\HESI EXIT NURSING LATEST 2023/2024 GRADED
A+ PASS
1. While assessing a client with diabetes mellitus, the nurse
observes an absence of hair growth on the client's legs. What
additional assessment provides further data to support this
finding?
a. Palpate for the presence of femoral pulses bilaterally.
b. Assess for the presence of a positive Homan's sign.
c. Observe the appearance of the skin on the client's legs.
d. Watch the client's posture and balance during ambulation.
2. The healthcare provider prescribes 15 mg/kg of Streptomycin
for an infant weighing 4 pounds.
The drug is diluted in 25 ml of D5W to run over 8 hours. How
much Streptomycin will the infant receive?
a. 9 mg.
b. 18 mg.
c. 27 mg.
d. 36 mg.
3. In assessing a client with preeclampsia who is receiving
magnesium sulfate, the nurse determines that her deep tendon
reflexes are 1+; respiratory rate is 12 breaths/minute; urinary
output is 90 ml in 4 hours; magnesium sulfate level is 9 mg/dl.
Based on these findings, what intervention should the nurse
implement?
a. Continue the magnesium sulfate infusion as prescribed.
b. Decrease the magnesium sulfate infusion by one-half.
c. Stop the magnesium sulfate infusion immediately.
d. Administer calcium gluconate immediately.
4. A client is on a mechanical ventilator. Which client response
indicates that the neuromuscular blocker tubocurarine
1
, chloride (Tubarine) is effective?
a. The client’s expremities are paralyzed.
b. The peripheral nerve stimulator causes twitching.
c. The client clinches fist upon command.
d. The client’s Glagow Coma Scale score is 14.
5. An elderly female client comes to the clinic for a regular
check-up. The client tells the nurse that she has increased her
daily doses of acetaminophen (Tylenol) for the past month to
control joint pain. Based on this client's comment, what
previous lab values should the nurse compare with today's
lab report?
a. Look at last quarter's hemoglobin and hematocrit,
expecting an increase today due to dehydration.
b. Look for an increase in today's LDH compared to the
previous one to assess for possible liver damage.
c. Expect to find an increase in today's APTT as
compared to last quarter's due to bleeding.
d. Determine if there is a decrease in serum potassium due to renal
compromise.
2
,Name: ID: A
6. Aspirin is prescribed for a 9-year-old child with rheumatic
fever to control the inflammatory process, promote comfort,
and reduce fever. What intervention is most important for
the nurse to implement?
a. Instruct the parents to hold the aspirin until the child
has first had a tepid sponge bath.
b. Administer the aspirin with at least two ounces of water or juice.
c. Notify the healthcare provider if the child complains of ringing
in the ears.
d. Advise the parents to question the child about seeing yellow
halos around objects.
7. Which signs or symptoms are characteristic of an adult
client diagnosed with Cushing's syndrome?
a. Husky voice and complaints of hoarseness.
b. Warm, soft, moist, salmon-colored skin.
c. Visible swelling of the neck, with no pain.
d. Central-type obesity, with thin extremities.
8. A charge nurse agrees to cover another nurse’s assignment
during a lunch break. Based on the status report provided by
the nurse who is leaving for lunch, which client should be
checked first by the charge nurse? The client
a. admitted yesterday with diabetec ketoacidosis
whose blood glucose level is now 195 mg/dl.
b. with an ileal conduit created two days ago with a
scant amount of blood in the drainage pouch.
c. post-triple coronary bypass four days ago who has
serosanguinous drainage in the chest tube.
d. with a pneumothorax secondary to a gunshot
wound with a current pulse oximeter reading of
90%.
9. An outcome for treatment of peripheral vascular disease is,
3
, Name: ID: A
"The client will have decreased venous congestion." What
client behavior would indicate to the nurse that this outcome
has been met?
a. Avoids prolonged sitting or standing.
b. Avoids trauma and irritation to skin.
c. Wears protective shoes.
d. Quits smoking.
10. The healthcare provider performs a paracentesis on a client
with ascites and 3 liters of fluid are removed. Which
assessment parameter is most critical for the nurse to monitor
following the procedure?
a. Pedal pulses.
b. Breath sounds.
c. Gag reflex.
d. Vital signs.
4
A+ PASS
1. While assessing a client with diabetes mellitus, the nurse
observes an absence of hair growth on the client's legs. What
additional assessment provides further data to support this
finding?
a. Palpate for the presence of femoral pulses bilaterally.
b. Assess for the presence of a positive Homan's sign.
c. Observe the appearance of the skin on the client's legs.
d. Watch the client's posture and balance during ambulation.
2. The healthcare provider prescribes 15 mg/kg of Streptomycin
for an infant weighing 4 pounds.
The drug is diluted in 25 ml of D5W to run over 8 hours. How
much Streptomycin will the infant receive?
a. 9 mg.
b. 18 mg.
c. 27 mg.
d. 36 mg.
3. In assessing a client with preeclampsia who is receiving
magnesium sulfate, the nurse determines that her deep tendon
reflexes are 1+; respiratory rate is 12 breaths/minute; urinary
output is 90 ml in 4 hours; magnesium sulfate level is 9 mg/dl.
Based on these findings, what intervention should the nurse
implement?
a. Continue the magnesium sulfate infusion as prescribed.
b. Decrease the magnesium sulfate infusion by one-half.
c. Stop the magnesium sulfate infusion immediately.
d. Administer calcium gluconate immediately.
4. A client is on a mechanical ventilator. Which client response
indicates that the neuromuscular blocker tubocurarine
1
, chloride (Tubarine) is effective?
a. The client’s expremities are paralyzed.
b. The peripheral nerve stimulator causes twitching.
c. The client clinches fist upon command.
d. The client’s Glagow Coma Scale score is 14.
5. An elderly female client comes to the clinic for a regular
check-up. The client tells the nurse that she has increased her
daily doses of acetaminophen (Tylenol) for the past month to
control joint pain. Based on this client's comment, what
previous lab values should the nurse compare with today's
lab report?
a. Look at last quarter's hemoglobin and hematocrit,
expecting an increase today due to dehydration.
b. Look for an increase in today's LDH compared to the
previous one to assess for possible liver damage.
c. Expect to find an increase in today's APTT as
compared to last quarter's due to bleeding.
d. Determine if there is a decrease in serum potassium due to renal
compromise.
2
,Name: ID: A
6. Aspirin is prescribed for a 9-year-old child with rheumatic
fever to control the inflammatory process, promote comfort,
and reduce fever. What intervention is most important for
the nurse to implement?
a. Instruct the parents to hold the aspirin until the child
has first had a tepid sponge bath.
b. Administer the aspirin with at least two ounces of water or juice.
c. Notify the healthcare provider if the child complains of ringing
in the ears.
d. Advise the parents to question the child about seeing yellow
halos around objects.
7. Which signs or symptoms are characteristic of an adult
client diagnosed with Cushing's syndrome?
a. Husky voice and complaints of hoarseness.
b. Warm, soft, moist, salmon-colored skin.
c. Visible swelling of the neck, with no pain.
d. Central-type obesity, with thin extremities.
8. A charge nurse agrees to cover another nurse’s assignment
during a lunch break. Based on the status report provided by
the nurse who is leaving for lunch, which client should be
checked first by the charge nurse? The client
a. admitted yesterday with diabetec ketoacidosis
whose blood glucose level is now 195 mg/dl.
b. with an ileal conduit created two days ago with a
scant amount of blood in the drainage pouch.
c. post-triple coronary bypass four days ago who has
serosanguinous drainage in the chest tube.
d. with a pneumothorax secondary to a gunshot
wound with a current pulse oximeter reading of
90%.
9. An outcome for treatment of peripheral vascular disease is,
3
, Name: ID: A
"The client will have decreased venous congestion." What
client behavior would indicate to the nurse that this outcome
has been met?
a. Avoids prolonged sitting or standing.
b. Avoids trauma and irritation to skin.
c. Wears protective shoes.
d. Quits smoking.
10. The healthcare provider performs a paracentesis on a client
with ascites and 3 liters of fluid are removed. Which
assessment parameter is most critical for the nurse to monitor
following the procedure?
a. Pedal pulses.
b. Breath sounds.
c. Gag reflex.
d. Vital signs.
4
