COMPLETE SOLUTIONS
FOR
HESI EXIT PRACTICE
QUESTIONS
The practical nurse enters a male client's room to administer routine morning medications, and
the client is on the phone. Which action is best for the PN to take?
A. Ask another nurse to go back with the medication when the client's hung up the phone
B. Wait for the client to excuse himself from the telephone conversation, and observe the client
taking the medication
C.Return the medication to the client's drawer on the cart and document the client refused the
dose
D. Leave the medication with the client, and let him take it when he finishes the
conversation. - CORRECT ANSWER-B
A client is admitted to the postoperative surgical unit with two test tubes after a left lobectomy.
The ON observed that the chambers are set at the prescribed suction of 20 cm water pressure
and tidying occurs with respirations and bubbling. What action should the PN implement?
A. Clamp the chest tube to see if the activity stops
B. Notify the registered nurse of the malfunction
C.Maintain system integrity to promote lung reexpansion
D. Apply a partially occlusive dressing toterm-10 chest - CORRECT ANSWER-C
The mother of a 9-month-child who was diagnosed with respiratory syncytial virus yesterday calls
the clinic to inquire if it will be all right to take her infant to the first birthday party of a friend's child
for the following day. Which response should nthe nPN nprovide nthe nmother?
,A. Do nnot nexpose nother nchildren nas nthe nvirus nis nvery ncontagious neven nwithout ndirect
ncontact
B. The nchild nwill nno nlonger nbe ncontagious, nno nneed nto ntake nany nfurther nprecautions
C.The nchild ncan nbe naround nother nchildren nbut nshould nwear na nmask
D. Make nsure nthere nare nno nchildren nunder nthe nage nof n5 nmonths naround nthe ninfected
nchild. n- nCORRECT nANSWER-A
The npractical nnurse nis nassisting nthe nnurse nwith nthe nadmission nof na nyoung nadult nfemale
nKorean nexchange nstudent nwith nacute nabdominal npain. nAlthough nthe nclient nhas nbeen nable
nto neasily nanswer nquestions, nwhen nasked nabout nsexual nactivity, nshe nlooks naway. nWhat
naction nshould nthe nPN ntake?
A. Omit ncompelling nthis nsection nof nthe nassessment nform
B. Ask nher nif nshe nwould nlike nan ninterpreter nto nask nher nthe nquestion
C.Reword nthe nquestion nin ncase nthe nclient ndid nnot nunderstand
D. Watch nthe nclient's nresponse nwhen nasked na ndifferent nquestion n- nCORRECT nANSWER-D
During nimmediate npostoperative nperiod nfollowing na ntotal nhip nplacement, nwhich nintervention
nis nmost nimportant nfor nthe nPN nto nimplement?
A. Encourage nclient nto nuse nwalker nor ncane nwhen nambulating
B. Keep nclient's nhip naligned nwith nknees nabducted
C.Teach nclient nto nsit non nthe nside nof nthe nbed nbefore nstanding
D. Monitor nurinary nflow nvia nindwelling ncatheter n- nCORRECT nANSWER-B
A nclient nconfides nto nthe nPN nthat nthe nclient nhas nbeen nsubstituting nherbal nsupplements nfor
nhigh nblood npressure ninstead nof nthe nprescribed nmedication. nHow nshould nthe nPN nrespond
nfirst?
,A. Ask nthe nclient's nreason nfor nchoosing nto ntake nherbs ninstead nof nprescribed ndrugs
B. Reinforce nthat nthe nhealthcare nprovider nprescribed nthe nmedication nfor na nreason
C.Have nclient nuse nown nwords nto ndescribe ncomplications nof nhigh nblood npressure
D. Point nout nthe nrisks nof nnot ntaking nthe nherbal nmedications nrather nthan nprescribed n-
nCORRECT nANSWER-A
The nPN nis nassigned nto nadminister nmedications nin na nlong nterm ncare nfacility. nA ndisoriented
nresident nhas nno nidentification nband nor npicture. nWhat nis nthe nbest nnursing naction nfor nthe
nPN nto ntake nprior nadministering nthe nmedications nthis nresident?
term-14
A. Ask na nregular nstaff nmember nto nconfirm nthe nresident's nidentity
B. Hold nthe nmedication nuntil na nfamily nmember nagain
C.Re-orient nthe nresident nto nname, nplace, nand nsituation
D. Confirm nthe nroom nand nbed nnumbers nwith nthose non nthe nmedication nrecord. n- nCORRECT
nANSWER-D
An nadult nclient nwho nweighs n150 npounds nhas npartial-thickness nand nfull-thickness nburns
nover n40% nof nthe nbody nfrom na nhouse nfire. nAfter nadmission, nwhich nobservation nis nmost
nimportant nfor nthe npractical nnurse nto nreport nimmediately?
A. Poor nappetite nand nrefusing nto neat
B. Systolic nblood npressure nat n102
C.Painful nmoaning nand ncrying
D. Urinary nOutput nof n20ml/hr n- nCORRECT nANSWER-D
A n12-year-old nchild nis nreceiving na nblood ntransfusion nper ninfusion npump nand nbegins nto
ncomplain nof n"itchy" nskin n15 nminutes nafter nthe nunit nof nblood nis nstarted. nThe nchild
nappears nflushed. nWhat naction nshould nthe npractical nnurse ntake nfirst?
A. Apply nlotion nto nthe nskin
, B. Stop nthe ntransfusion
C.Inspect nthe ninfusion nsite
D. Obtain nthe nvital nsigns n- nCORRECT nANSWER-B
A nPN nis ncompeting na nfocused nassessment nof nan nolder nadult's nskin. nThe nPN nnotes na
ncrusted n0.7 ncm nlesion non nthe nclient's nforehead. nWhich naction nshould nthe nPN ntake nin
nresponse nto nthis nfinding?
A. Report nthe nfinding nto nthe nhealthcare nprovider
B. Place na nclear nocclusive ndressing nover nthe nsite
C.Apply na nwarm ncompress nto nremove nthe ncrusted narea
D. Explain nthat nthis nis na nnormal nskin nchange nwith naging n- nCORRECT nANSWER-C
While ntaking nthe nvital nsigns nof nan nolder nmale nclient nwho ntakes npsychotropic
nmedications, nthe nPN nnotes nthat nhe nhas nuncontrollable nhand nmovements nand nis
nexcessively nblinking nhis neyes. nWhich ninformation nin nthe nclient's nmedical nrecord nshould
nthe nPN nreview?
A. Prescription nfor nlorazepam
B. History nof nParkinson's ndisease
C.Screening nfor ntardive ndyskinesia
D. Recent nurine ndrug nscreen nreport n- nCORRECT nANSWER-B
The nPN nis ncaring nfor nan nelderly nfemale nclient nwho ntells nthe nPN, n"When nI nsneeze, nI nwet
nmy npants." nAfter ndiscussing nthe nclient's ncomplaint nwith nthe ncharge nnurse, nthe nPN nplans
nto nreinforce nteaching nthat nthe nclient nhas nreceived nabout nthe nimportance nof nKegel
nexercises.WHat nmuscles nare ninvolved nin nthese nexercises?
A. Pectoral nmuscles
B. Buttock nmuscles
FOR
HESI EXIT PRACTICE
QUESTIONS
The practical nurse enters a male client's room to administer routine morning medications, and
the client is on the phone. Which action is best for the PN to take?
A. Ask another nurse to go back with the medication when the client's hung up the phone
B. Wait for the client to excuse himself from the telephone conversation, and observe the client
taking the medication
C.Return the medication to the client's drawer on the cart and document the client refused the
dose
D. Leave the medication with the client, and let him take it when he finishes the
conversation. - CORRECT ANSWER-B
A client is admitted to the postoperative surgical unit with two test tubes after a left lobectomy.
The ON observed that the chambers are set at the prescribed suction of 20 cm water pressure
and tidying occurs with respirations and bubbling. What action should the PN implement?
A. Clamp the chest tube to see if the activity stops
B. Notify the registered nurse of the malfunction
C.Maintain system integrity to promote lung reexpansion
D. Apply a partially occlusive dressing toterm-10 chest - CORRECT ANSWER-C
The mother of a 9-month-child who was diagnosed with respiratory syncytial virus yesterday calls
the clinic to inquire if it will be all right to take her infant to the first birthday party of a friend's child
for the following day. Which response should nthe nPN nprovide nthe nmother?
,A. Do nnot nexpose nother nchildren nas nthe nvirus nis nvery ncontagious neven nwithout ndirect
ncontact
B. The nchild nwill nno nlonger nbe ncontagious, nno nneed nto ntake nany nfurther nprecautions
C.The nchild ncan nbe naround nother nchildren nbut nshould nwear na nmask
D. Make nsure nthere nare nno nchildren nunder nthe nage nof n5 nmonths naround nthe ninfected
nchild. n- nCORRECT nANSWER-A
The npractical nnurse nis nassisting nthe nnurse nwith nthe nadmission nof na nyoung nadult nfemale
nKorean nexchange nstudent nwith nacute nabdominal npain. nAlthough nthe nclient nhas nbeen nable
nto neasily nanswer nquestions, nwhen nasked nabout nsexual nactivity, nshe nlooks naway. nWhat
naction nshould nthe nPN ntake?
A. Omit ncompelling nthis nsection nof nthe nassessment nform
B. Ask nher nif nshe nwould nlike nan ninterpreter nto nask nher nthe nquestion
C.Reword nthe nquestion nin ncase nthe nclient ndid nnot nunderstand
D. Watch nthe nclient's nresponse nwhen nasked na ndifferent nquestion n- nCORRECT nANSWER-D
During nimmediate npostoperative nperiod nfollowing na ntotal nhip nplacement, nwhich nintervention
nis nmost nimportant nfor nthe nPN nto nimplement?
A. Encourage nclient nto nuse nwalker nor ncane nwhen nambulating
B. Keep nclient's nhip naligned nwith nknees nabducted
C.Teach nclient nto nsit non nthe nside nof nthe nbed nbefore nstanding
D. Monitor nurinary nflow nvia nindwelling ncatheter n- nCORRECT nANSWER-B
A nclient nconfides nto nthe nPN nthat nthe nclient nhas nbeen nsubstituting nherbal nsupplements nfor
nhigh nblood npressure ninstead nof nthe nprescribed nmedication. nHow nshould nthe nPN nrespond
nfirst?
,A. Ask nthe nclient's nreason nfor nchoosing nto ntake nherbs ninstead nof nprescribed ndrugs
B. Reinforce nthat nthe nhealthcare nprovider nprescribed nthe nmedication nfor na nreason
C.Have nclient nuse nown nwords nto ndescribe ncomplications nof nhigh nblood npressure
D. Point nout nthe nrisks nof nnot ntaking nthe nherbal nmedications nrather nthan nprescribed n-
nCORRECT nANSWER-A
The nPN nis nassigned nto nadminister nmedications nin na nlong nterm ncare nfacility. nA ndisoriented
nresident nhas nno nidentification nband nor npicture. nWhat nis nthe nbest nnursing naction nfor nthe
nPN nto ntake nprior nadministering nthe nmedications nthis nresident?
term-14
A. Ask na nregular nstaff nmember nto nconfirm nthe nresident's nidentity
B. Hold nthe nmedication nuntil na nfamily nmember nagain
C.Re-orient nthe nresident nto nname, nplace, nand nsituation
D. Confirm nthe nroom nand nbed nnumbers nwith nthose non nthe nmedication nrecord. n- nCORRECT
nANSWER-D
An nadult nclient nwho nweighs n150 npounds nhas npartial-thickness nand nfull-thickness nburns
nover n40% nof nthe nbody nfrom na nhouse nfire. nAfter nadmission, nwhich nobservation nis nmost
nimportant nfor nthe npractical nnurse nto nreport nimmediately?
A. Poor nappetite nand nrefusing nto neat
B. Systolic nblood npressure nat n102
C.Painful nmoaning nand ncrying
D. Urinary nOutput nof n20ml/hr n- nCORRECT nANSWER-D
A n12-year-old nchild nis nreceiving na nblood ntransfusion nper ninfusion npump nand nbegins nto
ncomplain nof n"itchy" nskin n15 nminutes nafter nthe nunit nof nblood nis nstarted. nThe nchild
nappears nflushed. nWhat naction nshould nthe npractical nnurse ntake nfirst?
A. Apply nlotion nto nthe nskin
, B. Stop nthe ntransfusion
C.Inspect nthe ninfusion nsite
D. Obtain nthe nvital nsigns n- nCORRECT nANSWER-B
A nPN nis ncompeting na nfocused nassessment nof nan nolder nadult's nskin. nThe nPN nnotes na
ncrusted n0.7 ncm nlesion non nthe nclient's nforehead. nWhich naction nshould nthe nPN ntake nin
nresponse nto nthis nfinding?
A. Report nthe nfinding nto nthe nhealthcare nprovider
B. Place na nclear nocclusive ndressing nover nthe nsite
C.Apply na nwarm ncompress nto nremove nthe ncrusted narea
D. Explain nthat nthis nis na nnormal nskin nchange nwith naging n- nCORRECT nANSWER-C
While ntaking nthe nvital nsigns nof nan nolder nmale nclient nwho ntakes npsychotropic
nmedications, nthe nPN nnotes nthat nhe nhas nuncontrollable nhand nmovements nand nis
nexcessively nblinking nhis neyes. nWhich ninformation nin nthe nclient's nmedical nrecord nshould
nthe nPN nreview?
A. Prescription nfor nlorazepam
B. History nof nParkinson's ndisease
C.Screening nfor ntardive ndyskinesia
D. Recent nurine ndrug nscreen nreport n- nCORRECT nANSWER-B
The nPN nis ncaring nfor nan nelderly nfemale nclient nwho ntells nthe nPN, n"When nI nsneeze, nI nwet
nmy npants." nAfter ndiscussing nthe nclient's ncomplaint nwith nthe ncharge nnurse, nthe nPN nplans
nto nreinforce nteaching nthat nthe nclient nhas nreceived nabout nthe nimportance nof nKegel
nexercises.WHat nmuscles nare ninvolved nin nthese nexercises?
A. Pectoral nmuscles
B. Buttock nmuscles
