HESI Exit Exam Questions With 100%
Correct Answers
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? - correct answers ✔✔Review with the client the need to avoid foods
that are rich in milk and cream
***During shift report, the central electrocardiogram (EKG) monitoring system alarms. Which
client alarm should the nurse investigate firs? - correct answers ✔✔Respiratory apnea of 30
seconds
***Which client should the nurse assess frequently because of the risk for overflow
incontinence? A client - correct answers ✔✔Who is confused and frequently forgets to go to the
bathroom
***A client with pneumonia has arterial blood gases levels at: PH 7.33; PaCO2 49 mm/hg; HCO3
25 mEq/L; PaO2 95. What intervention should the nurse implement based on these results? -
correct answers ✔✔Institute coughing and deep breathing protocols
***A client with hyperthyroidism is admitted to the postoperative after subtotal thyroidectomy.
Which of the client's serum laboratory values requires intervention by the nurse? - correct
answers ✔✔Total calcium 5.0 mg/dl
***In assessing a client 48 hours following a fracture, the nurse observes ecchymosis at the
fracture site, and recognizes that hematoma formation at the bone fragment site has occurred.
What action should the nurse implement? - correct answers ✔✔Document the extend of the
bruising in the medical record
,***During a left femoral artery arteriogram, the healthcare provider inserts an arterial sheath
and initiate. Through the sheath to dissolve an occluded artery. Which interventions should the
nurse implement? SATA - correct answers ✔✔Instruct the client to keep the left leg straight
Observe the insertion site for a hematoma
Circle first noted drainage on the dressing
***A male client who was admitted with an acute myocardial infarction receives a cardiac diet
with sodium restriction and complains that his hamburger is flavorless. Which condiment
should the nurse offer? - correct answers ✔✔Fresh horseradish
***While completing an admission assessment for a client with unstable angina, which closed
questions should the nurse ask about the client's pain? - correct answers ✔✔Does your pain
occur when walking short distances?
***An adult man reports that he recently experienced an episode of chest pressure and
breathlessness when he was jogging in the neighborhood. He expresses concern because both
of his deceased parents had heart disease and his father was a diabetic. He lives with his male
partner, is a vegetarian, and takes atenolol which maintain his blood pressure at 138/74. Which
risk factors should the nurse explore further with the client? Select all that apply - correct
answers ✔✔History of hypertension.
Family heath history.
Following a lumbar puncture, a client voices several complaints. What complaint indicated to
the nurse that the client is experiencing a complication?
A. "I have a headache that gets worse when I sit up"
B. "I am having pain in my lower back when I move my legs"
C. "My throat hurts when I swallow"
D.Q "I feel sick to my stomach and am going to throw up" - correct answers ✔✔"I have a
headache that gets worse when I sit up"
,A mother brings her 6-year-old child, who has just stepped on a rusty nail, to the pediatrician's
office. Upon inspection, the nurse notes that the nail went through the shoe and pierced the
bottom of the child's foot. Which action should the nurse implement first?
A. Cleanse the foot with soap and water and apply an antibiotic ointment
B. Provide teaching about the need for a tetanus booster within the next 72 hours.
C. Have the mother check the child's temperature q4h for the next 24 hours
D. Transfer the child to the emergency department to receive a gamma globulin injection -
correct answers ✔✔A. Cleanse the foot with soap and water and apply an antibiotic ointment
A 26-year-old female client is admitted to the hospital for treatment of a simple goiter, and
levothyroxine sodium (Synthroid) is prescribed. Which symptoms indicate to the nurse that the
prescribed dosage is too high for this client? The client experiences
A. Bradycardia and constipation
B. Lethargy and lack of appetite
C. Muscle cramping and dry, flushed skin
D. Palpitations and shortness of breath - correct answers ✔✔D. Palpitations and shortness of
breath
The nurse notes that a client has been receiving hydromorphone (Dilaudid) every six hours for
four days. What assessment is most important for the nurse to complete?
A. Auscultate the client's bowel sounds
B. Observe for edema around the ankles
C. Measure the client's capillary glucose level
D. Count the apical and radial pulses simultaneously - correct answers ✔✔A. Auscultate the
client's bowel sounds
Rationale: hydromorphone is a potent opioid analgesic that slows peristalsis and frequently
causes constipation, so it is most important to Auscultate the client's bowel sounds
, After a third hospitalization 6 months ago, a client is admitted to the hospital with ascites and
malnutrition. The client is drowsy but responding to verbal stimuli and reports recently spitting
up blood. What assessment finding warrants immediate intervention by the nurse?
A. Capillary refill of 8 seconds
B. Bruises on arms and legs
C. Round and tight abdomen
D. Pitting edema in lower legs - correct answers ✔✔A. Capillary refill of 8 seconds
The client with which type of wound is most likely to need immediate intervention by the
nurse?
A. Laceration
B. Abrasion
C. Contusion
D. Ulceration - correct answers ✔✔A. Laceration
Rationale: A laceration is a wound that is produced by the tearing of soft body tissue. This type
of wound is often irregular and jagged. A laceration wound is often contaminated with bacteria
and debris from whatever object caused the cut.
When caring for a client who has acute respiratory distress syndrome (ARDS), the nurse elevates
the head of the bed 30 degrees. What is the reason for this intervention?
A. To reduce abdominal pressure on the diaphragm
B. To promote retraction of the intercostal accessory muscle of respiration
C. To promote bronchodilation and effective airway clearance
D. To decrease pressure on the medullary center which stimulates breathing - correct answers
✔✔A. To reduce abdominal pressure on the diaphragm
Rationale: a semi-sitting position is the best position for matching ventilation and perfusion and
for decreasing abdominal pressure on the diaphragm, so that the client can maximize breathing.
Correct Answers
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? - correct answers ✔✔Review with the client the need to avoid foods
that are rich in milk and cream
***During shift report, the central electrocardiogram (EKG) monitoring system alarms. Which
client alarm should the nurse investigate firs? - correct answers ✔✔Respiratory apnea of 30
seconds
***Which client should the nurse assess frequently because of the risk for overflow
incontinence? A client - correct answers ✔✔Who is confused and frequently forgets to go to the
bathroom
***A client with pneumonia has arterial blood gases levels at: PH 7.33; PaCO2 49 mm/hg; HCO3
25 mEq/L; PaO2 95. What intervention should the nurse implement based on these results? -
correct answers ✔✔Institute coughing and deep breathing protocols
***A client with hyperthyroidism is admitted to the postoperative after subtotal thyroidectomy.
Which of the client's serum laboratory values requires intervention by the nurse? - correct
answers ✔✔Total calcium 5.0 mg/dl
***In assessing a client 48 hours following a fracture, the nurse observes ecchymosis at the
fracture site, and recognizes that hematoma formation at the bone fragment site has occurred.
What action should the nurse implement? - correct answers ✔✔Document the extend of the
bruising in the medical record
,***During a left femoral artery arteriogram, the healthcare provider inserts an arterial sheath
and initiate. Through the sheath to dissolve an occluded artery. Which interventions should the
nurse implement? SATA - correct answers ✔✔Instruct the client to keep the left leg straight
Observe the insertion site for a hematoma
Circle first noted drainage on the dressing
***A male client who was admitted with an acute myocardial infarction receives a cardiac diet
with sodium restriction and complains that his hamburger is flavorless. Which condiment
should the nurse offer? - correct answers ✔✔Fresh horseradish
***While completing an admission assessment for a client with unstable angina, which closed
questions should the nurse ask about the client's pain? - correct answers ✔✔Does your pain
occur when walking short distances?
***An adult man reports that he recently experienced an episode of chest pressure and
breathlessness when he was jogging in the neighborhood. He expresses concern because both
of his deceased parents had heart disease and his father was a diabetic. He lives with his male
partner, is a vegetarian, and takes atenolol which maintain his blood pressure at 138/74. Which
risk factors should the nurse explore further with the client? Select all that apply - correct
answers ✔✔History of hypertension.
Family heath history.
Following a lumbar puncture, a client voices several complaints. What complaint indicated to
the nurse that the client is experiencing a complication?
A. "I have a headache that gets worse when I sit up"
B. "I am having pain in my lower back when I move my legs"
C. "My throat hurts when I swallow"
D.Q "I feel sick to my stomach and am going to throw up" - correct answers ✔✔"I have a
headache that gets worse when I sit up"
,A mother brings her 6-year-old child, who has just stepped on a rusty nail, to the pediatrician's
office. Upon inspection, the nurse notes that the nail went through the shoe and pierced the
bottom of the child's foot. Which action should the nurse implement first?
A. Cleanse the foot with soap and water and apply an antibiotic ointment
B. Provide teaching about the need for a tetanus booster within the next 72 hours.
C. Have the mother check the child's temperature q4h for the next 24 hours
D. Transfer the child to the emergency department to receive a gamma globulin injection -
correct answers ✔✔A. Cleanse the foot with soap and water and apply an antibiotic ointment
A 26-year-old female client is admitted to the hospital for treatment of a simple goiter, and
levothyroxine sodium (Synthroid) is prescribed. Which symptoms indicate to the nurse that the
prescribed dosage is too high for this client? The client experiences
A. Bradycardia and constipation
B. Lethargy and lack of appetite
C. Muscle cramping and dry, flushed skin
D. Palpitations and shortness of breath - correct answers ✔✔D. Palpitations and shortness of
breath
The nurse notes that a client has been receiving hydromorphone (Dilaudid) every six hours for
four days. What assessment is most important for the nurse to complete?
A. Auscultate the client's bowel sounds
B. Observe for edema around the ankles
C. Measure the client's capillary glucose level
D. Count the apical and radial pulses simultaneously - correct answers ✔✔A. Auscultate the
client's bowel sounds
Rationale: hydromorphone is a potent opioid analgesic that slows peristalsis and frequently
causes constipation, so it is most important to Auscultate the client's bowel sounds
, After a third hospitalization 6 months ago, a client is admitted to the hospital with ascites and
malnutrition. The client is drowsy but responding to verbal stimuli and reports recently spitting
up blood. What assessment finding warrants immediate intervention by the nurse?
A. Capillary refill of 8 seconds
B. Bruises on arms and legs
C. Round and tight abdomen
D. Pitting edema in lower legs - correct answers ✔✔A. Capillary refill of 8 seconds
The client with which type of wound is most likely to need immediate intervention by the
nurse?
A. Laceration
B. Abrasion
C. Contusion
D. Ulceration - correct answers ✔✔A. Laceration
Rationale: A laceration is a wound that is produced by the tearing of soft body tissue. This type
of wound is often irregular and jagged. A laceration wound is often contaminated with bacteria
and debris from whatever object caused the cut.
When caring for a client who has acute respiratory distress syndrome (ARDS), the nurse elevates
the head of the bed 30 degrees. What is the reason for this intervention?
A. To reduce abdominal pressure on the diaphragm
B. To promote retraction of the intercostal accessory muscle of respiration
C. To promote bronchodilation and effective airway clearance
D. To decrease pressure on the medullary center which stimulates breathing - correct answers
✔✔A. To reduce abdominal pressure on the diaphragm
Rationale: a semi-sitting position is the best position for matching ventilation and perfusion and
for decreasing abdominal pressure on the diaphragm, so that the client can maximize breathing.
