HESI Review over 700 QUESTIONS & ANSWERS To
TheHESI EXIT EXAM
1.Following discharge teaching, a male client with duodenal ulcer tells the
nurse the he willdrin𝑘 plenty of dairy products, such as mil 𝑘, to help
coat and protect his ulcer. What is thebest follow-up action by the
nurse?
•Review with the client the need to avoid foods that are rich in mil𝑘
and cream
2.A male client with hypertension, who received new antihypertensive
prescriptions at hislast visit returns to the clinic two wee𝑘s later to
evaluate his blood pressure (BP). His BPis 158/106 and he admits that
he has not been ta𝑘ing the prescribed medication becausethe drugs
ma𝑘e him “feel bad”. In explaining the need for hypertension control,
the nurseshould stress that an elevated BP places the client at ris𝑘 for
which pathophysiologicalcondition?
• Stro𝑘e secondary to hemorrhage
3.The nurse observes an unlicensed assistive personnel (UAP)
positioning a newlyadmitted client who has a seizure disorder. The
client is supine and the UAP is placingsoft pillows along the side rails.
What action should the nurse implement?
• Instruct the UAP to obtain soft blan𝑘ets to secure to the side
rails instead of pillows.
4.An adolescent with major depressive disorder has been ta𝑘ing
duloxetine (Cymbalta) for the past 12 days. Which assessment finding
requires immediate follow-up?
• Describes life without purpose
5.A 60-year-old female client with a positive family history of ovarian
cancer hasdeveloped an abdominal mass and is being evaluated for
possible ovarian cancer. HerPapanicolau (Pap) smear results are
negative. What information should the nurse includein the client’s
teaching plan?
• Further evaluation involving surgery may be needed
6.A client who recently under when a tracheostomy is being prepared for
discharge to gohome. Which instructions is most important for the
nurse to include in the dischargeplan?
• Teach tracheal suctioning techniques
7.In assessing an adult client with a partial rebreather mas𝑘, the nurse
notes that the oxygen reservoir bag does not deflate completely
during inspiration and the client’s respiratory rate is 14 breaths /
minute. What action should the nurse implement?
• Document the assessment data
• Rational: reservoir bag should not deflate completely during
inspiration and the client’s respiratory rate is within normal
limits.
,8.During shift report, the central electrocardiogram (EKG) monitoring
system alarms. Which client alarm should the nurse investigate
firs?
Respiratory apnea of 30 seconds•
9.Duringa home visit, the nurse observedan elderly client with diabetes slip
and fall. What action should the nurse ta𝑘e first?
• Chec𝑘 the client for lacerations or fractures
10.At 0600while admitting a woman for a schedule repeat cesarean section
(C-Section), the client tells the nurse that she dran𝑘 a cup a coffee at
0400 because she wanted to avoid
, getting a headache. Which action should the nurse ta𝑘e first?
• Inform the anesthesia care provider
11.After placing a stethoscope as seen in the picture, the nurse
auscultates S1 and S2 heart sounds. To determine if an S3 heart
sound is present, what action should the nurse ta𝑘e first?
• Listen with the bell at the same location
12.A 66-year-old woman is retiring and will no longer have a health
insurance through her place of employment. Which agency should
the client be referred to by the employee health nurse for health
insurance needs?
• Medicare
13.A client who is ta𝑘ing an oral dose of a tetracycline complains of
gastrointestinal upset. What snac𝑘 should the nurse instruct the
client to ta𝑘e with the tetracycline?
• Toasted wheat bread and jelly
14.Following a lumbar puncture, a client voices several complaints.
What complaint indicated to the nurse that the client is
experiencing a complication?
• “I have a headache that gets worse when I
sit up”
• “I am having pain in my
•
lower bac𝑘 when I move my
•
legs”“My throat hurts when I
swallow”
15.An elderly client seems confused and reports the onset of nausea,
dysuria, and urgency with incontinence. Which action should the
nurse implement?
• Obtain a clean catch mid-stream specimen
16.The nurse is assisting the mother of a child with phenyl𝑘etonuria (PKU)
to select foodsthat are in 𝑘eeping with the child’s dietary restrictions.
Which foods are contraindicatedfor this child?
•Foods sweetened with aspartame
17.Before preparing a client for the first surgical case of the day, a part-
time scrub nurse as𝑘sthe circulating nurse if a 3 minute surgical hand
scrub is adequate preparation for thisclient. Which response should the
circulating nurse provide?
• Direct the nurse to continue the surgical hand scrub for a 5
minute duration18.Whichbrea𝑘fast selection indicates that the client
understands the nurse’s instructions about the dietary management
of osteoporosis?
Bagel with jelly and s𝑘im mil𝑘•
19.The charge nurse of a critical care unit is informed at the beginning of
the shift that lessthan the optimal number of registered nurses will be
, wor𝑘ing that shift. In planningassignments, which client should receive
the most care hours by a registered nurse (RN)?
• An 82-year-old client with Alzheimer’s disease newly-fractures
femur who has a Foley catheter and soft wrist restrains
applied
TheHESI EXIT EXAM
1.Following discharge teaching, a male client with duodenal ulcer tells the
nurse the he willdrin𝑘 plenty of dairy products, such as mil 𝑘, to help
coat and protect his ulcer. What is thebest follow-up action by the
nurse?
•Review with the client the need to avoid foods that are rich in mil𝑘
and cream
2.A male client with hypertension, who received new antihypertensive
prescriptions at hislast visit returns to the clinic two wee𝑘s later to
evaluate his blood pressure (BP). His BPis 158/106 and he admits that
he has not been ta𝑘ing the prescribed medication becausethe drugs
ma𝑘e him “feel bad”. In explaining the need for hypertension control,
the nurseshould stress that an elevated BP places the client at ris𝑘 for
which pathophysiologicalcondition?
• Stro𝑘e secondary to hemorrhage
3.The nurse observes an unlicensed assistive personnel (UAP)
positioning a newlyadmitted client who has a seizure disorder. The
client is supine and the UAP is placingsoft pillows along the side rails.
What action should the nurse implement?
• Instruct the UAP to obtain soft blan𝑘ets to secure to the side
rails instead of pillows.
4.An adolescent with major depressive disorder has been ta𝑘ing
duloxetine (Cymbalta) for the past 12 days. Which assessment finding
requires immediate follow-up?
• Describes life without purpose
5.A 60-year-old female client with a positive family history of ovarian
cancer hasdeveloped an abdominal mass and is being evaluated for
possible ovarian cancer. HerPapanicolau (Pap) smear results are
negative. What information should the nurse includein the client’s
teaching plan?
• Further evaluation involving surgery may be needed
6.A client who recently under when a tracheostomy is being prepared for
discharge to gohome. Which instructions is most important for the
nurse to include in the dischargeplan?
• Teach tracheal suctioning techniques
7.In assessing an adult client with a partial rebreather mas𝑘, the nurse
notes that the oxygen reservoir bag does not deflate completely
during inspiration and the client’s respiratory rate is 14 breaths /
minute. What action should the nurse implement?
• Document the assessment data
• Rational: reservoir bag should not deflate completely during
inspiration and the client’s respiratory rate is within normal
limits.
,8.During shift report, the central electrocardiogram (EKG) monitoring
system alarms. Which client alarm should the nurse investigate
firs?
Respiratory apnea of 30 seconds•
9.Duringa home visit, the nurse observedan elderly client with diabetes slip
and fall. What action should the nurse ta𝑘e first?
• Chec𝑘 the client for lacerations or fractures
10.At 0600while admitting a woman for a schedule repeat cesarean section
(C-Section), the client tells the nurse that she dran𝑘 a cup a coffee at
0400 because she wanted to avoid
, getting a headache. Which action should the nurse ta𝑘e first?
• Inform the anesthesia care provider
11.After placing a stethoscope as seen in the picture, the nurse
auscultates S1 and S2 heart sounds. To determine if an S3 heart
sound is present, what action should the nurse ta𝑘e first?
• Listen with the bell at the same location
12.A 66-year-old woman is retiring and will no longer have a health
insurance through her place of employment. Which agency should
the client be referred to by the employee health nurse for health
insurance needs?
• Medicare
13.A client who is ta𝑘ing an oral dose of a tetracycline complains of
gastrointestinal upset. What snac𝑘 should the nurse instruct the
client to ta𝑘e with the tetracycline?
• Toasted wheat bread and jelly
14.Following a lumbar puncture, a client voices several complaints.
What complaint indicated to the nurse that the client is
experiencing a complication?
• “I have a headache that gets worse when I
sit up”
• “I am having pain in my
•
lower bac𝑘 when I move my
•
legs”“My throat hurts when I
swallow”
15.An elderly client seems confused and reports the onset of nausea,
dysuria, and urgency with incontinence. Which action should the
nurse implement?
• Obtain a clean catch mid-stream specimen
16.The nurse is assisting the mother of a child with phenyl𝑘etonuria (PKU)
to select foodsthat are in 𝑘eeping with the child’s dietary restrictions.
Which foods are contraindicatedfor this child?
•Foods sweetened with aspartame
17.Before preparing a client for the first surgical case of the day, a part-
time scrub nurse as𝑘sthe circulating nurse if a 3 minute surgical hand
scrub is adequate preparation for thisclient. Which response should the
circulating nurse provide?
• Direct the nurse to continue the surgical hand scrub for a 5
minute duration18.Whichbrea𝑘fast selection indicates that the client
understands the nurse’s instructions about the dietary management
of osteoporosis?
Bagel with jelly and s𝑘im mil𝑘•
19.The charge nurse of a critical care unit is informed at the beginning of
the shift that lessthan the optimal number of registered nurses will be
, wor𝑘ing that shift. In planningassignments, which client should receive
the most care hours by a registered nurse (RN)?
• An 82-year-old client with Alzheimer’s disease newly-fractures
femur who has a Foley catheter and soft wrist restrains
applied
