Hesi Exit Exam Questions With Answers | Latest Update 2023/2024 (Graded A+)

The nurse has not finished administering routine oral medication because on e client experienced chest pain and another rectal bleeding. It is now dinner time and two clients must be fed. The unlicensed assistive personnel (UAP) is filling water pitchers and the practical nurse (PN) is charting vital signs. Which change in assignments is best for the team leader to make?: UAP feed the two clients, PN finish oral medications and RN monitor clients with chest pain and rectal bleeding 36. What is manntiol drug used for?: To promote diuresis in prevention and treatment of oliguric phase of renal failure, ICP, IOP, edema in CHF. 37. The nurse is caring for a 42 year old male client who is excreting less sodium than he is consuming. If this condition continues, what complication can the nurse expect this client to exhibit?: Edema 38. A 40-year-old client with type 1 diabetes developed chronic kidney (CKD) disease 6 months ago. Because of secondary complications often associated with this illness the nurse plans to carefully assess for signs of what condition?: Anemia 39. A pt on a trachea/endotrach with gurgling sound: always pick suctioning 40. Know how the chest tube vac machine works - there is a picture of a chest tube vac machine.: this q is very easy just mark the spot on the tube for the amount of 125 ml of drainage 41. Child w/ hemophila: have parent pad the corners of the furniture due to bleeding. 42. You are preparing a plan of care for a client who is a Jehovah's Witness.The client has been told that surgery is necessary. With consideration to the client's religious preferences in development of the plan of care, you would document what?: The administration of blood and blood products is forbidden 4 / 14 43. A client is admitted with a diagnosis of acute renal failure. The nurse should monitor closely for what?: Drug toxicity 44. A 68-year-old male has been admitted to the hospital with abdominal pain, anemia and bloody stools. He complains of feeling weak and dizzy. He has rectal pressure and needs to urinate and move his bowels.: The nurse should help him onto the bedpan/with the urinal 45. Nurse writes on the chart of Bob Miller that his nurse, Nurse Smith did not take great care of Mr. Miller. Nurse Jones has committed which of the following?: Libel 46. A client is prescribed Zolpidem (Ambien). Which of the following side effects should be monitored while the client is taking this medication?: Daytime drowsiness 47. Translator is working with the nurse who is giving discharge instructions to a non-English client. When the translator restates what the nurse is saying it appears that he is saying much more than what the nurse said. What action should the nurse take?: Ask the translator if there is a reason for the lengthiness of the translation 48. Who is at risk for rib fracture: Elderly pt. 49. Splint: Chest compression or chest splint after surgery - they used it for comfort 50. Metabolic syndrome - high cholesterol &: high cholesterol & high BP (cardiac strip) 51. Know how to prevent SIDS death: Instruct parents to have a firm mattress and avoid laying infant in prone position. 52. Hypertension Diet Teaching- presented with a list of menu choices, the best choice was: Baked pork chops, applesauce,etc 53. Teenager attempted suicide and during group session became upset and left group: Go to client room and ask what happened. 54. Client has rapid speech, flight of ideas, 3hrs of sleep: client experiencing high levels Depakote 55. New RN to Unit: best client to assign is client 4 days post MI 56. Incorrect Delegation: LVN/LPN to remove staples from abdominal wound 5 / 14 57. While the nurse is inserting a nasogastric tube, the client becomes cyanotic. What intervention should the nurse implement?: Withdraw the nasogastric tube 58. One week after client received above the knee amputation, client experiences phantom pain in left foot, what to do: Review causes and sensations of phantom pain 59. The nurse-manager of a perinatal units is notified that one client from the medical-surgical unit needs to be transferred to make room for new admissions. Which client should the nurse recommend for transfer to the antepartal unit?: A 35-year-old with lupus erythematosus 60. Decerebrate Positioning: Extension of the upper and lower extremity. 61. Four clients arrive at the labor and delivery nurses' station at the same time. Which pt should the nurse assess first?: A 38-week multigravida with biophysical profile score of 4 out of 8 62. Teenagers Teaching for Diabetic diet: Teenagers Teaching for Diabetic diet - Teach to look out for restaurant that have healthy food. 63. Pyelonephritis symptoms: elevates temperature 64. Leg cast Assessment: Compartment syndrome 65. Diagnosis of breast cancer: Needle aspiration or biopsy. 66. Risk Osteoarthritis: seen in long distance runner since high school client 67. Client skin integrity for client with chronic venous insufficiency: around the ankle with little pain. 68. IV Line: Flush line before and after compatible IV solution 69. Teaching: Carafate given before and after meal 70. Nurse given a change in drug orders via phone from physician for a client headed to radiology, place in order what steps the nurse should take first to last?: (Place in order) 1- read order back 2-enter verbal prescription 3- administer prn meds 4- prepare client for x-ray procedure 71. Heparin: Hematoma assessment 72. When the nurse auscultates the anterior chest just above the right nipple moderate, pitched breath sounds are heard that are equal on inspiration and expiration. Which statement best describes this finding?: Bronchovesicular breath sounds that are normal in that location 73. Priority pt: Ruptured spleen life threatening 6 / 14 74. Magnesium: Alcohol pt (Magnesium 1.5 to 2.5) 75. Endotrach has slipped into right main bronchus of no breath sounds are heard (Audio/Visual): Pleaurvac, know how to set vac at 850 76. Chron's disease: decrease intestinal activity 77. Dialysis: educate client of the reality of condition 78. Acute Pancreatitis: withhold food and fluid intake 79. 39 to 48 Glucose: Notify healthcare provider of client's status 80. Ankle brachial index: ensure that you provide meticulous foot care to client 81. Anterior Cruciate Ligament injury: crutches 82. Select all that apply) Mantoux test: select all except 45-degree angle 83. Late decelerations: nurse should turn off the Pitocin infusion first 84. Crohn's Disease - Which has lowest Na+- choose: Horseradish (choices are ketchup, steak sauce, pickle relish, horseradish) 85. Disseminated intravascular coagulation (DIC): best test to diagnose, D-Dimer 86. Septic shock-best class of medicine to give are: Anti infectives 87. Adolescents and drug abuse at 13yrs old-: mostly likely to use, Paint thinners 88. A female client who has been taking the corticosteroid methylprenisolone (Solu-Medrol) for three weeks reports to the nurse that she has gained ten pounds since starting the medication, and she wants to stop taking it. What is the best response by the nurse?: The medication must be disconnected gradually, tapering the dose each day. 89. In preparing assignments for the shift, which client is best for the charge nurse to assign to a practical nurse?: An elderly client with Alzheimer's disease complicated by dysphagia. 90. A nurse who is new to the pediatric unit is positioning a 6 month-old for an injection of penicillin V (Pen V) in the dorsogluteal muscle. Which action should the nurse-manager who is supervising this nurse take first?: Instruct the nurse to select another injection site. 91. After diagnosis and initial treatment of a 3-year-old child with cystic fibrosis, the nurse provides home care instructions to the mother. Which statement by the child's mother indicates that she understands home care 7 / 14 treatment to promote pulmonary function?: "Cough suppressants can be used four times a day." 92. The nurse is caring for a client who was admitted two hours ago with confusion, Kussmaul respirations, and warm, flushed skin. The healthcare provider determines the client is in acute renal failure (ARF). Which intervention is most important for the nurse to include in this clients plan of care?: Hourly neurological assessments. 93. The nurse observes a 2cm area of non-blanchable erythema on the sacrum of an immobile client. What documentation of this finding is best for the nurse to enter into the client's record?: Stage 1 pressure ulcer on sacrum. 94. A 14-year-old male client arrives at the emergency room in status epilepticus. He was diagnosed with a seizure disorder in childhood. What is the most likely cause of his present condition?: Acute withdrawal from anticonvulsant medication. 95. A client with gestational diabetes at 39-weeks gestation is in the second stage of labor. After delivery of the fetal head, the nurse recognizes that shoulder dystocia is occurring. What intervention should the nurse implement first?: Assist the client to sharply flex her thighs up against the abdomen 96. The nurse is teaching a childbirth education class t prospective parents and describing possible signs of labor. Class participants should be taught that which sign should be reported to the healthcare provider immediately?- : Leaking of fluid from the vagina