ADRESSED HESI EXIT EXAM QUESTIONS
n nn n n
AND ANSWERS
n n n n
1. The nhome nhealth nnurse nsupervises nan nUAP nin nproviding nhome ncare nfor na nclient nwho nis
nawaiting na nliver ntransplant. nThe nUAP nreports nthat nthe nclient nis noften nangry. nWhich ninstruction
nshould nthe nnurse nemphasize nwith nthe nUAP? n- nCORRECT nANSWER n- n
n
-Provide nthe nclient nwith nchoices nabout npersonal ncare. n- nCORRECT nANSWER n- n
n
2. Two ndays nafter nreceiving na npathology nreport, na nmale nclient nrequests nto nspeak nwith
nsomeone nconcerning nend-of-life nissues. nWhile nassisting nthe nclient nwith nhis npalliative ncare nrequests,
nwhich naction nis nmost nimportant nfor nthe nnurse nto ntake? n- nCORRECT nANSWER n- n
n
-Document nthe nend-of-life nrequests. n- nCORRECT nANSWER n- n
n
3. A nclient nwho nis nat n36 nweeks ngestations nis nadmitted nwith nsevere npreclampsia. nAfter na n6
ngram nloading ndose nof nmagnesium nsulfate nis nadministered, nan nintravenous ninfusion nof nmagnesium
nsulfate nat na nrate nof n2 ngrams/hour nis ninitiated. nWhich nassessment nfinding nwarrants nimmediate
nintervention nby nthe nnurse? n- nCORRECT nANSWER n- n
n
-Urine noutput n20 nml/hour n- nCORRECT nANSWER n- n
n
4. The nmother nof na n1-year-old nbrings nher nchild nto nthe nclinic nbecause nof nsevere ndiarrhea.
nPhysical nexam nby nthe nnurse nreveals nthat nthe nchild nis nfebrile nand nhas na ndistended nand ntympanic
nabdomen. nWhich naction nshould nthe nnurse ntake nfirst? n- nCORRECT nANSWER n- n
n
-Collect na nstool nsample n- nCORRECT nANSWER n- n
n
5. A nclient nis nadmitted nfor ncellulitis nsurrounding nas ninsect nbite non nthe nlower, nright narm nand
nintravenous n(IV) nantibiotic ntherapy nis nprescribed. nWhich naction nshould nthe nnurse nimplement nbefore
nperforming nthe nvenipuncture? n- nCORRECT nANSWER n- n
n
-Lower nthe nleft narm nbelow nthe nlevel nof nthe nheart n- nCORRECT nANSWER n- n
, n
6. A nwoman nwho nis na ngravid n2, npara n1 nhas nbeen nin nlabor nfor n10 nhours, nwithout nan nepidural
nor nintravenous npain nmedication, nand nis nnow nexperiencing nintensifying ncontractions nthat nare
noccurring nevery n2 nminutes. nAssessment nby nthe nnurse ndetermines nthat nthe nclient's ncervix nis n100%
neffaced nand ndilated n8 ncm. nThe nclient nis nrequesting nintravenous nnalbuphine nhydrochloride. nWhich
naction nshould nthe nnurse nimplement? n- nCORRECT nANSWER n- n
n
-Reinforce nrelaxation ntechnique n- nCORRECT nANSWER n- n
n
7. The nhealthcare nprovider nprescribes nceftazidime n35 nmg nevery n8 nhours nIM nfor nan ninfant. nThe
n500 nmg nvial nis nlabeled nwith nthe ninstructions nto nad n5.3 nml ndiluent nto nprovide na nconcentration nof
n100 nmg/ml. nHow nmany nml nshould nthe nnurse nadminister nfor neach ndose? n- nCORRECT nANSWER n- n
n
-0.4 n(using nthe nformula, nD/H nx nQ n35/100x1=0.35=0.4 nml) n- nCORRECT nANSWER n- n
n
8. A nclient nis nreceiving nan nIV nsolution nof nnitroglycerin n100 nmg/500 nml nD5W nat n10
nmcg/minute. nThe nnurse nshould nprogram nthe ninfusion npump nto ndeliver nhow nmany nml/hour? n-
nCORRECT nANSWER n- n
n
-3 n(First nconvert nmcg/minute nto nmg/hour. n10 nmcg/minute nx n1000 nmcg/mg nx n60 nminutes n=0.6
nmg/hour nnext nuse nthe nformula, ndose nprescribed n(0.6 nmg/hour) n/ ndose navailable n(100 nmg) nx
nvolume navailable n(500 nml)=3 nml/hour) n- nCORRECT nANSWER n- n
n
9. In ncaring nfor na nclient nreceiving nthe namino nglycoside nantibiotic ngentamicin, nit nis nmost
nimportant nfor nthe nnurse nto nmonitor nwhich ndiagnostic ntest? n- nCORRECT nANSWER n- n
n
-Serum ncreatinine n- nCORRECT nANSWER n- n
n
10. A nyoung nadult nmale nis nadmitted nto nthe nemergency ndepartment nwith ndiabetic nketoacidosis
n(DKA). nHis npH nis n7.25, nHCO3 nis n12 nmEq/L nor n12 nmmol/L n(SI), nand nblood nglucose nis n310 nmg/dl nor
n17.2 nmmol/L n(SI). nWhich naction nshould nthe nnurse nimplement? n- nCORRECT nANSWER n- n
n
-Infuse nsodium nchloride n0.9% n(normal nsaline) n- nCORRECT nANSWER n- n
n
n nn n n
AND ANSWERS
n n n n
1. The nhome nhealth nnurse nsupervises nan nUAP nin nproviding nhome ncare nfor na nclient nwho nis
nawaiting na nliver ntransplant. nThe nUAP nreports nthat nthe nclient nis noften nangry. nWhich ninstruction
nshould nthe nnurse nemphasize nwith nthe nUAP? n- nCORRECT nANSWER n- n
n
-Provide nthe nclient nwith nchoices nabout npersonal ncare. n- nCORRECT nANSWER n- n
n
2. Two ndays nafter nreceiving na npathology nreport, na nmale nclient nrequests nto nspeak nwith
nsomeone nconcerning nend-of-life nissues. nWhile nassisting nthe nclient nwith nhis npalliative ncare nrequests,
nwhich naction nis nmost nimportant nfor nthe nnurse nto ntake? n- nCORRECT nANSWER n- n
n
-Document nthe nend-of-life nrequests. n- nCORRECT nANSWER n- n
n
3. A nclient nwho nis nat n36 nweeks ngestations nis nadmitted nwith nsevere npreclampsia. nAfter na n6
ngram nloading ndose nof nmagnesium nsulfate nis nadministered, nan nintravenous ninfusion nof nmagnesium
nsulfate nat na nrate nof n2 ngrams/hour nis ninitiated. nWhich nassessment nfinding nwarrants nimmediate
nintervention nby nthe nnurse? n- nCORRECT nANSWER n- n
n
-Urine noutput n20 nml/hour n- nCORRECT nANSWER n- n
n
4. The nmother nof na n1-year-old nbrings nher nchild nto nthe nclinic nbecause nof nsevere ndiarrhea.
nPhysical nexam nby nthe nnurse nreveals nthat nthe nchild nis nfebrile nand nhas na ndistended nand ntympanic
nabdomen. nWhich naction nshould nthe nnurse ntake nfirst? n- nCORRECT nANSWER n- n
n
-Collect na nstool nsample n- nCORRECT nANSWER n- n
n
5. A nclient nis nadmitted nfor ncellulitis nsurrounding nas ninsect nbite non nthe nlower, nright narm nand
nintravenous n(IV) nantibiotic ntherapy nis nprescribed. nWhich naction nshould nthe nnurse nimplement nbefore
nperforming nthe nvenipuncture? n- nCORRECT nANSWER n- n
n
-Lower nthe nleft narm nbelow nthe nlevel nof nthe nheart n- nCORRECT nANSWER n- n
, n
6. A nwoman nwho nis na ngravid n2, npara n1 nhas nbeen nin nlabor nfor n10 nhours, nwithout nan nepidural
nor nintravenous npain nmedication, nand nis nnow nexperiencing nintensifying ncontractions nthat nare
noccurring nevery n2 nminutes. nAssessment nby nthe nnurse ndetermines nthat nthe nclient's ncervix nis n100%
neffaced nand ndilated n8 ncm. nThe nclient nis nrequesting nintravenous nnalbuphine nhydrochloride. nWhich
naction nshould nthe nnurse nimplement? n- nCORRECT nANSWER n- n
n
-Reinforce nrelaxation ntechnique n- nCORRECT nANSWER n- n
n
7. The nhealthcare nprovider nprescribes nceftazidime n35 nmg nevery n8 nhours nIM nfor nan ninfant. nThe
n500 nmg nvial nis nlabeled nwith nthe ninstructions nto nad n5.3 nml ndiluent nto nprovide na nconcentration nof
n100 nmg/ml. nHow nmany nml nshould nthe nnurse nadminister nfor neach ndose? n- nCORRECT nANSWER n- n
n
-0.4 n(using nthe nformula, nD/H nx nQ n35/100x1=0.35=0.4 nml) n- nCORRECT nANSWER n- n
n
8. A nclient nis nreceiving nan nIV nsolution nof nnitroglycerin n100 nmg/500 nml nD5W nat n10
nmcg/minute. nThe nnurse nshould nprogram nthe ninfusion npump nto ndeliver nhow nmany nml/hour? n-
nCORRECT nANSWER n- n
n
-3 n(First nconvert nmcg/minute nto nmg/hour. n10 nmcg/minute nx n1000 nmcg/mg nx n60 nminutes n=0.6
nmg/hour nnext nuse nthe nformula, ndose nprescribed n(0.6 nmg/hour) n/ ndose navailable n(100 nmg) nx
nvolume navailable n(500 nml)=3 nml/hour) n- nCORRECT nANSWER n- n
n
9. In ncaring nfor na nclient nreceiving nthe namino nglycoside nantibiotic ngentamicin, nit nis nmost
nimportant nfor nthe nnurse nto nmonitor nwhich ndiagnostic ntest? n- nCORRECT nANSWER n- n
n
-Serum ncreatinine n- nCORRECT nANSWER n- n
n
10. A nyoung nadult nmale nis nadmitted nto nthe nemergency ndepartment nwith ndiabetic nketoacidosis
n(DKA). nHis npH nis n7.25, nHCO3 nis n12 nmEq/L nor n12 nmmol/L n(SI), nand nblood nglucose nis n310 nmg/dl nor
n17.2 nmmol/L n(SI). nWhich naction nshould nthe nnurse nimplement? n- nCORRECT nANSWER n- n
n
-Infuse nsodium nchloride n0.9% n(normal nsaline) n- nCORRECT nANSWER n- n
n
