HESI EXIT EXAM V6
1. Arhparentrhtellsrhtherhnurserhthatrhtheirrh6rhyear-
oldrhchildrhwhorhnormallyrhenjoysrhschool,rhhasrhnotrhbeenrhdoingrh
wellrhsincerhtherhgrandmotherrhdiedrh2rhmonthsrhago.rhWhichrhstatem
entrhmostrhaccuratelyrhdescribesrhthoughtsrhondeathrhandrhdyingrhatr
hthisrhage?
A) Deathrhisrhpersonifiedrhasrhtherhbogeymanrhorrhdevil
B) Deathrhisrhperceivedrhasrhbeingrhirreversible
C) Therhchildrhfeelsrhguiltyrhforrhtherhgrandmother'srhdeath
D) Therhchildrhisrhworriedrhthatrhhe,rhtoo,rhmightrhdie:rhA
2. Arh67rhyear-oldrhclientrhwithrhnon-
insulinrhdependentrhdiabetesrhshouldrhberhinstruct-
rhedrhtorhcontactrhtherhout-
patientrhclinicrhimmediatelyrhifrhtherhfollowingrhfindingsrharerhpresent
A) Temperaturerhofrh37.5rhdegreesrhCelsiusrhwithrhpainfulrhurination
B) Anrhopenrhwoundrhonrhtheirrhheel
C) Insomniarhandrhdaytimerhfatigue
D) Nausearhwithrh2rhepisodesrhofrhvomiting:rhB
3. TherhnurserhadmitsrhanrhelderlyrhMexican-
Americanrhmigrantrhworkerrhafterrhanrhaccidentrhthatrhoccurredrhduri
ngrhwork.rhTorhfacilitaterhcommunicationrhtherhnurserhshouldrhinitially
A) RequestrharhSpanishrhinterpreter
B) Speakrhthroughrhtherhfamilyrhorrhco-workers
C) Userhpictures,rhletterrhboards,rhorrhmonitoring
D) Assessrhtherhclient'srhabilityrhtorhspeakrhEnglish:rhD
4. Inrhassessingrharhpostrhpartumrhclient,rhtherhnurserhpalpatesrharhfi
rmrhfundusrhandrhobservesrharhconstantrhtricklerhofrhbrightrhredrhblo
odrhfromrhtherhvagina.rhWhatrhisrhtherhmostrhlikelyrhcauserhofrhtheser
hfindings?
A) Uterinerhatony
B) Genitalrhlacerations
C) Retainedrhplacenta
D) Clottingrhdisorder:rhB
5. Therhnurserhnotesrhanrhabruptrhonsetrhofrhconfusionrhinrhanrhelderly
rhpatient.rhWhichrhofrhtherhfollowingrhrecently-
orderedrhmedicationsrhwouldrhmostrhlikelyrhcontributerhtorhthisrhchange
?
1rh/rh
65
, HESI EXIT EXAM V6
A) Anticoagulant
B) Liquidrhantacid
2rh/rh
65
, HESI EXIT EXAM V6
C) Antihistamine
D) Cardiacrhglycoside:rhC
6. Therhnurserhisrhcaringrhforrharhclientrhwithrhactiverhtuberculosisrhwhorh
hasrharhhistoryrhofrhnoncompliance.rhWhichrhofrhtherhfollowingrhactionsr
hbyrhtherhnurserhwouldrhrepresentrhappropriaterhcarerhforrhthisrhclient?
A) Instructrhtherhclientrhtorhwearrharhhighrhefficiencyrhparticulaterhairr
hmaskrhinrhpublicrhplaces.
B) Askrharhfamilyrhmemberrhtorhsuperviserhdailyrhcompliance
C) Schedulerhweeklyrhclinicrhvisitsrhforrhtherhclient
D) Askrhtherhhealthrhcarerhproviderrhtorhchangerhtherhregimenrhtorhfewerrh
medications:rhB
7. Therhnurserhmanagerrhidentifiesrhthatrhtimerhspentrhbyrhstaffrhinrhch
artingrhisrhexces-
rhsive,rhrequiringrhovertimerhforrhcompletion.rhTherhnurserhmanagerrhsta
tesrhthatrh"staffrhwillrhformrharhtaskrhforcerhtorhinvestigaterhandrhdevel
oprhpotentialrhsolutionsrhtorhtherhproblem,rhandrhreportrhonrhthisrhatrh
therhnextrhstaffrhmeeting."rhTherhnurserhmanager'srhleadershiprhstylerhi
srhbestrhdescribedrhas
A) Laissez-faire
B) Autocratic
C) Participative
D) Group:rhC
8. Arhnursingrhstudentrhasksrhtherhnurserhmanagerrhtorhexplainrhtherhf
orcesrhthatrhdriverhhealthrhcarerhreform.rhTherhappropriaterhresponserh
byrhtherhnurserhmanagerrhshouldrhinclude
A) Therhescalationrhofrhfeesrhwithrharhdecreasedrhreimbursementrhpercen
age
B) Highrhcostsrhofrhdiagnosticrhandrhend-of-liferhtreatmentrhprocedures
C) Increasedrhnumbersrhofrhelderlyrhandrhofrhtherhchronicallyrhillrhofrhal
hages
D) Arhsteeprhriserhinrhhealthrhcarerhproviderrhfeesrhandrhinrhinsurancerh
remiums:rhA
9. ArhclientrhwithrhhepatitisrhArh(HAV)rhisrhnewlyrhadmittedrhtorhtherhu
nit.rhWhichrhactionrhwouldrhberhtherhpriorityrhtorhincluderhinrhtherhpla
nrhofrhcarerhwithinrhtherhinitialrh24rhhoursrhforrhthisrhclient?
A) Wearrhmasksrhwithrhshieldsrhifrhpotentialrhsplash
3rh/rh
65
, HESI EXIT EXAM V6
B) Userhdisposablerhutensilsrhandrhplatesrhforrhmeals
C) Wearrhgownrhandrhglovesrhduringrhclientrhcontact
D) Providerhsoftrheasilyrhdigestedrhfoodrhwithrhfrequentrhsnacks:rhC
10. Arhclientrhhasrhbeenrhtakingrhalprazolamrh(Xanax)rhforrh3rhdays.rhN
ursingrhassess-
rhmentrhshouldrhrevealrhwhichrhexpectedrheffectrhofrhtherhdrug?
4rh/rh
65
1. Arhparentrhtellsrhtherhnurserhthatrhtheirrh6rhyear-
oldrhchildrhwhorhnormallyrhenjoysrhschool,rhhasrhnotrhbeenrhdoingrh
wellrhsincerhtherhgrandmotherrhdiedrh2rhmonthsrhago.rhWhichrhstatem
entrhmostrhaccuratelyrhdescribesrhthoughtsrhondeathrhandrhdyingrhatr
hthisrhage?
A) Deathrhisrhpersonifiedrhasrhtherhbogeymanrhorrhdevil
B) Deathrhisrhperceivedrhasrhbeingrhirreversible
C) Therhchildrhfeelsrhguiltyrhforrhtherhgrandmother'srhdeath
D) Therhchildrhisrhworriedrhthatrhhe,rhtoo,rhmightrhdie:rhA
2. Arh67rhyear-oldrhclientrhwithrhnon-
insulinrhdependentrhdiabetesrhshouldrhberhinstruct-
rhedrhtorhcontactrhtherhout-
patientrhclinicrhimmediatelyrhifrhtherhfollowingrhfindingsrharerhpresent
A) Temperaturerhofrh37.5rhdegreesrhCelsiusrhwithrhpainfulrhurination
B) Anrhopenrhwoundrhonrhtheirrhheel
C) Insomniarhandrhdaytimerhfatigue
D) Nausearhwithrh2rhepisodesrhofrhvomiting:rhB
3. TherhnurserhadmitsrhanrhelderlyrhMexican-
Americanrhmigrantrhworkerrhafterrhanrhaccidentrhthatrhoccurredrhduri
ngrhwork.rhTorhfacilitaterhcommunicationrhtherhnurserhshouldrhinitially
A) RequestrharhSpanishrhinterpreter
B) Speakrhthroughrhtherhfamilyrhorrhco-workers
C) Userhpictures,rhletterrhboards,rhorrhmonitoring
D) Assessrhtherhclient'srhabilityrhtorhspeakrhEnglish:rhD
4. Inrhassessingrharhpostrhpartumrhclient,rhtherhnurserhpalpatesrharhfi
rmrhfundusrhandrhobservesrharhconstantrhtricklerhofrhbrightrhredrhblo
odrhfromrhtherhvagina.rhWhatrhisrhtherhmostrhlikelyrhcauserhofrhtheser
hfindings?
A) Uterinerhatony
B) Genitalrhlacerations
C) Retainedrhplacenta
D) Clottingrhdisorder:rhB
5. Therhnurserhnotesrhanrhabruptrhonsetrhofrhconfusionrhinrhanrhelderly
rhpatient.rhWhichrhofrhtherhfollowingrhrecently-
orderedrhmedicationsrhwouldrhmostrhlikelyrhcontributerhtorhthisrhchange
?
1rh/rh
65
, HESI EXIT EXAM V6
A) Anticoagulant
B) Liquidrhantacid
2rh/rh
65
, HESI EXIT EXAM V6
C) Antihistamine
D) Cardiacrhglycoside:rhC
6. Therhnurserhisrhcaringrhforrharhclientrhwithrhactiverhtuberculosisrhwhorh
hasrharhhistoryrhofrhnoncompliance.rhWhichrhofrhtherhfollowingrhactionsr
hbyrhtherhnurserhwouldrhrepresentrhappropriaterhcarerhforrhthisrhclient?
A) Instructrhtherhclientrhtorhwearrharhhighrhefficiencyrhparticulaterhairr
hmaskrhinrhpublicrhplaces.
B) Askrharhfamilyrhmemberrhtorhsuperviserhdailyrhcompliance
C) Schedulerhweeklyrhclinicrhvisitsrhforrhtherhclient
D) Askrhtherhhealthrhcarerhproviderrhtorhchangerhtherhregimenrhtorhfewerrh
medications:rhB
7. Therhnurserhmanagerrhidentifiesrhthatrhtimerhspentrhbyrhstaffrhinrhch
artingrhisrhexces-
rhsive,rhrequiringrhovertimerhforrhcompletion.rhTherhnurserhmanagerrhsta
tesrhthatrh"staffrhwillrhformrharhtaskrhforcerhtorhinvestigaterhandrhdevel
oprhpotentialrhsolutionsrhtorhtherhproblem,rhandrhreportrhonrhthisrhatrh
therhnextrhstaffrhmeeting."rhTherhnurserhmanager'srhleadershiprhstylerhi
srhbestrhdescribedrhas
A) Laissez-faire
B) Autocratic
C) Participative
D) Group:rhC
8. Arhnursingrhstudentrhasksrhtherhnurserhmanagerrhtorhexplainrhtherhf
orcesrhthatrhdriverhhealthrhcarerhreform.rhTherhappropriaterhresponserh
byrhtherhnurserhmanagerrhshouldrhinclude
A) Therhescalationrhofrhfeesrhwithrharhdecreasedrhreimbursementrhpercen
age
B) Highrhcostsrhofrhdiagnosticrhandrhend-of-liferhtreatmentrhprocedures
C) Increasedrhnumbersrhofrhelderlyrhandrhofrhtherhchronicallyrhillrhofrhal
hages
D) Arhsteeprhriserhinrhhealthrhcarerhproviderrhfeesrhandrhinrhinsurancerh
remiums:rhA
9. ArhclientrhwithrhhepatitisrhArh(HAV)rhisrhnewlyrhadmittedrhtorhtherhu
nit.rhWhichrhactionrhwouldrhberhtherhpriorityrhtorhincluderhinrhtherhpla
nrhofrhcarerhwithinrhtherhinitialrh24rhhoursrhforrhthisrhclient?
A) Wearrhmasksrhwithrhshieldsrhifrhpotentialrhsplash
3rh/rh
65
, HESI EXIT EXAM V6
B) Userhdisposablerhutensilsrhandrhplatesrhforrhmeals
C) Wearrhgownrhandrhglovesrhduringrhclientrhcontact
D) Providerhsoftrheasilyrhdigestedrhfoodrhwithrhfrequentrhsnacks:rhC
10. Arhclientrhhasrhbeenrhtakingrhalprazolamrh(Xanax)rhforrh3rhdays.rhN
ursingrhassess-
rhmentrhshouldrhrevealrhwhichrhexpectedrheffectrhofrhtherhdrug?
4rh/rh
65
