Exit Hesi Practice Questions And Correct Verified Answers

EXIT HESI PRACTICE QUESTIONS AND
CORRECT VERIFIED ANSWERS
AA2clientA2presentsA2atA2theA2EDA2complainingA2ofA2aA2raspyA2voice,A2coldA2intolerance,A2
andA2fatigue.A2LabA2testsA2indicateA2anA2elevatedA2TSHA2andA2lowA2T3A2andA2T4A2levels.A
2AfterA2theA2clientA2isA2admittedA2toA2theA2telemetryA2unit,A2whichA2interventionA2isA2mostA2
importantA2forA2theA2nurseA2toA2implement?

A)A2AssessA2forA2presenceA2ofA2non-pittingA2edema.
B)A2AdministerA2theA2prescribedA2doseA2ofA2levothyroxine.
C)A2OfferA2additionalA2blanketsA2andA2aA2warmA2drink.
D)A2NoteA2client'sA2mostA2recentA2hemoglobinA2levels.A2-A2Ans--
B)A2AdministerA2theA2prescribedA2doseA2ofA2levothyroxine.

Rationale:A2InA2theA2negativeA2feedbackA2mechanismA2ofA2hypothyroidism,A2aA2lowA2level
A2ofA2thyroidA2hormoneA2stimulatesA2TSHA2productionA2byA2theA2hypothalamusA2andA2res
ultsA2inA2anA2elevatedA2TSHA2level,A2butA2theA2thyroidA2glandA2doesA2notA2respondA2withA2
adequateA2productionA2ofA2T3A2andA2T4A2toA2regulateA2basalA2metabolicA2rate.A2TheseA2s
erumA2hormoneA2levelsA2indicateA2theA2needA2toA2administerA2supplementaryA2thyroidA2h
ormoneA2asA2soonA2asA2possibleA2toA2avertA2possibleA2myxedemaA2coma.A2Non-
pittingA2edemaA2isA2seenA2inA2chronicA2hypothyroidismA2andA2assessmentA2ofA2theA2prese
nceA2andA2locationA2ofA2theA2edemaA2(A)A2isA2notA2aA2topA2priority.A2ProvidingA2warmthA2(
C)A2isA2beneficialA2butA2ofA2lessA2priorityA2thanA2(B).A2AnemiaA2isA2commonA2inA2hypothyro
idism,A2butA2(D)A2isA2ofA2lowerA2priorityA2thanA2initiatingA2treatmentA2toA2preventA2myxede
maA2coma.

TheA2nurseA2suspectsA2thatA2aA2clientA2mightA2beA2hemorrhagingA2internally.A2WhichA2find
ingsA2ofA2anA2orthostaticA2tiltA2testA2areA2aA2mostA2likelyA2indicationA2ofA2aA2majorA2bleedA2(
>A21000A2ml)?

A)A2AA2decreaseA2inA2theA2systolicA2BPA2ofA210A2mmA2HgA2withA2aA2correspondingA2increa
seA2inA2theA2HRA2ofA220.
B)A2AA2decreaseA2inA2theA2systolicA2BPA2ofA210A2mmA2HgA2withA2aA2correspondingA2decre
aseA2inA2theA2HRA2ofA220.
C)A2AA2decreaseA2inA2theA2systolicA2BPA2ofA220A2mmA2HgA2withA2aA2correspondingA2decre
aseA2inA2theA2HRA2ofA210.
D)A2AA2decreaseA2inA2theA2systolicA2BPA2ofA220A2mmA2HgA2withA2aA2correspondingA2increa
seA2inA2theA2HRA2ofA210.A2-A2Ans--
Ans:A2A)A2AA2decreaseA2inA2theA2systolicA2BPA2ofA210A2mmA2HgA2withA2aA2correspondingA2
increaseA2inA2theA2HRA2ofA220.

Rationale:A2TheA2lossA2ofA2circulatoryA2volumeA2resultsA2inA2aA210A2mmA2HgA2dropA2inA2th
eA2systolicA2pressure,A2whileA2theA2HRA2increasesA2byA220A2%A2aboveA2normalA2asA2aA2co
mpensatoryA2responseA2toA2theA2lowA2pressure.

,WhenA2conductingA2dietA2teachingA2forA2aA2clientA2whoA2isA2onA2aA2postoperativeA2fullA2liq
uidA2diet,A2whichA2foodsA2shouldA2theA2nurseA2encourageA2theA2clientA2toA2eat?A2SATA.

A)A2CannedA2fruitA2cocktail
B)A2CreamyA2peanutA2butter
C)A2VegetableA2juice
D)A2VanillaA2frozenA2yogurt
E)A2ClearA2beefA2brothA2-A2Ans--Ans:A2C,A2D,A2E
AA2fullA2liquidA2dietA2includesA2allA2liquidsA2thatA2areA2notA2clearA2suchA2asA2vegetableA2jui
ceA2andA2frozenA2yogurt,A2asA2wellA2asA2clearA2liquids.A2PiecesA2ofA2fruitA2asA2foundA2inA2fr
uitA2cocktailA2andA2peanutA2butterA2areA2notA2consideredA2liquids.

AA2clientA2isA2receivingA2ophthalmicA2dropsA2preoperativelyA2forA2aA2cataractA2extractionA2
andA2asksA2theA2nurseA2whyA2heA2isA2prescribedA2allA2theseA2medications?A2SATA.

A)A2OneA2ofA2theA2medicationsA2isA2usedA2toA2anesthetizeA2theA2cornealA2surface.
B)A2TheA2irisA2mustA2beA2paralyzedA2duringA2theA2surgeryA2toA2preventA2itA2fromA2reacting
A2toA2light.
C)A2MedicationA2isA2usedA2toA2induceA2sleepA2duringA2theA2procedure.
D)A2PupillaryA2dilationA2isA2necessaryA2toA2accessA2theA2eyeA2chamberA2forA2lensA2remov
al.
E)A2TheseA2medsA2assistA2inA2obstructingA2theA2client'sA2visionA2duringA2theA2surgery.A2-
A2Ans--Ans:A2A,A2B,A2D
CataractA2surgeryA2isA2accessedA2throughA2theA2corneaA2usingA2eyelidA2retractorsA2whileA
2theA2clientA2isA2awake.A2ItA2isA2necessaryA2toA2anesthetizeA2theA2cornealA2surfaceA2(A),A2
paralyzeA2theA2ciliaryA2bodyA2(B),A2andA2provideA2pupilA2dilationA2(D)
(mydriasis)A2toA2facilitateA2accessA2toA2theA2lensA2whichA2tiesA2behindA2theA2irisA2(posterio
rA2chamberA2ofA2theA2anteriorA2cavity).A2AA2sedativeA2mayA2beA2administeredA2toA2reduceA
2anxietyA2butA2itA2isA2notA2usedA2toA2induceA2sleep.A2(C)A2CloudyA2visionA2mayA2beA2aA2sid
eA2effectA2ofA2theseA2agents,A2butA2theA2clientA2willA2stillA2beA2ableA2toA2seeA2duringA2theA2
surgeryA2(E).

WhenA2assessingA2anA2IVA2siteA2thatA2isA2suedA2forA2fluidA2replacementA2andA2medication
A2administration,A2theA2clientA2complainsA2ofA2theA2tendernessA2whenA2theA2armA2isA2touc
hedA2aboveA2theA2site.A2WhichA2additionalA2assessmentA2warrantsA2immediateA2interventi
onA2byA2theA2nurse?

A)A2SluggishA2bloodA2return
B)A2ClientA2usesA2theA2armA2cautiously
C)A2SpotA2ofA2driedA2bloodA2atA2theA2insertionA2site
D)A2RedA2streakA2trackingA2theA2veinA2-A2Ans--Ans:A2D
AA2redA2streakA2(D)A2indicatesA2veinA2irritationA2andA2necessitatesA2discontinuingA2theA2IV
A2atA2theA2presentA2site.A2A,A2B,A2andA2CA2areA2indicationsA2forA2relocatingA2theA2IVA2siteA2
orA2otherA2immediateA2intervention.

,AA2clientA2withA2aA2liverA2abscessA2developsA2septicA2shock.A2AA2sepsisA2resuscitationA2b
undleA2protocolA2isA2initiatedA2andA2theA2clientA2receivesA2aA2bolusA2ofA2IVA2fluids.A2Which
A2parameterA2shouldA2theA2nurseA2monitorA2toA2assessA2effectivenessA2ofA2theA2fluidA2bol
us?

A)A2BloodA2cultures.
B)A2OxygenA2saturation.
C)A2WhiteA2bloodA2count.
D)A2MeanA2arterialA2pressureA2(MAP).A2-A2Ans--D)A2MeanA2arterialA2pressureA2(MAP)

TheA2cornerstoneA2ofA2initialA2sepsisA2resuscitationA2isA2fluidA2volumeA2administrationA2toA
2restoreA2andA2thenA2maintainA2MAPA2ofA2atA2leastA265A2mmHg.


WhenA2attemptingA2toA2establishA2riskA2reductionA2strategiesA2inA2aA2community,A2theA2nu
rseA2notesA2thatA2regionalA2studiesA2indicateA2aA2highA2numberA2ofA2personsA2withA2growt
hA2stuntingA2andA2irreversibleA2mentalA2deficienciesA2(cretinism)A2causedA2byA2hypothyroi
dism.A2TheA2nurseA2shouldA2seekA2fundingA2toA2implementA2whichA2screeningA2measure?

A)T4A2levelsA2inA2newborns.
B)A2TSHA2levelsA2inA2womenA2overA245.
C)A2T3A2levelsA2inA2school-agedA2children
D)A2IodineA2levelsA2inA2allA2personsA2overA260.A2-A2Ans--A)A2T4A2levelsA2inA2newborns.A2

ScreeningA2forA2lowA2T4A2levelsA2inA2newbornsA2withA2follow-
upA2treatmentA2canA2reduceA2theA2riskA2forA2irreversibleA2growthA2stuntingA2andA2mentalA2
deficienciesA2causedA2byA2congenitalA2hypothyroidism.

ForA2theA2pastA224A2hours,A2anA2antidiarrhealA2agent,A2diphenoxylate,A2hasA2beenA2admin
isteredA2toA2aA2bedridden,A2olderA2clientA2withA2infectiousA2gastroenteritis.A2WhichA2findin
gA2requiresA2theA2nurseA2toA2takeA2furtherA2action?

A)A2LossA2ofA2appetite
B)A2SerumA2K+A24.0A2mEq/LA2orA2mmol/LA2(SI)
C)A2Loose,A2runnyA2stools.
D)A2TentedA2skinA2turgor.A2-A2Ans--D)A2TentedA2skinA2turgor.
IndicatesA2dehydration,A2aA2seriousA2complicationA2followingA2prolongedA2diarrheaA2thatA2
requiresA2furtherA2interventionA2byA2theA2nurse.

AA2maleA2clientA2withA2ulcerativeA2colitisA2receivedA2anA2RxA2forA2aA2corticosteroidA2lastA2
monthA2butA2becauseA2ofA2theA2S/
E,A2heA2stoppedA2takingA2theA2medicationsA26A2daysA2ago.A2WhichA2findingA2warrantsA2im
mediateA2interventionA2byA2theA2nurse?

A)A2FluidA2retention
B)A2HypotensionA2andA2fever
C)A2AnxietyA2andA2restlessness

, D)A2IncreasedA2bloodA2glucoseA2-A2Ans--B)A2HypotensionA2andA2fever
SuddenA2withdrawalA2fromA2aA2corticosteroidA2canA2causeA2suddenA2decreasedA2adrenal
A2functionA2resultingA2inA2lowA2serumA2sodium,A2highA2serumA2potassium,A2andA2lowA2bloo
dA2pressureA2whichA2canA2leadA2toA2shockA2andA2possibleA2death.A2HypotensionA2andA2fe
verA2(B)A2areA2theA2firstA2signsA2ofA2precipitousA2withdrawal.A2FluidA2retentionA2(A),A2anxie
tyA2andA2restlessnessA2(C),A2andA2glucoseA2intoleranceA2(D)A2areA2commonA2S/
EA2ofA2takingA2corticosteroids.

TheA2nurseA2whoA2workingA2inA2theA2EDA2isA2obtainingA2evidenceA2forA2aA2rapeA2kitA2fromA
2aA2womanA2whoA2reportsA2thatA2sheA2wasA2raped.A2WhichA2interventionA2isA2mostA2impor
tantA2forA2theA2nurseA2toA2implement?

A)A2DoA2notA2allowA2clientA2toA2showerA2untilA2allA2evidenceA2isA2obtained.
B)A2ReportA2incidentA2toA2theA2university'sA2securityA2department.A2
C)A2ListenA2attentivelyA2toA2theA2client'sA2descriptionA2ofA2theA2event.
D)A2DetermineA2theA2client'sA2personalA2reactionA2toA2theA2reportedA2rape.A2-A2Ans--
A)A2DoA2notA2allowA2clientA2toA2showerA2untilA2allA2evidenceA2isA2obtained.

ItA2isA2mostA2importantA2toA2gatherA2evidenceA2andA2aA2showerA2distortsA2suchA2evidence.
A2TheA2clientA2shouldA2notA2beA2allowedA2toA2showerA2untilA2allA2theA2evidenceA2isA2collect
ed.

TheA2nurseA2isA2preparingA2toA2gavageA2feedA2aA2prematureA2infantA2throughA2anA2orogas
tricA2tube.A2DuringA2insertionA2ofA2theA2tube,A2theA2infant'sA2HRA2dropsA2toA260A2bpm.A2Wh
ichA2actionA2couldA2theA2nurseA2take?

A)A2ContinueA2theA2insertionA2sinceA2thisA2isA2aA2typicalA2response.
B)A2InsertA2theA2feedingA2tubeA2intoA2theA2infant'sA2nasalA2passage.
C)A2PauseA2andA2monitorA2forA2aA2continuedA2dropA2ofA2theA2HR
D)A2PostponeA2theA2feedingA2untilA2theA2infant'sA2vitalA2signsA2areA2stable.A2-A2Ans--
C)A2PauseA2andA2monitorA2forA2aA2continuedA2dropA2ofA2HR.

InsertionA2ofA2anA2orogastricA2tubeA2forA2gavageA2feedingsA2oftenA2triggersA2vagusA2stimu
lationA2whichA2canA2resultA2inA2bradycardia.A2PausingA2duringA2insertionA2andA2monitoring
A2(C)A2theA2infant'sA2HRA2andA2colorA2mayA2beA2allA2thatA2isA2necessaryA2forA2theA2HRA2toA
2returnA2toA2normal.


AA2clientA2whoA2hasA2aA2trachealA2stomaA2isA2c/
oA2ofA2mouthA2pain.A2WhileA2performingA2oralA2care,A2nurseA2determinesA2thatA2theA2client
A2hasA2mouthA2ulcersA2andA2thatA2oralA2mucosaA2isA2irritated.A2TheA2clientA2alsoA2hasA2hali
tosis.A2WhichA2interventionA2shouldA2theA2nurseA2implement?

A)A2EncourageA2frequentA2useA2ofA2mouthwash.
B)A2ApplyA2viscousA2gelA2toA2ulcersA2duringA2mouthA2care.
C)A2ProvideA2flavoredA2oralA2swabsA2toA2useA2Q2H