PN HESI EXIT EXAM UPDATED 2022/2023 QUESTIONS AND
ANSWERS (ALREADY GRADED A+)
An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for
the past 12 days. Which assessment finding requires immediate follow-up?
a- Describes life without purpose
b- Complains of nausea and loss of appetite
c- States is often fatigued and drowsy
d- Exhibits an increase in sweating. –
CORRECT ANSWER-- Describes life without purpose
A 60-year-old female client with a positive family history of ovarian cancer has
developed an abdominal mass and is being evaluated for possible ovarian cancer. Her
Papanicolau (Pap) smear results are negative. What information should the nurse
include in the client‟s teaching plan?
a- Further evaluation involving surgery may be needed
b- A pelvic exam is also needed before cancer is ruled out
c- Pap smear evaluation should be continued every six month
d- One additional negative pap smear in six months is needed. –
CORRECT ANSWER-- Further evaluation involving surgery may be need
A client who recently underwear a tracheostomy is being prepared for discharge to
home. Which instructions is most important for the nurse to include in the discharge
plan?
a- Explain how to use communication tools.
b- Teach tracheal suctioning techniques
c- Encourage self-care and independence.
d- Demonstrate how to clean tracheostomy site. –
CORRECT ANSWER-- Teach tracheal suctioning techniques
. In assessing an adult client with a partial rebreather mask, the nurse notes that the
oxygen reservoir bag does not deflate completely during inspiration and the client‟s
respiratory rate is 14 breaths / minute. What action should the nurse implement?
a- Encourage the client to take deep breaths
b- Remove the mask to deflate the bag
c- Increase the liter flow of oxygen
d- Document the assessment data
- CORRECT ANSWER-- Document the assessment data
Rational: Reservoir bag should not deflate completely during inspiration and the clients
respiratory rate is WNL
,During a home visit, the nurse observed an elderly client with diabetes slip and fall.
What action should the nurse take first?
a- Give the client 4 ounces of orange juice
b- Call 911 to summon emergency assistance
c- Check the client for lacerations or fractures
d- Asses clients blood sugar level
- CORRECT ANSWER-- Check the client for lacerations or fractures
* Rationale: After the client falls, the nurse should immediately assess for the possibility
of injuries and provide first aid as needed
. At 0600 while admitting a woman for a schedule repeat cesarean section (C-Section),
the client tells the nurse that she drank a cup a coffee at 0400 because she wanted to
avoid getting a headache. Which action should the nurse take first?
a- Ensure preoperative lab results are available
b- Start prescribed IV with lactated Ringer‟s
c- Inform the anesthesia care provider
d- Contact the client‟s obstetrician.
- CORRECT ANSWER-- Inform the anesthesia care provider
*Rationale: Surgical preoperative instruction includes NPO after midnight the day of
surgery to decrease the risk of aspiration should vomiting occur during anesthesia.
While it is possible the C-section will be done on schedule or rescheduled for later in the
day, the anesthesia provider should be notified first.
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2
heart sounds. To determine if an S3 heart sound is present, what action should the
nurse take first?
a- Side the stethoscope across the sternum.
b- Move the stethoscope to the mitral site
c- Listen with the bell at the same location
d- Observe the cardiac telemetry monitor
- CORRECT ANSWER-- Listen with the bell at the same location
*Rationale: The nurse uses the bell of the stethoscope to hear low-pitched sounds such
as S3 and S4. The nurse listens at the same site using the diaphragm the diaphragm
and bell before moving systematically to the next sites.
A 66-year-old woman is retiring and will no longer have a health insurance through her
place of employment. Which agency should the client be referred to by the employee
health nurse for health insurance needs?
a- Woman, Infant, and Children program
b- Medicaid
c- Medicare
d- Consolidated Omnibus Budget Reconciliation Act provision.
- CORRECT ANSWER-- Medicare
*Rationale: Title XVII of the social security Act of 1965 created Medicare Program to
provide medical insurance for person more than 65 years or older, disable or with
, permeant kidney failure, WIC provides supplemental nutrition to meet the needs of
pregnant of breastfeeding woman, infants and children up to age of 6.
A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset.
What snack should the nurse instruct the client to take with the tetracycline?
a- Fruit-flavored yogurt.
b- Cheese and crackers.
c- Cold cereal with skim milk.
d- Toasted wheat bread and jelly
- CORRECT ANSWER-- Toasted wheat bread and jelly
*Rationale: Dairy products decrease the effect of tetracycline, so the nurse instructs the
client to eat a snack such as toast, which contains no dairy products and may decrease
GI symptoms.
Following a lumbar puncture, a client voices several complaints. What complaint
indicated to the nurse that the client is experiencing a complication?
a- "I am having pain in my lower back when I move my legs"
b- "My throat hurts when I swallow"
c- "I feel sick to my stomach and am going to throw up"
d- I have a headache that gets worse when I sit up"
- CORRECT ANSWER-- "I have a headache that gets worse when I sit up"
*Rationale: A post-lumbar puncture headache, ranging from mild to severe, may occur
as a result of leakage of cerebrospinal fluid at the puncture site. This complication is
usually managed by bedrest, analgesic, and hydration.
An elderly client seems confused and reports the onset of nausea, dysuria, and urgency
with incontinence. Which action should the nurse implement?
a- Auscultate for renal bruits
b- Obtain a clean catch mid-stream specimen
c- Use a dipstick to measure for urinary ketone
d- Begin to strain the client‟s urine.
- CORRECT ANSWER-- Obtain a clean catch mid-stream specimen
*Rationale: This elderly is experiencing symptoms of urinary tract infection. The nurse
should obtain a clean catch mid-stream specimen to determine the causative agent so
an anti-infective agent can be prescribed.
The nurse is assisting the mother of a child with
phenylketonuria (PKU) to select foods that are in keeping with the child‟s dietary
restrictions. Which foods are contraindicated for this child?
a- Wheat products
b- Foods sweetened with aspartame.
c- High fat foods
d- High calories foods.
- CORRECT ANSWER-- Foods sweetened with aspartame
ANSWERS (ALREADY GRADED A+)
An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for
the past 12 days. Which assessment finding requires immediate follow-up?
a- Describes life without purpose
b- Complains of nausea and loss of appetite
c- States is often fatigued and drowsy
d- Exhibits an increase in sweating. –
CORRECT ANSWER-- Describes life without purpose
A 60-year-old female client with a positive family history of ovarian cancer has
developed an abdominal mass and is being evaluated for possible ovarian cancer. Her
Papanicolau (Pap) smear results are negative. What information should the nurse
include in the client‟s teaching plan?
a- Further evaluation involving surgery may be needed
b- A pelvic exam is also needed before cancer is ruled out
c- Pap smear evaluation should be continued every six month
d- One additional negative pap smear in six months is needed. –
CORRECT ANSWER-- Further evaluation involving surgery may be need
A client who recently underwear a tracheostomy is being prepared for discharge to
home. Which instructions is most important for the nurse to include in the discharge
plan?
a- Explain how to use communication tools.
b- Teach tracheal suctioning techniques
c- Encourage self-care and independence.
d- Demonstrate how to clean tracheostomy site. –
CORRECT ANSWER-- Teach tracheal suctioning techniques
. In assessing an adult client with a partial rebreather mask, the nurse notes that the
oxygen reservoir bag does not deflate completely during inspiration and the client‟s
respiratory rate is 14 breaths / minute. What action should the nurse implement?
a- Encourage the client to take deep breaths
b- Remove the mask to deflate the bag
c- Increase the liter flow of oxygen
d- Document the assessment data
- CORRECT ANSWER-- Document the assessment data
Rational: Reservoir bag should not deflate completely during inspiration and the clients
respiratory rate is WNL
,During a home visit, the nurse observed an elderly client with diabetes slip and fall.
What action should the nurse take first?
a- Give the client 4 ounces of orange juice
b- Call 911 to summon emergency assistance
c- Check the client for lacerations or fractures
d- Asses clients blood sugar level
- CORRECT ANSWER-- Check the client for lacerations or fractures
* Rationale: After the client falls, the nurse should immediately assess for the possibility
of injuries and provide first aid as needed
. At 0600 while admitting a woman for a schedule repeat cesarean section (C-Section),
the client tells the nurse that she drank a cup a coffee at 0400 because she wanted to
avoid getting a headache. Which action should the nurse take first?
a- Ensure preoperative lab results are available
b- Start prescribed IV with lactated Ringer‟s
c- Inform the anesthesia care provider
d- Contact the client‟s obstetrician.
- CORRECT ANSWER-- Inform the anesthesia care provider
*Rationale: Surgical preoperative instruction includes NPO after midnight the day of
surgery to decrease the risk of aspiration should vomiting occur during anesthesia.
While it is possible the C-section will be done on schedule or rescheduled for later in the
day, the anesthesia provider should be notified first.
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2
heart sounds. To determine if an S3 heart sound is present, what action should the
nurse take first?
a- Side the stethoscope across the sternum.
b- Move the stethoscope to the mitral site
c- Listen with the bell at the same location
d- Observe the cardiac telemetry monitor
- CORRECT ANSWER-- Listen with the bell at the same location
*Rationale: The nurse uses the bell of the stethoscope to hear low-pitched sounds such
as S3 and S4. The nurse listens at the same site using the diaphragm the diaphragm
and bell before moving systematically to the next sites.
A 66-year-old woman is retiring and will no longer have a health insurance through her
place of employment. Which agency should the client be referred to by the employee
health nurse for health insurance needs?
a- Woman, Infant, and Children program
b- Medicaid
c- Medicare
d- Consolidated Omnibus Budget Reconciliation Act provision.
- CORRECT ANSWER-- Medicare
*Rationale: Title XVII of the social security Act of 1965 created Medicare Program to
provide medical insurance for person more than 65 years or older, disable or with
, permeant kidney failure, WIC provides supplemental nutrition to meet the needs of
pregnant of breastfeeding woman, infants and children up to age of 6.
A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset.
What snack should the nurse instruct the client to take with the tetracycline?
a- Fruit-flavored yogurt.
b- Cheese and crackers.
c- Cold cereal with skim milk.
d- Toasted wheat bread and jelly
- CORRECT ANSWER-- Toasted wheat bread and jelly
*Rationale: Dairy products decrease the effect of tetracycline, so the nurse instructs the
client to eat a snack such as toast, which contains no dairy products and may decrease
GI symptoms.
Following a lumbar puncture, a client voices several complaints. What complaint
indicated to the nurse that the client is experiencing a complication?
a- "I am having pain in my lower back when I move my legs"
b- "My throat hurts when I swallow"
c- "I feel sick to my stomach and am going to throw up"
d- I have a headache that gets worse when I sit up"
- CORRECT ANSWER-- "I have a headache that gets worse when I sit up"
*Rationale: A post-lumbar puncture headache, ranging from mild to severe, may occur
as a result of leakage of cerebrospinal fluid at the puncture site. This complication is
usually managed by bedrest, analgesic, and hydration.
An elderly client seems confused and reports the onset of nausea, dysuria, and urgency
with incontinence. Which action should the nurse implement?
a- Auscultate for renal bruits
b- Obtain a clean catch mid-stream specimen
c- Use a dipstick to measure for urinary ketone
d- Begin to strain the client‟s urine.
- CORRECT ANSWER-- Obtain a clean catch mid-stream specimen
*Rationale: This elderly is experiencing symptoms of urinary tract infection. The nurse
should obtain a clean catch mid-stream specimen to determine the causative agent so
an anti-infective agent can be prescribed.
The nurse is assisting the mother of a child with
phenylketonuria (PKU) to select foods that are in keeping with the child‟s dietary
restrictions. Which foods are contraindicated for this child?
a- Wheat products
b- Foods sweetened with aspartame.
c- High fat foods
d- High calories foods.
- CORRECT ANSWER-- Foods sweetened with aspartame
