HESI EXIT EXAM – 100+ Questions with Solutions
A male client with stomach cancer returns to the unit following a total gastrectomy.
He has a nasogastric tube to suction and is receiving Lactated Ringer's solution at
75 mL/hour IV. One hour after admission to the unit, the nurse notes 300 mL of
blood in the suction canister, the client's heart rate is 155 beats/minute, and his
blood pressure is 78/48 mmHg. In addition to
reporting the finding to the surgeon. Which action should the nurse implement
first?: increase the infusion rate of Lactated Ringer's solution
An adult male who fell 20 feet from the roof of this home has multiple injuries,
including a right pneumothorax. Chest tubes were inserted in the emergency
department prior to his transfer to the intensive care unit (ICU). The nurse notes
that the suction control chamber is bubbling at the - 10 cm H2O mark, with
fluctuation in the water seal, and over the past hour 75 ml of bright red blood
is measured in the collection chamber. Which intervention should the nurse
implement?: Add sterile water to the suction control chamber
An adult male was diagnosed with stage IV lung cancer three weeks ago. His wife
approaches the nurse and asks how she will know that her husband's death is
imminent because their two adult children want to be there when
he dies. What is the best response by the nurse?: Explain that the client will start
to lose consciousness and the body systems will slow down
The charge nurse of a critical care unit is informed at the beginning of the shift that
less than the optimal number of registered nurses will be working that shift. In
planning assignments, which client should receive the most care
,hours by a registered nurse (RN)?: an 82-year-old client with Alzheimer's disease
and a newly-fractured femur who has a foley catheter in place and soft wrist
restraints applied
A male client tells the nurse that he is concerned that he may have a stomach
ulcer, because he is experiencing heartburn and a dull gnawing pain that is
relieved when he eats. Which is the best response by the nurse?: Encourage the
client to obtain a complete physical exam, since these symptoms are consistent
with an ulcer
In caring for a client with Cushing's disease, which serum laboratory value is most
important for the nurse to monitor?: glucose
The nurse is assigning rooms for four clients, each newly diagnosed, and being
admitted to the acute neuro unit for treatment. The client with which diagnosis
should be assigned the only private room available?: bacterial meningitis 32. A
male client on the psychiatric unit is making sexual advances towards a female
nurse. Which action should the nurse implement first?: Tell the client in a matter-
of-fact manner to stop the sexual advances
After several months of chronic fatigue, morning stiffness, and join pain, a young
adult is diagnosed with rheumatoid arthritis, and the healthcare provider
prescribes prednisone. Which education should the nurse provide the
client with regard to taking prednisone?: If sequential doses are missed, notify the
healthcare provider
, The nurse is caring for four clients: Client A, who has emphysema and whose
oxygen saturation is 94%; Client B, with a postoperative hemoglobin of 8.7; Client
C, newly admitted with a potassium level of 3.8; and Client D, scheduled
for an appendectomy who has a WBC count of 15,000. What intervention
should the nurse implement?: verify that client B has two units of packed cells
available
What laboratory results should the nurse closely monitor in a client who has
ESRD?: serum potassium, calcium, and phosphorus
The psychiatric nurse is caring for clients on an adolescent unit. Which client
requires the nurse's immediate attention?: An 18-year-old client with antisocial
behavior who is being yelled at by other clients
An older male was recently admitted to the rehabilitation unit with unilateral
neglect syndrome as the result of a cerebrovascular accident. What should the
nurse include in the plan of care?: teach the client to turn his head from side to
side for visual scanning
The nurse observes an unlicensed assistive personnel (UAP) applying an alcohol-
based hand rub while leaving a client room after taking vital signs.
Which action should the nurse take?: remind the UAP to continue rubbing the
hands together until they are dry
To prevent medication errors by an older adult client who is sometimes confused,
which interventions by the home health nurse is implemented?: provide education
both verbally and in written format
A male client with stomach cancer returns to the unit following a total gastrectomy.
He has a nasogastric tube to suction and is receiving Lactated Ringer's solution at
75 mL/hour IV. One hour after admission to the unit, the nurse notes 300 mL of
blood in the suction canister, the client's heart rate is 155 beats/minute, and his
blood pressure is 78/48 mmHg. In addition to
reporting the finding to the surgeon. Which action should the nurse implement
first?: increase the infusion rate of Lactated Ringer's solution
An adult male who fell 20 feet from the roof of this home has multiple injuries,
including a right pneumothorax. Chest tubes were inserted in the emergency
department prior to his transfer to the intensive care unit (ICU). The nurse notes
that the suction control chamber is bubbling at the - 10 cm H2O mark, with
fluctuation in the water seal, and over the past hour 75 ml of bright red blood
is measured in the collection chamber. Which intervention should the nurse
implement?: Add sterile water to the suction control chamber
An adult male was diagnosed with stage IV lung cancer three weeks ago. His wife
approaches the nurse and asks how she will know that her husband's death is
imminent because their two adult children want to be there when
he dies. What is the best response by the nurse?: Explain that the client will start
to lose consciousness and the body systems will slow down
The charge nurse of a critical care unit is informed at the beginning of the shift that
less than the optimal number of registered nurses will be working that shift. In
planning assignments, which client should receive the most care
,hours by a registered nurse (RN)?: an 82-year-old client with Alzheimer's disease
and a newly-fractured femur who has a foley catheter in place and soft wrist
restraints applied
A male client tells the nurse that he is concerned that he may have a stomach
ulcer, because he is experiencing heartburn and a dull gnawing pain that is
relieved when he eats. Which is the best response by the nurse?: Encourage the
client to obtain a complete physical exam, since these symptoms are consistent
with an ulcer
In caring for a client with Cushing's disease, which serum laboratory value is most
important for the nurse to monitor?: glucose
The nurse is assigning rooms for four clients, each newly diagnosed, and being
admitted to the acute neuro unit for treatment. The client with which diagnosis
should be assigned the only private room available?: bacterial meningitis 32. A
male client on the psychiatric unit is making sexual advances towards a female
nurse. Which action should the nurse implement first?: Tell the client in a matter-
of-fact manner to stop the sexual advances
After several months of chronic fatigue, morning stiffness, and join pain, a young
adult is diagnosed with rheumatoid arthritis, and the healthcare provider
prescribes prednisone. Which education should the nurse provide the
client with regard to taking prednisone?: If sequential doses are missed, notify the
healthcare provider
, The nurse is caring for four clients: Client A, who has emphysema and whose
oxygen saturation is 94%; Client B, with a postoperative hemoglobin of 8.7; Client
C, newly admitted with a potassium level of 3.8; and Client D, scheduled
for an appendectomy who has a WBC count of 15,000. What intervention
should the nurse implement?: verify that client B has two units of packed cells
available
What laboratory results should the nurse closely monitor in a client who has
ESRD?: serum potassium, calcium, and phosphorus
The psychiatric nurse is caring for clients on an adolescent unit. Which client
requires the nurse's immediate attention?: An 18-year-old client with antisocial
behavior who is being yelled at by other clients
An older male was recently admitted to the rehabilitation unit with unilateral
neglect syndrome as the result of a cerebrovascular accident. What should the
nurse include in the plan of care?: teach the client to turn his head from side to
side for visual scanning
The nurse observes an unlicensed assistive personnel (UAP) applying an alcohol-
based hand rub while leaving a client room after taking vital signs.
Which action should the nurse take?: remind the UAP to continue rubbing the
hands together until they are dry
To prevent medication errors by an older adult client who is sometimes confused,
which interventions by the home health nurse is implemented?: provide education
both verbally and in written format
