HESI EXIT saunders questions |Questions with
100% Correct Answers
A client is admitted to an emergency department, and a diagnosis of myxedema coma is made.
Which action should the nurse prepare to carry out initially?
1. Warm the client.
2. Maintain a patent airway.
3. Administer thyroid hormone.
4. Administer fluid replacement. - ✔️✔️2
The nurse is caring for a client admitted to the emergency department with diabetic
ketoacidosis (DKA). In the acute phase, the nurse plans for which priority intervention?
1. Correct the acidosis.
2. Administer 5% dextrose intravenously.
3. Apply a monitor for an electrocardiogram.
4. Administer short-duration insulin intravenously. - ✔️✔️4
Treatment consists of insulin administration (short- or rapid-acting), intravenous fluid
administration (normal saline initially, not 5% dextrose), and potassium replacement, followed
by correcting acidosis.
A client with type 1 diabetes mellitus calls the nurse to report recurrent episodes of
hypoglycemia with exercising. Which statement by the client indicates an adequate
understanding of the peak action of NPH insulin and exercise?
1. "I should not exercise since I am taking insulin."
2. "The best time for me to exercise is after breakfast."
3. "The best time for me to exercise is mid- to late afternoon."
4. "NPH is a basal insulin, so I should exercise in the evening." - ✔️✔️2
NPH insulin peaks at 4 to 12 hours
,Teach to exercise at the peak of the meal glucose not the peak of the insulin
The nurse is completing an assessment on a client who is being admitted for a diagnostic
workup for primary hyperparathyroidism. Which client complaint would be characteristic of this
disorder? Select all that apply.
1. Polyuria
2. Headache
3. Bone pain
4. Nervousness
5. Weight gain - ✔️✔️1,3
The nurse is teaching a client with hyperparathyroidism how to manage the condition at home.
Which response by the client indicates the need for additional teaching?
1. "I should limit my fluids to 1 liter per day."
2. "I should use my treadmill or go for walks daily."
3. "I should follow a moderate-calcium, high-fiber diet."
4. "My alendronate helps to keep calcium from coming out of my bones." - ✔️✔️1
Calcium causes constipation, so a diet high in fiber is recommended.
Alendronate is a bisphosphate that inhibits bone resorption. In bone resorption, bone is broken
down and calcium is deposited into the serum.
A client with a diagnosis of addisonian crisis is being admitted to the intensive care unit. Which
findings will the interprofessional health care team focus on? Select all that apply.
1. Hypotension
2. Leukocytosis
3. Hyperkalemia
4. Hypercalcemia
5. Hypernatremia - ✔️✔️1,3
,The nurse is monitoring a client who was diagnosed with type 1 diabetes mellitus and is being
treated with NPH and regular insulin. Which manifestations would alert the nurse to the
presence of a possible hypoglycemic reaction? Select all that apply.
1. Tremors
2. Anorexia
3. Irritability
4. Nervousness
5. Hot, dry skin
6. Muscle cramps - ✔️✔️1,3,4
The nurse is performing an assessment on a client with pheochromocytoma. Which assessment
data would indicate a potential complication associated with this disorder?
1. A urinary output of 50 mL/hour
2. A coagulation time of 5 minutes
3. A heart rate that is 90 beats/minute and irregular
4. A blood urea nitrogen level of 20 mg/dL (7.1 mmol/L) - ✔️✔️3
pheochromocytoma: adrenal gland tumor
Excessive amounts of epinephrine and norepinephrine are secreted. The complications
associated hypertensive retinopathy and nephropathy, myocarditis, increased platelet
aggregation, and stroke.
The nurse is monitoring a client diagnosed with acromegaly who was treated with
transsphenoidal hypophysectomy and is recovering in the intensive care unit. Which findings
should alert the nurse to the presence of a possible postoperative complication? Select all that
apply.
1. Anxiety
2. Leukocytosis
3. Chvostek's sign
, 4. Urinary output of 800 mL/hour
5. Clear drainage on nasal dripper pad - ✔️✔️2,4,5
Acromegaly results from excess secretion of growth hormone, usually caused by a benign
tumor on the anterior pituitary gland.
Leukocytosis (Increased WBC= infection)
Diabetes insipdius = decrease ADH = increased UO
Clear drainage on the dripper pad is suggestive of a cerebrospinal fluid leak= test for glucose
The nurse performs a physical assessment on a client with type 2 diabetes mellitus. Findings
include a fasting blood glucose level of 120 mg/dL (6.8 mmol/L), temperature of 101 °F (38.3
°C), pulse of 102 beats/minute, respirations of 22 breaths/minute, and blood pressure of
142/72 mm Hg. Which finding would be the priority concern to the nurse?
1. Pulse
2. Respiration
3. Temperature
4. Blood pressure - ✔️✔️3
an elevated temperature may indicate infection. Infection is a leading cause of hyperosmolar
hyperglycemic syndrome in the client with type 2 diabetes mellitus
The nurse is preparing a client with a new diagnosis of hypothyroidism for discharge. The nurse
determines that the client understands discharge instructions if the client states that which
signs and symptoms are associated with this diagnosis? Select all that apply.
1. Tremors
2. Weight loss
3. Feeling cold
4. Loss of body hair
100% Correct Answers
A client is admitted to an emergency department, and a diagnosis of myxedema coma is made.
Which action should the nurse prepare to carry out initially?
1. Warm the client.
2. Maintain a patent airway.
3. Administer thyroid hormone.
4. Administer fluid replacement. - ✔️✔️2
The nurse is caring for a client admitted to the emergency department with diabetic
ketoacidosis (DKA). In the acute phase, the nurse plans for which priority intervention?
1. Correct the acidosis.
2. Administer 5% dextrose intravenously.
3. Apply a monitor for an electrocardiogram.
4. Administer short-duration insulin intravenously. - ✔️✔️4
Treatment consists of insulin administration (short- or rapid-acting), intravenous fluid
administration (normal saline initially, not 5% dextrose), and potassium replacement, followed
by correcting acidosis.
A client with type 1 diabetes mellitus calls the nurse to report recurrent episodes of
hypoglycemia with exercising. Which statement by the client indicates an adequate
understanding of the peak action of NPH insulin and exercise?
1. "I should not exercise since I am taking insulin."
2. "The best time for me to exercise is after breakfast."
3. "The best time for me to exercise is mid- to late afternoon."
4. "NPH is a basal insulin, so I should exercise in the evening." - ✔️✔️2
NPH insulin peaks at 4 to 12 hours
,Teach to exercise at the peak of the meal glucose not the peak of the insulin
The nurse is completing an assessment on a client who is being admitted for a diagnostic
workup for primary hyperparathyroidism. Which client complaint would be characteristic of this
disorder? Select all that apply.
1. Polyuria
2. Headache
3. Bone pain
4. Nervousness
5. Weight gain - ✔️✔️1,3
The nurse is teaching a client with hyperparathyroidism how to manage the condition at home.
Which response by the client indicates the need for additional teaching?
1. "I should limit my fluids to 1 liter per day."
2. "I should use my treadmill or go for walks daily."
3. "I should follow a moderate-calcium, high-fiber diet."
4. "My alendronate helps to keep calcium from coming out of my bones." - ✔️✔️1
Calcium causes constipation, so a diet high in fiber is recommended.
Alendronate is a bisphosphate that inhibits bone resorption. In bone resorption, bone is broken
down and calcium is deposited into the serum.
A client with a diagnosis of addisonian crisis is being admitted to the intensive care unit. Which
findings will the interprofessional health care team focus on? Select all that apply.
1. Hypotension
2. Leukocytosis
3. Hyperkalemia
4. Hypercalcemia
5. Hypernatremia - ✔️✔️1,3
,The nurse is monitoring a client who was diagnosed with type 1 diabetes mellitus and is being
treated with NPH and regular insulin. Which manifestations would alert the nurse to the
presence of a possible hypoglycemic reaction? Select all that apply.
1. Tremors
2. Anorexia
3. Irritability
4. Nervousness
5. Hot, dry skin
6. Muscle cramps - ✔️✔️1,3,4
The nurse is performing an assessment on a client with pheochromocytoma. Which assessment
data would indicate a potential complication associated with this disorder?
1. A urinary output of 50 mL/hour
2. A coagulation time of 5 minutes
3. A heart rate that is 90 beats/minute and irregular
4. A blood urea nitrogen level of 20 mg/dL (7.1 mmol/L) - ✔️✔️3
pheochromocytoma: adrenal gland tumor
Excessive amounts of epinephrine and norepinephrine are secreted. The complications
associated hypertensive retinopathy and nephropathy, myocarditis, increased platelet
aggregation, and stroke.
The nurse is monitoring a client diagnosed with acromegaly who was treated with
transsphenoidal hypophysectomy and is recovering in the intensive care unit. Which findings
should alert the nurse to the presence of a possible postoperative complication? Select all that
apply.
1. Anxiety
2. Leukocytosis
3. Chvostek's sign
, 4. Urinary output of 800 mL/hour
5. Clear drainage on nasal dripper pad - ✔️✔️2,4,5
Acromegaly results from excess secretion of growth hormone, usually caused by a benign
tumor on the anterior pituitary gland.
Leukocytosis (Increased WBC= infection)
Diabetes insipdius = decrease ADH = increased UO
Clear drainage on the dripper pad is suggestive of a cerebrospinal fluid leak= test for glucose
The nurse performs a physical assessment on a client with type 2 diabetes mellitus. Findings
include a fasting blood glucose level of 120 mg/dL (6.8 mmol/L), temperature of 101 °F (38.3
°C), pulse of 102 beats/minute, respirations of 22 breaths/minute, and blood pressure of
142/72 mm Hg. Which finding would be the priority concern to the nurse?
1. Pulse
2. Respiration
3. Temperature
4. Blood pressure - ✔️✔️3
an elevated temperature may indicate infection. Infection is a leading cause of hyperosmolar
hyperglycemic syndrome in the client with type 2 diabetes mellitus
The nurse is preparing a client with a new diagnosis of hypothyroidism for discharge. The nurse
determines that the client understands discharge instructions if the client states that which
signs and symptoms are associated with this diagnosis? Select all that apply.
1. Tremors
2. Weight loss
3. Feeling cold
4. Loss of body hair
