HESI EXIT VERSION 2 EXAM QUESTIONS
AND ANSWERS 100% CORRECT!
,A school-age client with diabetes is placed on an intermediate- acting insulin and
regular insulin before breakfast and before dinner. She will receive a snack of milk and
cereal at bedtime. What does the nurse tell the client the snack is intended to do? -
ANSWER Prevent late night hypoglycemia.
A well-known public official of a small community is admitted to the emergency
department following an episode of chest pain. Several nurses from the medical unit are
aware of the admission and access the official's electronic medical record to obtain a
status update. What is the best response for the nurse manager to make to the nurses
regarding this situation? - ANSWER "Assessing the official's medical record is a breach
of confidentiality."
- ANSWER Protect your child from infections because his resistance toinfection is
decreased
The nurse is caring for a client with influenza. The most effective way to decrease the
spread of microorganisms is: - ANSWER washing the hands frequently.
A client with a history of hypertension has been prescribed a new antihypertensive
medication and is reporting dizziness. Which is the best way for the nurse to assess
blood pressure? - ANSWER in the supine, sitting, and standing positions
A client has a soft wrist-safety device. Which assessment finding should the nurse
investigate further? - ANSWER cool, pale fingers
A nurse is caring for a female client before surgery. The client states that she is glad
that she will not be going through menopause as a result of her surgery and is only
having her uterus removed. The nurse reviews the consent form and notes that the
surgery is for a total abdominal hysterectomy with a salpingo-oophorectomy. What
should the nurse do in this situation? - ANSWER Contact the surgeon to explain that the
client needs further clarification regarding surgery.
A young client diagnosed with schizophrenia is talking with the nurse and says, "You
know, when I thought everyone was out to get me, I was staying in my apartment all the
time. Now, I would like to get out and do things again." What is the best initial response
by the nurse? - ANSWER • "What activities did you enjoy in the past?"
A client with anemia has been admitted to the medical-surgical unit.Which assessment
findings are characteristic of iron deficiency anemia? - ANSWER • dyspnea,
tachycardia, and pallor
, The nurse is discontinuing an intravenous catheter on a 10-year-old client with
hemophilia. What would be the most important intervention for this client? - ANSWER •
Apply firm pressure on the site for 5 minutes after removal.
When a client returns from the recovery room postmastectomy, an initial postoperative
assessment is performed by the nurse. What is the nurse's priority assessment? -
ANSWER • assessing the vital signs and oxygen saturation levels
A client with an uncomplicated term pregnancy arrives at the labor- and- delivery unit in
early labor saying that she thinks her water has broken. What is the nurse's best action?
- ANSWER • Ask what time this happened and note the color, amount, andodor of the
fluid.
When documenting the care of a client, the nurse is aware of the need to use
abbreviations conscientiously and safely. This includes - ANSWER limiting
abbreviations to those approved for use by the institution
During routine prenatal screening, a nurse tells a client that her blood sample will be
used for alpha fetoprotein (AFP) testing. Which statement best describes what AFP
testing indicates? - ANSWER "This test will screen for spina bifida, Down syndrome, or
other genetic defects."
A client is recovering from an infected abdominal wound. Which foods should the nurse
encourage the client to eat to support wound healing and recovery from the infection? -
ANSWER • chicken and orange slices
A nurse suspects that the laboring client may have been physically abused by her
partner. What is the most appropriate intervention by the nurse? - ANSWER •
Collaborate with the interprofessional team to make a referral to social services.
A client is newly diagnosed with asthma. While learning to use a metered dose inhaler
(MDI) for delivery of a short-term beta agonist, the client asks if a spacer is appropriate
to use with this device. What is the nurse's best response? - ANSWER • "Yes, a spacer
is recommended because it increases the amount of medication that is delivered to the
lungs."
The mother of an adolescent client who is diagnosed with oppositional defiant disorder
tells the nurse that she has read extensively on this disorder and does not believe the
diagnosis is correct for her daughter. Which response by the nurse is appropriate? -
AND ANSWERS 100% CORRECT!
,A school-age client with diabetes is placed on an intermediate- acting insulin and
regular insulin before breakfast and before dinner. She will receive a snack of milk and
cereal at bedtime. What does the nurse tell the client the snack is intended to do? -
ANSWER Prevent late night hypoglycemia.
A well-known public official of a small community is admitted to the emergency
department following an episode of chest pain. Several nurses from the medical unit are
aware of the admission and access the official's electronic medical record to obtain a
status update. What is the best response for the nurse manager to make to the nurses
regarding this situation? - ANSWER "Assessing the official's medical record is a breach
of confidentiality."
- ANSWER Protect your child from infections because his resistance toinfection is
decreased
The nurse is caring for a client with influenza. The most effective way to decrease the
spread of microorganisms is: - ANSWER washing the hands frequently.
A client with a history of hypertension has been prescribed a new antihypertensive
medication and is reporting dizziness. Which is the best way for the nurse to assess
blood pressure? - ANSWER in the supine, sitting, and standing positions
A client has a soft wrist-safety device. Which assessment finding should the nurse
investigate further? - ANSWER cool, pale fingers
A nurse is caring for a female client before surgery. The client states that she is glad
that she will not be going through menopause as a result of her surgery and is only
having her uterus removed. The nurse reviews the consent form and notes that the
surgery is for a total abdominal hysterectomy with a salpingo-oophorectomy. What
should the nurse do in this situation? - ANSWER Contact the surgeon to explain that the
client needs further clarification regarding surgery.
A young client diagnosed with schizophrenia is talking with the nurse and says, "You
know, when I thought everyone was out to get me, I was staying in my apartment all the
time. Now, I would like to get out and do things again." What is the best initial response
by the nurse? - ANSWER • "What activities did you enjoy in the past?"
A client with anemia has been admitted to the medical-surgical unit.Which assessment
findings are characteristic of iron deficiency anemia? - ANSWER • dyspnea,
tachycardia, and pallor
, The nurse is discontinuing an intravenous catheter on a 10-year-old client with
hemophilia. What would be the most important intervention for this client? - ANSWER •
Apply firm pressure on the site for 5 minutes after removal.
When a client returns from the recovery room postmastectomy, an initial postoperative
assessment is performed by the nurse. What is the nurse's priority assessment? -
ANSWER • assessing the vital signs and oxygen saturation levels
A client with an uncomplicated term pregnancy arrives at the labor- and- delivery unit in
early labor saying that she thinks her water has broken. What is the nurse's best action?
- ANSWER • Ask what time this happened and note the color, amount, andodor of the
fluid.
When documenting the care of a client, the nurse is aware of the need to use
abbreviations conscientiously and safely. This includes - ANSWER limiting
abbreviations to those approved for use by the institution
During routine prenatal screening, a nurse tells a client that her blood sample will be
used for alpha fetoprotein (AFP) testing. Which statement best describes what AFP
testing indicates? - ANSWER "This test will screen for spina bifida, Down syndrome, or
other genetic defects."
A client is recovering from an infected abdominal wound. Which foods should the nurse
encourage the client to eat to support wound healing and recovery from the infection? -
ANSWER • chicken and orange slices
A nurse suspects that the laboring client may have been physically abused by her
partner. What is the most appropriate intervention by the nurse? - ANSWER •
Collaborate with the interprofessional team to make a referral to social services.
A client is newly diagnosed with asthma. While learning to use a metered dose inhaler
(MDI) for delivery of a short-term beta agonist, the client asks if a spacer is appropriate
to use with this device. What is the nurse's best response? - ANSWER • "Yes, a spacer
is recommended because it increases the amount of medication that is delivered to the
lungs."
The mother of an adolescent client who is diagnosed with oppositional defiant disorder
tells the nurse that she has read extensively on this disorder and does not believe the
diagnosis is correct for her daughter. Which response by the nurse is appropriate? -
