HESI EXIT EXAM 2025 | ALL QUESTIONS AND
CORRECT ANSWERS | GRADED A+ | VERIFIED
ANSWERS | LATEST VERSION
A client with a history of dementia has become increasingly confused at
nigh and is picking at an abdominal surgical dressing and the tape securing
intravenous (IV) line. The abdominal dressing is no longer occlusive, and
the IV insertion site is pink. What intervention should the nurse implement?
A. Replace the IV site with a smaller gauge
B. Redress the abdominal incision
C. Leave the lights on in the room at night
D. Apply soft bilateral wrist restraints ---------CORRECT ANSWER-------------
----B
When should intimate partner violence (IVP) screening occur?
A. As soon as the clinician suspects a problem
B. only when a client presents with an unexpected injury
C. As a routine part of each health care encounter
D. Once the clinician confirms a history of abuse ---------CORRECT
ANSWER-----------------C
A male client who weighs 325 pounds (148kg) is admitted because of
ureteral colic and is now complaining of sharp pain radiating toward his
genitalia. He has hematuria and is hypertensive. Which intervention is most
important for the nurse to include in the client's plan of care
,A. Manage Pain
B. Encourage low calorie diet
C. monitor hematuria
D. Document blood pressure ---------CORRECT ANSWER-----------------A
While visiting a female client who has heart failure (HF) and osteoarthritis,
the home health nurse determines that the client is having more difficulty
getting in and out of the bed than she did previously. Which action should
the nurse implement first?
A. Inquire about an electric bed for the client's home use
B. Submit a referral for an evaluation by a physical therapist.
C. Explain the usual progression of osteoarthritis and HF
D. Request social services to review the client's resources ---------
CORRECT ANSWER-----------------B
A client is scheduled to receive an IW dose of ondansetron (Zofran) eight
hours after receiving chemotherapy. The client has saline lock and is
sleeping quietly without any restlessness. The nurse caring for the client is
not certified in chemotherapy administration. What action should the nurse
take?
A.) Ask a chemotherapy-certified nurse to administer the Zofran
B.) Administer the ondasentron (Zofran) after flushing the saline lock with
saline
C.)Hold the scheduled dose of Zofran until the client awakens
D.) Awaken the client to assess the need for administration of the Zofran ---
------CORRECT ANSWER-----------------B
,An older client is admitted for repair of a broken hip. To reduce the risk for
infection in the postoperative period, which nursing care interventions
should the nurse include in the client's plan of care? (Select all that apply)
A. Teach client to use incentive spirometer q2 hours while awake.
B. Remove urinary catheter as soon as possible and encourage voiding.
C. Maintain sequential compression devices while in bed.
D. Administer low molecular weight heparin as prescribed
E. Assess pain level and medicate PRN as prescribed. ---------CORRECT
ANSWER-----------------A,B
A 17-year -old male is brought to the emergency department by his parents
because he has been coughing and running a fever with flu-like symptoms
for the past 24 hours. Which intervention should the nurse implement first?
A. Obtain a chest X-ray per protocol.
B. Place a mask on the client's face.
C. Assess the client's temperature.
D. Determine the client's blood pressure ---------CORRECT ANSWER--------
---------B
A client with a liver abscess develops septic shock. A sepsis resuscitation
bundle protocol is initiated and the client receives a bolus of IV fluids.
Which parameter should the nurse monitor to assess effectiveness of the
fluid bolus?
A. Mean arterial pressure (MAP)
B. White blood cell count
C. Blood culture
D. Oxygen saturation ---------CORRECT ANSWER-----------------D
, 152. The nurse is assessing and elderly bedridden client. Which finding
indicates that the turning and positioning schedule is effective in protecting
the client's skin?
A. Reddened skin areas disappear within 15 minutes of being turned and
positioned.
B. No complaints of pressure or pain are verbalized by the client after being
turned
C. Only small areas of redness remain longer than 30 min after the client is
turned.
D. The client verbalizes feeling better after being turned and positioned -----
----CORRECT ANSWER-----------------A
155. An older client is admitted for repair of a broken hip. To reduce the risk
for infection in the postoperative period, which nursing care interventions
should the nurse include in the client's plan of care? (Select all that apply)
A. Teach client to use incentive spirometer q2 hours while awake.
B. Remove urinary catheter as soon as possible and
encourage voiding.
C. Maintain sequential compression devices while in bed.
D. Administer low molecular weight heparin as prescribed
E. Assess pain level and medicate PRN as prescribed. ---------CORRECT
ANSWER-----------------A,B
CORRECT ANSWERS | GRADED A+ | VERIFIED
ANSWERS | LATEST VERSION
A client with a history of dementia has become increasingly confused at
nigh and is picking at an abdominal surgical dressing and the tape securing
intravenous (IV) line. The abdominal dressing is no longer occlusive, and
the IV insertion site is pink. What intervention should the nurse implement?
A. Replace the IV site with a smaller gauge
B. Redress the abdominal incision
C. Leave the lights on in the room at night
D. Apply soft bilateral wrist restraints ---------CORRECT ANSWER-------------
----B
When should intimate partner violence (IVP) screening occur?
A. As soon as the clinician suspects a problem
B. only when a client presents with an unexpected injury
C. As a routine part of each health care encounter
D. Once the clinician confirms a history of abuse ---------CORRECT
ANSWER-----------------C
A male client who weighs 325 pounds (148kg) is admitted because of
ureteral colic and is now complaining of sharp pain radiating toward his
genitalia. He has hematuria and is hypertensive. Which intervention is most
important for the nurse to include in the client's plan of care
,A. Manage Pain
B. Encourage low calorie diet
C. monitor hematuria
D. Document blood pressure ---------CORRECT ANSWER-----------------A
While visiting a female client who has heart failure (HF) and osteoarthritis,
the home health nurse determines that the client is having more difficulty
getting in and out of the bed than she did previously. Which action should
the nurse implement first?
A. Inquire about an electric bed for the client's home use
B. Submit a referral for an evaluation by a physical therapist.
C. Explain the usual progression of osteoarthritis and HF
D. Request social services to review the client's resources ---------
CORRECT ANSWER-----------------B
A client is scheduled to receive an IW dose of ondansetron (Zofran) eight
hours after receiving chemotherapy. The client has saline lock and is
sleeping quietly without any restlessness. The nurse caring for the client is
not certified in chemotherapy administration. What action should the nurse
take?
A.) Ask a chemotherapy-certified nurse to administer the Zofran
B.) Administer the ondasentron (Zofran) after flushing the saline lock with
saline
C.)Hold the scheduled dose of Zofran until the client awakens
D.) Awaken the client to assess the need for administration of the Zofran ---
------CORRECT ANSWER-----------------B
,An older client is admitted for repair of a broken hip. To reduce the risk for
infection in the postoperative period, which nursing care interventions
should the nurse include in the client's plan of care? (Select all that apply)
A. Teach client to use incentive spirometer q2 hours while awake.
B. Remove urinary catheter as soon as possible and encourage voiding.
C. Maintain sequential compression devices while in bed.
D. Administer low molecular weight heparin as prescribed
E. Assess pain level and medicate PRN as prescribed. ---------CORRECT
ANSWER-----------------A,B
A 17-year -old male is brought to the emergency department by his parents
because he has been coughing and running a fever with flu-like symptoms
for the past 24 hours. Which intervention should the nurse implement first?
A. Obtain a chest X-ray per protocol.
B. Place a mask on the client's face.
C. Assess the client's temperature.
D. Determine the client's blood pressure ---------CORRECT ANSWER--------
---------B
A client with a liver abscess develops septic shock. A sepsis resuscitation
bundle protocol is initiated and the client receives a bolus of IV fluids.
Which parameter should the nurse monitor to assess effectiveness of the
fluid bolus?
A. Mean arterial pressure (MAP)
B. White blood cell count
C. Blood culture
D. Oxygen saturation ---------CORRECT ANSWER-----------------D
, 152. The nurse is assessing and elderly bedridden client. Which finding
indicates that the turning and positioning schedule is effective in protecting
the client's skin?
A. Reddened skin areas disappear within 15 minutes of being turned and
positioned.
B. No complaints of pressure or pain are verbalized by the client after being
turned
C. Only small areas of redness remain longer than 30 min after the client is
turned.
D. The client verbalizes feeling better after being turned and positioned -----
----CORRECT ANSWER-----------------A
155. An older client is admitted for repair of a broken hip. To reduce the risk
for infection in the postoperative period, which nursing care interventions
should the nurse include in the client's plan of care? (Select all that apply)
A. Teach client to use incentive spirometer q2 hours while awake.
B. Remove urinary catheter as soon as possible and
encourage voiding.
C. Maintain sequential compression devices while in bed.
D. Administer low molecular weight heparin as prescribed
E. Assess pain level and medicate PRN as prescribed. ---------CORRECT
ANSWER-----------------A,B
