ASSESSED EXIT HESI EXAM b b b
QUESTIONS AND ANSWERS b b
1. Following bdischarge bteaching, ba bmale bclient bwith bduodenal bulcer btells bthe bnurse bthe bhe bwill
bdrink bplenty bof bdairy bproducts, bsuch bas bmilk, bto bhelp bcoat band bprotect bhis bulcer. bWhat bis bthe
bbest bfollow-up baction bby bthe bnurse?
A) Remind bthe bclient bthat bit bis balso bimportant bto bswitch bto bdecaffeinated bcoffee band btea.
B) Suggest bthat bthe bclient balso bplan bto beat bfrequent bsmall bmeals bto breduce bdiscomfort.
C) Review bwith bthe bclient bthe bneed bto bavoid bfoods bthat bare brich bin bmilk band bcream.
D) Reinforce bthis bteaching bby basking bthe bclient bto blist ba bdairy bfood bthat bhe bmight bselect.
b- bCORRECT bANSWER b-C) bReview bwith bthe bclient bthe bneed bto bavoid bfoods bthat bare brich
bin bmilk band bcream.
Rationale: bDiets brich bin bmilk band bcream bstimulate bgastric bacid bsecretion band bshould bbe bavoided.
2. A bmale bclient bwith bhypertension, bwho breceived bnew bantihypertensive bprescriptions bat bhis blast
bvisit breturns bto bthe bclinic btwo bweeks blater bto bevaluate bhis bblood bpressure b(BP). bHis bBP bis
b158/106 band bhe badmits bthat bhe bhas bnot bbeen btaking bthe bprescribed bmedication bbecause bthe
bdrugs bmake bhim b"feel bbad". bIn bexplaining bthe bneed bfor bhypertension bcontrol, bthe bnurse
bshould bstress bthat ban belevated bBP bplaces bthe bclient bat brisk bfor bwhich bpathophysiological
bcondition?
A) Blindness bsecondary bto bcataracts
B) Acute bkidney binjury bdue bto bglomerular bdamage
,C) Stoke bsecondary bto bhemorrhage
D) Heart bblock bdue bto bmyocardial bdamage b- bCORRECT bANSWER b-C) bStoke bsecondary bto
bhemorrhage
Rationale: bStroke brelated bto bcerebral bhemorrhage bis bmajor brisk bfor buncontrolled bhypertension.
3. The bnurse bobserves ban bunlicensed bassistive bpersonnel b(UAP) bpositioning ba bnewly badmitted
bclient bwho bhas ba bseizure bdisorder. bThe bclient bis bsupine band bthe bUAP bis bplacing bsoft bpillows
balong bthe bside brails. bWhat baction bshould bthe bnurse bimplement?
A) Ensure bthat bthe bUAP bhas bplaced bpillows beffectively bto bprotect bthe bclient.
B) Instruct bthe bUAP bto bobtain bsoft bblankets bto bsecure bto bthe bside brails binstead bof bpillows.
C) Assume bresponsibility bfor bplacing bthe bpillows bwhile bthe bUAP bcompletes banother btask.
D) Ask bthe bUAP bto buse bsome bof bthe bpillows bto bprop bthe bclient bin ba bside blying bposition. b-
bCORRECT bANSWER
-B) bInstruct bthe bUAP bto bobtain bsoft bblankets bto bsecure bto bthe bside brails binstead bof bpillows.
Rationale: bThe bnurse bshould binstruct bthe bUAP bto bpad bthe bside brails bwith bsoft bblankets bbecause
bthe buse bof bpillows bcould bresult bin bsuffocation band bwould bneed bto bbe bremoved bat bthe bonset bof
bseizure. bThe bnurse bCAN bdelegate bpadding bthe bside brails bto bthe bUAP.
4. An badolescent bwith bmajor bdepressive bdisorder bhas bbeen btaking bduloxetine b(Cymbalta) bfor
bthe bpast b12 bdays. bWhich bassessment brequires bimmediate bfollow-up?
A) Describes blife bwithout bpurpose
,B) Complains bof bnausea band bloss bof bappetite
C) States bis boften bfatigued band bdrowsy
D) Exhibits ban bincrease bin bsweating b- bCORRECT bANSWER b-A) bDescribes blife bwithout bpurpose
Rationale: bCymbalta bis ba bselective bserotonin band bnorepinephrine breuptake binhibitor bthat bis
bknown bto bincrease bthe brisk bof bsuicidal bthinking bin badolescents band byoung badults bwith bmajor
bdepressive bdisorder. bB, bC band bD bare bside beffects.
5. A b60-year-old bfemale bclient bwith ba bpositive bfamily bhistory bof bovarian bcancer bhas bdeveloped
ban babdominal bmass band bis bbeing bevaluated bfor bpossible bovarian bcancer. bHer bpapanicolau b(pap)
bsmear bresults bare bnegative. bWhat binformation bshould bthe bnurse binclude bin bthe bclient's
bteaching bplan?
A) Further bevaluation binvolving bsurgery bmay bbe bneeded
B) A bpelvic bexam bis balso bneeded bbefore bcancer bis bruled bout
C) Pap bsmear bevaluation bshould bbe bcontinued bevery bsix bmonth
D) One badditional bnegative bpap bsmear bin bsix bmonths bis bneeded b- bCORRECT bANSWER b-
A) bFurther bevaluation binvolving bsurgery bmay bbe bneeded
Rationale: bAn babdominal bmass bin ba bclient bwith bfamily bhistory bfor bovarian bcancer bshould bbe
bevaluated bcarefully.
, 6. A bclient bwho brecently bunderwear ba btracheostomy bis bbeing bprepared bfor bdischarge bto
bhome. bWhich binstructions bis bmost bimportant bfor bthe bnurse bto binclude bin bthe bdischarge
bplan?
A) Explain bhow bto buse bcommunication btools.
B) Teach btracheal bsuctioning btechniques
C) Encourage bself-care band bindependence.
D) Demonstrate bhow bto bclean btracheostomy bsite. b- bCORRECT bANSWER b-B) bTeach btracheal
bsuctioning btechniques
Rationale: bSuctioning bhelps bto bclear bsecretions band bmaintain ban bopen bairway, bwhich bis bcritical.
7. In bassessing ban badult bclient bwith ba bpartial brebreather bmask, bthe bnurse bnotes bthat bthe
boxygen breservoir bbag bdoes bnot bdeflate bcompletely bduring binspiration band bthe bclient's
brespiratory brate bis b14 bbreaths b/ bminute. bWhat baction bshould bthe bnurse bimplement?
A) Encourage bthe bclient bto btake bdeep bbreaths
B) Remove bthe bmask bto bdeflate bthe bbag
C) Increase bthe bliter bflow bof boxygen
D) Document bthe bassessment bdata b- bCORRECT bANSWER b-D) bDocument bthe bassessment bdata
QUESTIONS AND ANSWERS b b
1. Following bdischarge bteaching, ba bmale bclient bwith bduodenal bulcer btells bthe bnurse bthe bhe bwill
bdrink bplenty bof bdairy bproducts, bsuch bas bmilk, bto bhelp bcoat band bprotect bhis bulcer. bWhat bis bthe
bbest bfollow-up baction bby bthe bnurse?
A) Remind bthe bclient bthat bit bis balso bimportant bto bswitch bto bdecaffeinated bcoffee band btea.
B) Suggest bthat bthe bclient balso bplan bto beat bfrequent bsmall bmeals bto breduce bdiscomfort.
C) Review bwith bthe bclient bthe bneed bto bavoid bfoods bthat bare brich bin bmilk band bcream.
D) Reinforce bthis bteaching bby basking bthe bclient bto blist ba bdairy bfood bthat bhe bmight bselect.
b- bCORRECT bANSWER b-C) bReview bwith bthe bclient bthe bneed bto bavoid bfoods bthat bare brich
bin bmilk band bcream.
Rationale: bDiets brich bin bmilk band bcream bstimulate bgastric bacid bsecretion band bshould bbe bavoided.
2. A bmale bclient bwith bhypertension, bwho breceived bnew bantihypertensive bprescriptions bat bhis blast
bvisit breturns bto bthe bclinic btwo bweeks blater bto bevaluate bhis bblood bpressure b(BP). bHis bBP bis
b158/106 band bhe badmits bthat bhe bhas bnot bbeen btaking bthe bprescribed bmedication bbecause bthe
bdrugs bmake bhim b"feel bbad". bIn bexplaining bthe bneed bfor bhypertension bcontrol, bthe bnurse
bshould bstress bthat ban belevated bBP bplaces bthe bclient bat brisk bfor bwhich bpathophysiological
bcondition?
A) Blindness bsecondary bto bcataracts
B) Acute bkidney binjury bdue bto bglomerular bdamage
,C) Stoke bsecondary bto bhemorrhage
D) Heart bblock bdue bto bmyocardial bdamage b- bCORRECT bANSWER b-C) bStoke bsecondary bto
bhemorrhage
Rationale: bStroke brelated bto bcerebral bhemorrhage bis bmajor brisk bfor buncontrolled bhypertension.
3. The bnurse bobserves ban bunlicensed bassistive bpersonnel b(UAP) bpositioning ba bnewly badmitted
bclient bwho bhas ba bseizure bdisorder. bThe bclient bis bsupine band bthe bUAP bis bplacing bsoft bpillows
balong bthe bside brails. bWhat baction bshould bthe bnurse bimplement?
A) Ensure bthat bthe bUAP bhas bplaced bpillows beffectively bto bprotect bthe bclient.
B) Instruct bthe bUAP bto bobtain bsoft bblankets bto bsecure bto bthe bside brails binstead bof bpillows.
C) Assume bresponsibility bfor bplacing bthe bpillows bwhile bthe bUAP bcompletes banother btask.
D) Ask bthe bUAP bto buse bsome bof bthe bpillows bto bprop bthe bclient bin ba bside blying bposition. b-
bCORRECT bANSWER
-B) bInstruct bthe bUAP bto bobtain bsoft bblankets bto bsecure bto bthe bside brails binstead bof bpillows.
Rationale: bThe bnurse bshould binstruct bthe bUAP bto bpad bthe bside brails bwith bsoft bblankets bbecause
bthe buse bof bpillows bcould bresult bin bsuffocation band bwould bneed bto bbe bremoved bat bthe bonset bof
bseizure. bThe bnurse bCAN bdelegate bpadding bthe bside brails bto bthe bUAP.
4. An badolescent bwith bmajor bdepressive bdisorder bhas bbeen btaking bduloxetine b(Cymbalta) bfor
bthe bpast b12 bdays. bWhich bassessment brequires bimmediate bfollow-up?
A) Describes blife bwithout bpurpose
,B) Complains bof bnausea band bloss bof bappetite
C) States bis boften bfatigued band bdrowsy
D) Exhibits ban bincrease bin bsweating b- bCORRECT bANSWER b-A) bDescribes blife bwithout bpurpose
Rationale: bCymbalta bis ba bselective bserotonin band bnorepinephrine breuptake binhibitor bthat bis
bknown bto bincrease bthe brisk bof bsuicidal bthinking bin badolescents band byoung badults bwith bmajor
bdepressive bdisorder. bB, bC band bD bare bside beffects.
5. A b60-year-old bfemale bclient bwith ba bpositive bfamily bhistory bof bovarian bcancer bhas bdeveloped
ban babdominal bmass band bis bbeing bevaluated bfor bpossible bovarian bcancer. bHer bpapanicolau b(pap)
bsmear bresults bare bnegative. bWhat binformation bshould bthe bnurse binclude bin bthe bclient's
bteaching bplan?
A) Further bevaluation binvolving bsurgery bmay bbe bneeded
B) A bpelvic bexam bis balso bneeded bbefore bcancer bis bruled bout
C) Pap bsmear bevaluation bshould bbe bcontinued bevery bsix bmonth
D) One badditional bnegative bpap bsmear bin bsix bmonths bis bneeded b- bCORRECT bANSWER b-
A) bFurther bevaluation binvolving bsurgery bmay bbe bneeded
Rationale: bAn babdominal bmass bin ba bclient bwith bfamily bhistory bfor bovarian bcancer bshould bbe
bevaluated bcarefully.
, 6. A bclient bwho brecently bunderwear ba btracheostomy bis bbeing bprepared bfor bdischarge bto
bhome. bWhich binstructions bis bmost bimportant bfor bthe bnurse bto binclude bin bthe bdischarge
bplan?
A) Explain bhow bto buse bcommunication btools.
B) Teach btracheal bsuctioning btechniques
C) Encourage bself-care band bindependence.
D) Demonstrate bhow bto bclean btracheostomy bsite. b- bCORRECT bANSWER b-B) bTeach btracheal
bsuctioning btechniques
Rationale: bSuctioning bhelps bto bclear bsecretions band bmaintain ban bopen bairway, bwhich bis bcritical.
7. In bassessing ban badult bclient bwith ba bpartial brebreather bmask, bthe bnurse bnotes bthat bthe
boxygen breservoir bbag bdoes bnot bdeflate bcompletely bduring binspiration band bthe bclient's
brespiratory brate bis b14 bbreaths b/ bminute. bWhat baction bshould bthe bnurse bimplement?
A) Encourage bthe bclient bto btake bdeep bbreaths
B) Remove bthe bmask bto bdeflate bthe bbag
C) Increase bthe bliter bflow bof boxygen
D) Document bthe bassessment bdata b- bCORRECT bANSWER b-D) bDocument bthe bassessment bdata
