HESI exit exam 799 questions
with verified solutions
Following discharge teaching, a male client with duodenal ulcer tells the
/// /// /// /// /// /// /// /// /// /// ///
nurse the he will drink plenty of dairy products, such as milk, to help
/// /// /// /// /// /// /// /// /// /// /// /// /// ///
coat and protect his ulcer. What is the best follow-up action by the
/// /// /// /// /// /// /// /// /// /// /// /// ///
nurse?
a. Remind the client that it is also important to switch to decaffeinated
/// /// /// /// /// /// /// /// /// /// /// /// ///
coffee and tea. /// ///
b. Suggest that the client also plan to eat frequent small meals to
/// /// /// /// /// /// /// /// /// /// /// /// ///
reduce discomfort ///
c. Review with the client the need to avoid foods that are rich in milk
/// /// /// /// /// /// /// /// /// /// /// /// /// /// ///
and cream.
///
d. Reinforce this teaching by asking the client to list a dairy food that
/// /// /// /// /// /// /// /// /// /// /// /// /// ///
he might select. - correct answer ✔c. Review with the client the need
/// /// /// /// /// /// /// /// /// /// /// /// ///
to avoid foods that are rich in milk and cream.
/// /// /// /// /// /// /// /// ///
The nurse observes an unlicensed assistive personnel (UAP) positioning a
/// /// /// /// /// /// /// /// /// ///
newly admitted client who has a seizure disorder. The client is supine
/// /// /// /// /// /// /// /// /// /// /// ///
and the UAP is placing soft pillows along the side rails. What action
/// /// /// /// /// /// /// /// /// /// /// /// ///
should the nurse implement?
/// /// ///
a. Ensure that the UAP has placed the pillows effectively to protect the
/// /// /// /// /// /// /// /// /// /// /// /// ///
client.
b. Instruct the UAP to obtain soft blankets to secure to the side rails
/// /// /// /// /// /// /// /// /// /// /// /// /// ///
instead of pillows. /// ///
,c. Assume responsibility for placing the pillows while the UAP completes
/// /// /// /// /// /// /// /// /// /// ///
another task. ///
d. Ask the UAP to use some of the pillows to prop the client in a side
/// /// /// /// /// /// /// /// /// /// /// /// /// /// /// /// ///
lying position. - correct answer ✔b. Instruct the UAP to obtain soft
/// /// /// /// /// /// /// /// /// /// /// ///
blankets to secure to the side rails instead of pillows.
/// /// /// /// /// /// /// /// ///
A male client with hypertension, who received new antihypertensive
/// /// /// /// /// /// /// /// ///
prescriptions at his last visit returns to the clinic two weeks later to
/// /// /// /// /// /// /// /// /// /// /// /// ///
evaluate his blood pressure (BP). His BP is 158/106 and he admits that
/// /// /// /// /// /// /// /// /// /// /// /// ///
he has not been taking the prescribed medication because the drugs
/// /// /// /// /// /// /// /// /// /// ///
make him "feel bad". In explaining the need for hypertension control,
/// /// /// /// /// /// /// /// /// /// ///
the nurse should stress that an elevated BP places the client at risk for
/// /// /// /// /// /// /// /// /// /// /// /// /// ///
which pathophysiological condition?
/// ///
a. Blindness secondary to cataracts
/// /// /// ///
b. Acute kidney injury due to glomerular damage
/// /// /// /// /// /// ///
c. Stroke secondary to hemorrhage
/// /// /// ///
d. Heart block due to myocardial damage - correct answer ✔c. Stroke
/// /// /// /// /// /// /// /// /// /// /// ///
secondary to hemorrhage /// ///
An adolescent with major depressive disorder has been taking duloxetine
/// /// /// /// /// /// /// /// /// ///
(Cymbalta) for the past 12 days. Which assessment finding requires
/// /// /// /// /// /// /// /// /// ///
immediate follow-up ///
a. Describes life without purpose
/// /// /// ///
b. Complains of nausea and loss of appetite
/// /// /// /// /// /// ///
c. States is often fatigued and drowsy
/// /// /// /// /// ///
d. Exhibits an increase in sweating. - correct answer ✔a. Describes life
/// /// /// /// /// /// /// /// /// /// /// ///
without purpose ///
,A 60-year-old female client with a positive family history of ovarian
/// /// /// /// /// /// /// /// /// /// ///
cancer has developed an abdominal mass and is being evaluated for
/// /// /// /// /// /// /// /// /// /// ///
possible ovarian cancer. Her Papanicolau (Pap) smear results are
/// /// /// /// /// /// /// /// ///
negative. What information should the nurse include in the client's
/// /// /// /// /// /// /// /// /// ///
teaching plan ///
a. Further evaluation involving surgery may be needed
/// /// /// /// /// /// ///
b. A pelvic exam is also needed before cancer is ruled out
/// /// /// /// /// /// /// /// /// /// ///
c. Pap smear evaluation should be continued every six month
/// /// /// /// /// /// /// /// ///
d. One additional negative pap smear in six months is needed. - correct
/// /// /// /// /// /// /// /// /// /// /// /// ///
answer ✔a. Further evaluation involving surgery may be needed
/// /// /// /// /// /// /// ///
A client who recently underwent a tracheostomy is being prepared for
/// /// /// /// /// /// /// /// /// /// ///
discharge to home. Which instructions is most important for the nurse
/// /// /// /// /// /// /// /// /// /// ///
to include in the discharge plan?
/// /// /// /// ///
a. Explain how to use communication tools.
/// /// /// /// /// ///
b. Teach tracheal suctioning techniques
/// /// /// ///
c. Encourage self-care and independence.
/// /// /// ///
d. Demonstrate how to clean tracheostomy site. - correct answer ✔b.
/// /// /// /// /// /// /// /// /// /// ///
Teach tracheal suctioning techniques
/// /// ///
In assessing an adult client with a partial rebreather mask, the nurse
/// /// /// /// /// /// /// /// /// /// /// ///
notes that the oxygen reservoir bag does not deflate completely during
/// /// /// /// /// /// /// /// /// /// ///
inspiration and the client's respiratory rate is 14 breaths / minute. What
/// /// /// /// /// /// /// /// /// /// /// ///
action should the nurse implement
/// /// /// ///
a. Encourage the client to take deep breaths
/// /// /// /// /// /// ///
b. Remove the mask to deflate the bag
/// /// /// /// /// /// ///
c. Increase the liter flow of oxygen
/// /// /// /// /// ///
, d. Document the assessment data - correct answer ✔d. Document the
/// /// /// /// /// /// /// /// /// /// ///
assessment data ///
During shift report, the central electrocardiogram (EKG) monitoring
/// /// /// /// /// /// /// ///
system alarms. Which client alarm should the nurse investigate first?
/// /// /// /// /// /// /// /// ///
a. Respiratory apnea of 30 seconds
/// /// /// /// ///
b. Oxygen saturation rate of 88%
/// /// /// /// ///
c. Eight premature ventricular beats every minute
/// /// /// /// /// ///
d. Disconnected monitor signal for the last 6 minutes. - correct answer
/// /// /// /// /// /// /// /// /// /// /// ///
✔a. Respiratory apnea of 30 seconds
/// /// /// /// ///
During a home visit, the nurse observed an elderly client with diabetes
/// /// /// /// /// /// /// /// /// /// /// ///
slip and fall. What action should the nurse take first?
/// /// /// /// /// /// /// /// ///
a. Give the client 4 ounces of orange juice
/// /// /// /// /// /// /// ///
b. Call 911 to summon emergency assistance
/// /// /// /// /// ///
c. Check the client for lacerations or fractures
/// /// /// /// /// /// ///
d. Asses clients blood sugar level - correct answer ✔c. Check the client
/// /// /// /// /// /// /// /// /// /// /// /// ///
for lacerations or fractures
/// /// ///
At 0600 while admitting a woman for a schedule repeat cesarean
/// /// /// /// /// /// /// /// /// /// ///
section (C-Section), the client tells the nurse that she drank a cup a
/// /// /// /// /// /// /// /// /// /// /// /// ///
coffee at 0400 because she wanted to avoid getting a headache. Which
/// /// /// /// /// /// /// /// /// /// /// ///
action should the nurse take first?
/// /// /// /// ///
a. Ensure preoperative lab results are available
/// /// /// /// /// ///
b. Start prescribed IV with lactated Ringer's
/// /// /// /// /// ///
c. Inform the anesthesia care provider
/// /// /// /// ///
with verified solutions
Following discharge teaching, a male client with duodenal ulcer tells the
/// /// /// /// /// /// /// /// /// /// ///
nurse the he will drink plenty of dairy products, such as milk, to help
/// /// /// /// /// /// /// /// /// /// /// /// /// ///
coat and protect his ulcer. What is the best follow-up action by the
/// /// /// /// /// /// /// /// /// /// /// /// ///
nurse?
a. Remind the client that it is also important to switch to decaffeinated
/// /// /// /// /// /// /// /// /// /// /// /// ///
coffee and tea. /// ///
b. Suggest that the client also plan to eat frequent small meals to
/// /// /// /// /// /// /// /// /// /// /// /// ///
reduce discomfort ///
c. Review with the client the need to avoid foods that are rich in milk
/// /// /// /// /// /// /// /// /// /// /// /// /// /// ///
and cream.
///
d. Reinforce this teaching by asking the client to list a dairy food that
/// /// /// /// /// /// /// /// /// /// /// /// /// ///
he might select. - correct answer ✔c. Review with the client the need
/// /// /// /// /// /// /// /// /// /// /// /// ///
to avoid foods that are rich in milk and cream.
/// /// /// /// /// /// /// /// ///
The nurse observes an unlicensed assistive personnel (UAP) positioning a
/// /// /// /// /// /// /// /// /// ///
newly admitted client who has a seizure disorder. The client is supine
/// /// /// /// /// /// /// /// /// /// /// ///
and the UAP is placing soft pillows along the side rails. What action
/// /// /// /// /// /// /// /// /// /// /// /// ///
should the nurse implement?
/// /// ///
a. Ensure that the UAP has placed the pillows effectively to protect the
/// /// /// /// /// /// /// /// /// /// /// /// ///
client.
b. Instruct the UAP to obtain soft blankets to secure to the side rails
/// /// /// /// /// /// /// /// /// /// /// /// /// ///
instead of pillows. /// ///
,c. Assume responsibility for placing the pillows while the UAP completes
/// /// /// /// /// /// /// /// /// /// ///
another task. ///
d. Ask the UAP to use some of the pillows to prop the client in a side
/// /// /// /// /// /// /// /// /// /// /// /// /// /// /// /// ///
lying position. - correct answer ✔b. Instruct the UAP to obtain soft
/// /// /// /// /// /// /// /// /// /// /// ///
blankets to secure to the side rails instead of pillows.
/// /// /// /// /// /// /// /// ///
A male client with hypertension, who received new antihypertensive
/// /// /// /// /// /// /// /// ///
prescriptions at his last visit returns to the clinic two weeks later to
/// /// /// /// /// /// /// /// /// /// /// /// ///
evaluate his blood pressure (BP). His BP is 158/106 and he admits that
/// /// /// /// /// /// /// /// /// /// /// /// ///
he has not been taking the prescribed medication because the drugs
/// /// /// /// /// /// /// /// /// /// ///
make him "feel bad". In explaining the need for hypertension control,
/// /// /// /// /// /// /// /// /// /// ///
the nurse should stress that an elevated BP places the client at risk for
/// /// /// /// /// /// /// /// /// /// /// /// /// ///
which pathophysiological condition?
/// ///
a. Blindness secondary to cataracts
/// /// /// ///
b. Acute kidney injury due to glomerular damage
/// /// /// /// /// /// ///
c. Stroke secondary to hemorrhage
/// /// /// ///
d. Heart block due to myocardial damage - correct answer ✔c. Stroke
/// /// /// /// /// /// /// /// /// /// /// ///
secondary to hemorrhage /// ///
An adolescent with major depressive disorder has been taking duloxetine
/// /// /// /// /// /// /// /// /// ///
(Cymbalta) for the past 12 days. Which assessment finding requires
/// /// /// /// /// /// /// /// /// ///
immediate follow-up ///
a. Describes life without purpose
/// /// /// ///
b. Complains of nausea and loss of appetite
/// /// /// /// /// /// ///
c. States is often fatigued and drowsy
/// /// /// /// /// ///
d. Exhibits an increase in sweating. - correct answer ✔a. Describes life
/// /// /// /// /// /// /// /// /// /// /// ///
without purpose ///
,A 60-year-old female client with a positive family history of ovarian
/// /// /// /// /// /// /// /// /// /// ///
cancer has developed an abdominal mass and is being evaluated for
/// /// /// /// /// /// /// /// /// /// ///
possible ovarian cancer. Her Papanicolau (Pap) smear results are
/// /// /// /// /// /// /// /// ///
negative. What information should the nurse include in the client's
/// /// /// /// /// /// /// /// /// ///
teaching plan ///
a. Further evaluation involving surgery may be needed
/// /// /// /// /// /// ///
b. A pelvic exam is also needed before cancer is ruled out
/// /// /// /// /// /// /// /// /// /// ///
c. Pap smear evaluation should be continued every six month
/// /// /// /// /// /// /// /// ///
d. One additional negative pap smear in six months is needed. - correct
/// /// /// /// /// /// /// /// /// /// /// /// ///
answer ✔a. Further evaluation involving surgery may be needed
/// /// /// /// /// /// /// ///
A client who recently underwent a tracheostomy is being prepared for
/// /// /// /// /// /// /// /// /// /// ///
discharge to home. Which instructions is most important for the nurse
/// /// /// /// /// /// /// /// /// /// ///
to include in the discharge plan?
/// /// /// /// ///
a. Explain how to use communication tools.
/// /// /// /// /// ///
b. Teach tracheal suctioning techniques
/// /// /// ///
c. Encourage self-care and independence.
/// /// /// ///
d. Demonstrate how to clean tracheostomy site. - correct answer ✔b.
/// /// /// /// /// /// /// /// /// /// ///
Teach tracheal suctioning techniques
/// /// ///
In assessing an adult client with a partial rebreather mask, the nurse
/// /// /// /// /// /// /// /// /// /// /// ///
notes that the oxygen reservoir bag does not deflate completely during
/// /// /// /// /// /// /// /// /// /// ///
inspiration and the client's respiratory rate is 14 breaths / minute. What
/// /// /// /// /// /// /// /// /// /// /// ///
action should the nurse implement
/// /// /// ///
a. Encourage the client to take deep breaths
/// /// /// /// /// /// ///
b. Remove the mask to deflate the bag
/// /// /// /// /// /// ///
c. Increase the liter flow of oxygen
/// /// /// /// /// ///
, d. Document the assessment data - correct answer ✔d. Document the
/// /// /// /// /// /// /// /// /// /// ///
assessment data ///
During shift report, the central electrocardiogram (EKG) monitoring
/// /// /// /// /// /// /// ///
system alarms. Which client alarm should the nurse investigate first?
/// /// /// /// /// /// /// /// ///
a. Respiratory apnea of 30 seconds
/// /// /// /// ///
b. Oxygen saturation rate of 88%
/// /// /// /// ///
c. Eight premature ventricular beats every minute
/// /// /// /// /// ///
d. Disconnected monitor signal for the last 6 minutes. - correct answer
/// /// /// /// /// /// /// /// /// /// /// ///
✔a. Respiratory apnea of 30 seconds
/// /// /// /// ///
During a home visit, the nurse observed an elderly client with diabetes
/// /// /// /// /// /// /// /// /// /// /// ///
slip and fall. What action should the nurse take first?
/// /// /// /// /// /// /// /// ///
a. Give the client 4 ounces of orange juice
/// /// /// /// /// /// /// ///
b. Call 911 to summon emergency assistance
/// /// /// /// /// ///
c. Check the client for lacerations or fractures
/// /// /// /// /// /// ///
d. Asses clients blood sugar level - correct answer ✔c. Check the client
/// /// /// /// /// /// /// /// /// /// /// /// ///
for lacerations or fractures
/// /// ///
At 0600 while admitting a woman for a schedule repeat cesarean
/// /// /// /// /// /// /// /// /// /// ///
section (C-Section), the client tells the nurse that she drank a cup a
/// /// /// /// /// /// /// /// /// /// /// /// ///
coffee at 0400 because she wanted to avoid getting a headache. Which
/// /// /// /// /// /// /// /// /// /// /// ///
action should the nurse take first?
/// /// /// /// ///
a. Ensure preoperative lab results are available
/// /// /// /// /// ///
b. Start prescribed IV with lactated Ringer's
/// /// /// /// /// ///
c. Inform the anesthesia care provider
/// /// /// /// ///
