HESI EXIT EXAM REVIEW (NIGHTGALE COLLEGE) NEWEST 2025 COMPLETE ALL 60 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

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HESI EXIT EXAM REVIEW (NIGHTGALE COLLEGE)
NEWEST 2025 COMPLETE ALL 60 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+




The nurse is presenting discharge instructions to a client Newly diagnosed with Cushing'
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s disease the nurse knows that the teaching has been successful when the client chooses
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which selections
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A Broiled cod, baked potato and steamed broccoli
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B Sliced ham with mashed potatoes and gravy
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C Beef taco with refined beans and guacamole
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D lean cheeseburger with fries and fruit cocktail
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E braise chicken with kale and navy bean salad - answerA and E are correct
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Cushing's disease occurs when the adrenal cortex produces excessive amounts of miner
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al corticoid's, glucocorticoids and sex hormones. Clients benefit greatly from a diet low i
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n fat and sodium but higher in calcium since osteoporosis is a common problem in this d
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isease. Fish is low in fat while broccoli is high in calcium providing a well-
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balanced meal. Chicken that is braised allows excess fat to be removed during cooking k
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ale and navy beans are a great source of calcium
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A client with a history of myasthenia gravis ( MG )
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Is discharge from the hospital following a thymectomy. When teaching the client how to
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prevent complications the home care nurse emphasizes what daily actions are most imp
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ortant




A include daily weight lifting exercises
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B practice stress reduction techniques
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C complete chores early in the day
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D take medication on time and prior to meals
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E eat three large meals a day - answerB C and E are correct
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MG is a chronic autoimmune disorder characterized by progressive muscle weakness an
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d chronic fatigue. Clients become weaker throughout the day contributing to the potenti
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al for complications. Stress reduction techniques are importance and stress can contribu
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te to a myasthenic crisis, A severe respiratory emergency. Daily tasks including ADLs sh
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ould be completed early in the day when the client has the most energy. Medication's for
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MG include NEOSTIGMINE and PYRIDOSTIGMINE and must be taken on time in
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prior to meals
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These patients are instructed to include gentle exercise combined with periods of rest th
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roughout the day lifting weights would be too strenuous leading to crisis
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Because the difficulty of chewing and swallowing multiple meals throughout the day or s
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afer and more beneficial to the client
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Immediately following the birth of an infant what is the nurses priority action when cari
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ng for the newborn
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A examine the infant and take set of vital signs
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B confirm identification and apply armband
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C instill silver nitrate solution in both eyes
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D dry and sit in place in warm environments - answerD is correct
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One of the leading causes of newborn mortality is hypothermia. The infant has been re
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moved from environment oven about 98.6° plus and placed into a room environment o
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f anywhere from 65 to 70°. Add the fact that the infant is wet and unable to yet control b
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ody temperature, rapidly leading to hypothermia. Drying and warming the baby in an inf
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ant warmer takes priority at birth
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When is incorrect the infant must be completely examined by both nurse in primary heal
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thcare provider after ^ b b b




Silver nitrate or erythromycin drops must be instilled in to the newborns eyes to protect
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against undetected STDs in the mother such as gonorrhea this prevents blindness in the
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infant however the nurse has more vital action to perform first
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Which meal is most appropriate for a client during an acute manic episode
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