RESEARCHED HESI EXIT
EXAM
QUESTIONS AND
ANSWERS
A client is receiving a continuous half strength tube feeding at 50ml/hour. To prepare enough of
the solution for eight hours, how many ml of full strength feeding will the nurse need? (Enter
numeric value only.) - CORRECT ANSWER -200ml . 25 ml of full strength feeding mixed with
25ml of water provided 50ml of half strength. 25ml × 8 hours= 200ml
An elderly male client is experiencing urinary incontinence. What is the best initial nursing action?
- CORRECT ANSWER -Apply an external condom catheter
3. A male Muslim client with pneumonia is scheduled to receive a dose of an intravenous
antibiotic but refuses to allow the nurse to begin the medication, stating he cannot allow fluids to
enter his body once he is cleansed for prayer. What action should the nurse implement? -
CORRECT ANSWER -Reschedule administration of the antibiotic until after he completes his
prayers
UAP using a hand sanitzers that is alcohol for 2 minutes - CORRECT ANSWER -tell that hand
sanitizer use is less > 2min
5.A child is to receive vancomycin (Vancocin) 40 mg/kg IV one hour before a scheduled
procedure. The child weighs 44 pounds. How many mg of the medication should the nurse
administer - CORRECT ANSWER -Answer: 800 Rationale: jFirst, jconvert jthe jchild's jweight jto
jkg: j44 jpounds jdivided jby
2.2pound/kg j= j20 jkg. jNext jcalculate jthe jmg/kg/dose, j40 jmg jx j20 jkg j= j800mg
6. jWhile jassisting ja jpostpartum jclient jwith jperineal jcare, jthe jnurse jnotes jthat jher jvaginal
jbleeding jspurts jrather jthan jtrickles jfrom jthe jvagina. jThe juterine jfundus jis jfirm jand jthe
jclient's jvital jsigns jare jpulse j88 jbeats/minute; jrespiratory jrate, j21 jbreaths/minute; jand jblood
jpressure, j104/68 jmmHg. jWhat jaction jshould jthe jnurse jtake jnext? j- jCORRECT jANSWER j-
Compare jcurrent jvital jsigns jwith jprevious jvital jsigns
,A j6-year jold jboy jwas jhit jwith ja jbat jwhile jplaying jat jschool. jHe jhas ja jsplinter jof jwood
jimbedded jin jhis jeye. jWhich jaction jshould jthe jschool jnurse jtake? j- jCORRECT jANSWER j-
Have jthe jparent jtake jthe jchild jfor jemergency jhelp
Within jfour jweeks jof jchildbirth, ja jclient jis jadmitted jto jthe jhospital jfor jdisorganized jspeech
jbizarre jbehavior, jand jstrange jthoughts jabout jher jinfant jbeing jpossessed jby jdemons. jThe
jnurse jidentifies ja jnursing jdiagnosis jof j"Altered jthought jprocesses, jsecondary jto" jwhat
jcondition? j- jCORRECT jANSWER j- jPostpartum jpsychosis
The jnurse jidentifies ja jpriority jdiagnosis jof, j"Altered jcomfort jrelated jto jmenstrual jcramps" jfor ja
j25-year- jold jfemale jclient. jWhich jself-care jactivity jshould jthe jnurse jemphasize jin jthe jclient's
jteaching jplan? j- jCORRECT jANSWER j-Regular jaerobic jexercise.
Psych/Alcohol/Tylenol joverdose jantidote j- jCORRECT jANSWER j-Give jMucomyst
Medical jSurgical/Laxative jabuses j- jCORRECT jANSWER j-Patient j-taking jMilk jof jMagnesium
Spiritual/Documentation j- jCORRECT jANSWER j-Native jAmerican j- jAllow jpt's jfamily jto jstay jin
jthe jroom
Leadership- jInterpreter jinformed jconsent j- jCORRECT jANSWER j-Pt jshould jsign jthe jconsent
Geriatrics/Emergency jRib jfractures jfall j- jCORRECT jANSWER j-Pulmonary jembolism
A jclient jdiagnosed jwith jmajor jdepression jis jbeing jallowed ja jweekend jpass jfrom jthe
jpsychiatric junit. jWhich jinstruction jshould jthe jnurse jprovide jto jthe jclient's jfamily? j- jCORRECT
jANSWER j-Involve jthe jclient jin jusual jat jhome jactivities
Upon jassessment, jthe jnurse jdiscovers jthat ja jpostpartum jclient jhas jpersistent jred jlochia.
, Which jof jthe jfollowing jdoes jthis jassessment jfinding jsuggest jto jthe jnurse? j- jCORRECT
jANSWER j- jCoagulation jdisorders
The jhealthcare jprovider jperforms jperitoneal jdialysis jon ja jclient, jafter jwhich j2 jliters jof jfluid jis
jdrained. jWhat jaction jshould jthe jnurse jcomplete jfirst? j- jCORRECT jANSWER j-Assess jvital
jsigns.
After jadministering ja jmedication jthrough ja jnasogastric jtube jconnected jto jsuction, jwhat jaction
jshould jthe jnurse jtake jfirst? j- jCORRECT jANSWER j-Clamp jthe jtube
The jnurse jis jcaring jfor jfour jclients: jClient jA j94% jo2 jsaturation, jClient jB, jhemoglobin jof j8.;
Client jC, jpotassium jlevel jof j3.8 jand jClient jD jappendectomy jwho jhas ja jwhite jblood jcell jcount jof
j15,000.
What
should jthe jnurse jimplement? j- jCORRECT jANSWER j-Determine jif jClient jB jhas jtwo junits jof
jpacked jcells javailable jin jthe jblood jbank.
Triage jquestion jwith ja jtrain jwreck jThe jpsychiatric jnurse jis jcalled jto ja jtrain jderailment jthat jwas
jlikely jcaused jby ja jterrorist jbomb. jIn jtriaging jthose jin jneed jof jimmediate jcare, jwhat jis jthe
jpriority jranking jfor jthese jcases?
(arrange jthese jcases jin jorder jor jpriority jwith jthe jtop jitem jrequiring jthe jmost jimmediate jcare
jand jthe jbottom jitem jrequiring jthe jleast jpriority jcare) j- jCORRECT jANSWER j-A jmother jand
jfather jhave jjust jarrived jon jthe j.
A jcrying jchild jbeing jheld jby janother jpassenger. jA jwoman jsitting jon jthe jground jwith ja jblanket.
A jmiddle-aged jman jwho jis jwandering jaround
(arrange jin jorder) j= jmiddle jage jwoman jbleeding- jwoman jw/ jblanket- jchild jcrying- jmother jand
jfather. j(Mine jdidn't jhave ja jmiddle jage jwoman jbleeding, jinstead jit jhad jan jold jman jwandering
jand j- jCORRECT jANSWER j-correct jorder jis: jwandering jold jman, jwoman jw/blanket, jman
jholding jbaby, jand jmother j& jfather)
EXAM
QUESTIONS AND
ANSWERS
A client is receiving a continuous half strength tube feeding at 50ml/hour. To prepare enough of
the solution for eight hours, how many ml of full strength feeding will the nurse need? (Enter
numeric value only.) - CORRECT ANSWER -200ml . 25 ml of full strength feeding mixed with
25ml of water provided 50ml of half strength. 25ml × 8 hours= 200ml
An elderly male client is experiencing urinary incontinence. What is the best initial nursing action?
- CORRECT ANSWER -Apply an external condom catheter
3. A male Muslim client with pneumonia is scheduled to receive a dose of an intravenous
antibiotic but refuses to allow the nurse to begin the medication, stating he cannot allow fluids to
enter his body once he is cleansed for prayer. What action should the nurse implement? -
CORRECT ANSWER -Reschedule administration of the antibiotic until after he completes his
prayers
UAP using a hand sanitzers that is alcohol for 2 minutes - CORRECT ANSWER -tell that hand
sanitizer use is less > 2min
5.A child is to receive vancomycin (Vancocin) 40 mg/kg IV one hour before a scheduled
procedure. The child weighs 44 pounds. How many mg of the medication should the nurse
administer - CORRECT ANSWER -Answer: 800 Rationale: jFirst, jconvert jthe jchild's jweight jto
jkg: j44 jpounds jdivided jby
2.2pound/kg j= j20 jkg. jNext jcalculate jthe jmg/kg/dose, j40 jmg jx j20 jkg j= j800mg
6. jWhile jassisting ja jpostpartum jclient jwith jperineal jcare, jthe jnurse jnotes jthat jher jvaginal
jbleeding jspurts jrather jthan jtrickles jfrom jthe jvagina. jThe juterine jfundus jis jfirm jand jthe
jclient's jvital jsigns jare jpulse j88 jbeats/minute; jrespiratory jrate, j21 jbreaths/minute; jand jblood
jpressure, j104/68 jmmHg. jWhat jaction jshould jthe jnurse jtake jnext? j- jCORRECT jANSWER j-
Compare jcurrent jvital jsigns jwith jprevious jvital jsigns
,A j6-year jold jboy jwas jhit jwith ja jbat jwhile jplaying jat jschool. jHe jhas ja jsplinter jof jwood
jimbedded jin jhis jeye. jWhich jaction jshould jthe jschool jnurse jtake? j- jCORRECT jANSWER j-
Have jthe jparent jtake jthe jchild jfor jemergency jhelp
Within jfour jweeks jof jchildbirth, ja jclient jis jadmitted jto jthe jhospital jfor jdisorganized jspeech
jbizarre jbehavior, jand jstrange jthoughts jabout jher jinfant jbeing jpossessed jby jdemons. jThe
jnurse jidentifies ja jnursing jdiagnosis jof j"Altered jthought jprocesses, jsecondary jto" jwhat
jcondition? j- jCORRECT jANSWER j- jPostpartum jpsychosis
The jnurse jidentifies ja jpriority jdiagnosis jof, j"Altered jcomfort jrelated jto jmenstrual jcramps" jfor ja
j25-year- jold jfemale jclient. jWhich jself-care jactivity jshould jthe jnurse jemphasize jin jthe jclient's
jteaching jplan? j- jCORRECT jANSWER j-Regular jaerobic jexercise.
Psych/Alcohol/Tylenol joverdose jantidote j- jCORRECT jANSWER j-Give jMucomyst
Medical jSurgical/Laxative jabuses j- jCORRECT jANSWER j-Patient j-taking jMilk jof jMagnesium
Spiritual/Documentation j- jCORRECT jANSWER j-Native jAmerican j- jAllow jpt's jfamily jto jstay jin
jthe jroom
Leadership- jInterpreter jinformed jconsent j- jCORRECT jANSWER j-Pt jshould jsign jthe jconsent
Geriatrics/Emergency jRib jfractures jfall j- jCORRECT jANSWER j-Pulmonary jembolism
A jclient jdiagnosed jwith jmajor jdepression jis jbeing jallowed ja jweekend jpass jfrom jthe
jpsychiatric junit. jWhich jinstruction jshould jthe jnurse jprovide jto jthe jclient's jfamily? j- jCORRECT
jANSWER j-Involve jthe jclient jin jusual jat jhome jactivities
Upon jassessment, jthe jnurse jdiscovers jthat ja jpostpartum jclient jhas jpersistent jred jlochia.
, Which jof jthe jfollowing jdoes jthis jassessment jfinding jsuggest jto jthe jnurse? j- jCORRECT
jANSWER j- jCoagulation jdisorders
The jhealthcare jprovider jperforms jperitoneal jdialysis jon ja jclient, jafter jwhich j2 jliters jof jfluid jis
jdrained. jWhat jaction jshould jthe jnurse jcomplete jfirst? j- jCORRECT jANSWER j-Assess jvital
jsigns.
After jadministering ja jmedication jthrough ja jnasogastric jtube jconnected jto jsuction, jwhat jaction
jshould jthe jnurse jtake jfirst? j- jCORRECT jANSWER j-Clamp jthe jtube
The jnurse jis jcaring jfor jfour jclients: jClient jA j94% jo2 jsaturation, jClient jB, jhemoglobin jof j8.;
Client jC, jpotassium jlevel jof j3.8 jand jClient jD jappendectomy jwho jhas ja jwhite jblood jcell jcount jof
j15,000.
What
should jthe jnurse jimplement? j- jCORRECT jANSWER j-Determine jif jClient jB jhas jtwo junits jof
jpacked jcells javailable jin jthe jblood jbank.
Triage jquestion jwith ja jtrain jwreck jThe jpsychiatric jnurse jis jcalled jto ja jtrain jderailment jthat jwas
jlikely jcaused jby ja jterrorist jbomb. jIn jtriaging jthose jin jneed jof jimmediate jcare, jwhat jis jthe
jpriority jranking jfor jthese jcases?
(arrange jthese jcases jin jorder jor jpriority jwith jthe jtop jitem jrequiring jthe jmost jimmediate jcare
jand jthe jbottom jitem jrequiring jthe jleast jpriority jcare) j- jCORRECT jANSWER j-A jmother jand
jfather jhave jjust jarrived jon jthe j.
A jcrying jchild jbeing jheld jby janother jpassenger. jA jwoman jsitting jon jthe jground jwith ja jblanket.
A jmiddle-aged jman jwho jis jwandering jaround
(arrange jin jorder) j= jmiddle jage jwoman jbleeding- jwoman jw/ jblanket- jchild jcrying- jmother jand
jfather. j(Mine jdidn't jhave ja jmiddle jage jwoman jbleeding, jinstead jit jhad jan jold jman jwandering
jand j- jCORRECT jANSWER j-correct jorder jis: jwandering jold jman, jwoman jw/blanket, jman
jholding jbaby, jand jmother j& jfather)
