HESI V3 2022 EXIT EXAM
PRACTICE QUESTIONS
1. A client who is admitted to the care unit with syndrome of inappropriate
antidiuretic hormone (SIADH) has developed osmotic demyelination. Which
intervention should the nurse implement first?
A) Patch one eye.
B) Evaluate swallow.
C) Reorient often.
D) Range of motion.
2. The nurse is preparing a client who had a below-the-knee (BKA)
amputation for discharge to home. Which recommendations should the nurse
provide this client? (Select all that apply)
A) Wash the stump with soap and water.
B) Avoid range of motion exercise.
C) Apply alcohol to the stump after bathing.
D) Inspect skin for redness.
E) Use a residual limb shrinker.
3. After 2 day’s treatment for dehydration, a child continues to vomit and
have diarrhea. Normal saline is infusing and the child’s urine output is
50ml/hour. During morning assessment, the nurse determines that the child
is lethargic and difficult to arouse. Which should the nurse implemented?
A) Increase the IV fluid flow rate.
B) Review 24 hour intake and output.
C) Obtain arterial blood gases.
D) Perform a finger stick glucose test.
4. A male client with an antisocial personality disorder is admitted to an in-
patient mental health unit for multiple substance dependency. When
providing a history, the client justifies to the nurse his use of illicit drugs.
Based on this pattern of behavior, this client’s history is most likely to
include which finding?
A) Multiple convictions for misdemeanors and Class B felonies
B) Delusions of grandiosity and persecution.
,C) Suicidal ideations and multiple attempts.
D) Photos and panic attacks when confronted by authority figures.
5. An older client is admitted for repair of a broken hip. To reduce the risk for
infection postoperative period. Which nursing care intervention should the
nurse include the client’s plan of care? (Select all that apply)
A) Administer low molecular weight heparin as prescribed.
B) Teach client to use incentive spirometer every 2 hours while awake.
C) Remove urinary catheter as soon as possible and encourage voiding.
D) Maintain sequential compression devices while in bed.
E) Assess pain level and medicate PRN as prescribed.
6. A client with arthritis has been receiving treatment with naproxen and now
reports ongoing stomach pain, increasing weakness, and fatigue. Which
laboratory test should the nurse monitor?
A) Serum Calcium.
B) Erythrocyte sedimentation rate.
C) Osmolality.
D) Hemoglobin.
7. A client with bacterial meningitis is receiving phenytoin. Which
assessment finding indication to the nurse that the client is experiencing a
therapeutic response to the phenytoin?
A) Increased time of ambulation between periods of rest.
B) Decrease in intracranial pressure and cerebral edema.
C) Absence of seizure activity for the duration of treatment.
D) Normal electroencephalogram after drug administration.
8. A client peptic ulcer disease receives a prescription for intermittent
suction via a SalemSump nasogastric tube (NGT). After inserting the NGT
and obtaining coffee-ground gastric contents, the nurse clamps the NGT
because the client must leave the unit for diagnostic studies. Upon return to
the unit, the client complains of nausea. What action should the nurse
implement first?
A) Administering a prescribed antiemetic agent.
B) Provide oral suction using a Yankauer tip.
, C) Connect the NGT to low intermittent suction.
D) Irrigate the NGT with sterile normal saline.
9. The healthcare provider prescribes a fluid challenge of 0.9% sodium
chloride 1,000 ml to be influenced over 4 hours. The IV administration set
delivers 10 gtt/ml. How many gtt/minute should the nurse regulate the
infusion? (Round the nearest whole number.)
10. A family member reports that the client who is bedridden has not been
turned or repositioned all night and is sleeping on a special air mattress with
no sheets. What information should the nurse provide to the family member?
A) Clarify that an aerated support surface does not use sheets that often
cause skin breakdown.
B) Described the night staff’s plan of care to ensure the client’s sleep is not
disturbed.
C) Explained that turning is only necessary to reposition the client during
waking hours.
D) Suggest that a family member turn the client during the night when
someone is there.
11. A client with bleeding esophageal varies receives vasopressin IV. What
should the nurse monitor for during the IV infusion of this medication?
A) Vasodilation of the extremities.
B) Chest pain and dysrhythmia.
C) Hypotension and tachycardia.
D) Decreasing GI cramping and nausea.
12. The healthcare provider prescribes potassium chloride 25 mEq in 500ml
D5W to infuse over 6 hours. The available 20ml vial of potassium chloride is
labeled, “How many ml of potassium chloride should the nurse add to the IV
fluid? (Round to the nearest tenth.)
13. A male client reports to the on-call clinic nurse that he took tadalif 10 mg
PO two hours age and his skin now feels flushed. He reports a history of
stable angina, but denies experiencing any current or recent chest pain.
What action should the nurse take?
A) Tell the client to have someone bring him to an emergency department
immediately.
B) Advise the client to place one nitroglycerin tablet under his tongue as a
precaution.
C) Reassure the client that skin flushing is a common side effect of the
PRACTICE QUESTIONS
1. A client who is admitted to the care unit with syndrome of inappropriate
antidiuretic hormone (SIADH) has developed osmotic demyelination. Which
intervention should the nurse implement first?
A) Patch one eye.
B) Evaluate swallow.
C) Reorient often.
D) Range of motion.
2. The nurse is preparing a client who had a below-the-knee (BKA)
amputation for discharge to home. Which recommendations should the nurse
provide this client? (Select all that apply)
A) Wash the stump with soap and water.
B) Avoid range of motion exercise.
C) Apply alcohol to the stump after bathing.
D) Inspect skin for redness.
E) Use a residual limb shrinker.
3. After 2 day’s treatment for dehydration, a child continues to vomit and
have diarrhea. Normal saline is infusing and the child’s urine output is
50ml/hour. During morning assessment, the nurse determines that the child
is lethargic and difficult to arouse. Which should the nurse implemented?
A) Increase the IV fluid flow rate.
B) Review 24 hour intake and output.
C) Obtain arterial blood gases.
D) Perform a finger stick glucose test.
4. A male client with an antisocial personality disorder is admitted to an in-
patient mental health unit for multiple substance dependency. When
providing a history, the client justifies to the nurse his use of illicit drugs.
Based on this pattern of behavior, this client’s history is most likely to
include which finding?
A) Multiple convictions for misdemeanors and Class B felonies
B) Delusions of grandiosity and persecution.
,C) Suicidal ideations and multiple attempts.
D) Photos and panic attacks when confronted by authority figures.
5. An older client is admitted for repair of a broken hip. To reduce the risk for
infection postoperative period. Which nursing care intervention should the
nurse include the client’s plan of care? (Select all that apply)
A) Administer low molecular weight heparin as prescribed.
B) Teach client to use incentive spirometer every 2 hours while awake.
C) Remove urinary catheter as soon as possible and encourage voiding.
D) Maintain sequential compression devices while in bed.
E) Assess pain level and medicate PRN as prescribed.
6. A client with arthritis has been receiving treatment with naproxen and now
reports ongoing stomach pain, increasing weakness, and fatigue. Which
laboratory test should the nurse monitor?
A) Serum Calcium.
B) Erythrocyte sedimentation rate.
C) Osmolality.
D) Hemoglobin.
7. A client with bacterial meningitis is receiving phenytoin. Which
assessment finding indication to the nurse that the client is experiencing a
therapeutic response to the phenytoin?
A) Increased time of ambulation between periods of rest.
B) Decrease in intracranial pressure and cerebral edema.
C) Absence of seizure activity for the duration of treatment.
D) Normal electroencephalogram after drug administration.
8. A client peptic ulcer disease receives a prescription for intermittent
suction via a SalemSump nasogastric tube (NGT). After inserting the NGT
and obtaining coffee-ground gastric contents, the nurse clamps the NGT
because the client must leave the unit for diagnostic studies. Upon return to
the unit, the client complains of nausea. What action should the nurse
implement first?
A) Administering a prescribed antiemetic agent.
B) Provide oral suction using a Yankauer tip.
, C) Connect the NGT to low intermittent suction.
D) Irrigate the NGT with sterile normal saline.
9. The healthcare provider prescribes a fluid challenge of 0.9% sodium
chloride 1,000 ml to be influenced over 4 hours. The IV administration set
delivers 10 gtt/ml. How many gtt/minute should the nurse regulate the
infusion? (Round the nearest whole number.)
10. A family member reports that the client who is bedridden has not been
turned or repositioned all night and is sleeping on a special air mattress with
no sheets. What information should the nurse provide to the family member?
A) Clarify that an aerated support surface does not use sheets that often
cause skin breakdown.
B) Described the night staff’s plan of care to ensure the client’s sleep is not
disturbed.
C) Explained that turning is only necessary to reposition the client during
waking hours.
D) Suggest that a family member turn the client during the night when
someone is there.
11. A client with bleeding esophageal varies receives vasopressin IV. What
should the nurse monitor for during the IV infusion of this medication?
A) Vasodilation of the extremities.
B) Chest pain and dysrhythmia.
C) Hypotension and tachycardia.
D) Decreasing GI cramping and nausea.
12. The healthcare provider prescribes potassium chloride 25 mEq in 500ml
D5W to infuse over 6 hours. The available 20ml vial of potassium chloride is
labeled, “How many ml of potassium chloride should the nurse add to the IV
fluid? (Round to the nearest tenth.)
13. A male client reports to the on-call clinic nurse that he took tadalif 10 mg
PO two hours age and his skin now feels flushed. He reports a history of
stable angina, but denies experiencing any current or recent chest pain.
What action should the nurse take?
A) Tell the client to have someone bring him to an emergency department
immediately.
B) Advise the client to place one nitroglycerin tablet under his tongue as a
precaution.
C) Reassure the client that skin flushing is a common side effect of the
