1
HESI Exit Exams
3 Versions of Real HESI Exit Exams Review
Test Bank / HESI Exit Exams (Versions 1, 2 &
3) Review – Each Version Contains 160
Questions and Correct Answers (A review
of Past Real Exams
When performing sterile wound care in the acute care setting, the nurse obtains a bottle of
normal saline from the bedside table that is labeled "opened" and dated 48 hours prior to the
current date. Which is the best action for the nurse to take?
A.
Use the normal saline solution once more and then discard.
, 2
HESI Exit Exams
B.
Obtain a new sterile syringe to draw up the labeled saline solution.
C.
Use the saline solution and then relabel the bottle with the current date.
D.
Discard the saline solution and obtain a new unopened bottle. –
Correct Answer :D
Rationale:
Solutions labeled as opened within 24 hours may be used for clean procedures, but only
newly opened solutions are considered sterile. This solution is not newly opened and is out of
date, so it should be discarded. Options A, B, and C describe incorrect procedures.
Which action should the nurse implement when providing wound care instructions to a client
who does not speak English?
A.
Ask an interpreter to provide wound care instructions.
B.
Speak directly to the client, with an interpreter translating.
C.
Request the accompanying family member to translate.
D.
Instruct a bilingual employee to read the instructions. –
Correct Answer :B
Rationale:
, 3
HESI Exit Exams
Wound care instructions should be given directly to the client by the nurse with an interpreter
who is trained to provide accurate and objective translation in the client's primary language so
that the client has the opportunity to ask questions during the teaching process. The
interpreter usually does not have any health care experience, so the nurse must provide client
teaching. Family members should not be used to translate instructions because the client or
family member may alter the instructions during conversation or be uncomfortable with the
topics discussed. The employee should be a trained interpreter to ensure that the nurse's
instructions are understood accurately by the client.
A 75-year-old client states to the nurse, "I am just not hungry anymore." The client has lost 10
pounds/4.53 kg in the past 4 months. Which snacks will the nurse recommend to the client?
(Select all that apply.)
A.
Nuts
B.
Milkshakes
C.
Chocolate candy bar
D.
Peanut butter and crackers
E.
Glass of whole fat milk –
Correct Answer :A, B, D, E
Rationale:
The nurse must recommend high calorie/high nutrition foods for this client who is
unintentionally losing weight. The candy bar is high calorie, but empty in nutritional value. The
remaining selections are high calorie/high nutrition.
A client in a long-term care facility reports to the nurse, "I have not had a bowel movement in
2 days." What is the nurse's first action?
, 4
HESI Exit Exams
A.
Instruct the caregiver to offer a glass of warm prune juice at mealtimes.
B.
Notify the health care provider and request a prescription for a large-volume enema.
C.
Assess the client's medical record to determine the client's normal bowel pattern.
D.
Instruct the caregiver to increase the client's fluids to five 8-ounce glasses per day. –
Correct Answer :C
Rationale:
This client may not routinely have a daily bowel movement, so the nurse should first assess
this client's normal bowel habits before attempting any intervention. Options A, B, or D may
then be implemented, if warranted.
The postoperative client states to the nurse, "When I had surgery last year I got constipated.
It was miserable. What can I do to avoid constipation after this surgery this time?" (Select all
that apply.)
A.
"Drink approximately 3000 mL of non-caffeinated fluid per day."
B.
"I will make sure that you get out of bed an walk for 10 minutes, six times per day."
C.
"I will administer your pain medication even if you do not have any pain."
D.
"I will ask your healthcare provider for a prescription of docusate."
E.
"When you are on a regular diet, make sure you order plenty of fruits and vegetables."
HESI Exit Exams
3 Versions of Real HESI Exit Exams Review
Test Bank / HESI Exit Exams (Versions 1, 2 &
3) Review – Each Version Contains 160
Questions and Correct Answers (A review
of Past Real Exams
When performing sterile wound care in the acute care setting, the nurse obtains a bottle of
normal saline from the bedside table that is labeled "opened" and dated 48 hours prior to the
current date. Which is the best action for the nurse to take?
A.
Use the normal saline solution once more and then discard.
, 2
HESI Exit Exams
B.
Obtain a new sterile syringe to draw up the labeled saline solution.
C.
Use the saline solution and then relabel the bottle with the current date.
D.
Discard the saline solution and obtain a new unopened bottle. –
Correct Answer :D
Rationale:
Solutions labeled as opened within 24 hours may be used for clean procedures, but only
newly opened solutions are considered sterile. This solution is not newly opened and is out of
date, so it should be discarded. Options A, B, and C describe incorrect procedures.
Which action should the nurse implement when providing wound care instructions to a client
who does not speak English?
A.
Ask an interpreter to provide wound care instructions.
B.
Speak directly to the client, with an interpreter translating.
C.
Request the accompanying family member to translate.
D.
Instruct a bilingual employee to read the instructions. –
Correct Answer :B
Rationale:
, 3
HESI Exit Exams
Wound care instructions should be given directly to the client by the nurse with an interpreter
who is trained to provide accurate and objective translation in the client's primary language so
that the client has the opportunity to ask questions during the teaching process. The
interpreter usually does not have any health care experience, so the nurse must provide client
teaching. Family members should not be used to translate instructions because the client or
family member may alter the instructions during conversation or be uncomfortable with the
topics discussed. The employee should be a trained interpreter to ensure that the nurse's
instructions are understood accurately by the client.
A 75-year-old client states to the nurse, "I am just not hungry anymore." The client has lost 10
pounds/4.53 kg in the past 4 months. Which snacks will the nurse recommend to the client?
(Select all that apply.)
A.
Nuts
B.
Milkshakes
C.
Chocolate candy bar
D.
Peanut butter and crackers
E.
Glass of whole fat milk –
Correct Answer :A, B, D, E
Rationale:
The nurse must recommend high calorie/high nutrition foods for this client who is
unintentionally losing weight. The candy bar is high calorie, but empty in nutritional value. The
remaining selections are high calorie/high nutrition.
A client in a long-term care facility reports to the nurse, "I have not had a bowel movement in
2 days." What is the nurse's first action?
, 4
HESI Exit Exams
A.
Instruct the caregiver to offer a glass of warm prune juice at mealtimes.
B.
Notify the health care provider and request a prescription for a large-volume enema.
C.
Assess the client's medical record to determine the client's normal bowel pattern.
D.
Instruct the caregiver to increase the client's fluids to five 8-ounce glasses per day. –
Correct Answer :C
Rationale:
This client may not routinely have a daily bowel movement, so the nurse should first assess
this client's normal bowel habits before attempting any intervention. Options A, B, or D may
then be implemented, if warranted.
The postoperative client states to the nurse, "When I had surgery last year I got constipated.
It was miserable. What can I do to avoid constipation after this surgery this time?" (Select all
that apply.)
A.
"Drink approximately 3000 mL of non-caffeinated fluid per day."
B.
"I will make sure that you get out of bed an walk for 10 minutes, six times per day."
C.
"I will administer your pain medication even if you do not have any pain."
D.
"I will ask your healthcare provider for a prescription of docusate."
E.
"When you are on a regular diet, make sure you order plenty of fruits and vegetables."
