HESI Exit Exam 1 *** QUESTIONS AND
ANSWERS
1. A baby newly diagnosed with sickle cellular anemia (SCA) is being discharged from the
hospital. Which facts is most important for the nurse to offer the dad and mom previous
to discharge?
-Instructions about how a great deal fluid the kid ought to drink each day.
-Signs of dependancy to opioid ache medicines.
-Information about non-pharmaceutical pain relief measures.
-Referral for social offerings for the kid and circle of relatives - ANSWER--Instructions
about how an awful lot fluid the child ought to drink day by day.
2. A purchaser asked the nurse for records about the way to reduce danger elements for
benign prostatic hyperplasia which statistics must the nurse provide
-client high-protein diet
-boom bodily hobby
-take nutrition dietary supplements
-reap a prostate particular antigen blood stage test - ANSWER--growth bodily activity
3. A client at 12 weeks gestation is admitted to the antepartum unit with a diagnosis of
hyper emesis gravidarum which movement is maximum vital for the nurse to implement
-reap the customers 24 hour nutritional keep in mind
-record mucosal membrane fame
-schedule a visit a nutritionist
-initiate prescribed intravenous fluids - ANSWER--initiate prescribed intravenous
fluids
-time table a discuss with a nutritionist
4. A patron recognized with calcium kidney stones has a history of gout a new prescription
for aluminum hydroxide is scheduled to begin at 0 730. Which patron medication have to
the nurse deliver to the healthcare providers interest?
-Furosemide.
-Aspirin.
-Estrogen.
-Allopurinol. - ANSWER--Allopurinol.
5. A purchaser fell inside the bathroom whilst left unattended by the unlicensed assistive
employees which statistics ought to the nurse encompass in the clients health document
-the UAP left the consumer to help every other customer
- the final time consumer turned into assisted to the toilet
-the unit was understaffed while the purchaser fell
-the consumer fell maintaining a fracture to the left hip - ANSWER--the consumer fell
sustaining a fracture to the left hip
6. A patron within the emergency middle demonstrates speedy speech flight of ideas and
file napping handiest 3 hours at some stage in the past forty eight hours. Based on those
, findings it's miles most vital for the nurse to check the laboratory value for which
medicinal drug?
-Lorazepam.
-Fluoxetine.
-Divaloprex.
-Onlazapine - ANSWER--Divaloprex.
7. A consumer within the third trimester of being pregnant reviews that she feels a few
lumpy places in her breast and that her nipples every now and then beat leak a yellowish
fluid. She has an appointment with her healthcare issuer in two weeks. What movement
should the nurse take?
-Tell the consumer to start nipple stimulation to put together for breast-feeding.
-Reschedule the customers prenatal appointment for tomorrow. -Explain that that is a
ordinary secretion and can be assessed at the next go to.
-Recommend that the consumer start carrying a supportive brassiere. -
ANSWER--Explain that that is a ordinary secretion and can be assessed at the
following go to
8. A patron is admitted with a diagnosis of urolithiasis. Which locating is maximum vital for
the nurse document to the healthcare company? -Volume of every boarding is extra than
300 mL.
-Serum potassium stage is elevated.
-Relief of flank pain that radiates it into the grind.
-Hematuria that is starting to show crimson. - ANSWER--Hematuria this is beginning
to show red
9. A customer is recognized with Ménière's disorder. Which hassle have to the nurse
become aware of as the most critical in the plan of care?
-Risk for useless self health management related to poor expertise
-Ineffective coping associated with personal vulnerability
-Risk for damage associated with vertigo
-Anxiety associated with disruption of life - ANSWER--Risk for harm related to vertigo
10.A customer is receiving enoxaparin 30 mg subcutaneously two times a day. In assessing
for detrimental consequences of the medication which serum laboratory price is most
critical for the nurse to reveal?
-Glucose.
-Calcium.
-Platelet be counted.
-White blood mobile depend. - ANSWER--Platelet be counted.
11.A consumer is convalescing inside the important care unit following a cardiac
catheterization. Ivy nitroglycerin and heparin are infusing. The customer is sedated but
reaction to verbal commands. After converting positions the purchaser complains of
ache at the proper groin insertion website. What action have to the nurse put in force?
-Check for ethical site for hematoma formation.
-Stimulate the patron to take deep breaths.
-Evaluate the integrity of the IV insertion website online.
, -Assess distal decrease extremity capillary fill up. - ANSWER--Stimulate the consumer
to take deep breaths
12.A customer is scheduled for a spiral computed Tomography scan with assessment to
evaluate for a pulmonary embolism which information in the customers history requires
follow up via the nurse
-CT test was carry out six months in advance
-metallic hip prosthesis changed into positioned two decades in the past
-report of purchaser sobriety for the final 5 years
-takes metformin for kind diabetes mellitus - ANSWER--takes metformin for type two
diabetes mellitus
13.A patron provides to the emergency branch with muscle aches headache fever and
describes a current loss of flavor and smell. The nurse obtains a nasal swab for
COVID-19 trying out. Which movement is maximum essential for the nurse to take?
-Placed the nasal swab specimen for COVID-19 immediately into a biohazard bag
-Move the client to a non-public room hold the door closed and initiate droplet
precautions
-Teach the clients wear a mask handwashing and social distance to save you spreading
the virus
-Explain to the client to tell others that they may have been probably exposed within the
ultimate 14 days - ANSWER--Placed the nasal swab specimen for COVID-19 without
delay into a biohazard bag
14.A patron provides to the hard work and transport unit with a record of leaking fluid that is
greenish brown vaginal discharge which movement must the nurse take first
-begin an intravenous infusion
-administer oxygen thru face mask
-carry out a vaginal exam
-start continuous fetal tracking - ANSWER--start continuous fetal tracking
15.A patron presses the decision bell and request ache medicinal drug for a extreme
headache to assess the best of the Clients pain which technique ought to the nurse use
-asked the patron to describe the pain
-take a look at body language and movement
-pick out effective pain alleviation measures
-provide a numeric pain scale - ANSWER--requested the purchaser to describe the
pain
16.A patron taking complete a grill reports the onset of diarrhea. Which nursing motion
should the nurse put into effect first?
-Observe the advent of the stool.
-Assess the pliancy of the patron skin.
-Review the customers laboratory values.
-Auscultate the clients bowel sounds. - ANSWER--Observe the appearance of the
stool.
17.A patron tells the nurse about operating out with a personal teacher and swimming 3
instances every week if you want to lose weight and sleep higher. The customer states
, that it's miles nevertheless taking hours to nod off at night time. Which movement need
to the nurse implement?
-Advise the consumer at the life-style changes regularly take several weeks to be
powerful.
-Encourage the customer to exercising every day to take away bedtime wakefulness.
-Ask the customer for an outline of the workout scheduled that is being followed.
-Determine the amount of weight the purchaser has misplaced considering that
increasing activity. - ANSWER--Ask the purchaser for an outline of the workout
scheduled that is being accompanied.
18.A client who experienced a cerebrovascular accident is a phasic and has left sided
paralysis. Which nurse need to be chargeable for coordinating the progression of this
customers care?
-Nurse care supervisor.
-Adult nurse practitioner.
-Neurology unit manager.
-Risk management nurse. - ANSWER--Adult nurse practitioner.
19.A consumer who gave delivery forty eight hours ago has determined to bottle feed the
little one in the course of the evaluation the nurse observes that both breasts are swollen
heat and soft on palpitation which practise should the nurse offer
20.-apply ice to the breast for comfort
21.-have been loose fitting bra during the day to prevent nipple infection
22.-run heat water over breast
23.-explicit small quantities of milk from the breast to relieve stress - ANSWER--practice ice
to the breast for consolation
24.A purchaser who is admitted for primary hypothyroidism has early symptoms of
myxedema coma in assessing the purchaser in which sequence have to the nurse whole
those movements rank the primary movement on the top in which the remainder in
descending order
25.-look at respiratory styles
26.-palpate for pedal edema
27.-degree frame temperature
28.-assessed blood pressure - ANSWER--study respiratory patterns
29.-assessed blood pressure
30.-degree body temperature
31.-palpate for pedal edema
32.A patron who is admitted with headaches associated with hyper pop pituitary autism is
diaphoretic and hypotensive. Which evaluation locating warrants immediately
intervention with the aid of the nurse?
33.-Tachycardia.
34.-Lethargy.
35.-Muscle weak spot.
36.-Cold extremities. - ANSWER--Lethargy
ANSWERS
1. A baby newly diagnosed with sickle cellular anemia (SCA) is being discharged from the
hospital. Which facts is most important for the nurse to offer the dad and mom previous
to discharge?
-Instructions about how a great deal fluid the kid ought to drink each day.
-Signs of dependancy to opioid ache medicines.
-Information about non-pharmaceutical pain relief measures.
-Referral for social offerings for the kid and circle of relatives - ANSWER--Instructions
about how an awful lot fluid the child ought to drink day by day.
2. A purchaser asked the nurse for records about the way to reduce danger elements for
benign prostatic hyperplasia which statistics must the nurse provide
-client high-protein diet
-boom bodily hobby
-take nutrition dietary supplements
-reap a prostate particular antigen blood stage test - ANSWER--growth bodily activity
3. A client at 12 weeks gestation is admitted to the antepartum unit with a diagnosis of
hyper emesis gravidarum which movement is maximum vital for the nurse to implement
-reap the customers 24 hour nutritional keep in mind
-record mucosal membrane fame
-schedule a visit a nutritionist
-initiate prescribed intravenous fluids - ANSWER--initiate prescribed intravenous
fluids
-time table a discuss with a nutritionist
4. A patron recognized with calcium kidney stones has a history of gout a new prescription
for aluminum hydroxide is scheduled to begin at 0 730. Which patron medication have to
the nurse deliver to the healthcare providers interest?
-Furosemide.
-Aspirin.
-Estrogen.
-Allopurinol. - ANSWER--Allopurinol.
5. A purchaser fell inside the bathroom whilst left unattended by the unlicensed assistive
employees which statistics ought to the nurse encompass in the clients health document
-the UAP left the consumer to help every other customer
- the final time consumer turned into assisted to the toilet
-the unit was understaffed while the purchaser fell
-the consumer fell maintaining a fracture to the left hip - ANSWER--the consumer fell
sustaining a fracture to the left hip
6. A patron within the emergency middle demonstrates speedy speech flight of ideas and
file napping handiest 3 hours at some stage in the past forty eight hours. Based on those
, findings it's miles most vital for the nurse to check the laboratory value for which
medicinal drug?
-Lorazepam.
-Fluoxetine.
-Divaloprex.
-Onlazapine - ANSWER--Divaloprex.
7. A consumer within the third trimester of being pregnant reviews that she feels a few
lumpy places in her breast and that her nipples every now and then beat leak a yellowish
fluid. She has an appointment with her healthcare issuer in two weeks. What movement
should the nurse take?
-Tell the consumer to start nipple stimulation to put together for breast-feeding.
-Reschedule the customers prenatal appointment for tomorrow. -Explain that that is a
ordinary secretion and can be assessed at the next go to.
-Recommend that the consumer start carrying a supportive brassiere. -
ANSWER--Explain that that is a ordinary secretion and can be assessed at the
following go to
8. A patron is admitted with a diagnosis of urolithiasis. Which locating is maximum vital for
the nurse document to the healthcare company? -Volume of every boarding is extra than
300 mL.
-Serum potassium stage is elevated.
-Relief of flank pain that radiates it into the grind.
-Hematuria that is starting to show crimson. - ANSWER--Hematuria this is beginning
to show red
9. A customer is recognized with Ménière's disorder. Which hassle have to the nurse
become aware of as the most critical in the plan of care?
-Risk for useless self health management related to poor expertise
-Ineffective coping associated with personal vulnerability
-Risk for damage associated with vertigo
-Anxiety associated with disruption of life - ANSWER--Risk for harm related to vertigo
10.A customer is receiving enoxaparin 30 mg subcutaneously two times a day. In assessing
for detrimental consequences of the medication which serum laboratory price is most
critical for the nurse to reveal?
-Glucose.
-Calcium.
-Platelet be counted.
-White blood mobile depend. - ANSWER--Platelet be counted.
11.A consumer is convalescing inside the important care unit following a cardiac
catheterization. Ivy nitroglycerin and heparin are infusing. The customer is sedated but
reaction to verbal commands. After converting positions the purchaser complains of
ache at the proper groin insertion website. What action have to the nurse put in force?
-Check for ethical site for hematoma formation.
-Stimulate the patron to take deep breaths.
-Evaluate the integrity of the IV insertion website online.
, -Assess distal decrease extremity capillary fill up. - ANSWER--Stimulate the consumer
to take deep breaths
12.A customer is scheduled for a spiral computed Tomography scan with assessment to
evaluate for a pulmonary embolism which information in the customers history requires
follow up via the nurse
-CT test was carry out six months in advance
-metallic hip prosthesis changed into positioned two decades in the past
-report of purchaser sobriety for the final 5 years
-takes metformin for kind diabetes mellitus - ANSWER--takes metformin for type two
diabetes mellitus
13.A patron provides to the emergency branch with muscle aches headache fever and
describes a current loss of flavor and smell. The nurse obtains a nasal swab for
COVID-19 trying out. Which movement is maximum essential for the nurse to take?
-Placed the nasal swab specimen for COVID-19 immediately into a biohazard bag
-Move the client to a non-public room hold the door closed and initiate droplet
precautions
-Teach the clients wear a mask handwashing and social distance to save you spreading
the virus
-Explain to the client to tell others that they may have been probably exposed within the
ultimate 14 days - ANSWER--Placed the nasal swab specimen for COVID-19 without
delay into a biohazard bag
14.A patron provides to the hard work and transport unit with a record of leaking fluid that is
greenish brown vaginal discharge which movement must the nurse take first
-begin an intravenous infusion
-administer oxygen thru face mask
-carry out a vaginal exam
-start continuous fetal tracking - ANSWER--start continuous fetal tracking
15.A patron presses the decision bell and request ache medicinal drug for a extreme
headache to assess the best of the Clients pain which technique ought to the nurse use
-asked the patron to describe the pain
-take a look at body language and movement
-pick out effective pain alleviation measures
-provide a numeric pain scale - ANSWER--requested the purchaser to describe the
pain
16.A patron taking complete a grill reports the onset of diarrhea. Which nursing motion
should the nurse put into effect first?
-Observe the advent of the stool.
-Assess the pliancy of the patron skin.
-Review the customers laboratory values.
-Auscultate the clients bowel sounds. - ANSWER--Observe the appearance of the
stool.
17.A patron tells the nurse about operating out with a personal teacher and swimming 3
instances every week if you want to lose weight and sleep higher. The customer states
, that it's miles nevertheless taking hours to nod off at night time. Which movement need
to the nurse implement?
-Advise the consumer at the life-style changes regularly take several weeks to be
powerful.
-Encourage the customer to exercising every day to take away bedtime wakefulness.
-Ask the customer for an outline of the workout scheduled that is being followed.
-Determine the amount of weight the purchaser has misplaced considering that
increasing activity. - ANSWER--Ask the purchaser for an outline of the workout
scheduled that is being accompanied.
18.A client who experienced a cerebrovascular accident is a phasic and has left sided
paralysis. Which nurse need to be chargeable for coordinating the progression of this
customers care?
-Nurse care supervisor.
-Adult nurse practitioner.
-Neurology unit manager.
-Risk management nurse. - ANSWER--Adult nurse practitioner.
19.A consumer who gave delivery forty eight hours ago has determined to bottle feed the
little one in the course of the evaluation the nurse observes that both breasts are swollen
heat and soft on palpitation which practise should the nurse offer
20.-apply ice to the breast for comfort
21.-have been loose fitting bra during the day to prevent nipple infection
22.-run heat water over breast
23.-explicit small quantities of milk from the breast to relieve stress - ANSWER--practice ice
to the breast for consolation
24.A purchaser who is admitted for primary hypothyroidism has early symptoms of
myxedema coma in assessing the purchaser in which sequence have to the nurse whole
those movements rank the primary movement on the top in which the remainder in
descending order
25.-look at respiratory styles
26.-palpate for pedal edema
27.-degree frame temperature
28.-assessed blood pressure - ANSWER--study respiratory patterns
29.-assessed blood pressure
30.-degree body temperature
31.-palpate for pedal edema
32.A patron who is admitted with headaches associated with hyper pop pituitary autism is
diaphoretic and hypotensive. Which evaluation locating warrants immediately
intervention with the aid of the nurse?
33.-Tachycardia.
34.-Lethargy.
35.-Muscle weak spot.
36.-Cold extremities. - ANSWER--Lethargy
