HESI EXIT EXAM REVIEW NEWEST 2024/2025 ACTUAL
COMPLETE 400 REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
The nurse is giving instructions to the parents of a child with
cystic fibrosis. The nurse would emphasize that pancreatic
enzymes should be taken
A) Once each day
B) 3 times daily after meals
C) With each meal or snack
D) Each time carbohydrates are eaten - ANSWER -is C: With each
meal or snack 6
The nurse is assessing an 8 month-old infant with a
malfunctioning ventriculoperitoneal shunt. Which one of the
following manifestations would the infant be most likely to
exhibit?
A) Lethargy
B) Irritability
C) Negative Moro
D) Depressed fontanel - ANSWER -is B: Irritability
6
,The nurse is performing a physical assessment on a
toddler. Which of the following should be the first action?
A) Perform traumatic procedures
B) Use minimal physical contact
C) Proceed from head to toe
D) Explain the exam in detail - ANSWER -is B: Use minimal
physical contact 7
A client is recovering from a thyroidectomy. While monitoring the
client's initial post operative condition, which of the following
should the nurse report immediately?
A) Tetany and paresthesia
B) Mild stridor and hoarseness
C) Irritability and insomnia
D) Headache and nausea - ANSWER -is A: Tetany and paresthesia
8
A client is admitted with a right upper lobe infiltrate and to rule
out tuberculosis. The most appropriate action by the nurse to
protect the self would be which of these?
A) Negative room ventilation
B) Face mask with sheild
,C) Particulate respirator mask
D) Airborne precautions - ANSWER -is C: Particulate respirator
mask 8
A client had 20 mg of Lasix (furosemide) PO at 10 AM. Which
would be essential for the nurse to include at the change of shift
report?
A) The client lost 2 pounds in 24
hours B) The client's potassium
level is 4 mEq/liter.
C) The client's urine output was 1500 cc in 5 hours
D) The client is to receive another dose of Lasix at 10 PM -
ANSWER -is C: The client's urine output was 1500 cc in five
hours
8
The nurse is caring for a client with a colostomy. During a
teaching session, the nurse
recommends that the pouch be emptied
A) When it is 1/3 to 1/2 full
B) Prior to meals
C) After each fecal elimination
D) At the same time each day - ANSWER -is A: When it is 1/3 to
1/2 full 8
, Lactulose (Chronulac) has been prescribed for a client with
advanced liver disease.
Which of the following assessments would the nurse use
to evaluate the effectiveness of this treatment?
A) An increase in appetite
B) A decrease in fluid retention
C) A decrease in lethargy
D) A reduction in jaundice - ANSWER -is C: A decrease in lethargy
8
The mother of a 3 month-old infant tells the nurse that she
wants to change from formula to whole milk and add cereal and
meats to the diet. What should be emphasized as the nurse
teaches about infant nutrition? A) Solid foods should be
introduced at 3-4 months
B) Whole milk is difficult for a young infant to digest
C) Fluoridated tap water should be used to dilute milk
D) Supplemental apple juice can be used between feedings -
ANSWER -is B: Whole milk is difficult for a young infant to
digest
8
The nurse is assessing a 55 year-old female client who is
scheduled for abdominal surgery. Which of the following
COMPLETE 400 REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
The nurse is giving instructions to the parents of a child with
cystic fibrosis. The nurse would emphasize that pancreatic
enzymes should be taken
A) Once each day
B) 3 times daily after meals
C) With each meal or snack
D) Each time carbohydrates are eaten - ANSWER -is C: With each
meal or snack 6
The nurse is assessing an 8 month-old infant with a
malfunctioning ventriculoperitoneal shunt. Which one of the
following manifestations would the infant be most likely to
exhibit?
A) Lethargy
B) Irritability
C) Negative Moro
D) Depressed fontanel - ANSWER -is B: Irritability
6
,The nurse is performing a physical assessment on a
toddler. Which of the following should be the first action?
A) Perform traumatic procedures
B) Use minimal physical contact
C) Proceed from head to toe
D) Explain the exam in detail - ANSWER -is B: Use minimal
physical contact 7
A client is recovering from a thyroidectomy. While monitoring the
client's initial post operative condition, which of the following
should the nurse report immediately?
A) Tetany and paresthesia
B) Mild stridor and hoarseness
C) Irritability and insomnia
D) Headache and nausea - ANSWER -is A: Tetany and paresthesia
8
A client is admitted with a right upper lobe infiltrate and to rule
out tuberculosis. The most appropriate action by the nurse to
protect the self would be which of these?
A) Negative room ventilation
B) Face mask with sheild
,C) Particulate respirator mask
D) Airborne precautions - ANSWER -is C: Particulate respirator
mask 8
A client had 20 mg of Lasix (furosemide) PO at 10 AM. Which
would be essential for the nurse to include at the change of shift
report?
A) The client lost 2 pounds in 24
hours B) The client's potassium
level is 4 mEq/liter.
C) The client's urine output was 1500 cc in 5 hours
D) The client is to receive another dose of Lasix at 10 PM -
ANSWER -is C: The client's urine output was 1500 cc in five
hours
8
The nurse is caring for a client with a colostomy. During a
teaching session, the nurse
recommends that the pouch be emptied
A) When it is 1/3 to 1/2 full
B) Prior to meals
C) After each fecal elimination
D) At the same time each day - ANSWER -is A: When it is 1/3 to
1/2 full 8
, Lactulose (Chronulac) has been prescribed for a client with
advanced liver disease.
Which of the following assessments would the nurse use
to evaluate the effectiveness of this treatment?
A) An increase in appetite
B) A decrease in fluid retention
C) A decrease in lethargy
D) A reduction in jaundice - ANSWER -is C: A decrease in lethargy
8
The mother of a 3 month-old infant tells the nurse that she
wants to change from formula to whole milk and add cereal and
meats to the diet. What should be emphasized as the nurse
teaches about infant nutrition? A) Solid foods should be
introduced at 3-4 months
B) Whole milk is difficult for a young infant to digest
C) Fluoridated tap water should be used to dilute milk
D) Supplemental apple juice can be used between feedings -
ANSWER -is B: Whole milk is difficult for a young infant to
digest
8
The nurse is assessing a 55 year-old female client who is
scheduled for abdominal surgery. Which of the following
