1
HESI Exit Exams
HESI Exit Exams (Versions 7 & 8) Review –
Both Versions Contains 288 Questions and
Correct Answers (A review of Past Real
Exams) | 2 Versions of Real HESI Exit Exams
Review Test Bank
A client is being admitted to the medical unit from the emergency department after having a
chest tube inserted. What equipment should be brought to this client's room?
a. Crash cart.
b. Endotracheal tube.
c. Rubber-tipped clamps.
d. Partial rebreather oxygen mask.
C
, 2
HESI Exit Exams
(Rubber-tipped clamps should be kept at the client's bedside for assessment of possible
chest tube air leaks, with the prescription of the healthcare provider. A crash cart is used
during a respiratory or cardiac arrest, and does not need to be brought to the client's room as
a routine precaution. ET tubes are used to intubate a client and is not indicated for routine
care of the client with a chest tube. Rebreather O2 mask is indicated by the client's oxygen
saturation or arterial blood gases, and is not routinely placed in the room of a client with a
chest tube.)
A male client with a history of chronic back pain that was managed with opiate analgesics
calls the nurse after having back surgery. The client reports that the back pain is finally gone,
but after stopping the pain medication, the client has been having severe diarrhea and painful
muscle cramps. Which assessment information should the nurse obtain next?
a. Did the client receive a prescription for methadone or clonidine?
b. Is the client using a fentanyl patch after stopping the opiate analgesic?
c. Has the client taken any over-the-counter agents for these symptoms?
d. When did the symptoms begin after the last dose of opiate analgesic?
D
(Moderate to severe opiate withdrawal manifests with moderate to severe vomiting,
diarrhea, muscle cramps, and elevated blood pressures greater than 110 systolic or 70
diastolic. The onset of withdrawal for opiate analgesics typically coincides with the time of the
next habitual drug dose at 4-6 hours and may last as long as 7 to 14 days, so determining the
time of the last dose pinpoints the relationship of opiate dependency and withdrawal
symptoms. Methodone or fentanyl patches are treatment options prescribed for withdrawal
once further information is collected. OTC medications may be helpful information, but
questioning about last dose of opioids is more focused and helps to differentiate the
symptoms from a viral syndrome.)
The nurse is caring for a client who is one day postoperative after a left total knee arthroplasty
(TKA). Which intervention should the nurse include in the plan of care?
a. Progressive leg exercises to obtain 90-degree flexion.
, 3
HESI Exit Exams
b. Ambulation with full weight-bearing on first postop day.
c. Bed rest for three days with the left knee extended.
d. Immobilization of the left knee to prevent dislocation.
A
(Isometric quadriceps setting begins the first day after TKA surgery and progresses to
straight-leg raises, then gentle ROM to increase muscle strength until 90-degree knee flexion
is obtained. Bed rest and immobilization is contraindicated to prevent scar tissue, which limits
mobility. Active flexion exercises through the use of a continuous passive motion (CPM)
machine postoperatively promotes joint mobility. Postoperative exercise progresses to full
weight-bearing before discharge, but not the first postoperative day. Joint mobility is a
priority outcome, and dislocation is not typical with TKA.)
The nurse is giving discharge instructions to the parents of a newborn with a prescription for
home phototherapy. Which statement by a parent indicates understanding of the
phototherapy?
a. "I need to change the baby's position every four hours."
b. "I should leave the baby under the light all of the time."
c. "I will keep the baby's eyes covered when the baby is under the light."
d. "I should dress the baby in light clothing when the baby is under the light."
C
(Neonatal jaundice is related to subcutaneous deposition of fat-soluble (indirect) bilirubin,
which is converted to a water-soluble form when the skin is exposed to an ultraviolet light, so
the infant's eyes should be protected by closing the eyes and placing patches over them
before placing the baby under the phototherapy light source. The baby's position should be
changed about every two hours, not every 4, so that the light reaches all areas of the body to
promote conversion to a water-soluble form of bilirubin, which is excreted in the urine. The
infant can be removed from the light for feedings and diaper changes, but should receive
phototherapy exposure for 18 hours a day. The baby should be naked or dressed in only a
diaper to expose as much skin as possible to the light.)
, 4
HESI Exit Exams
A client who is one week postoperative after an aortic valve replacement suddenly develops
severe pain in the left leg. On assessment, the nurse determines that the client's leg is pale
and cool, and no pulses are palpable in the left leg. After notifying the healthcare provider,
which action should the nurse take?
a. Elevate the legs and medicate for pain.
b. Apply firm pressure to the femoral artery.
c. Keep the client in bed in the supine position.
d. Encourage the client to exercise the leg.
C
(A common postoperative complication after valve replacement is arterial occlusion from a
clot, which requires anticoagulant therapy to prevent further enlargement of the thrombus
and reduce the risk of embolization. Recently formed thrombi can also be effectively treated
with an intraarterial infusion of a thrombolytic agent, followed by bed rest and periodic
angiography to monitor the dissolution of the clot. All other choices are contraindicated due
to the risk of vascular occlusion and embolization.)
A male client who had abdominal surgery has a nasogastric tube to suction, oxygen per nasal
cannula, and complains of dry mouth. Which action should the nurse implement?
a. Put petroleum jelly on the lips and around the nasogastric tube.
b. Allow the client to drink water and record on the I and O record.
c. Offer the client ice chips and instruct client to spit out the water.
d. Apply a water soluble lubricant to the lips, oral mucosa and nares.
D
(To ease the client's discomfort, a water soluble lubricant to the lips and nares assists to keep
the mucous membranes moist. A petroleum-based product should not be used because it is
flammable. Oral intake of any kind should not be given to the client with a nasogastric tube to
suction because it can cause further distension and interfere with fluid and electrolyte
balance.)
HESI Exit Exams
HESI Exit Exams (Versions 7 & 8) Review –
Both Versions Contains 288 Questions and
Correct Answers (A review of Past Real
Exams) | 2 Versions of Real HESI Exit Exams
Review Test Bank
A client is being admitted to the medical unit from the emergency department after having a
chest tube inserted. What equipment should be brought to this client's room?
a. Crash cart.
b. Endotracheal tube.
c. Rubber-tipped clamps.
d. Partial rebreather oxygen mask.
C
, 2
HESI Exit Exams
(Rubber-tipped clamps should be kept at the client's bedside for assessment of possible
chest tube air leaks, with the prescription of the healthcare provider. A crash cart is used
during a respiratory or cardiac arrest, and does not need to be brought to the client's room as
a routine precaution. ET tubes are used to intubate a client and is not indicated for routine
care of the client with a chest tube. Rebreather O2 mask is indicated by the client's oxygen
saturation or arterial blood gases, and is not routinely placed in the room of a client with a
chest tube.)
A male client with a history of chronic back pain that was managed with opiate analgesics
calls the nurse after having back surgery. The client reports that the back pain is finally gone,
but after stopping the pain medication, the client has been having severe diarrhea and painful
muscle cramps. Which assessment information should the nurse obtain next?
a. Did the client receive a prescription for methadone or clonidine?
b. Is the client using a fentanyl patch after stopping the opiate analgesic?
c. Has the client taken any over-the-counter agents for these symptoms?
d. When did the symptoms begin after the last dose of opiate analgesic?
D
(Moderate to severe opiate withdrawal manifests with moderate to severe vomiting,
diarrhea, muscle cramps, and elevated blood pressures greater than 110 systolic or 70
diastolic. The onset of withdrawal for opiate analgesics typically coincides with the time of the
next habitual drug dose at 4-6 hours and may last as long as 7 to 14 days, so determining the
time of the last dose pinpoints the relationship of opiate dependency and withdrawal
symptoms. Methodone or fentanyl patches are treatment options prescribed for withdrawal
once further information is collected. OTC medications may be helpful information, but
questioning about last dose of opioids is more focused and helps to differentiate the
symptoms from a viral syndrome.)
The nurse is caring for a client who is one day postoperative after a left total knee arthroplasty
(TKA). Which intervention should the nurse include in the plan of care?
a. Progressive leg exercises to obtain 90-degree flexion.
, 3
HESI Exit Exams
b. Ambulation with full weight-bearing on first postop day.
c. Bed rest for three days with the left knee extended.
d. Immobilization of the left knee to prevent dislocation.
A
(Isometric quadriceps setting begins the first day after TKA surgery and progresses to
straight-leg raises, then gentle ROM to increase muscle strength until 90-degree knee flexion
is obtained. Bed rest and immobilization is contraindicated to prevent scar tissue, which limits
mobility. Active flexion exercises through the use of a continuous passive motion (CPM)
machine postoperatively promotes joint mobility. Postoperative exercise progresses to full
weight-bearing before discharge, but not the first postoperative day. Joint mobility is a
priority outcome, and dislocation is not typical with TKA.)
The nurse is giving discharge instructions to the parents of a newborn with a prescription for
home phototherapy. Which statement by a parent indicates understanding of the
phototherapy?
a. "I need to change the baby's position every four hours."
b. "I should leave the baby under the light all of the time."
c. "I will keep the baby's eyes covered when the baby is under the light."
d. "I should dress the baby in light clothing when the baby is under the light."
C
(Neonatal jaundice is related to subcutaneous deposition of fat-soluble (indirect) bilirubin,
which is converted to a water-soluble form when the skin is exposed to an ultraviolet light, so
the infant's eyes should be protected by closing the eyes and placing patches over them
before placing the baby under the phototherapy light source. The baby's position should be
changed about every two hours, not every 4, so that the light reaches all areas of the body to
promote conversion to a water-soluble form of bilirubin, which is excreted in the urine. The
infant can be removed from the light for feedings and diaper changes, but should receive
phototherapy exposure for 18 hours a day. The baby should be naked or dressed in only a
diaper to expose as much skin as possible to the light.)
, 4
HESI Exit Exams
A client who is one week postoperative after an aortic valve replacement suddenly develops
severe pain in the left leg. On assessment, the nurse determines that the client's leg is pale
and cool, and no pulses are palpable in the left leg. After notifying the healthcare provider,
which action should the nurse take?
a. Elevate the legs and medicate for pain.
b. Apply firm pressure to the femoral artery.
c. Keep the client in bed in the supine position.
d. Encourage the client to exercise the leg.
C
(A common postoperative complication after valve replacement is arterial occlusion from a
clot, which requires anticoagulant therapy to prevent further enlargement of the thrombus
and reduce the risk of embolization. Recently formed thrombi can also be effectively treated
with an intraarterial infusion of a thrombolytic agent, followed by bed rest and periodic
angiography to monitor the dissolution of the clot. All other choices are contraindicated due
to the risk of vascular occlusion and embolization.)
A male client who had abdominal surgery has a nasogastric tube to suction, oxygen per nasal
cannula, and complains of dry mouth. Which action should the nurse implement?
a. Put petroleum jelly on the lips and around the nasogastric tube.
b. Allow the client to drink water and record on the I and O record.
c. Offer the client ice chips and instruct client to spit out the water.
d. Apply a water soluble lubricant to the lips, oral mucosa and nares.
D
(To ease the client's discomfort, a water soluble lubricant to the lips and nares assists to keep
the mucous membranes moist. A petroleum-based product should not be used because it is
flammable. Oral intake of any kind should not be given to the client with a nasogastric tube to
suction because it can cause further distension and interfere with fluid and electrolyte
balance.)
