EXAM QUESTIONS AND
VERIFIED ANSWERS |
100% CORRECT
2025/2026
Hesi Exit
MARCH 6, 2025
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,The nurse should recognize that physical dependence is accompanied by what
findings when alcohol consumption is first reduced or ended?
A) Seizures
B) Withdrawal
C) Craving
D) Marked tolerance -
☑️ B) Withdrawal
Immediately following an acute battering incident in a violent relationship,
the batterer may respond to the partner's injuries by A) Seeking medical help
for the victim's injuries
B) Minimizing the episode and underestimating the victim's injuries
C) Contacting a close friend and asking for help
D) Being very remorseful and assisting the victim with medical care -
☑️ B) Minimizing the episode and underestimating the victim's injuries
A client with pneumococcal pneumonia had been started on antibiotics 16 hours ago.During the
nurse's initial evening rounds the nurse notices a foul smell in the room. The client makes all of
these statements during their conversation. Which statement would alert the nurse to a
complication?
A) "I have a sharp pain in my chest when I take a breath.
"B) "I have been coughing up foul-tasting, brown, thick sputum.
" C) "I have been sweating all day.
"D) "I feel hot off and on." -
☑️ "B) "I have been coughing up foul-tasting, brown, thick sputum.
The nurse is performing an assessment on a client in congestive heart failure. Auscultation of the
heart is most likely to reveal
A) S3 ventricular gallop
B) Apical click
C) Systolic murmur
D) Split S2 -
☑️ A) S3 ventricular gallop
Which of these observations made by the nurse during an excretory urogram indicate a
complicaton?
A) The client complains of a salty taste in the mouth when the dye is injected
B) The client's entire body turns a bright red color
C) The client states "I have a feeling of getting warm."
D) The client gags and complains " I am getting sick." -
☑️ B) The client's entire body turns a bright red color
A client is diagnosed with a spontaneous pneumothorax necessitating the insertion of a chest tube.
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, What is the best explanation for the nurse to provide this client?
A) "The tube will drain fluid from your chest.
"B) "The tube will remove excess air from your chest."
C) "The tube controls the amount of air that enters your chest.
" D) "The tube will seal the hole in your lung." -
☑️ "B) "The tube will remove excess air from your chest."
The nurse is reviewing laboratory results on a client with acute renal failure. Which one of the
following should be reported immediately?
A) Blood urea nitrogen 50 mg/dl
B) Hemoglobin of 10.3 mg/dl
C) Venous blood pH 7.30
D) Serum potassium 6 mEq/L -
☑️ D) Serum potassium 6 mEq/L
The nurse is caring for a client undergoing the placement of a central venous catheter line. Which
of the following would require the nurse's immediate attention?
A) Pallor
B) Increased temperature
C) Dyspnea
D) Involuntary muscle spasms -
☑️ C) Dyspnea
The nurse is performing a physical assessment on a client who just had an endotracheal tube
inserted. Which finding would call for immediate action by the nurse?
A) Breath sounds can be heard bilaterally
B) Mist is visible in the T-Piece
C) Pulse oximetry of 88
D) Client is unable to speak - ☑️ C) Pulse oximetry of 88
A nurse checks a client who is on a volume-cycled ventilator. Which finding indicates that the client
may need suctioning?A) Drowsiness
B) Complaint of nausea
C) Pulse rate of 92
D) Restlessness -
☑️ D) Restlessness
During the evaluation phase for a client, the nurse should focus on
A) All finding of physical and psychosocial stressors of the client and in the family
B) The client's status, progress toward goal achievement, and ongoing re-evaluation
C) Setting short and long-term goals to insure continuity of care from hospital to home
D) Select interventions that are measurable and achievable within selected timeframes -
☑️ B) The client's status, progress toward goal achievement, and ongoing re-evaluation
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