EXIT HESI Review 40 Questions and Answers PDF | Nursing Exam
Prep, NCLEX Practice & Study Guide 2026
A client with a tentative diagnosis of Cushing syndrome has an increased cortisol level.
What response should the nurse assess this client for?
A) Hypovolemia
B) Hyperkalemia
C) Hypoglycemia
D) Hypernatremia
D) Hypernatremia
- A client with Cushing syndrome secretes excess amounts of cortisol, a corticosteroid
that acts to retain sodium and water, resulting in hypernatremia and edema.
Hypervolemia, not hypovolemia, is caused by fluid retention. Hypokalemia, not
hyperkalemia, occurs because potassium is lost when there is sodium retention.
Hyperglycemia, not hypoglycemia, results from cortisol-induced glucose intolerance.
A client with a terminal illness reaches the stage of acceptance. How can the nurse best
help the client during this stage?
A) Accept the client's crying
B) Encourage unrestricted family visitors
C) Explain details of the care being given
D) Stay nearby without initiating conversation
D) Stay nearby without initiating conversation
A client with a third-degree uterine prolapse is scheduled for a vaginoplasty. What
should the nurse anticipate the surgeon will order?
A) Encourage ambulation
B) Elevate the foot of the bed
C) Apply moist compresses to the uterus
D) Support the prolapsed uterus with a sanitary pad
C) Apply moist compresses to the uterus
A client with cancer of the cervix has an intracavitary radioactive sealed implant in
place. What precaution should the nurse take to protect against excessive exposure to
radiation?
Prep, NCLEX Practice & Study Guide 2026
A client with a tentative diagnosis of Cushing syndrome has an increased cortisol level.
What response should the nurse assess this client for?
A) Hypovolemia
B) Hyperkalemia
C) Hypoglycemia
D) Hypernatremia
D) Hypernatremia
- A client with Cushing syndrome secretes excess amounts of cortisol, a corticosteroid
that acts to retain sodium and water, resulting in hypernatremia and edema.
Hypervolemia, not hypovolemia, is caused by fluid retention. Hypokalemia, not
hyperkalemia, occurs because potassium is lost when there is sodium retention.
Hyperglycemia, not hypoglycemia, results from cortisol-induced glucose intolerance.
A client with a terminal illness reaches the stage of acceptance. How can the nurse best
help the client during this stage?
A) Accept the client's crying
B) Encourage unrestricted family visitors
C) Explain details of the care being given
D) Stay nearby without initiating conversation
D) Stay nearby without initiating conversation
A client with a third-degree uterine prolapse is scheduled for a vaginoplasty. What
should the nurse anticipate the surgeon will order?
A) Encourage ambulation
B) Elevate the foot of the bed
C) Apply moist compresses to the uterus
D) Support the prolapsed uterus with a sanitary pad
C) Apply moist compresses to the uterus
A client with cancer of the cervix has an intracavitary radioactive sealed implant in
place. What precaution should the nurse take to protect against excessive exposure to
radiation?
