HESI Exit Exam Success: Proven Strategies, Expert
Solutions & In-Depth Explanations for Top Scores
A client is scheduled for an IVP (Intravenous Pyelogram). Which of the following
data from the client's history indicate a potential hazard for this test?
A) Reflex incontinence
B) Allergic to shellfish
C) Claustrophobia
D) Hypertension is B: Allergic to shellfish
7
The nurse is preparing a handout on infant feeding to be distributed to families
visiting the clinic. Which notation should be included in the teaching materials?
A) Solid foods are introduced 1 at a time beginning with cereal
B) Finely ground meat should be started early to provide iron
C) Egg white is added early to increase protein intake
D) Solid foods should be mixed with formula in a bottle is A: Solid foods are introduced 1
at a time beginning with cereal
7
The nurse is caring for a client with sickle cell disease who is scheduled to receive a
unit of packed red blood cells. Which of the following is an appropriate action for the
nurse when administering
the infusion?
A) Storing the packed red cells in the medicine refrigerator while starting IV
B) Slow the rate of infusion if the client develops fever or chills
C) Limit the infusion time of each of the unit to a maximum of 4 hours
D) Assess vital signs every 15 minutes throughout the entire infusion is C: Limit the
infusion time of each of the unit to a maximum of
,four hours
8
A client with a documented pulmonary embolism has the following arterial blood
gases: PO2 - 70 mm hg, PCO2 - 32 mm hg, pH - 4.5, SaO2 - 87%, HCO3 - 2 Based
on this data, what is the first nursing action?
A) Review other lab data
B) Notify the health care provider
C) Administer oxygen
D) Calm the client is C: Administer oxygen
8
A client diagnosed with hepatitis C discusses his health history with the admitting
nurse. The nurse should recognize which statement by the client as the most important?
A) I got back from Central America a few weeks ago.
B) I had the best raw oysters last week.
C) I have many different sex partners.
D) I had a blood transfusion 15 years ago. is D: I had a blood transfusion
8
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 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 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 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 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
Solutions & In-Depth Explanations for Top Scores
A client is scheduled for an IVP (Intravenous Pyelogram). Which of the following
data from the client's history indicate a potential hazard for this test?
A) Reflex incontinence
B) Allergic to shellfish
C) Claustrophobia
D) Hypertension is B: Allergic to shellfish
7
The nurse is preparing a handout on infant feeding to be distributed to families
visiting the clinic. Which notation should be included in the teaching materials?
A) Solid foods are introduced 1 at a time beginning with cereal
B) Finely ground meat should be started early to provide iron
C) Egg white is added early to increase protein intake
D) Solid foods should be mixed with formula in a bottle is A: Solid foods are introduced 1
at a time beginning with cereal
7
The nurse is caring for a client with sickle cell disease who is scheduled to receive a
unit of packed red blood cells. Which of the following is an appropriate action for the
nurse when administering
the infusion?
A) Storing the packed red cells in the medicine refrigerator while starting IV
B) Slow the rate of infusion if the client develops fever or chills
C) Limit the infusion time of each of the unit to a maximum of 4 hours
D) Assess vital signs every 15 minutes throughout the entire infusion is C: Limit the
infusion time of each of the unit to a maximum of
,four hours
8
A client with a documented pulmonary embolism has the following arterial blood
gases: PO2 - 70 mm hg, PCO2 - 32 mm hg, pH - 4.5, SaO2 - 87%, HCO3 - 2 Based
on this data, what is the first nursing action?
A) Review other lab data
B) Notify the health care provider
C) Administer oxygen
D) Calm the client is C: Administer oxygen
8
A client diagnosed with hepatitis C discusses his health history with the admitting
nurse. The nurse should recognize which statement by the client as the most important?
A) I got back from Central America a few weeks ago.
B) I had the best raw oysters last week.
C) I have many different sex partners.
D) I had a blood transfusion 15 years ago. is D: I had a blood transfusion
8
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 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 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 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 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
