RESEARCHED HESI EXIT EXAM QUESTIONS AND ANSWERS.

RESEARCHED HESI EXIT EXAM
QUESTIONS AND ANSWERS
A52client52is52receiving52a52continuous52half52strength52tube52feeding52at5250ml/hour.52To52prepare52e
nough52of52the52solution52for52eight52hours,52how52many52ml52of52full52strength52feeding52will52the52n
urse52need?52(Enter52numeric52value52only.)52-52CORRECT52ANSWER52-
200ml52.522552ml52of52full52strength52feeding52mixed52with5225ml52of52water52provided5250ml52of52hal
f52strength.5225ml52×52852hours=52200ml



An52elderly52male52client52is52experiencing52urinary52incontinence.52What52is52the52best52initial52nursi
ng52action?52-52CORRECT52ANSWER52-Apply52an52external52condom52catheter



3.52A52male52Muslim52client52with52pneumonia52is52scheduled52to52receive52a52dose52of52an52intraven
ous52antibiotic52but52refuses52to52allow52the52nurse52to52begin52the52medication,52stating52he52cannot5
2allow52fluids52to52enter52his52body52once52he52is52cleansed52for52prayer.52What52action52should52the5
2nurse52implement?52-52CORRECT52ANSWER52-
Reschedule52administration52of52the52antibiotic52until52after52he52completes52his52prayers



UAP52using52a52hand52sanitzers52that52is52alcohol52for52252minutes52-52CORRECT52ANSWER52-
tell52that52hand52sanitizer52use52is52less52>522min



5.A52child52is52to52receive52vancomycin52(Vancocin)524052mg/kg52IV52one52hour52before52a52scheduled
52procedure.52The52child52weighs524452pounds.52How52many52mg52of52the52medication52should52the52
nurse52administer52-52CORRECT52ANSWER52-
Answer:5280052Rationale:52First,52convert52the52child's52weight52to52kg:524452pounds52divided52by

2.2pound/kg52=522052kg.52Next52calculate52the52mg/kg/dose,524052mg52x522052kg52=52800mg



6.52While52assisting52a52postpartum52client52with52perineal52care,52the52nurse52notes52that52her52vagi
nal52bleeding52spurts52rather52than52trickles52from52the52vagina.52The52uterine52fundus52is52firm52and
52the52client's52vital52signs52are52pulse528852beats/minute;52respiratory52rate,522152breaths/minute;52
and52blood52pressure,52104/6852mmHg.52What52action52should52the52nurse52take52next?52-
52CORRECT52ANSWER52-Compare52current52vital52signs52with52previous52vital52signs

,A526-
year52old52boy52was52hit52with52a52bat52while52playing52at52school.52He52has52a52splinter52of52wood52i
mbedded52in52his52eye.52Which52action52should52the52school52nurse52take?52-52CORRECT52ANSWER52-
Have52the52parent52take52the52child52for52emergency52help



Within52four52weeks52of52childbirth,52a52client52is52admitted52to52the52hospital52for52disorganized52spe
ech52bizarre52behavior,52and52strange52thoughts52about52her52infant52being52possessed52by52demons.5
2The52nurse52identifies52a52nursing52diagnosis52of52"Altered52thought52processes,52secondary52to"52wh
at52condition?52-52CORRECT52ANSWER52-52Postpartum52psychosis



The52nurse52identifies52a52priority52diagnosis52of,52"Altered52comfort52related52to52menstrual52cramps
"52for52a5225-year-52old52female52client.52Which52self-
care52activity52should52the52nurse52emphasize52in52the52client's52teaching52plan?52-
52CORRECT52ANSWER52-Regular52aerobic52exercise.




Psych/Alcohol/Tylenol52overdose52antidote52-52CORRECT52ANSWER52-Give52Mucomyst



Medical52Surgical/Laxative52abuses52-52CORRECT52ANSWER52-Patient52-taking52Milk52of52Magnesium



Spiritual/Documentation52-52CORRECT52ANSWER52-Native52American52-
52Allow52pt's52family52to52stay52in52the52room




Leadership-52Interpreter52informed52consent52-52CORRECT52ANSWER52-Pt52should52sign52the52consent



Geriatrics/Emergency52Rib52fractures52fall52-52CORRECT52ANSWER52-Pulmonary52embolism



A52client52diagnosed52with52major52depression52is52being52allowed52a52weekend52pass52from52the52psy
chiatric52unit.52Which52instruction52should52the52nurse52provide52to52the52client's52family?52-
52CORRECT52ANSWER52-Involve52the52client52in52usual52at52home52activities




Upon52assessment,52the52nurse52discovers52that52a52postpartum52client52has52persistent52red52lochia.

, Which52of52the52following52does52this52assessment52finding52suggest52to52the52nurse?52-
52CORRECT52ANSWER52-52Coagulation52disorders




The52healthcare52provider52performs52peritoneal52dialysis52on52a52client,52after52which52252liters52of52f
luid52is52drained.52What52action52should52the52nurse52complete52first?52-52CORRECT52ANSWER52-
Assess52vital52signs.



After52administering52a52medication52through52a52nasogastric52tube52connected52to52suction,52what52a
ction52should52the52nurse52take52first?52-52CORRECT52ANSWER52-Clamp52the52tube



The52nurse52is52caring52for52four52clients:52Client52A5294%52o252saturation,52Client52B,52hemoglobin52of528.;

Client52C,52potassium52level52of523.852and52Client52D52appendectomy52who52has52a52white52blood52cell52co
unt52of5215,000.
What

should52the52nurse52implement?52-52CORRECT52ANSWER52-
Determine52if52Client52B52has52two52units52of52packed52cells52available52in52the52blood52bank.



Triage52question52with52a52train52wreck52The52psychiatric52nurse52is52called52to52a52train52derailment5
2that52was52likely52caused52by52a52terrorist52bomb.52In52triaging52those52in52need52of52immediate52car
e,52what52is52the52priority52ranking52for52these52cases?

(arrange52these52cases52in52order52or52priority52with52the52top52item52requiring52the52most52immediat
e52care52and52the52bottom52item52requiring52the52least52priority52care)52-52CORRECT52ANSWER52-
A52mother52and52father52have52just52arrived52on52the52.



A52crying52child52being52held52by52another52passenger.52A52woman52sitting52on52the52ground52with52a52bla
nket.



A52middle-aged52man52who52is52wandering52around



(arrange52in52order)52=52middle52age52woman52bleeding-52woman52w/52blanket-52child52crying-
52mother52and52father.52(Mine52didn't52have52a52middle52age52woman52bleeding,52instead52it52had52an
52old52man52wandering52and52-52CORRECT52ANSWER52-
correct52order52is:52wandering52old52man,52woman52w/blanket,52man52holding52baby,52and52mother52
&52father)