HESI EXIT EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS ,A
COMPLETE SOLUTION THAT COVERS 2024/2025 BEST EXAM RATED
A+ FOR SUCCESS
A male client is admitted with a bowel obstruction and intractable vomiting for the last several hours
despite the use of antiemetics. Which intervention should the nurse implement first?
pH 7.50; PaCo2 42; HCO3 33; pO2 92 - CORRECT ANSWERS Infuse 0.9 % sodium chloride 500 ml
bolus
While removing staples from a male client's postoperative wound site, the nurse observes that the
client's eyes are closed and his face and hands are clenched. The client states, "I just hate having
staples removed." After acknowledging the client's anxiety, what action should the nurse implement?
- CORRECT ANSWERS Attempt to distract the client with general conversation
The nurse and an unlicensed assistive personnel (UAP) are providing care for a client with a
nasogastric tube (NGT) when the client begins to vomit. How should the nurse manage this
situation? - CORRECT ANSWERS Direct the UAP to measure the emesis while the nurse irrigates the
NGT
A preschooler with constipation needs to increase fiber intake. Which snack suggestion should the
nurse provide? - CORRECT ANSWERS oatmeal cookies
After multiple attempts to stop drinking, an adult male is admitted to the medical intensive care unit
(MICU) with delirium tremens. He is tachycardic, diaphoretic, restless, and disoriented. Which finding
indicates a life- threatening condition? - CORRECT ANSWERS Widening QRS complexes and flat
waves
The home health nurse is preparing to make daily visits to a group of clients. Which client should the
nurse visit first? - CORRECT ANSWERS A client with congestive heart failure who reports a 3 pound
weight gain in the last two days
A female client is admitted for diabetic crisis resulting from inadequate dietary practices. After
stabilization, the nurse talks to the client about her prescribed diet. What client characteristic is most
import for successful adherence to the diabetic diet? - CORRECT ANSWERS Demonstrates
willingness to adhere to the diet consistently
Oxygen at 5l/min per nasal cannula is being administered to a 10 year old child with pneumonia.
When planning care for this child, what principle of oxygen administration should the nurse
consider? - CORRECT ANSWERS Avoid administration of oxygen at high levels for extended periods.
,HESI EXIT EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS ,A
COMPLETE SOLUTION THAT COVERS 2024/2025 BEST EXAM RATED
A+ FOR SUCCESS
One day after abdominal surgery, an obese client complains of pain and heaviness in the right calf.
What action should the nurse implement? - CORRECT ANSWERS Observe for unilateral swelling
The nurse is caring for a client with acute kidney injury (AKI) secondary to gentamicin therapy the
client's serum blood potassium is elevated, which finding requires immediate action by the nurse? -
CORRECT ANSWERS Anuria for the last 12 hours.
A client presents to the labor and delivery unit, screaming "THE BABY IS COMING" which action
should the nurse implement first. - CORRECT ANSWERS Observe the perineum
During orientation, a newly hired nurse demonstrates suctioning of a tracheostomy in a skills class, as
seen in the video. After the demonstration, the supervising nurse expresses concern that the
demonstrated procedure increased the client's risk for which problem? - CORRECT ANSWERS
infection
A male client with ulcerative colitis received a prescription for a corticosteroid last month, but
because of the side effect he stopped taking the medication 6 year ago. Which finding warrants
immediate intervention by the nurse? - CORRECT ANSWERS Anxiety and restlessness.
A male client with diabetes mellitus type 2, who is taking pioglitazone PO daily, reports to the nurse
the recent onset of nausea, accompanied by dark-colored urine, and a yellowish cast to his skin.
What instructions should the nurse provide? - CORRECT ANSWERS you need to seek immediate
medical assistance to evaluate the cause of these symptoms"
A client in the intensive care unit is being mechanically ventilated, has an indwelling urinary catheter
in place, an exhibiting signs of restlessness. Which action should the nurse take fist? - CORRECT
ANSWERS Auscultate bilateral breath sounds
A young adult female client with recurrent pelvic pain for 3 year returns to the clinic for relief of
severe dysmenorrhea. The nurse reviews her medical record which indicates that the client has
endometriosis. Based on this finding, what information should the nurse provide this client? -
CORRECT ANSWERS Oral contraceptives increase the symptoms of endometriosis.
A 75-year-old female client is admitted to the orthopedic unit following an open reduction and
internal fixation of a hip fracture. On the second postoperative day, the client becomes confused and
repeatedly asks the nurse she is. What information for the nurse to obtain? - CORRECT ANSWERS
History of alcohol use,
,HESI EXIT EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS ,A
COMPLETE SOLUTION THAT COVERS 2024/2025 BEST EXAM RATED
A+ FOR SUCCESS
To reduce the risk of being named in malpractice lawsuit, which action is most important for the
nurse to take? - CORRECT ANSWERS Adhere consistently to standards of care.
A client with multiple sclerosis is receiving beta-1b interferon every other day. To assess for possible
bone marrow suppression caused by the medication, which serum laboratory test findings should
the nurse monitor? (Select all that apply) - CORRECT ANSWERS A. Platelet count
B. Red blood cell count (RBC)
C. White blood cell count (WBC).
Which assessment is more important for the nurse to include in the daily plan of care for a client
with a burned extremity? - CORRECT ANSWERS Distal pulse intensity
The nurse needs to add a medication to a liter of 5% Dextrose in Water (D5W) that is already infusing
into a client. At what location should the nurse inject the medication? - CORRECT ANSWERS
medication port
A client with a liver abscess develops septic shock. A sepsis resuscitation bundle protocol is initiated
and the client receives a bolus of IV fluids. Which parameter should the nurse monitor to assess
effectiveness of the fluid bolus? - CORRECT ANSWERS Oxygen saturation
The nurse is assessing and elderly bedridden client. Which finding indicates that the turning and
positioning schedule is effective in protecting the client's skin? - CORRECT ANSWERS Reddened skin
areas disappear within 15 minutes of being turned and positioned.
A client is admitted to a mental health unit after attempting suicide by taking a handful of
medications. In developing a plan of care for this client, which goal has the highest priority? -
CORRECT ANSWERS Signs a no-self-harm contract.
A 17-year -old male is brought to the emergency department by his parents because he has been
coughing and running a fever with flu-like symptoms for the past 24 hours. Which intervention
should the nurse implement first? - CORRECT ANSWERS Place a mask on the client's face.
An older client is admitted for repair of a broken hip. To reduce the risk for infection in the
postoperative period, which nursing care interventions should the nurse include in the client's plan
, HESI EXIT EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS ,A
COMPLETE SOLUTION THAT COVERS 2024/2025 BEST EXAM RATED
A+ FOR SUCCESS
of care? (Select all that apply) - CORRECT ANSWERS Teach client to use incentive spirometer q2
hours while awake. Remove urinary catheter as soon as possible and encourage voiding.
The nurse is ready to insert an indwelling urinary catheter as seen in the picture. At this point in the
procedure, what actions should the nurse take before inserting the catheter? (Select all that apply) -
CORRECT ANSWERS C. Gently palpate the client's bladder for distention
D. Hold the catheter 3 - 4 inches (7.5 - 10 cm) from its tip
E. Secure the urinary drainage bag to the bed frame
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 ANSWERS Describes life without purpose
Rationale: Cymbalta is a selective serotonin and norepinephrine reuptake inhibitor that is known to
increase the risk of suicidal thinking in adolescents and young adults with major depressive disorder.
B, C and D are side effects
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 ANSWERS Further
evaluation involving surgery may be needed
Rationale: An abdominal mass in a client with a family history for ovarian cancer should be evaluated
carefully
COMPLETE SOLUTION THAT COVERS 2024/2025 BEST EXAM RATED
A+ FOR SUCCESS
A male client is admitted with a bowel obstruction and intractable vomiting for the last several hours
despite the use of antiemetics. Which intervention should the nurse implement first?
pH 7.50; PaCo2 42; HCO3 33; pO2 92 - CORRECT ANSWERS Infuse 0.9 % sodium chloride 500 ml
bolus
While removing staples from a male client's postoperative wound site, the nurse observes that the
client's eyes are closed and his face and hands are clenched. The client states, "I just hate having
staples removed." After acknowledging the client's anxiety, what action should the nurse implement?
- CORRECT ANSWERS Attempt to distract the client with general conversation
The nurse and an unlicensed assistive personnel (UAP) are providing care for a client with a
nasogastric tube (NGT) when the client begins to vomit. How should the nurse manage this
situation? - CORRECT ANSWERS Direct the UAP to measure the emesis while the nurse irrigates the
NGT
A preschooler with constipation needs to increase fiber intake. Which snack suggestion should the
nurse provide? - CORRECT ANSWERS oatmeal cookies
After multiple attempts to stop drinking, an adult male is admitted to the medical intensive care unit
(MICU) with delirium tremens. He is tachycardic, diaphoretic, restless, and disoriented. Which finding
indicates a life- threatening condition? - CORRECT ANSWERS Widening QRS complexes and flat
waves
The home health nurse is preparing to make daily visits to a group of clients. Which client should the
nurse visit first? - CORRECT ANSWERS A client with congestive heart failure who reports a 3 pound
weight gain in the last two days
A female client is admitted for diabetic crisis resulting from inadequate dietary practices. After
stabilization, the nurse talks to the client about her prescribed diet. What client characteristic is most
import for successful adherence to the diabetic diet? - CORRECT ANSWERS Demonstrates
willingness to adhere to the diet consistently
Oxygen at 5l/min per nasal cannula is being administered to a 10 year old child with pneumonia.
When planning care for this child, what principle of oxygen administration should the nurse
consider? - CORRECT ANSWERS Avoid administration of oxygen at high levels for extended periods.
,HESI EXIT EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS ,A
COMPLETE SOLUTION THAT COVERS 2024/2025 BEST EXAM RATED
A+ FOR SUCCESS
One day after abdominal surgery, an obese client complains of pain and heaviness in the right calf.
What action should the nurse implement? - CORRECT ANSWERS Observe for unilateral swelling
The nurse is caring for a client with acute kidney injury (AKI) secondary to gentamicin therapy the
client's serum blood potassium is elevated, which finding requires immediate action by the nurse? -
CORRECT ANSWERS Anuria for the last 12 hours.
A client presents to the labor and delivery unit, screaming "THE BABY IS COMING" which action
should the nurse implement first. - CORRECT ANSWERS Observe the perineum
During orientation, a newly hired nurse demonstrates suctioning of a tracheostomy in a skills class, as
seen in the video. After the demonstration, the supervising nurse expresses concern that the
demonstrated procedure increased the client's risk for which problem? - CORRECT ANSWERS
infection
A male client with ulcerative colitis received a prescription for a corticosteroid last month, but
because of the side effect he stopped taking the medication 6 year ago. Which finding warrants
immediate intervention by the nurse? - CORRECT ANSWERS Anxiety and restlessness.
A male client with diabetes mellitus type 2, who is taking pioglitazone PO daily, reports to the nurse
the recent onset of nausea, accompanied by dark-colored urine, and a yellowish cast to his skin.
What instructions should the nurse provide? - CORRECT ANSWERS you need to seek immediate
medical assistance to evaluate the cause of these symptoms"
A client in the intensive care unit is being mechanically ventilated, has an indwelling urinary catheter
in place, an exhibiting signs of restlessness. Which action should the nurse take fist? - CORRECT
ANSWERS Auscultate bilateral breath sounds
A young adult female client with recurrent pelvic pain for 3 year returns to the clinic for relief of
severe dysmenorrhea. The nurse reviews her medical record which indicates that the client has
endometriosis. Based on this finding, what information should the nurse provide this client? -
CORRECT ANSWERS Oral contraceptives increase the symptoms of endometriosis.
A 75-year-old female client is admitted to the orthopedic unit following an open reduction and
internal fixation of a hip fracture. On the second postoperative day, the client becomes confused and
repeatedly asks the nurse she is. What information for the nurse to obtain? - CORRECT ANSWERS
History of alcohol use,
,HESI EXIT EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS ,A
COMPLETE SOLUTION THAT COVERS 2024/2025 BEST EXAM RATED
A+ FOR SUCCESS
To reduce the risk of being named in malpractice lawsuit, which action is most important for the
nurse to take? - CORRECT ANSWERS Adhere consistently to standards of care.
A client with multiple sclerosis is receiving beta-1b interferon every other day. To assess for possible
bone marrow suppression caused by the medication, which serum laboratory test findings should
the nurse monitor? (Select all that apply) - CORRECT ANSWERS A. Platelet count
B. Red blood cell count (RBC)
C. White blood cell count (WBC).
Which assessment is more important for the nurse to include in the daily plan of care for a client
with a burned extremity? - CORRECT ANSWERS Distal pulse intensity
The nurse needs to add a medication to a liter of 5% Dextrose in Water (D5W) that is already infusing
into a client. At what location should the nurse inject the medication? - CORRECT ANSWERS
medication port
A client with a liver abscess develops septic shock. A sepsis resuscitation bundle protocol is initiated
and the client receives a bolus of IV fluids. Which parameter should the nurse monitor to assess
effectiveness of the fluid bolus? - CORRECT ANSWERS Oxygen saturation
The nurse is assessing and elderly bedridden client. Which finding indicates that the turning and
positioning schedule is effective in protecting the client's skin? - CORRECT ANSWERS Reddened skin
areas disappear within 15 minutes of being turned and positioned.
A client is admitted to a mental health unit after attempting suicide by taking a handful of
medications. In developing a plan of care for this client, which goal has the highest priority? -
CORRECT ANSWERS Signs a no-self-harm contract.
A 17-year -old male is brought to the emergency department by his parents because he has been
coughing and running a fever with flu-like symptoms for the past 24 hours. Which intervention
should the nurse implement first? - CORRECT ANSWERS Place a mask on the client's face.
An older client is admitted for repair of a broken hip. To reduce the risk for infection in the
postoperative period, which nursing care interventions should the nurse include in the client's plan
, HESI EXIT EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS ,A
COMPLETE SOLUTION THAT COVERS 2024/2025 BEST EXAM RATED
A+ FOR SUCCESS
of care? (Select all that apply) - CORRECT ANSWERS Teach client to use incentive spirometer q2
hours while awake. Remove urinary catheter as soon as possible and encourage voiding.
The nurse is ready to insert an indwelling urinary catheter as seen in the picture. At this point in the
procedure, what actions should the nurse take before inserting the catheter? (Select all that apply) -
CORRECT ANSWERS C. Gently palpate the client's bladder for distention
D. Hold the catheter 3 - 4 inches (7.5 - 10 cm) from its tip
E. Secure the urinary drainage bag to the bed frame
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 ANSWERS Describes life without purpose
Rationale: Cymbalta is a selective serotonin and norepinephrine reuptake inhibitor that is known to
increase the risk of suicidal thinking in adolescents and young adults with major depressive disorder.
B, C and D are side effects
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 ANSWERS Further
evaluation involving surgery may be needed
Rationale: An abdominal mass in a client with a family history for ovarian cancer should be evaluated
carefully
