is demeaning since the cough may
be disruptive to the client and other medications may produce results without the s/e
The nurse is observing an unlicensed assistive personnel (UPA) who is performing
morning care for a bedfast client with Huntington disease. Which care measure is most
important for the nurse to supervise?
A. Oral care
B. Bathing
C. Foot care
D. Catheter care CORRECT ANSWER: A. A client with Huntington disease
experiences problems with motor skills such as swallowing and is at high risk for
aspiration. (B, C, D) do not pose life-threatening consequences.
A client with alcohol-related liver disease is admitted to the unit. Which prescription
should the nurse question as possibly inappropriate for the client?
A. Vitamin K1 (AquaMEPHYTON) 5 mg IM daily
B. High-calorie, low-sodium diet
C. Fluid restriction to 1500 ml/day
D. Pentobarbital (Nembutal sodium) 50 mg at bedtime for rest CORRECT ANSWER:
D. Sedatives such as Nembutal are contraindicated for clients with liver damage and can
have dangerous consequences. (A) is often prescribed since normal clotting mechanism
is damaged. (B) is needed to restore energy. (C) Fluids are restricted to decrease ascites
which often accompanies cirrhosis, particularly in later stages of the disease.
A client diagnosed with chronic kidney disease (CDK) 2 years ago is regularly treated at
a community hemodialysis facility. In assessing the client before his scheduled dialysis
treatment, which electrolyte imbalance should the nurse anticipate?
A. Hypophosphatemia
B. Hypocalcemia
C. Hyponatremia
