HESI EXIT 2023 QUESTIONS AND
ANSWERS
Aamorbidlyaobeseaclientaisascheduledaforagastricabypassasurgery.aTheaclientacompletesath
earequiredapreoperativeanutritionalacounselingaandasignsatheaoperativeapermit.aToapromot
eaeffectiveadischargeaplanning,awhichainterventionaisamostaimportantaforatheanurseatoaimpl
ement?a-aans--Discussasmall,alowafat,alowasugaramealapreparationatechniques.
Aaclientawhoawasasplashedawithaaachemicalahasabothaeyesacoveredawithabandages.aWhe
naassistingatheaclientawithaeating,awhichainterventionashouldatheanurseainstructatheaUAPato
aimplement?a-aans--Orientatheaclientatoathealocationaofatheafoodaonatheaplate.
Aaclientaisaadmittedaforaanaexacerbationaofaheartafailurea(HF)aandaisabeingatreatedawithadiu
reticsaforafluidavolumeaexcess.aInaplanninganursingacare,awhichainterventionsashouldathean
urseainclude?a(Selectaallathataapply.)a-aans--•aObserveaforaevidenceaofahypokalemia
•aTeachatheaclientahowatoarestrictadietaryasodium
•aWeightatheaclientadaily,ainatheamorning
Whileachangingatheadressingaofaaaclientawhoaisaimmobile,atheanurseaobservesaaaredaandas
wollenawoundawithaaamoderateaamountaofayellowaandagreenadrainageaandaaafoulaodor.aGi
venathereaisaaapositiveamethicillin-
resistantaStaphylococcusaaureusa(MRSA),awhichaisatheamostaimportantaactionaforatheanur
seatoatake?a-aans--Administeraprescribedaantibiotics.
Aaclientawhoahasaasthmaareceivesaaanewaprescriptionaforaaacorticosteroidainhaler.aTheacli
entaexpressesaconcernaaboutatakingasteroidamedications.aWhatainformationashouldathean
urseaprovideatheaclientaaboutatheauseaofathisamaintenanceainhaler?a-aans--
Systemicasideaeffectsaareareducedawhenatakenabyainhalation
Theahealthcareaprovideraprescribesaaasedativeaforaaaclientawithasevereahypothyroidism.aT
heanurseaplansatoacontactatheaprovideratoareviewatheasafetyaofatheaprescriptionaforatheaclie
ntaandaconsultsafirstawithatheachargeanurse.aTheachargeanurseanotesathatatheaprescriptiona
isawrittenalegallyaandacompletely.aHowashouldatheachargeanursearespond?a-aans--
Assumearesponsibilityaforadiscussingatheaconcernawithatheaprovider.
Inaassessingaaaclientatwelveahoursafollowingatransurethralaresectionaofatheaprostatea(TUR
P),atheanurseaobservesathatatheaurinaryadrainageatubingacontainsaaalargeaamountaofacleara
paleapinkaurineaandatheacontinuousabladderairrigationaisainfusingaslowly.aWhichaactionasho
uldatheanurseaimplement?a-aans--
Ensureathatanoadependentaloopsaareapresentainatheatubing.
, Whichainformationashouldatheanurseaincludeainatheadischargeateachingaplanaofaaaclientawit
halowabackapainawhoaisatakingacyclobenzaprineatoacontrolamuscleaspasms?a-aans--
Useacoldaandaallergyamedicationsaonlyaasadirectedabyaaahealthcareaprovider.
Aaclientawithadeepaveinathrombosisa(DVT)aisareceivingaaacontinuousaintravenousaheparinai
nfusion.aTheaclientanowahasatarry,ablackadiarrheaaandareportsaabdominalapain.aWhichaacti
onsashouldatheanurseaimplement?a(Selectaallathataapply)a-aans--
•aMonitorastoolsaforapresenceaofablood
•aAuscultateabowelasoundsainaallaquadrants
•aReviewalastapartialathromboplastinatimearesults.
Whichalaboratoryaresultsashouldatheanurseacloselyamonitorainaaaclientawhoahasaend-
stagearenaladiseasea(ESRD)?a-aans--•aSerumapotassium,acalcium,aandaphosphorus.
Aamalaclientawhoawasainaaamotoravehicleacollisionayesterdayaisareceivingaaaunitaofapackeda
redabloodacells.aWhenahalfaofatheaunitaisainfused,atheaclientareportsalowerabackapain,aandat
heanurseaobservesaaafinearashaoverahisachestaandaback.aWhichainterventionashouldathean
urseaimplement?a-aans--Replaceatheatransfusionawithanormalasaline
WhenadevelopingaaateachingaplanaforaaaclientawithanewlyadiagnosedaTypea1adiabetes,athe
anurseashouldaexplainathataanaincreasedathirstaisaanaearlyasignaofadiabeticaketoacidosisa(D
KA).aWhichaactionashouldatheanurseainstructatheaclientatoaimplementaifathisasignaofaDKAaoc
curs?a-aans--Giveaaadoseaofaregularainsulinaasaprescribed
Whichainformationaisamostaimportantatoaincludeainatheateachingaplanaforaaaclientawhoaisadis
chargedaafteraaathyroidectomyaforaGrave'sadisease?a-aans--
Dailyahormoneareplacementawillabeaneededaforathearestaofatheaclient'salife.
Theanurseaisaplanningadischargeainstructionsaforaaaclientawithatypea2adiabetesawhoawillabea
startingaexenatide.aWhichainformationashouldabeaincludedainatheadischargeainstructions?a-
aans--Notifyayourahealthcareaprovideraifayouastartahavingaabdominalapain.
Whichabreakfastaselectionashouldaheanursearecommendaforaaa16-year-
oldawithadiarrhea?a-aans--Oatmeal,abanana,aandaherbalatea.
Theanurseaisapreparingatoaadministera1.6amLaofamedicationaintramuscularlyatoaaa4-month-
oldainfant.aWhichaactionashouldatheanurseainclude?a-aans--
Divideatheamedicationaintoatwoainjectionsawithavolumesaundera1amL.
Aaschool-
agedachildawithachronicarenalafailureareceivesaaaprescriptionafromatheahealthcareaprovidera
foralosartan.aWhichaactionashouldatheanurseaimplementaprioratoaadministeringatheamedicat
ion?a-aans--Evaluateatheaabilityatoaswallowamedication.
ANSWERS
Aamorbidlyaobeseaclientaisascheduledaforagastricabypassasurgery.aTheaclientacompletesath
earequiredapreoperativeanutritionalacounselingaandasignsatheaoperativeapermit.aToapromot
eaeffectiveadischargeaplanning,awhichainterventionaisamostaimportantaforatheanurseatoaimpl
ement?a-aans--Discussasmall,alowafat,alowasugaramealapreparationatechniques.
Aaclientawhoawasasplashedawithaaachemicalahasabothaeyesacoveredawithabandages.aWhe
naassistingatheaclientawithaeating,awhichainterventionashouldatheanurseainstructatheaUAPato
aimplement?a-aans--Orientatheaclientatoathealocationaofatheafoodaonatheaplate.
Aaclientaisaadmittedaforaanaexacerbationaofaheartafailurea(HF)aandaisabeingatreatedawithadiu
reticsaforafluidavolumeaexcess.aInaplanninganursingacare,awhichainterventionsashouldathean
urseainclude?a(Selectaallathataapply.)a-aans--•aObserveaforaevidenceaofahypokalemia
•aTeachatheaclientahowatoarestrictadietaryasodium
•aWeightatheaclientadaily,ainatheamorning
Whileachangingatheadressingaofaaaclientawhoaisaimmobile,atheanurseaobservesaaaredaandas
wollenawoundawithaaamoderateaamountaofayellowaandagreenadrainageaandaaafoulaodor.aGi
venathereaisaaapositiveamethicillin-
resistantaStaphylococcusaaureusa(MRSA),awhichaisatheamostaimportantaactionaforatheanur
seatoatake?a-aans--Administeraprescribedaantibiotics.
Aaclientawhoahasaasthmaareceivesaaanewaprescriptionaforaaacorticosteroidainhaler.aTheacli
entaexpressesaconcernaaboutatakingasteroidamedications.aWhatainformationashouldathean
urseaprovideatheaclientaaboutatheauseaofathisamaintenanceainhaler?a-aans--
Systemicasideaeffectsaareareducedawhenatakenabyainhalation
Theahealthcareaprovideraprescribesaaasedativeaforaaaclientawithasevereahypothyroidism.aT
heanurseaplansatoacontactatheaprovideratoareviewatheasafetyaofatheaprescriptionaforatheaclie
ntaandaconsultsafirstawithatheachargeanurse.aTheachargeanurseanotesathatatheaprescriptiona
isawrittenalegallyaandacompletely.aHowashouldatheachargeanursearespond?a-aans--
Assumearesponsibilityaforadiscussingatheaconcernawithatheaprovider.
Inaassessingaaaclientatwelveahoursafollowingatransurethralaresectionaofatheaprostatea(TUR
P),atheanurseaobservesathatatheaurinaryadrainageatubingacontainsaaalargeaamountaofacleara
paleapinkaurineaandatheacontinuousabladderairrigationaisainfusingaslowly.aWhichaactionasho
uldatheanurseaimplement?a-aans--
Ensureathatanoadependentaloopsaareapresentainatheatubing.
, Whichainformationashouldatheanurseaincludeainatheadischargeateachingaplanaofaaaclientawit
halowabackapainawhoaisatakingacyclobenzaprineatoacontrolamuscleaspasms?a-aans--
Useacoldaandaallergyamedicationsaonlyaasadirectedabyaaahealthcareaprovider.
Aaclientawithadeepaveinathrombosisa(DVT)aisareceivingaaacontinuousaintravenousaheparinai
nfusion.aTheaclientanowahasatarry,ablackadiarrheaaandareportsaabdominalapain.aWhichaacti
onsashouldatheanurseaimplement?a(Selectaallathataapply)a-aans--
•aMonitorastoolsaforapresenceaofablood
•aAuscultateabowelasoundsainaallaquadrants
•aReviewalastapartialathromboplastinatimearesults.
Whichalaboratoryaresultsashouldatheanurseacloselyamonitorainaaaclientawhoahasaend-
stagearenaladiseasea(ESRD)?a-aans--•aSerumapotassium,acalcium,aandaphosphorus.
Aamalaclientawhoawasainaaamotoravehicleacollisionayesterdayaisareceivingaaaunitaofapackeda
redabloodacells.aWhenahalfaofatheaunitaisainfused,atheaclientareportsalowerabackapain,aandat
heanurseaobservesaaafinearashaoverahisachestaandaback.aWhichainterventionashouldathean
urseaimplement?a-aans--Replaceatheatransfusionawithanormalasaline
WhenadevelopingaaateachingaplanaforaaaclientawithanewlyadiagnosedaTypea1adiabetes,athe
anurseashouldaexplainathataanaincreasedathirstaisaanaearlyasignaofadiabeticaketoacidosisa(D
KA).aWhichaactionashouldatheanurseainstructatheaclientatoaimplementaifathisasignaofaDKAaoc
curs?a-aans--Giveaaadoseaofaregularainsulinaasaprescribed
Whichainformationaisamostaimportantatoaincludeainatheateachingaplanaforaaaclientawhoaisadis
chargedaafteraaathyroidectomyaforaGrave'sadisease?a-aans--
Dailyahormoneareplacementawillabeaneededaforathearestaofatheaclient'salife.
Theanurseaisaplanningadischargeainstructionsaforaaaclientawithatypea2adiabetesawhoawillabea
startingaexenatide.aWhichainformationashouldabeaincludedainatheadischargeainstructions?a-
aans--Notifyayourahealthcareaprovideraifayouastartahavingaabdominalapain.
Whichabreakfastaselectionashouldaheanursearecommendaforaaa16-year-
oldawithadiarrhea?a-aans--Oatmeal,abanana,aandaherbalatea.
Theanurseaisapreparingatoaadministera1.6amLaofamedicationaintramuscularlyatoaaa4-month-
oldainfant.aWhichaactionashouldatheanurseainclude?a-aans--
Divideatheamedicationaintoatwoainjectionsawithavolumesaundera1amL.
Aaschool-
agedachildawithachronicarenalafailureareceivesaaaprescriptionafromatheahealthcareaprovidera
foralosartan.aWhichaactionashouldatheanurseaimplementaprioratoaadministeringatheamedicat
ion?a-aans--Evaluateatheaabilityatoaswallowamedication.
