HESI Exit Exam Remediation
questions and answers
An older client is brought to the emergency department with a sudden onset of confusion that
occurred after experiencing a fall at home the clients daughter who has power of attorney has
brought the clients prescriptions which information should the nurse provide first when
reporting to the healthcare provider using S bar
-currently prescribed medication's
-clients healthcare provider power of attorney
-increasing confusion of the client
-fall at home as reason for admission Ans increasing confusion of the client
The nurse identifies an electrolyte imbalance a weight gain of 4.4 pounds in 24 hours and an
elevated central venous pressure for a client with full thickness burns which intervention should
the nurse implement
-auscultate the irregular heart rate
-review arterial blood gas results
-measure ankle circumference
-document abdominal girth Ans auscultate the irregular heart rate
The nurse is caring for a group of clients with the help of a practical nurse which nursing action
should the nurse assigned to the practical nurse select all that apply
-administer a dose of insulin for sliding scale for a client with type two diabetes mellitus
-start the second blood transfusion for a client 12 hours following a below the knee amputation
-initiate patient controlled analgesia pumps for two clients immediately postoperatively
-perform daily surgical dressing change for a client who had an abdominal hysterectomy
-obtain postoperative vital signs for a client one day following unilateral knee arthroplasty Ans
administer a dose of insulin for sliding scale for a client with type two diabetes mellitus
-perform daily surgical dressing change for a client who had an abdominal hysterectomy
,-obtain postoperative vital signs for a client one day following unilateral knee arthroplasty
The nurse is teaching a group of women about osteoporosis and exercise the nurse should
emphasize the need for which type of regular activity
-core strengthening
-aerobic exercise
-weight-bearing exercise
-muscles stretching and toning Ans aerobic exercise
A client is scheduled for a spiral computed Tomography scan with contrast to evaluate for a
pulmonary embolism which information in the clients history requires follow up by the nurse
-CT scan was perform six months earlier
-metal hip prosthesis was placed 20 years ago
-report of client sobriety for the last five years
-takes metformin for type two diabetes mellitus Ans takes metformin for type two diabetes
mellitus
The psychiatric nurse is caring for a client on an adolescent unit which client requires the nurses
immediate attention
-a 14-year-old client with anorexia nervosa who is refusing to eat the evening snack
-a 16-year-old client diagnosed with major depression who refuses to participate in group
-a 17-year-old client diagnosed with bipolar disorder who is pacing around the lobby
-an 18-year-old client with antisocial behavior who is being yelled at by other clients Ans an 18-
year-old client with antisocial behavior who is being yelled at by other clients
A client at 12 weeks gestation is admitted to the antepartum unit with a diagnosis of hyper
emesis gravidarum which action is most important for the nurse to implement
-obtain the clients 24 hour dietary recall
-document mucosal membrane status
,-schedule a consult with a nutritionist
-initiate prescribed intravenous fluids Ans initiate prescribed intravenous fluids
-schedule a consult with a nutritionist
A pediatric client is taking the beta androgenic blocking agent propranolol in developing a
teaching plan the nurse should teach their parents to report which sign of overdose
-bradycardia
-tachypnea
-hypertension
-coughing Ans bradycardia
Prior to obtaining a trapeze bar for a client with limited mobility which client assessment is
most important for the nurse to obtain -upper body muscle strength
-balance and posture
-risk for disuse syndrome
-pressure sore risk Ans upper body muscle strength
A three-year-old boy was successfully toilet train prior to his admission to the hospital for
injuries sustained from a fall his parents are very concerned that the child has regressed in his
toilet and behaviors which information should the nurse provide to the parents -a re-training
program will need to be initiated with the child returns home
-diapering will be provided since hospitalizations restaurant for preschoolers
-a potty chair should be brought from home so he can maintain his toileting skills
-children usually regain their toileting behaviors when they leave the hospital Ans children
usually regain their toileting behaviors when they leave the hospital
The nurse is managing the care of a client with Cushing's syndrome which intervention should
the nurse delegate to the unlicensed assistive personnel select all that apply
-report any complaint of pain or discomfort
, -evaluate the client for sleep disturbances
-assess the client for weakness and fatigue
-weigh the client and report any weight gain
-note and report the clients food and liquid intake during meals and snacks Ans report any
complaint of pain or discomfort
-weigh the client and report any weight gain
-note and report the clients food and liquid intake during meals and snacks
A young adult visits the clinic reporting symptoms associated with gastritis which information in
the clients history is most important for the nurse to address in the teaching plan
-consumes 10 ounces more drinks of alcohol every weekend
-snacks on foods with very high salt content on a daily basis
-exercise vigorously every evening right before going to bed -recently became a vegetarian and
eats a lot of high fiber foods Ans consumes 10 ounces more drinks of alcohol every weekend
After administering a proton pump inhibitor which action should the nurse take to evaluate the
effectiveness of the medication
-auscultate for bowel sounds in all quadrants
-ask the client about gastrointestinal pain
-monitor clients serum electrolyte levels
-measure the clients fluid intake and output Ans ask the client about gastrointestinal pain
When assessing a recently delivered multigravida client the nurse finds that her vaginal
bleeding is more than expected which factor in this clients history is related to this finding
-the second stage of labor lasted 10 minutes
-she received butorphanol 2 mg IV push during labor
-she is over 35 years of age
-she is gravida six para five Ans she is gravida six para five
questions and answers
An older client is brought to the emergency department with a sudden onset of confusion that
occurred after experiencing a fall at home the clients daughter who has power of attorney has
brought the clients prescriptions which information should the nurse provide first when
reporting to the healthcare provider using S bar
-currently prescribed medication's
-clients healthcare provider power of attorney
-increasing confusion of the client
-fall at home as reason for admission Ans increasing confusion of the client
The nurse identifies an electrolyte imbalance a weight gain of 4.4 pounds in 24 hours and an
elevated central venous pressure for a client with full thickness burns which intervention should
the nurse implement
-auscultate the irregular heart rate
-review arterial blood gas results
-measure ankle circumference
-document abdominal girth Ans auscultate the irregular heart rate
The nurse is caring for a group of clients with the help of a practical nurse which nursing action
should the nurse assigned to the practical nurse select all that apply
-administer a dose of insulin for sliding scale for a client with type two diabetes mellitus
-start the second blood transfusion for a client 12 hours following a below the knee amputation
-initiate patient controlled analgesia pumps for two clients immediately postoperatively
-perform daily surgical dressing change for a client who had an abdominal hysterectomy
-obtain postoperative vital signs for a client one day following unilateral knee arthroplasty Ans
administer a dose of insulin for sliding scale for a client with type two diabetes mellitus
-perform daily surgical dressing change for a client who had an abdominal hysterectomy
,-obtain postoperative vital signs for a client one day following unilateral knee arthroplasty
The nurse is teaching a group of women about osteoporosis and exercise the nurse should
emphasize the need for which type of regular activity
-core strengthening
-aerobic exercise
-weight-bearing exercise
-muscles stretching and toning Ans aerobic exercise
A client is scheduled for a spiral computed Tomography scan with contrast to evaluate for a
pulmonary embolism which information in the clients history requires follow up by the nurse
-CT scan was perform six months earlier
-metal hip prosthesis was placed 20 years ago
-report of client sobriety for the last five years
-takes metformin for type two diabetes mellitus Ans takes metformin for type two diabetes
mellitus
The psychiatric nurse is caring for a client on an adolescent unit which client requires the nurses
immediate attention
-a 14-year-old client with anorexia nervosa who is refusing to eat the evening snack
-a 16-year-old client diagnosed with major depression who refuses to participate in group
-a 17-year-old client diagnosed with bipolar disorder who is pacing around the lobby
-an 18-year-old client with antisocial behavior who is being yelled at by other clients Ans an 18-
year-old client with antisocial behavior who is being yelled at by other clients
A client at 12 weeks gestation is admitted to the antepartum unit with a diagnosis of hyper
emesis gravidarum which action is most important for the nurse to implement
-obtain the clients 24 hour dietary recall
-document mucosal membrane status
,-schedule a consult with a nutritionist
-initiate prescribed intravenous fluids Ans initiate prescribed intravenous fluids
-schedule a consult with a nutritionist
A pediatric client is taking the beta androgenic blocking agent propranolol in developing a
teaching plan the nurse should teach their parents to report which sign of overdose
-bradycardia
-tachypnea
-hypertension
-coughing Ans bradycardia
Prior to obtaining a trapeze bar for a client with limited mobility which client assessment is
most important for the nurse to obtain -upper body muscle strength
-balance and posture
-risk for disuse syndrome
-pressure sore risk Ans upper body muscle strength
A three-year-old boy was successfully toilet train prior to his admission to the hospital for
injuries sustained from a fall his parents are very concerned that the child has regressed in his
toilet and behaviors which information should the nurse provide to the parents -a re-training
program will need to be initiated with the child returns home
-diapering will be provided since hospitalizations restaurant for preschoolers
-a potty chair should be brought from home so he can maintain his toileting skills
-children usually regain their toileting behaviors when they leave the hospital Ans children
usually regain their toileting behaviors when they leave the hospital
The nurse is managing the care of a client with Cushing's syndrome which intervention should
the nurse delegate to the unlicensed assistive personnel select all that apply
-report any complaint of pain or discomfort
, -evaluate the client for sleep disturbances
-assess the client for weakness and fatigue
-weigh the client and report any weight gain
-note and report the clients food and liquid intake during meals and snacks Ans report any
complaint of pain or discomfort
-weigh the client and report any weight gain
-note and report the clients food and liquid intake during meals and snacks
A young adult visits the clinic reporting symptoms associated with gastritis which information in
the clients history is most important for the nurse to address in the teaching plan
-consumes 10 ounces more drinks of alcohol every weekend
-snacks on foods with very high salt content on a daily basis
-exercise vigorously every evening right before going to bed -recently became a vegetarian and
eats a lot of high fiber foods Ans consumes 10 ounces more drinks of alcohol every weekend
After administering a proton pump inhibitor which action should the nurse take to evaluate the
effectiveness of the medication
-auscultate for bowel sounds in all quadrants
-ask the client about gastrointestinal pain
-monitor clients serum electrolyte levels
-measure the clients fluid intake and output Ans ask the client about gastrointestinal pain
When assessing a recently delivered multigravida client the nurse finds that her vaginal
bleeding is more than expected which factor in this clients history is related to this finding
-the second stage of labor lasted 10 minutes
-she received butorphanol 2 mg IV push during labor
-she is over 35 years of age
-she is gravida six para five Ans she is gravida six para five
