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HESI EXIT EXAM
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HESI EXIT EXAM QUESTIONS AND
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VERIFIED ANS,A COMPLETE
SOLUTION THAT COVERS 2024/2025
RATED A+
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3/27/2025
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JIMSE
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, HESI EXIT EXAM QUESTIONS AND VERIFIED ANS,A
COMPLETE SOLUTION THAT COVERS 2024/2025
RATED A+
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. * VERIFIED ANS 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
1
,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. * VERIFIED ANS 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
A client who recently underwent a tracheostomy is being prepared for discharge to home. Which
instructions is most important for the nurse to include in the discharge plan?
a. Explain how to use communication tools.
b. Teach tracheal suctioning techniques
c. Encourage self*care and independence.
d. Demonstrate how to clean tracheostomy site. * VERIFIED ANS Teach tracheal suctioning techniques
Rationale: Suctioning helps to clear secretions and maintain an open airway, which is critical.
In assessing an adult client with a partial rebreather mask, the nurse notes that the oxygen reservoir bag
does not deflate completely during inspiration and the client's respiratory rate is 14 breaths / minute.
What action should the nurse implement
a. Encourage the client to take deep breaths
b. Remove the mask to deflate the bag
2
, c. Increase the liter flow of oxygen
d. Document the assessment data * VERIFIED ANS Document the assessment data
Rational: reservoir bag should not deflate completely during inspiration and the client's respiratory rate
is within normal limits.
During shift report, the central electrocardiogram (EKG) monitoring system alarms. Which client alarm
should the nurse investigate first?
a. Respiratory apnea of 30 seconds
b. Oxygen saturation rate of 88%
c. Eight premature ventricular beats every minute
d. Disconnected monitor signal for the last 6 minutes. * VERIFIED ANS Respiratory apnea of 30 seconds
Rationale: The priority is the client whose alarm indicating respiratory apnea that should be assessed
first.
During a home visit, the nurse observed an elderly client with diabetes slip and fall. What action should
the nurse take first?
a. Give the client 4 ounces of orange juice
b. Call 911 to summon emergency assistance
c. Check the client for lacerations or fractures
d. Asses clients blood sugar level * VERIFIED ANS Check the client for lacerations or fractures
3
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HESI EXIT EXAM
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HESI EXIT EXAM QUESTIONS AND
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VERIFIED ANS,A COMPLETE
SOLUTION THAT COVERS 2024/2025
RATED A+
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3/27/2025
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JIMSE
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, HESI EXIT EXAM QUESTIONS AND VERIFIED ANS,A
COMPLETE SOLUTION THAT COVERS 2024/2025
RATED A+
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. * VERIFIED ANS 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
1
,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. * VERIFIED ANS 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
A client who recently underwent a tracheostomy is being prepared for discharge to home. Which
instructions is most important for the nurse to include in the discharge plan?
a. Explain how to use communication tools.
b. Teach tracheal suctioning techniques
c. Encourage self*care and independence.
d. Demonstrate how to clean tracheostomy site. * VERIFIED ANS Teach tracheal suctioning techniques
Rationale: Suctioning helps to clear secretions and maintain an open airway, which is critical.
In assessing an adult client with a partial rebreather mask, the nurse notes that the oxygen reservoir bag
does not deflate completely during inspiration and the client's respiratory rate is 14 breaths / minute.
What action should the nurse implement
a. Encourage the client to take deep breaths
b. Remove the mask to deflate the bag
2
, c. Increase the liter flow of oxygen
d. Document the assessment data * VERIFIED ANS Document the assessment data
Rational: reservoir bag should not deflate completely during inspiration and the client's respiratory rate
is within normal limits.
During shift report, the central electrocardiogram (EKG) monitoring system alarms. Which client alarm
should the nurse investigate first?
a. Respiratory apnea of 30 seconds
b. Oxygen saturation rate of 88%
c. Eight premature ventricular beats every minute
d. Disconnected monitor signal for the last 6 minutes. * VERIFIED ANS Respiratory apnea of 30 seconds
Rationale: The priority is the client whose alarm indicating respiratory apnea that should be assessed
first.
During a home visit, the nurse observed an elderly client with diabetes slip and fall. What action should
the nurse take first?
a. Give the client 4 ounces of orange juice
b. Call 911 to summon emergency assistance
c. Check the client for lacerations or fractures
d. Asses clients blood sugar level * VERIFIED ANS Check the client for lacerations or fractures
3