HESI Exit Exam Rated A 2023

HESI Exit Exam Rated A 2023 1.An adult who has recurrent episodes of depression tells the nurse that the prescribed antidepressant needs to be discontinued because the client is feeling better after taking the medication for the past couple of weeks and does not like the side effects. Which response is best for the nurse to provide. a. Remind the client that feeling better is the therapeutic effect of the medication. b. Inform the client that gradual tapering must be used to discontinue the medication. c. Tell the client to discuss the medication side effects with the HCP. d. Tell the client that the medication side effects will most likely dissipate over time. 3. The nurse is teaching the parent of a child newly diagnosed with a latex allergy. Which information by the parents indicates a need for further teaching? a. robber free toys, such as wooden building blocks, are good choices for the child. b. Only foiled balloons will be used for the child’s birthday party. c. a diet of healthy fruits, such as bananas and kiwis, are best for the child. d. an epinephrine auto-injector will be on hand to treat allergic reactions. 4. a child is diagnosed with acquired aplastic anemia. The nurse knows that this child has the best prognosis with which treatment regimen? a. blood transfusion b. chemotherapy c. bone marrow transplantation d. immunosuppressive therapy 5. A client with bladder cancer had surgical placement of a ureteroileostomy (beal conduit) yesterday. Which postoperative assessment finding should the nurse report to the HCP immediately. a. red edematous stomach appearance b. liquid brown drainage from stoma c. stoma output of 40ml in the last hour d. mucous strings floating in the drainage. 7. The nurse requests a meal tray for a client who follows Mormon beliefs and who is on a clear liquid diet following abdominal surgery. Which menu items should the nurse request to this client? (Select all that apply) a. apple juice b. black coffee c. orange juice d. hot chocolate e. chicken broth 8. 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. a. Tie the knot with a double turn or square knot b. Ensure that the restraints are snug against the client’s wrists. c. Ensure that the knot can be quickly released. d. Move the ties so the restraints are secured to the side rails. 9. The nurse is preparing to send a client to the cardiac catheterization lab for an angioplasty. Which client report is most important for the nurse to explore further prior to the procedure? a. Experiences facial swelling after eating crab b. Reports left chest wall pain prior to the admission c. Verbalizes a fear of being in a confined space d. Drank a glass of water Q 10. The healthcare provider prescribes ceftazidime 1 gram every 8 hours. The label on the 1-gram vial reads, ‘’reconstitute with 100 ml sterile water’’ This dilution provides a concentration of how many mg/ml (enter numeric value only) 10mg/ml Q 11 When teaching a group of school-aged children how to reduce the risk for Lyme disease, which instruction should the camp nurse include? A) Wash hands frequently B) Avoid drinking lake water C) Wear long sleeves and pants D) Do not share personal products. Q 12 A client with arthritis has been receiving treatment with naproxen and now reports ongoing stomach pain, increasing weakness, and fatigue. Which laboratory test should the nurse monitor? A) Serum calcium B) C) Erythrocyte sedimentation rate D) Osmolality. Q 13 An older woman who was recently diagnosed with end stage metastatic breast cancer is admitted because she is experiencing shortness of breath and confusion. The client refuses to eat and continuously asks to go home. Arterial blood gases indicate hypoxia. Which intervention is most important for the nurse to implement? A) Offer sips of favorite beverages B) Prepare for emergent oral intubation C) Initiate comfort measures D) Clarify end of life desires. Correct Answer 15. A client with chronic obstructive pulmonary disease (COPD) is experiencing worsening dyspnea and low oxygen levels. Vitals signs are temperature 99.6 F(37.5 C) heart rate 98 beat, respirations 28 breaths/minute, blood pressure 140/82 mmHg and oxygen saturation 88% ,which action should the nurse implement? A) Place the client in a forward-leaning position. B) Prepare client for endotracheal intubation C) Apply a non-rebreather mask at 100% oxygen D) Obtain a sputum sample for culture and sensitivity Q 16 A client with a history of upper respiratory symptoms is admitted with chest tightness, a productive cough, and difficulty breathing. The client arterial blood gasses (ABGS) indicate respiratory acidosis. An increase in laboratory tests support this finding. A) PaO2 B) PaCO2 C) Arterial pH D) HCO3 Q 17. The health care provider prescribed a low fiber diet for a client with ulcerative colitis, which food selection indicates to the nurse that the client understands the prescribed diet A) Roasted Turkey, Canned Vegetable. Correct answer B) Roast Pork, Fresh Strawberry C) Baked Potatoes with Skin, Raw Carrot D) Pancakes, Whole green cereals Q 18. Which instruction regarding skin care should the nurse provide to a client who is receiving radiation therapy for metastatic breast cancer? A) Use a sponge to de-breed the affected area B) Frequently apply moisturizer to prevent dry skin C) Protect the site from getting wet during bathing D) Gently path the skin after dry after rinsing with water Q 19. A client exposed to tuberculosis is scheduled to begin prophylactic treatment with isoniazid. Which information is most important for the nurse to not before administering the initial dose? A) Length of time of the exposure to tuberculosis B) Current diagnosis of hepatitis B C) History of intravenous drug abuse D) Conversion of the client PPD test from negative to positive Q 20. The charge nurse observes a new nurse preparing to insert intravenous (IV) catheter, the new nurse has gathered supplies including intravenous catheter and intravenous insertion kit, 4x4 sterile gauze dressing to cover and secure the insertion site. What action should the charge nurse take? A) Plan to observe the secured IV sit after the insertion procedure B) Confirm that the nurse has gathered the necessary supplies C) Instruct the nurse to use a transparent dressing over the site D) Remind the nurse to tape the gauze dressing securely in place