HESI Exit Practice Exam Questions And
Answers.
A male client with chronic atrial fibrillation and slow ventricular
response is scheduled for surgical placement of a permanent
pacemaker. The client asks the nurse how this device will help
him. How should the nurse explain the action of a synchronous
pacemaker?
Ventricular irritability is prevented by the constant rate setting of
the pacemaker.
Ectopic stimulus in the atria is suppressed by the device usurping
depolarization.
An impulse is fired every second to maintain a heart rate of 60
bea - Correct answer An electrical stimulus is discharged when no
ventricular response is sensed.
The nurse should explain to a client with lung cancer that
pleurodesis is performed to achieve which expected outcome?
Prevent the formation of effusion fluid.
Remove fluid from the intrapleural space.
Debulk tumor to maintain patency of air passages.
Relieve empyema after pneumonectomy. - Correct answer Prevent
the formation of effusion fluid.
The nurse is caring for a client who developed oliguria and was
diagnosed with sepsis and dehydration 48 hours ago. Which
assessment finding indicates to the nurse that the client is
stabilizing?
Urine output of 40 mL/hour.
Apical pulse 100 beats per minute and blood pressure 76/42
mmHg.
,Urine specific gravity 1.001.
Tented skin on the dorsal surface of hands. - Correct answer Urine
output of 40 mL/hour.
A female client is recently diagnosed with Sarcoidosis. The client
tells the nurse that she does not understand why she has this.
When teaching about the occurrence of sarcoidosis, the nurse
should include that sarcoidosis most commonly occurs in which
ethnic group of women?
Black women.
Caucasian women.
Asian women.
Hispanic women. - Correct answer Black women
The nurse is caring for a client with acute pancreatitis and
assesses the admission laboratory results. Which laboratory
value should the nurse anticipate being elevated with this
diagnosis?
Triglycerides.
Amylase.
Creatinine.
Uric acid. - Correct answer Amylase
The nurse is caring for a client with peptic ulcer disease (PUD).
Which assessment should the nurse identify and document that is
consistent with PUD? (Select all that apply).
Hematemesis.
Gastric pain on an empty stomach.
Colic-like pain with fatty food ingestion.
Intolerance of spicy foods.
Diarrhea and stearrhea. - Correct answer Gastric pain on an empty
stomach
,Intolerance of spicy foods
During the assessment of a client who is 24 hours
posthemicolectomy with a temporary colostomy, the nurse
determines that the client's stoma is dry and dark red in color.
Which action should the nurse implement?
Notify the surgeon.
Document the assessment.
Secure a colostomy pouch over the stoma.
Place petrolatum gauze dressing over the stoma. - Correct answer
Notify the surgeon.
A client's prostate-specific antigen (PSA) exam result showed a
PSA density of 0.13 ng/mL. Which conclusion regarding this lab
data is accurate?
Probable prostatitis.
Low risk for prostate cancer.
The presence of cancer cells.
A biopsy of the prostate is indicated. - Correct answer Low risk for
prostate cancer
Which finding should the nurse identify as an indication of carbon
monoxide poisoning in a client who experienced a burn injury
during a house fire?
Pulse oximetry reading of 80%.
Expiratory stridor and nasal flaring.
Cherry red color to the mucous membranes.
Presence of carbonaceous particles in sputum. - Correct answer
Cherry red color to the mucous membranes
, A client who returns to the unit after having a percutaneous
coronary intervention (PCI) with balloon angioplasty, complains of
acute chest pain. Which action should the nurse implement next?
Inform the healthcare provider.
Obtain a 12-lead electrocardiogram.
Give a sublingual nitroglycerin tablet.
Administer prescribed analgesic. - Correct answer Give a
sublingual nitroglycerin tablet
Which preexisting diagnosis places a client at the greatest risk of
developing superior vena cava syndrome?
Carotid stenosis.
Steatosis hepatitis.
Metastatic cancer.
Clavicular fracture. - Correct answer Metastatic cancer
The nurse is preparing an adult client for an upper gastrointestinal
(UGI) series. Which information should the nurse include in the
teaching plan?
The X-ray procedure may last for several hours.
A nasogastric tube (NGT) is inserted to instill the barium.
Enemas are given to empty the bowel after the procedure.
Nothing by mouth is allowed for 6 to 8 hours before the study. -
Correct answer Nothing by mouth is allowed for 6 to 8 hours
before the study.
The nurse is assessing a middle-aged male client for risk factors
related to chronic illness. Which finding should the nurse assess
further?
Thinning hair and dry scalp.
Increase in appetite and taste-bud acuity.
Answers.
A male client with chronic atrial fibrillation and slow ventricular
response is scheduled for surgical placement of a permanent
pacemaker. The client asks the nurse how this device will help
him. How should the nurse explain the action of a synchronous
pacemaker?
Ventricular irritability is prevented by the constant rate setting of
the pacemaker.
Ectopic stimulus in the atria is suppressed by the device usurping
depolarization.
An impulse is fired every second to maintain a heart rate of 60
bea - Correct answer An electrical stimulus is discharged when no
ventricular response is sensed.
The nurse should explain to a client with lung cancer that
pleurodesis is performed to achieve which expected outcome?
Prevent the formation of effusion fluid.
Remove fluid from the intrapleural space.
Debulk tumor to maintain patency of air passages.
Relieve empyema after pneumonectomy. - Correct answer Prevent
the formation of effusion fluid.
The nurse is caring for a client who developed oliguria and was
diagnosed with sepsis and dehydration 48 hours ago. Which
assessment finding indicates to the nurse that the client is
stabilizing?
Urine output of 40 mL/hour.
Apical pulse 100 beats per minute and blood pressure 76/42
mmHg.
,Urine specific gravity 1.001.
Tented skin on the dorsal surface of hands. - Correct answer Urine
output of 40 mL/hour.
A female client is recently diagnosed with Sarcoidosis. The client
tells the nurse that she does not understand why she has this.
When teaching about the occurrence of sarcoidosis, the nurse
should include that sarcoidosis most commonly occurs in which
ethnic group of women?
Black women.
Caucasian women.
Asian women.
Hispanic women. - Correct answer Black women
The nurse is caring for a client with acute pancreatitis and
assesses the admission laboratory results. Which laboratory
value should the nurse anticipate being elevated with this
diagnosis?
Triglycerides.
Amylase.
Creatinine.
Uric acid. - Correct answer Amylase
The nurse is caring for a client with peptic ulcer disease (PUD).
Which assessment should the nurse identify and document that is
consistent with PUD? (Select all that apply).
Hematemesis.
Gastric pain on an empty stomach.
Colic-like pain with fatty food ingestion.
Intolerance of spicy foods.
Diarrhea and stearrhea. - Correct answer Gastric pain on an empty
stomach
,Intolerance of spicy foods
During the assessment of a client who is 24 hours
posthemicolectomy with a temporary colostomy, the nurse
determines that the client's stoma is dry and dark red in color.
Which action should the nurse implement?
Notify the surgeon.
Document the assessment.
Secure a colostomy pouch over the stoma.
Place petrolatum gauze dressing over the stoma. - Correct answer
Notify the surgeon.
A client's prostate-specific antigen (PSA) exam result showed a
PSA density of 0.13 ng/mL. Which conclusion regarding this lab
data is accurate?
Probable prostatitis.
Low risk for prostate cancer.
The presence of cancer cells.
A biopsy of the prostate is indicated. - Correct answer Low risk for
prostate cancer
Which finding should the nurse identify as an indication of carbon
monoxide poisoning in a client who experienced a burn injury
during a house fire?
Pulse oximetry reading of 80%.
Expiratory stridor and nasal flaring.
Cherry red color to the mucous membranes.
Presence of carbonaceous particles in sputum. - Correct answer
Cherry red color to the mucous membranes
, A client who returns to the unit after having a percutaneous
coronary intervention (PCI) with balloon angioplasty, complains of
acute chest pain. Which action should the nurse implement next?
Inform the healthcare provider.
Obtain a 12-lead electrocardiogram.
Give a sublingual nitroglycerin tablet.
Administer prescribed analgesic. - Correct answer Give a
sublingual nitroglycerin tablet
Which preexisting diagnosis places a client at the greatest risk of
developing superior vena cava syndrome?
Carotid stenosis.
Steatosis hepatitis.
Metastatic cancer.
Clavicular fracture. - Correct answer Metastatic cancer
The nurse is preparing an adult client for an upper gastrointestinal
(UGI) series. Which information should the nurse include in the
teaching plan?
The X-ray procedure may last for several hours.
A nasogastric tube (NGT) is inserted to instill the barium.
Enemas are given to empty the bowel after the procedure.
Nothing by mouth is allowed for 6 to 8 hours before the study. -
Correct answer Nothing by mouth is allowed for 6 to 8 hours
before the study.
The nurse is assessing a middle-aged male client for risk factors
related to chronic illness. Which finding should the nurse assess
further?
Thinning hair and dry scalp.
Increase in appetite and taste-bud acuity.
