HESI EXIT EXAM TEST BANK WITH 500 PLUS QUESTIONS
LATEST UPDATED 2025/2026 GRADED A+
Following discharge teaching, a male client with duodenal ulcer tells the nurse the
he will drink plenty of dairy products, such as milk, to help coat and protect his
ulcer. What is the best follow-up action by the nurse?
- ANSWER Review with the client the need to avoid foods that are rich in milk and
cream
***During shift report, the central electrocardiogram (EKG) monitoring system
alarms. Which client alarm should the nurse investigate firs?
- ANSWER Respiratory apnea of 30 seconds
***Which client should the nurse assess frequently because of the risk for
overflow incontinence? A client
- ANSWER Who is confused and frequently forgets to go to the bathroom
***A client with pneumonia has arterial blood gases levels at: PH 7.33; PaCO2 49
mm/hg; HCO3 25 mEq/L; PaO2 95. What intervention should the nurse
implement based on these results?
- ANSWER Institute coughing and deep breathing protocols
***A client with hyperthyroidism is admitted to the postoperative after subtotal
thyroidectomy. Which of the client's serum laboratory values requires
intervention by the nurse?
- ANSWER Total calcium 5.0 mg/dl
,***In assessing a client 48 hours following a fracture, the nurse observes
ecchymosis at the fracture site, and recognizes that hematoma formation at the
bone fragment site has occurred. What action should the nurse implement?
- ANSWER Document the extend of the bruising in the medical record
***During a left femoral artery arteriogram, the healthcare provider inserts an
arterial sheath and initiate. Through the sheath to dissolve an occluded artery.
Which interventions should the nurse implement? SATA
- ANSWER Instruct the client to keep the left leg straight
Observe the insertion site for a hematoma
Circle first noted drainage on the dressing
***A male client who was admitted with an acute myocardial infarction receives a
cardiac diet with sodium restriction and complains that his hamburger is
flavorless. Which condiment should the nurse offer?
- ANSWER Fresh horseradish
***While completing an admission assessment for a client with unstable angina,
which closed questions should the nurse ask about the client's pain?
- ANSWER Does your pain occur when walking short distances?
***An adult man reports that he recently experienced an episode of chest
pressure and breathlessness when he was jogging in the neighborhood. He
expresses concern because both of his deceased parents had heart disease and
his father was a diabetic. He lives with his male partner, is a vegetarian, and takes
atenolol which maintain his blood pressure at 138/74. Which risk factors should
the nurse explore further with the client? Select all that apply
- ANSWER History of hypertension. Family heath history.
,Following a lumbar puncture, a client voices several complaints. What complaint
indicated to the nurse that the client is experiencing a complication?
A. "I have a headache that gets worse when I sit up"
B. "I am having pain in my lower back when I move my legs"
C. "My throat hurts when I swallow"
D.Q "I feel sick to my stomach and am going to throw up"
- ANSWER"I have a headache that gets worse when I sit up"
A mother brings her 6-year-old child, who has just stepped on a rusty nail, to the
pediatrician's office. Upon inspection, the nurse notes that the nail went through
the shoe and pierced the bottom of the child's foot. Which action should the
nurse implement first?
A. Cleanse the foot with soap and water and apply an antibiotic ointment
B. Provide teaching about the need for a tetanus booster within the next 72
hours.
C. Have the mother check the child's temperature q4h for the next 24 hours
D. Transfer the child to the emergency department to receive a gamma globulin
injection
- ANSWER A. Cleanse the foot with soap and water and apply an antibiotic
ointment
A 26-year-old female client is admitted to the hospital for treatment of a simple
goiter, and levothyroxine sodium (Synthroid) is prescribed. Which symptoms
indicate to the nurse that the prescribed dosage is too high for this client? The
client experiences
A. Bradycardia and constipation
, B. Lethargy and lack of appetite
C. Muscle cramping and dry, flushed skin
D. Palpitations and shortness of breath
- ANSWER D. Palpitations and shortness of breath
The nurse notes that a client has been receiving hydromorphone (Dilaudid) every
six hours for four days. What assessment is most important for the nurse to
complete?
A. Auscultate the client's bowel sounds
B. Observe for edema around the ankles
C. Measure the client's capillary glucose level
D. Count the apical and radial pulses simultaneously
- ANSWER A. Auscultate the client's bowel sounds
Rationale: hydromorphone is a potent opioid analgesic that slows peristalsis and
frequently causes constipation, so it is most important to Auscultate the client's
bowel sounds
After a third hospitalization 6 months ago, a client is admitted to the hospital with
ascites and malnutrition. The client is drowsy but responding to verbal stimuli and
reports recently spitting up blood. What assessment finding warrants immediate
intervention by the nurse?
A. Capillary refill of 8 seconds
B. Bruises on arms and legs
C. Round and tight abdomen
D. Pitting edema in lower legs
LATEST UPDATED 2025/2026 GRADED A+
Following discharge teaching, a male client with duodenal ulcer tells the nurse the
he will drink plenty of dairy products, such as milk, to help coat and protect his
ulcer. What is the best follow-up action by the nurse?
- ANSWER Review with the client the need to avoid foods that are rich in milk and
cream
***During shift report, the central electrocardiogram (EKG) monitoring system
alarms. Which client alarm should the nurse investigate firs?
- ANSWER Respiratory apnea of 30 seconds
***Which client should the nurse assess frequently because of the risk for
overflow incontinence? A client
- ANSWER Who is confused and frequently forgets to go to the bathroom
***A client with pneumonia has arterial blood gases levels at: PH 7.33; PaCO2 49
mm/hg; HCO3 25 mEq/L; PaO2 95. What intervention should the nurse
implement based on these results?
- ANSWER Institute coughing and deep breathing protocols
***A client with hyperthyroidism is admitted to the postoperative after subtotal
thyroidectomy. Which of the client's serum laboratory values requires
intervention by the nurse?
- ANSWER Total calcium 5.0 mg/dl
,***In assessing a client 48 hours following a fracture, the nurse observes
ecchymosis at the fracture site, and recognizes that hematoma formation at the
bone fragment site has occurred. What action should the nurse implement?
- ANSWER Document the extend of the bruising in the medical record
***During a left femoral artery arteriogram, the healthcare provider inserts an
arterial sheath and initiate. Through the sheath to dissolve an occluded artery.
Which interventions should the nurse implement? SATA
- ANSWER Instruct the client to keep the left leg straight
Observe the insertion site for a hematoma
Circle first noted drainage on the dressing
***A male client who was admitted with an acute myocardial infarction receives a
cardiac diet with sodium restriction and complains that his hamburger is
flavorless. Which condiment should the nurse offer?
- ANSWER Fresh horseradish
***While completing an admission assessment for a client with unstable angina,
which closed questions should the nurse ask about the client's pain?
- ANSWER Does your pain occur when walking short distances?
***An adult man reports that he recently experienced an episode of chest
pressure and breathlessness when he was jogging in the neighborhood. He
expresses concern because both of his deceased parents had heart disease and
his father was a diabetic. He lives with his male partner, is a vegetarian, and takes
atenolol which maintain his blood pressure at 138/74. Which risk factors should
the nurse explore further with the client? Select all that apply
- ANSWER History of hypertension. Family heath history.
,Following a lumbar puncture, a client voices several complaints. What complaint
indicated to the nurse that the client is experiencing a complication?
A. "I have a headache that gets worse when I sit up"
B. "I am having pain in my lower back when I move my legs"
C. "My throat hurts when I swallow"
D.Q "I feel sick to my stomach and am going to throw up"
- ANSWER"I have a headache that gets worse when I sit up"
A mother brings her 6-year-old child, who has just stepped on a rusty nail, to the
pediatrician's office. Upon inspection, the nurse notes that the nail went through
the shoe and pierced the bottom of the child's foot. Which action should the
nurse implement first?
A. Cleanse the foot with soap and water and apply an antibiotic ointment
B. Provide teaching about the need for a tetanus booster within the next 72
hours.
C. Have the mother check the child's temperature q4h for the next 24 hours
D. Transfer the child to the emergency department to receive a gamma globulin
injection
- ANSWER A. Cleanse the foot with soap and water and apply an antibiotic
ointment
A 26-year-old female client is admitted to the hospital for treatment of a simple
goiter, and levothyroxine sodium (Synthroid) is prescribed. Which symptoms
indicate to the nurse that the prescribed dosage is too high for this client? The
client experiences
A. Bradycardia and constipation
, B. Lethargy and lack of appetite
C. Muscle cramping and dry, flushed skin
D. Palpitations and shortness of breath
- ANSWER D. Palpitations and shortness of breath
The nurse notes that a client has been receiving hydromorphone (Dilaudid) every
six hours for four days. What assessment is most important for the nurse to
complete?
A. Auscultate the client's bowel sounds
B. Observe for edema around the ankles
C. Measure the client's capillary glucose level
D. Count the apical and radial pulses simultaneously
- ANSWER A. Auscultate the client's bowel sounds
Rationale: hydromorphone is a potent opioid analgesic that slows peristalsis and
frequently causes constipation, so it is most important to Auscultate the client's
bowel sounds
After a third hospitalization 6 months ago, a client is admitted to the hospital with
ascites and malnutrition. The client is drowsy but responding to verbal stimuli and
reports recently spitting up blood. What assessment finding warrants immediate
intervention by the nurse?
A. Capillary refill of 8 seconds
B. Bruises on arms and legs
C. Round and tight abdomen
D. Pitting edema in lower legs
