EXIT HESI - Comprehensive Exam A
Practice Questions
A 2-day postpartum mother who is breastfeeding asks, "Why do I experience this tingling in my
breasts after the baby sucks for a few minutes?" Which statistics must the nurse provide?
A.This feeling happens at some stage in feeding with a breast infection.
B.This sensation takes place as breast milk movements to the nipple.
C.The infant does no longer have proper latch-on.
D.The toddler isn't located efficiently. - ANS-B
When the mother's milk is available in, generally 2 to three days after transport, women
regularly document they sense a tingling sensation of their nipples (B) when let-down happens.
(A, C, and D) offer misguided facts.
A forty-year-old office worker who is at 36 weeks' gestation presents to the occupational fitness
health center complaining of a pounding headache, blurry vision, and swollen ankles. Which
intervention should the nurse enforce first?
A.Check the client's blood strain.
B.Teach her to elevate her feet while sitting.
C.Obtain a 24-hour diet history to evaluate for the consumption of salty meals.
D.Assess the fetal heart rate. - ANS-A
The blood strain (A) have to be assessed first. Preeclampsia is a multisystem sickness, and girls
older than 35 years and feature chronic hypertension are at improved hazard. Classic signs and
symptoms consist of headache, visible modifications, edema, recent fast weight gain, and
increased blood stress. (B, C, and D) may be done if the blood strain is everyday.
A 50-yr-vintage guy arrives on the health center with proceedings of pain on ejaculation. Which
motion need to the nurse put in force?
A.Teach the purchaser testicular self-examination (TSE).
B.Assess for the presence of blood in the urine.
C.Ask about scrotal ache or blood within the semen.
D.Inquire about a history of kidney stones. - ANS-C
Orchitis is an acute testicular infection as a result of recurrent urinary tract infection, recurrent
sexually transmitted disorder (STD), or an indwelling urethral urinary catheter inflicting pain on
ejaculation, scrotal pain, blood inside the semen, and penile discharge, so the nurse ought to
determine the presence of different symptoms (C). Although all guys should exercise TSE, the
client's signs and symptoms are suggestive of an inflammatory syndrome in place of testicular
,cancer (A). Although hematuria (B) is related to renal disease or calculi (D), the consumer's
ache is associated with ejaculate, now not urine.
A seventy seven-12 months-antique female client states that she has by no means been so
massive across the waist and that she has common periods of constipation. Colon disease has
been dominated out with a flexible sigmoidoscopy. Which facts should the nurse provide to this
purchaser?
A.As ladies age, they regularly end up rounder in the center due to the fact they do now not
exercising nicely.
B.Further evaluation is indicated because loss of abdominal muscle tone and constipation do
now not arise with ageing.
C.With age, extra fatty tissue develops within the stomach and reduced intestinal motion can
purpose constipation.
D.Because there's no proof of a diseased colon, there is no need to fear approximately
stomach size - ANS-C
With growing older, the belly muscular tissues weaken as fatty tissue is deposited around the
trunk and waist. Slowing peristalsis also influences the emptying of the colon, resulting in
constipation (C). (A) isn't always the primary reason for the changes in frame structure. (B) isn't
indicated because lack of muscle tone and constipation are age-associated changes. (D)
dismisses the patron's issues and does now not help her understand the changes that she is
experiencing.
A baby is having a generalized tonic-clonic seizure. Which movement should the nurse take?
A.Move gadgets out of the child's immediately area.
B.Quickly slip smooth restraints on the child's wrists.
C.Insert a padded tongue blade among the tooth.
D.Place inside the healing position earlier than going for assist. - ANS-A
The first precedence in the course of a seizure is to provide a secure surroundings, so the nurse
ought to clear the location (A) to lessen the threat of trauma. The toddler have to no longer be
constrained (B) because this could reason extra trauma. Objects have to now not be placed
inside the baby's mouth (C) due to the fact it is able to pose a choking chance. Although (D)
ought to be implemented after the seizure, the nurse ought to not go away the child all through a
seizure to get assist.
A child with nephrotic syndrome is receiving prednisone (Deltasone). Which desire of breakfast
foods at a fast meals restaurant suggests that the mom is familiar with the dietary guidelines
important for her child?
A.French toast sticks and orange juice
B.Sausage egg muffin and grape juice
C.Canadian bacon slices and hot chocolate
D.Toasted oat cereal and low-fats milk - ANS-D
,A infant receiving a corticosteroid for nephrotic syndrome ought to follow a low-sodium, low-fats,
and coffee-sugar food plan. Based on those guidelines, the pleasant breakfast preference is (D).
(A) is high in fat and sugar. (B and C) are excessive in fats and sodium.
A patron has been on a mechanical ventilator for several days. What ought to the nurse use to
report and report this client's respirations?
A.The respiratory settings at the ventilator
B.Only the client's spontaneous respirations
C.The ventilator-assisted respirations minus the purchaser's independent breaths
D.The ventilator setting for respiratory rate and the purchaser-initiated respirations - ANS-D
The nurse should count number the client's respirations, and file both the respiration rate set via
the ventilator and the purchaser's independent breathing price (D). Never depend strictly on (A).
Although the patron's spontaneous breaths will be shallow and gadget-assisted breaths can be
deep, it is crucial to file system-assisted breaths in addition to the patron's spontaneous breaths
to get an average respiration picture of the purchaser (B and C).
A consumer has been receiving levofloxacin (Levaquin), 500 mg IV piggyback q24h for 7 days.
The UAP reports to the nurse that the consumer has had 3 loose foul-smelling stools this
morning. Which intervention is maximum vital for the nurse to put into effect?
A.Perform a digital assessment for fecal impaction.
B.Administer a PRN dose of psyllium (Metamucil).
C.Obtain a stool specimen for way of life and sensitivity.
D.Instruct the UAP to acquire incontinent pads for the purchaser. - ANS-C
Long-time period use of levofloxacin (Levaquin) can motive foul-smelling diarrhea due to
Clostridium difficile infection or related colitis, so it's miles most important to acquire a stool
specimen (C). Impaction is not going, so (A) is of much less precedence and may not be
necessary. (B) is a bulk-forming agent that may be used for constipation or diarrhea. Treatment
of the diarrhea and consumer consolation (D) are vital interventions however of less priority than
determining the cause of the purchaser's diarrhea.
A purchaser hospitalized for meningitis is demonstrating nuchal stress. Which symptom is that
this purchaser likely to be displaying?
A.Hyperexcitability of reflexes
B.Hyperextension of the top and returned
C.Inability to flex the chin to the chest
D.Lateral facial paralysis - ANS-C
Nuchal stress (neck stiffness) is a function of meningeal irritation and is elicited by attempting to
flex the neck and vicinity the chin to the chest (C). Although (A, B, and D) may also occur in
meningitis, (A) describes exaggerated spinal nerve reflex responses, (B) describes
opisthotonus, and (D) can be related to cranial nerve pathology of the trigeminal nerve.
, A consumer is admitted to the mental health unit with a primary complaint of crying, depressed
temper, and dozing problems. While speakme approximately the dying of a friend, the customer
states, "I cannot accept as true with this came about." Which assertion by using the nurse is
most therapeutic?
A."It appears like you are feeling very unhappy."
B."Tell me greater approximately how you feel."
C."How often do you have got crying spells?"
D."Do you need to talk approximately these emotions?" - ANS-B
It is maximum healing to invite an open-ended query and inspire the patron to explore his or her
feelings (B). (A) is a leading reaction, and the client may not be feeling unhappy. (C and D) are
near-ended questions that do not facilitate communique.
A consumer reviews experiencing dysuria and urinary frequency. Which consumer coaching
should the nurse provide?
A.Save the next urine sample.
B.Restrict oral fluid consumption.
C.Strain all voided urine.
D.Reduce bodily pastime. - ANS-A
The nurse should coach the purchaser to store the next urine pattern (A) for observation of its
look and for feasible urinalysis. The customer is reporting symptoms that could suggest the
onset of a urinary tract contamination. Increased fluid intake ought to be advocated, unless
contraindicated (B). (C) is handiest vital if a calculus (stone) is suspected. (D) isn't always
indicated by way of this consumer's symptoms.
A purchaser tells the nurse that he's tormented by insomnia. Which statistics is maximum
important for the nurse to obtain?
A.The purchaser's normal snoozing sample
B.Whether the client smokes
C.How a good deal liquid the client consumes before bedtime
D.The amount of caffeine that the consumer consumes throughout the day - ANS-A
The first thing to determine is the purchaser's standard sleeping pattern and the way it has
changed to turn out to be what the client describes as insomnia (A). (B, C, and D) provide extra
records after (A) is ascertained.
A purchaser who is admitted with emphysema is having trouble breathing. In which function
need to the nurse vicinity the purchaser?
A.High Fowler's position without a pillow at the back of the pinnacle
B.Semi-Fowler's position with a unmarried pillow in the back of the pinnacle
C.Right facet-mendacity role with the head of the mattress expanded forty five degrees
D.Sitting upright and ahead with both hands supported on an over the bed desk - ANS-D
Practice Questions
A 2-day postpartum mother who is breastfeeding asks, "Why do I experience this tingling in my
breasts after the baby sucks for a few minutes?" Which statistics must the nurse provide?
A.This feeling happens at some stage in feeding with a breast infection.
B.This sensation takes place as breast milk movements to the nipple.
C.The infant does no longer have proper latch-on.
D.The toddler isn't located efficiently. - ANS-B
When the mother's milk is available in, generally 2 to three days after transport, women
regularly document they sense a tingling sensation of their nipples (B) when let-down happens.
(A, C, and D) offer misguided facts.
A forty-year-old office worker who is at 36 weeks' gestation presents to the occupational fitness
health center complaining of a pounding headache, blurry vision, and swollen ankles. Which
intervention should the nurse enforce first?
A.Check the client's blood strain.
B.Teach her to elevate her feet while sitting.
C.Obtain a 24-hour diet history to evaluate for the consumption of salty meals.
D.Assess the fetal heart rate. - ANS-A
The blood strain (A) have to be assessed first. Preeclampsia is a multisystem sickness, and girls
older than 35 years and feature chronic hypertension are at improved hazard. Classic signs and
symptoms consist of headache, visible modifications, edema, recent fast weight gain, and
increased blood stress. (B, C, and D) may be done if the blood strain is everyday.
A 50-yr-vintage guy arrives on the health center with proceedings of pain on ejaculation. Which
motion need to the nurse put in force?
A.Teach the purchaser testicular self-examination (TSE).
B.Assess for the presence of blood in the urine.
C.Ask about scrotal ache or blood within the semen.
D.Inquire about a history of kidney stones. - ANS-C
Orchitis is an acute testicular infection as a result of recurrent urinary tract infection, recurrent
sexually transmitted disorder (STD), or an indwelling urethral urinary catheter inflicting pain on
ejaculation, scrotal pain, blood inside the semen, and penile discharge, so the nurse ought to
determine the presence of different symptoms (C). Although all guys should exercise TSE, the
client's signs and symptoms are suggestive of an inflammatory syndrome in place of testicular
,cancer (A). Although hematuria (B) is related to renal disease or calculi (D), the consumer's
ache is associated with ejaculate, now not urine.
A seventy seven-12 months-antique female client states that she has by no means been so
massive across the waist and that she has common periods of constipation. Colon disease has
been dominated out with a flexible sigmoidoscopy. Which facts should the nurse provide to this
purchaser?
A.As ladies age, they regularly end up rounder in the center due to the fact they do now not
exercising nicely.
B.Further evaluation is indicated because loss of abdominal muscle tone and constipation do
now not arise with ageing.
C.With age, extra fatty tissue develops within the stomach and reduced intestinal motion can
purpose constipation.
D.Because there's no proof of a diseased colon, there is no need to fear approximately
stomach size - ANS-C
With growing older, the belly muscular tissues weaken as fatty tissue is deposited around the
trunk and waist. Slowing peristalsis also influences the emptying of the colon, resulting in
constipation (C). (A) isn't always the primary reason for the changes in frame structure. (B) isn't
indicated because lack of muscle tone and constipation are age-associated changes. (D)
dismisses the patron's issues and does now not help her understand the changes that she is
experiencing.
A baby is having a generalized tonic-clonic seizure. Which movement should the nurse take?
A.Move gadgets out of the child's immediately area.
B.Quickly slip smooth restraints on the child's wrists.
C.Insert a padded tongue blade among the tooth.
D.Place inside the healing position earlier than going for assist. - ANS-A
The first precedence in the course of a seizure is to provide a secure surroundings, so the nurse
ought to clear the location (A) to lessen the threat of trauma. The toddler have to no longer be
constrained (B) because this could reason extra trauma. Objects have to now not be placed
inside the baby's mouth (C) due to the fact it is able to pose a choking chance. Although (D)
ought to be implemented after the seizure, the nurse ought to not go away the child all through a
seizure to get assist.
A child with nephrotic syndrome is receiving prednisone (Deltasone). Which desire of breakfast
foods at a fast meals restaurant suggests that the mom is familiar with the dietary guidelines
important for her child?
A.French toast sticks and orange juice
B.Sausage egg muffin and grape juice
C.Canadian bacon slices and hot chocolate
D.Toasted oat cereal and low-fats milk - ANS-D
,A infant receiving a corticosteroid for nephrotic syndrome ought to follow a low-sodium, low-fats,
and coffee-sugar food plan. Based on those guidelines, the pleasant breakfast preference is (D).
(A) is high in fat and sugar. (B and C) are excessive in fats and sodium.
A patron has been on a mechanical ventilator for several days. What ought to the nurse use to
report and report this client's respirations?
A.The respiratory settings at the ventilator
B.Only the client's spontaneous respirations
C.The ventilator-assisted respirations minus the purchaser's independent breaths
D.The ventilator setting for respiratory rate and the purchaser-initiated respirations - ANS-D
The nurse should count number the client's respirations, and file both the respiration rate set via
the ventilator and the purchaser's independent breathing price (D). Never depend strictly on (A).
Although the patron's spontaneous breaths will be shallow and gadget-assisted breaths can be
deep, it is crucial to file system-assisted breaths in addition to the patron's spontaneous breaths
to get an average respiration picture of the purchaser (B and C).
A consumer has been receiving levofloxacin (Levaquin), 500 mg IV piggyback q24h for 7 days.
The UAP reports to the nurse that the consumer has had 3 loose foul-smelling stools this
morning. Which intervention is maximum vital for the nurse to put into effect?
A.Perform a digital assessment for fecal impaction.
B.Administer a PRN dose of psyllium (Metamucil).
C.Obtain a stool specimen for way of life and sensitivity.
D.Instruct the UAP to acquire incontinent pads for the purchaser. - ANS-C
Long-time period use of levofloxacin (Levaquin) can motive foul-smelling diarrhea due to
Clostridium difficile infection or related colitis, so it's miles most important to acquire a stool
specimen (C). Impaction is not going, so (A) is of much less precedence and may not be
necessary. (B) is a bulk-forming agent that may be used for constipation or diarrhea. Treatment
of the diarrhea and consumer consolation (D) are vital interventions however of less priority than
determining the cause of the purchaser's diarrhea.
A purchaser hospitalized for meningitis is demonstrating nuchal stress. Which symptom is that
this purchaser likely to be displaying?
A.Hyperexcitability of reflexes
B.Hyperextension of the top and returned
C.Inability to flex the chin to the chest
D.Lateral facial paralysis - ANS-C
Nuchal stress (neck stiffness) is a function of meningeal irritation and is elicited by attempting to
flex the neck and vicinity the chin to the chest (C). Although (A, B, and D) may also occur in
meningitis, (A) describes exaggerated spinal nerve reflex responses, (B) describes
opisthotonus, and (D) can be related to cranial nerve pathology of the trigeminal nerve.
, A consumer is admitted to the mental health unit with a primary complaint of crying, depressed
temper, and dozing problems. While speakme approximately the dying of a friend, the customer
states, "I cannot accept as true with this came about." Which assertion by using the nurse is
most therapeutic?
A."It appears like you are feeling very unhappy."
B."Tell me greater approximately how you feel."
C."How often do you have got crying spells?"
D."Do you need to talk approximately these emotions?" - ANS-B
It is maximum healing to invite an open-ended query and inspire the patron to explore his or her
feelings (B). (A) is a leading reaction, and the client may not be feeling unhappy. (C and D) are
near-ended questions that do not facilitate communique.
A consumer reviews experiencing dysuria and urinary frequency. Which consumer coaching
should the nurse provide?
A.Save the next urine sample.
B.Restrict oral fluid consumption.
C.Strain all voided urine.
D.Reduce bodily pastime. - ANS-A
The nurse should coach the purchaser to store the next urine pattern (A) for observation of its
look and for feasible urinalysis. The customer is reporting symptoms that could suggest the
onset of a urinary tract contamination. Increased fluid intake ought to be advocated, unless
contraindicated (B). (C) is handiest vital if a calculus (stone) is suspected. (D) isn't always
indicated by way of this consumer's symptoms.
A purchaser tells the nurse that he's tormented by insomnia. Which statistics is maximum
important for the nurse to obtain?
A.The purchaser's normal snoozing sample
B.Whether the client smokes
C.How a good deal liquid the client consumes before bedtime
D.The amount of caffeine that the consumer consumes throughout the day - ANS-A
The first thing to determine is the purchaser's standard sleeping pattern and the way it has
changed to turn out to be what the client describes as insomnia (A). (B, C, and D) provide extra
records after (A) is ascertained.
A purchaser who is admitted with emphysema is having trouble breathing. In which function
need to the nurse vicinity the purchaser?
A.High Fowler's position without a pillow at the back of the pinnacle
B.Semi-Fowler's position with a unmarried pillow in the back of the pinnacle
C.Right facet-mendacity role with the head of the mattress expanded forty five degrees
D.Sitting upright and ahead with both hands supported on an over the bed desk - ANS-D
