HESI EXIT Questions and Answers Test Bank
(Latest Study Guide 2022)
1. A client receives a new prescription for simvastatin (Zocor) 5 mg PO daily at bedtime. What
action should the nurse take?
Administer the medication as prescribed with a glass of water
2. Which client should the nurse assess frequently because of the risk for overflow incontinence? A
client
Who is confused and frequently forgets to go to the bathroom
3. 273. While monitoring a client during a seizure, which interventions should the nurse
implement? (Select all that apply)
Move obstacle away from client
Monitor physical movements
Observe for a patent airway
Record the duration of the seizure
4. A male client with a long history of alcoholism is admitted because of mild confusion and fine
motor tremors. He reports that he quit drinking alcohol and stopped smoking cigarettes one
month ago after his brother died of lung cancer. Which intervention is most important for the
nurses to include in the client's plan of care?
Observe for changes in level of consciousness.
5. An older adult female admitted to the intensive care unit (ICU) with a possible stroke is
intubated with ventilator setting of tidal volume 600, PlO2 40%, and respiratory rate of 12
breaths/minute. The arterial blood gas (ABG) results after intubation are PH 7.31. PaCO2 60,
PaO2 104, SPO2 98%, HCO3 23. To normalize the client's ABG finding, which action is required?
Increase ventilator rate.
6. The mother of the 12- month-old with cystic fibrosis reports that her child is experiencing
increasing congestion despite the use of chest physical therapy (CPT) twice a day, and has also
experiences a loss of appetite. What instruction should the nurse provide?
CPT should be performed more frequently, but at least an hour before meals.
7. The nurse is evaluating the diet teaching of a client with hypertension. What dinner selection
indicates that the client understands the dietary recommendation for hypertension?
Baked pork chop, applesauce, corn on the cob, 2% milk, and key-lime pie
, 8. A client with type 2 diabetes mellitus is admitted for frequent hyperglycemic episodes and a
glycosylated hemoglobin (HbA1c) of 10%. Insulin glargine 10 units subcutaneously once a day at
bedtime and a sliding scale with insulin aspart q6h are prescribed. What action should the nurse
include in this client's plan of care?
Fingerstick glucose assessment q6h with meals
Review with the client proper foot care and prevention of injury
Coordinate carbohydrate controlled meals at consistent times and intervals
Teach subcutaneous injection technique, site rotation and insulin management
9. Which problem reported by a client taking lovastatin requires the most immediate fallow up by
the nurse?
Muscle pain
10. While assessing a client's chest tube (CT), the nurse discovers bubbling in the water seal
chamber of the chest tube collection device. The client's vital signs are: blood pressure of 80/40
mmHg, heart rate 120 beats/minutes, respiratory rate 32 breaths/minutes, oxygen saturation
88%. Which interventions should the nurse implement?
Provide supplemental oxygen
Auscultate bilateral lung fields
Reinforce occlusive CT dressing
11. Before leaving the room of a confused client, the nurse notes that a half bow knot was used to
attach the client's wrist restraints to the movable portion of the client's bed frame. What action
should the nurse take before leaving the room?
Ensure that the knot can be quickly released.
12. Oral antibiotics are prescribed for an 18-month-old toddler with severe otitis media. An
antipyrine and benzocaine-otic also prescribed for pain and inflammation. What instruction
should the nurse emphasize concerning the installation of the antipyrine/benzocaine otic
solution?
Have the child lie with the ear up for one to two minute after installation.
13. An older adult male is admitted with complications related to chronic obstructive pulmonary
disease (COPD). He reports progressive dyspnea that worsens on exertion and his weakness has
increased over the past month. The nurse notes that he has dependent edema in both lower
legs. Based on these assessment findings, which dietary instruction should the nurse provide?
Restrict daily fluid intake.
14. The nurse inserts an indwelling urinary catheter as seen in the video what action should the
nurse take next?
Leave the catheter in place and obtain a sterile catheter.
(Latest Study Guide 2022)
1. A client receives a new prescription for simvastatin (Zocor) 5 mg PO daily at bedtime. What
action should the nurse take?
Administer the medication as prescribed with a glass of water
2. Which client should the nurse assess frequently because of the risk for overflow incontinence? A
client
Who is confused and frequently forgets to go to the bathroom
3. 273. While monitoring a client during a seizure, which interventions should the nurse
implement? (Select all that apply)
Move obstacle away from client
Monitor physical movements
Observe for a patent airway
Record the duration of the seizure
4. A male client with a long history of alcoholism is admitted because of mild confusion and fine
motor tremors. He reports that he quit drinking alcohol and stopped smoking cigarettes one
month ago after his brother died of lung cancer. Which intervention is most important for the
nurses to include in the client's plan of care?
Observe for changes in level of consciousness.
5. An older adult female admitted to the intensive care unit (ICU) with a possible stroke is
intubated with ventilator setting of tidal volume 600, PlO2 40%, and respiratory rate of 12
breaths/minute. The arterial blood gas (ABG) results after intubation are PH 7.31. PaCO2 60,
PaO2 104, SPO2 98%, HCO3 23. To normalize the client's ABG finding, which action is required?
Increase ventilator rate.
6. The mother of the 12- month-old with cystic fibrosis reports that her child is experiencing
increasing congestion despite the use of chest physical therapy (CPT) twice a day, and has also
experiences a loss of appetite. What instruction should the nurse provide?
CPT should be performed more frequently, but at least an hour before meals.
7. The nurse is evaluating the diet teaching of a client with hypertension. What dinner selection
indicates that the client understands the dietary recommendation for hypertension?
Baked pork chop, applesauce, corn on the cob, 2% milk, and key-lime pie
, 8. A client with type 2 diabetes mellitus is admitted for frequent hyperglycemic episodes and a
glycosylated hemoglobin (HbA1c) of 10%. Insulin glargine 10 units subcutaneously once a day at
bedtime and a sliding scale with insulin aspart q6h are prescribed. What action should the nurse
include in this client's plan of care?
Fingerstick glucose assessment q6h with meals
Review with the client proper foot care and prevention of injury
Coordinate carbohydrate controlled meals at consistent times and intervals
Teach subcutaneous injection technique, site rotation and insulin management
9. Which problem reported by a client taking lovastatin requires the most immediate fallow up by
the nurse?
Muscle pain
10. While assessing a client's chest tube (CT), the nurse discovers bubbling in the water seal
chamber of the chest tube collection device. The client's vital signs are: blood pressure of 80/40
mmHg, heart rate 120 beats/minutes, respiratory rate 32 breaths/minutes, oxygen saturation
88%. Which interventions should the nurse implement?
Provide supplemental oxygen
Auscultate bilateral lung fields
Reinforce occlusive CT dressing
11. Before leaving the room of a confused client, the nurse notes that a half bow knot was used to
attach the client's wrist restraints to the movable portion of the client's bed frame. What action
should the nurse take before leaving the room?
Ensure that the knot can be quickly released.
12. Oral antibiotics are prescribed for an 18-month-old toddler with severe otitis media. An
antipyrine and benzocaine-otic also prescribed for pain and inflammation. What instruction
should the nurse emphasize concerning the installation of the antipyrine/benzocaine otic
solution?
Have the child lie with the ear up for one to two minute after installation.
13. An older adult male is admitted with complications related to chronic obstructive pulmonary
disease (COPD). He reports progressive dyspnea that worsens on exertion and his weakness has
increased over the past month. The nurse notes that he has dependent edema in both lower
legs. Based on these assessment findings, which dietary instruction should the nurse provide?
Restrict daily fluid intake.
14. The nurse inserts an indwelling urinary catheter as seen in the video what action should the
nurse take next?
Leave the catheter in place and obtain a sterile catheter.
