2025 NURSING HESI
Exit Exam Test Bank
A nurse assesses a client with Crohn’s disease and colonic strictures. Which
clinical manifestationshould alert the nurse to urgently contact the health
care provider?
a. Distended abdomen
b. Temperature of 100.0° F (37.8° C)
c. Loose and bloody stool
d. Lower abdominal cramps
A nurse reviews the chart of a client who has Crohn’s disease and a
draining fistula. Whichdocumentation should alert the nurse to
urgently contact the provider for additional prescriptions?
a. Serum potassium of 2.6 mEq/L
b. Client ate 20% of breakfast meal
c. White blood cell count of 8200/mm3
d. Client’s weight decreased by 3 pounds
A nurse cares for a client with ulcerative colitis. The client states, “I feel
like I am tied to thetoilet. This disease is controlling my life.” How
should the nurse respond?
a. “Let’s discuss potential factors that increase your symptoms.”
b. “If you take the prescribed medications, you will no longer have
diarrhea.”
c. “To decrease distress, do not eat anything before you go out.”
d. “You must retake control of your life. I will consult a therapist to help.”
A nurse assesses a client with peritonitis. Which clinical manifestations
, should the nurse expectto find? (Select all that apply.)
a. Distended abdomen
b. Inability to pass flatus
c. Bradycardia
d. Hyperactive bowel sounds
e. Decreased urine output
A nurse assesses a client after administering a prescribed beta blocker.
Which assessment shouldthe nurse expect to find?
a. Blood pressure increased from 98/42 mm Hg to 132/60 mm Hg
b. Respiratory rate decreased from 25 breaths/min to 14 breaths/min
c. Oxygen saturation increased from 88% to 96%
d. Pulse decreased from 100 beats/min to 80 beats/min
An emergency room nurse obtains the health history of a client. Which
statement by the clientshould alert the nurse to the occurrence of heart
failure?
a. “I get short of breath when I climb stairs.”
b. “I see halos floating around my head.”
c. “I have trouble remembering things.”
d. “I have lost weight over the past month.”
A nurse obtains the health history of a client who is newly admitted to the
medical unit. Whichstatement by the client should alert the nurse to the
presence of edema?
a. “I wake up to go to the bathroom at night.”
b. “My shoes fit tighter by the end of the day.”
c. “I seem to be feeling more anxious lately.”
d. “I drink at least eight glasses of water a day.”
A nurse educator is teaching a urology unit to a group of nursing
,students. The educator is reviewing risk factors for the diagnosis of
benign prostatic hyperplasia (BPH). The educator includes which risk
factor to the group? Select all that apply.
, a. Excessive exercise
b. Diet high in meat and fats
c. Diet high in milk
d. Age
e. Race
The nurse is triaging a client who present to the to the urgent care clinic
with symptoms of severe flank pain with spasms, nausea, vomiting, and
oliguria. The client states that the pain wasinitially intermittent and
radiated from the lower back to the lower quadrants of the abdomen.
What should the nurse do next?
a. Complete the physical assessment.
b. Refer the client to a urologist immediately.
c. Instruct the client to increase fluids.
d. Obtain a urine specimen for culture.
A graduate nurse has joined the staff in the care of renal clients. The
graduate asks the preceptorwhat puts a client at risk urinary calculi. The
nurse identifies which client as having the greatest risk for urinary stones?
a. A 35-year-old female with quadriplegia from an auto accident.
b. A 65-year-old male with a recent history of myocardial infarction
c. A 50-year-old male with type II diabetes mellitus
d. A 25-year-old female with several episodes of urinary infection
A client with coronary artery disease (CAD) asks the nurse about taking
fish oil supplements.What response by the nurse is best?
a. “Fish oil is contraindicated with most drugs for CAD.”
b. “The best source is fish, but pills have benefits too.”
c. “There is no evidence to support fish oil use with CAD.”
d. “You can reverse CAD totally with diet and supplements.”
Exit Exam Test Bank
A nurse assesses a client with Crohn’s disease and colonic strictures. Which
clinical manifestationshould alert the nurse to urgently contact the health
care provider?
a. Distended abdomen
b. Temperature of 100.0° F (37.8° C)
c. Loose and bloody stool
d. Lower abdominal cramps
A nurse reviews the chart of a client who has Crohn’s disease and a
draining fistula. Whichdocumentation should alert the nurse to
urgently contact the provider for additional prescriptions?
a. Serum potassium of 2.6 mEq/L
b. Client ate 20% of breakfast meal
c. White blood cell count of 8200/mm3
d. Client’s weight decreased by 3 pounds
A nurse cares for a client with ulcerative colitis. The client states, “I feel
like I am tied to thetoilet. This disease is controlling my life.” How
should the nurse respond?
a. “Let’s discuss potential factors that increase your symptoms.”
b. “If you take the prescribed medications, you will no longer have
diarrhea.”
c. “To decrease distress, do not eat anything before you go out.”
d. “You must retake control of your life. I will consult a therapist to help.”
A nurse assesses a client with peritonitis. Which clinical manifestations
, should the nurse expectto find? (Select all that apply.)
a. Distended abdomen
b. Inability to pass flatus
c. Bradycardia
d. Hyperactive bowel sounds
e. Decreased urine output
A nurse assesses a client after administering a prescribed beta blocker.
Which assessment shouldthe nurse expect to find?
a. Blood pressure increased from 98/42 mm Hg to 132/60 mm Hg
b. Respiratory rate decreased from 25 breaths/min to 14 breaths/min
c. Oxygen saturation increased from 88% to 96%
d. Pulse decreased from 100 beats/min to 80 beats/min
An emergency room nurse obtains the health history of a client. Which
statement by the clientshould alert the nurse to the occurrence of heart
failure?
a. “I get short of breath when I climb stairs.”
b. “I see halos floating around my head.”
c. “I have trouble remembering things.”
d. “I have lost weight over the past month.”
A nurse obtains the health history of a client who is newly admitted to the
medical unit. Whichstatement by the client should alert the nurse to the
presence of edema?
a. “I wake up to go to the bathroom at night.”
b. “My shoes fit tighter by the end of the day.”
c. “I seem to be feeling more anxious lately.”
d. “I drink at least eight glasses of water a day.”
A nurse educator is teaching a urology unit to a group of nursing
,students. The educator is reviewing risk factors for the diagnosis of
benign prostatic hyperplasia (BPH). The educator includes which risk
factor to the group? Select all that apply.
, a. Excessive exercise
b. Diet high in meat and fats
c. Diet high in milk
d. Age
e. Race
The nurse is triaging a client who present to the to the urgent care clinic
with symptoms of severe flank pain with spasms, nausea, vomiting, and
oliguria. The client states that the pain wasinitially intermittent and
radiated from the lower back to the lower quadrants of the abdomen.
What should the nurse do next?
a. Complete the physical assessment.
b. Refer the client to a urologist immediately.
c. Instruct the client to increase fluids.
d. Obtain a urine specimen for culture.
A graduate nurse has joined the staff in the care of renal clients. The
graduate asks the preceptorwhat puts a client at risk urinary calculi. The
nurse identifies which client as having the greatest risk for urinary stones?
a. A 35-year-old female with quadriplegia from an auto accident.
b. A 65-year-old male with a recent history of myocardial infarction
c. A 50-year-old male with type II diabetes mellitus
d. A 25-year-old female with several episodes of urinary infection
A client with coronary artery disease (CAD) asks the nurse about taking
fish oil supplements.What response by the nurse is best?
a. “Fish oil is contraindicated with most drugs for CAD.”
b. “The best source is fish, but pills have benefits too.”
c. “There is no evidence to support fish oil use with CAD.”
d. “You can reverse CAD totally with diet and supplements.”
