2025 HEALTH ASSESSMENT HESI EXIT EXAM
QUESTIONS AND CORRECT ANSWERS GRADED A+
A client diagnosed with calcium kidney stones has a history of gout. A new prescription for aluminum
hydroxide is scheduled to begin at 0730. Which client medication should the nurse bring to the
healthcare provider's attention?
A. Esinapril
B. Allopurinol
C. Furosemide
D. Aspirin, low dose
B. Allopurinol
A client with urge incontinence was treated with onabotuilinumtoxinA injections and is now
experiencing urinary retention. Which action should the nurse include in the client's plan of care?
A. Provide a bedside commode for immediate use in the client's room
B. Teach the client techniques for performing intermittent catheterization
C. Explain the need to limit intake of oral fluids to reduce client discomfort
D. Remind the client to practice pelvic floor (Kegel) exercises regularly
D. Remind the client to practice pelvic floor (Kegel) exercises regularly
After a spider bite on the lower extremity, a client is admitted for treatment of an infection that is
spreading up the leg. Which admission assessment findings should the nurse report to the healthcare
provider? (Select all that apply)
A. Location of the initial IV site
B. Red blood cell count (RBC)
C. Swollen lymph nodes in the groin
D. White blood cell count (WBC)
E. Core body temperature
C. Swollen lymph nodes in the groin
D. White blood cell count (WBC)
,E. Core body temperature
The home care nurse visits a client who has cancer. The client reports having a good appetite but
experiencing nausea when smelling food cooking. Which action should the nurse implement?
A. Encourage family members to cook meals outdoors and bring the cooked food inside
B. Assess the client's mucous membranes and report the findings to the healthcare provider
C. Advise the client to replace cooked foods with a variety of different nutritional supplements
D. Instruct the client to take an antiemetic before every meal to prevent excessive vomiting
A. Encourage family members to cook meals outdoors and bring the cooked food inside
The nurse is wearing personal protective equipment (PPE) while caring for a client. When exiting the
room, which PPE should be removed first?
A. Gloves
B. Mask
C. Eyewear
D. Gown
A. Gloves
An older male client, who is a retired chef, is hospitalized with a diabetic ulcer on his foot. His daughter
tells the nurse that her father has become increasingly obsessed with the way his food is prepared in the
hospital. The nurse's response should be based on what information?
A. The client probably has an organic brain disease and will likely have Alzheimer's disease within a few
years
B. The family needs a social worker to talk to them about how to handle their father when he becomes
annoying
C. The daughter is under stress and should be encouraged to think about happier times
D. If the client was compulsive about food when he was younger, the aging process can magnify this
D. If the client was compulsive about food when he was younger, the aging process can magnify this
,A client is receiving enoxaparin 30mg subcutaneously twice a day. In assessing for adverse effects of the
medication, which serum laboratory value is most important for the nurse to monitor?
A. Glucose
B. Calcium
C. Platelet count
D. White blood cell count
C. Platelet count
The nurse is caring for a 24-month-old toddler who has sensory sensitivity, difficulty engaging in social
interactions, and has not yet spoken two-word phrases. Which assessment should the nurse administer?
A. The modified checklist for autism in toddlers (M-CHAT)
B. Psychology Systems Questionnaire (PHQ-2)
C. Behavioral Style Questionnaire (BSQ)
D. The Ages and Stages Questionnaire (ASQ)
A. The Modified Checklist for Autism in Toddlers (M-CHAT)
Prior to surgery, written consent must be obtained. Which is the nurse's legal responsibility with regard
to obtaining written consent?
A. Explain the surgical procedure to the client and ask the client to sign the consent form
B. Ask the client or a family member to sign the surgical consent form
C. Determine that the surgical consent form has been signed and is included in the client's record.
D. Validate the client's understanding of the surgical procedure to be conducted
C. Determine that the surgical consent form has been signed and is included in the client's record
, A client with hyperthyroidism is admitted to the postoperative unit after a subtotal thyroidectomy.
Which of the client's serum laboratory values requires intervention by the nurse?
A. T3- uptake at 50%
B. Glucose 150 mg/dL
C. Total calcium 5.0 mg/dL
D. Thyroxine 12 mcg/dL
C. Total calcium 5.0 mg/dL
A client in the third trimester of pregnancy reports that she fells some "lumpy places" in her breasts and
that her nipples sometimes leak a yellowish fluid. She has an appointment with her healthcare provider
in two weeks. What action should the nurse take?
A. Tell the client to begin nipple stimulation to prepare for breast feeding.
B. Reschedule the client's prenatal appointment for the following day
C. Explain that this normal secretion can be assessed at the next visit
D. Recommend that the client start wearing a supportive brassiere
C. Explain that this normal secretion can be assessed at the next visit
While the nurse is assessing an older client's fall risk, the client reports living at home alone and never
falling. Which action should the nurse take?
A. Inform the client that falls occur more often in the hospital than at home
B. Record a minimal risk for falls, documenting the client's statement
C. Continue to obtain client data needed to complete the fall risk survey
D. Place the client on a high fall risk protocol because of advanced age
C. Continue to obtain client data needed to complete the fall risk survey
The nurse is providing education to a client who experiences recurrent levels of moderate anxiety to
situations and perceived stress. In addition to information about prescribed medication and
administration, which instruction should the nurse include in the teaching?
QUESTIONS AND CORRECT ANSWERS GRADED A+
A client diagnosed with calcium kidney stones has a history of gout. A new prescription for aluminum
hydroxide is scheduled to begin at 0730. Which client medication should the nurse bring to the
healthcare provider's attention?
A. Esinapril
B. Allopurinol
C. Furosemide
D. Aspirin, low dose
B. Allopurinol
A client with urge incontinence was treated with onabotuilinumtoxinA injections and is now
experiencing urinary retention. Which action should the nurse include in the client's plan of care?
A. Provide a bedside commode for immediate use in the client's room
B. Teach the client techniques for performing intermittent catheterization
C. Explain the need to limit intake of oral fluids to reduce client discomfort
D. Remind the client to practice pelvic floor (Kegel) exercises regularly
D. Remind the client to practice pelvic floor (Kegel) exercises regularly
After a spider bite on the lower extremity, a client is admitted for treatment of an infection that is
spreading up the leg. Which admission assessment findings should the nurse report to the healthcare
provider? (Select all that apply)
A. Location of the initial IV site
B. Red blood cell count (RBC)
C. Swollen lymph nodes in the groin
D. White blood cell count (WBC)
E. Core body temperature
C. Swollen lymph nodes in the groin
D. White blood cell count (WBC)
,E. Core body temperature
The home care nurse visits a client who has cancer. The client reports having a good appetite but
experiencing nausea when smelling food cooking. Which action should the nurse implement?
A. Encourage family members to cook meals outdoors and bring the cooked food inside
B. Assess the client's mucous membranes and report the findings to the healthcare provider
C. Advise the client to replace cooked foods with a variety of different nutritional supplements
D. Instruct the client to take an antiemetic before every meal to prevent excessive vomiting
A. Encourage family members to cook meals outdoors and bring the cooked food inside
The nurse is wearing personal protective equipment (PPE) while caring for a client. When exiting the
room, which PPE should be removed first?
A. Gloves
B. Mask
C. Eyewear
D. Gown
A. Gloves
An older male client, who is a retired chef, is hospitalized with a diabetic ulcer on his foot. His daughter
tells the nurse that her father has become increasingly obsessed with the way his food is prepared in the
hospital. The nurse's response should be based on what information?
A. The client probably has an organic brain disease and will likely have Alzheimer's disease within a few
years
B. The family needs a social worker to talk to them about how to handle their father when he becomes
annoying
C. The daughter is under stress and should be encouraged to think about happier times
D. If the client was compulsive about food when he was younger, the aging process can magnify this
D. If the client was compulsive about food when he was younger, the aging process can magnify this
,A client is receiving enoxaparin 30mg subcutaneously twice a day. In assessing for adverse effects of the
medication, which serum laboratory value is most important for the nurse to monitor?
A. Glucose
B. Calcium
C. Platelet count
D. White blood cell count
C. Platelet count
The nurse is caring for a 24-month-old toddler who has sensory sensitivity, difficulty engaging in social
interactions, and has not yet spoken two-word phrases. Which assessment should the nurse administer?
A. The modified checklist for autism in toddlers (M-CHAT)
B. Psychology Systems Questionnaire (PHQ-2)
C. Behavioral Style Questionnaire (BSQ)
D. The Ages and Stages Questionnaire (ASQ)
A. The Modified Checklist for Autism in Toddlers (M-CHAT)
Prior to surgery, written consent must be obtained. Which is the nurse's legal responsibility with regard
to obtaining written consent?
A. Explain the surgical procedure to the client and ask the client to sign the consent form
B. Ask the client or a family member to sign the surgical consent form
C. Determine that the surgical consent form has been signed and is included in the client's record.
D. Validate the client's understanding of the surgical procedure to be conducted
C. Determine that the surgical consent form has been signed and is included in the client's record
, A client with hyperthyroidism is admitted to the postoperative unit after a subtotal thyroidectomy.
Which of the client's serum laboratory values requires intervention by the nurse?
A. T3- uptake at 50%
B. Glucose 150 mg/dL
C. Total calcium 5.0 mg/dL
D. Thyroxine 12 mcg/dL
C. Total calcium 5.0 mg/dL
A client in the third trimester of pregnancy reports that she fells some "lumpy places" in her breasts and
that her nipples sometimes leak a yellowish fluid. She has an appointment with her healthcare provider
in two weeks. What action should the nurse take?
A. Tell the client to begin nipple stimulation to prepare for breast feeding.
B. Reschedule the client's prenatal appointment for the following day
C. Explain that this normal secretion can be assessed at the next visit
D. Recommend that the client start wearing a supportive brassiere
C. Explain that this normal secretion can be assessed at the next visit
While the nurse is assessing an older client's fall risk, the client reports living at home alone and never
falling. Which action should the nurse take?
A. Inform the client that falls occur more often in the hospital than at home
B. Record a minimal risk for falls, documenting the client's statement
C. Continue to obtain client data needed to complete the fall risk survey
D. Place the client on a high fall risk protocol because of advanced age
C. Continue to obtain client data needed to complete the fall risk survey
The nurse is providing education to a client who experiences recurrent levels of moderate anxiety to
situations and perceived stress. In addition to information about prescribed medication and
administration, which instruction should the nurse include in the teaching?
