1|Page
EXIT HESI REVIEW TEST BANK WITH 500 Questions
and Correct Verified Answers with Rationales/ HESI
Exit Exam Practice Test Bank/ Hesi Exit Prep Test
Bank
After a teaching session, the nurse evaluates the client's
understanding of hypoparathyroidism. Which statement
made by the client indicates the need for further
education?
A) "I should eat an orange a day."
B) "I should include yogurt in my diet."
C) "I should perform mild exercises daily."
D) "I should sit outside in the sun." - ...✔✔ANSWER✔✔...B)
"I should include yogurt in my diet."
- Further education is needed for the client. Clients with
hypoparathyroidism have hypocalcemia. In order to
replenish the calcium levels of the body, the client should
consume foods that are rich in calcium. However, foods
rich in phosphorus such as yogurt, processed cheese, and
milk should be avoided. All the other comments are
correct and require no further education by the nurse.
Oranges are good source of vitamin C and fibers. They
help to improve healing and remove wastes from the
body. Exercising is good for overall health. Sitting in the
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sun allows exposure of the client to sunlight, which is a
natural source of vitamin D. Vitamin D helps in the
absorption of calcium from the gastrointestinal tract.
A nurse is teaching a client with diabetes about the
treatment of hypoglycemia. The nurse knows that
teaching was effective if the client picks which foods to
treat a hypoglycemic attack?
A) Fruit juice and a lollipop.
B) Sugar and a slice of bread.
C) Chocolate candy and a banana.
D) Peanut butter crackers and a glass of milk. -
...✔✔ANSWER✔✔...B) Sugar and a slice of bread.
- The suggested treatment of hypoglycemia in a
conscious client is a simple sugar (such as two packets
of sugar), followed by a complex carbohydrate (such as a
slice of bread), and finally a protein (such as milk); the
simple sugar elevates the blood glucose level rapidly; the
complex carbohydrates and protein produce a more
sustained response. Fruit juice and a lollipop are fast-
acting sugars, and neither of them will provide a
sustained response. The fat content of chocolate candy
decreases the rate of absorption of glucose. Neither
peanut butter crackers nor a glass of milk is a fast-acting
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sugar; peanut butter crackers and milk can be used to
maintain the glucose level after it is raised.
A client with type 2 diabetes, who is taking an oral
hypoglycemic agent, is to have a serum glucose test early
in the morning. The client asks the nurse, "What do I have
to do to prepare for this test?" Which statement by the
nurse reflects accurate information?
A) "Eat your usual breakfast."
B) "Have clear liquids for breakfast."
C) "Take your medication before the test."
D) "Do not ingest anything before the test." -
...✔✔ANSWER✔✔...D) "Do not ingest anything before the
test."
- Fasting before the test is indicated for accurate and
reliable results; food before the test will increase serum
glucose levels through metabolism of the nutrients. Food
should not be ingested before the test; food will increase
the serum glucose level, negating accuracy of the test.
Instructing the client to have clear liquids for breakfast is
inappropriate; some clear fluids contain simple
carbohydrates, which will increase the serum glucose
level. Medications are withheld before the test because of
their influence on the serum glucose level.
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What are the cardiovascular manifestations observed in a
client with adrenal insufficiency?
A) Fatigue
B) Salt craving
C) Weight loss
D) Hyponatremia - ...✔✔ANSWER✔✔...D) Hyponatremia
- Hyponatremia is a decrease in serum sodium levels,
which is the cardiovascular manifestation of adrenal
insufficiency. Fatigue is a neuromuscular manifestation
observed in clients with adrenal insufficiency, while salt
cravings and weight loss are the abdominal
manifestations observed in clients with adrenal
insufficiency.
A nurse is assessing a client with hypothyroidism. Which
clinical manifestations should the nurse expect the client
to exhibit? Select all that apply.
A) Cool skin
B) Photophobia
C) Constipation
D) Periorbital edema
E) Decreased appetite - ...✔✔ANSWER✔✔...A) Cool skin
C) Constipation
EXIT HESI REVIEW TEST BANK WITH 500 Questions
and Correct Verified Answers with Rationales/ HESI
Exit Exam Practice Test Bank/ Hesi Exit Prep Test
Bank
After a teaching session, the nurse evaluates the client's
understanding of hypoparathyroidism. Which statement
made by the client indicates the need for further
education?
A) "I should eat an orange a day."
B) "I should include yogurt in my diet."
C) "I should perform mild exercises daily."
D) "I should sit outside in the sun." - ...✔✔ANSWER✔✔...B)
"I should include yogurt in my diet."
- Further education is needed for the client. Clients with
hypoparathyroidism have hypocalcemia. In order to
replenish the calcium levels of the body, the client should
consume foods that are rich in calcium. However, foods
rich in phosphorus such as yogurt, processed cheese, and
milk should be avoided. All the other comments are
correct and require no further education by the nurse.
Oranges are good source of vitamin C and fibers. They
help to improve healing and remove wastes from the
body. Exercising is good for overall health. Sitting in the
,2|Page
sun allows exposure of the client to sunlight, which is a
natural source of vitamin D. Vitamin D helps in the
absorption of calcium from the gastrointestinal tract.
A nurse is teaching a client with diabetes about the
treatment of hypoglycemia. The nurse knows that
teaching was effective if the client picks which foods to
treat a hypoglycemic attack?
A) Fruit juice and a lollipop.
B) Sugar and a slice of bread.
C) Chocolate candy and a banana.
D) Peanut butter crackers and a glass of milk. -
...✔✔ANSWER✔✔...B) Sugar and a slice of bread.
- The suggested treatment of hypoglycemia in a
conscious client is a simple sugar (such as two packets
of sugar), followed by a complex carbohydrate (such as a
slice of bread), and finally a protein (such as milk); the
simple sugar elevates the blood glucose level rapidly; the
complex carbohydrates and protein produce a more
sustained response. Fruit juice and a lollipop are fast-
acting sugars, and neither of them will provide a
sustained response. The fat content of chocolate candy
decreases the rate of absorption of glucose. Neither
peanut butter crackers nor a glass of milk is a fast-acting
,3|Page
sugar; peanut butter crackers and milk can be used to
maintain the glucose level after it is raised.
A client with type 2 diabetes, who is taking an oral
hypoglycemic agent, is to have a serum glucose test early
in the morning. The client asks the nurse, "What do I have
to do to prepare for this test?" Which statement by the
nurse reflects accurate information?
A) "Eat your usual breakfast."
B) "Have clear liquids for breakfast."
C) "Take your medication before the test."
D) "Do not ingest anything before the test." -
...✔✔ANSWER✔✔...D) "Do not ingest anything before the
test."
- Fasting before the test is indicated for accurate and
reliable results; food before the test will increase serum
glucose levels through metabolism of the nutrients. Food
should not be ingested before the test; food will increase
the serum glucose level, negating accuracy of the test.
Instructing the client to have clear liquids for breakfast is
inappropriate; some clear fluids contain simple
carbohydrates, which will increase the serum glucose
level. Medications are withheld before the test because of
their influence on the serum glucose level.
, 4|Page
What are the cardiovascular manifestations observed in a
client with adrenal insufficiency?
A) Fatigue
B) Salt craving
C) Weight loss
D) Hyponatremia - ...✔✔ANSWER✔✔...D) Hyponatremia
- Hyponatremia is a decrease in serum sodium levels,
which is the cardiovascular manifestation of adrenal
insufficiency. Fatigue is a neuromuscular manifestation
observed in clients with adrenal insufficiency, while salt
cravings and weight loss are the abdominal
manifestations observed in clients with adrenal
insufficiency.
A nurse is assessing a client with hypothyroidism. Which
clinical manifestations should the nurse expect the client
to exhibit? Select all that apply.
A) Cool skin
B) Photophobia
C) Constipation
D) Periorbital edema
E) Decreased appetite - ...✔✔ANSWER✔✔...A) Cool skin
C) Constipation
