EXIT HESI PRACTICE QUESTIONS WITH
100% CORRECT ANSWERS
A mclient mpresents mto mthe memergency mdepartment m(ED) mwith mcomplaints
mabdominal mpain. mThe mnurse mobserves mthe mclient's mright mcheek mand meye
mbruised mand msuspects mpossible mdomestic mviolence. mWhich mapproach mis mbest
mthe mnurse mto muse mwhen minterviewing mthe mclient? m
a. mShare mpersonal mvalues mto mput mthe mat mease m
b. mAsk mquestions min ma mvague, mnon-specific mformat m
c. mBegin mwith mquestions mthat mare mless msensitive min mnature m
d. mGet mthe mmost mdifficult mquestions mover mwith mfist m- mANS--c. mBegin mwith
mquestions mthat mare mless msensitive min mnature
A mclient mwho mreceived man mopen mreduction mand minternal mfixation m(ORIF) mof mthe
mright mfemur mafter mexperiencing ma mfall mhome mexperiences ma msudden monset mof
mincreasing mconfusion mand magitation. mWhen mreporting mto mthe mhealthcare musing
mSBAR mcommunication, mwhich minformation mshould mthe m
nurse mprovide mFIRST
a. mCurrently mprescribed mmedication
b. mClient's mhealthcare mpower mof mattorney
c. mIncreasing mconfusion mof mthe mclient
d. mFall mat mhome mas mreason mfor madmission m- mANS--c. mIncreasing mconfusion mof
mthe mclient
3. mA mclient mtells mthe mnurse mabout mbeginning man mexercise mprogram ma mmonth
mago mto mlose mweight mand mimprove msleep. mThe mclient mstates mthat mit mstill mtakes
mat mleast mtwo mhours mto mfall masleep mat mnight. mWhich m
action mshould mthe mnurse mimplement?
a. mDetermine mthe mamount mof mweight mthe mclient mhas mlost msince mincreasing
mactivity
b. mEncourage mthe mclient mto mexercise mevery mday mto meliminate mbedtime
mwakefulness
c. mAdvise mthe mclient mthat mlifestyle mchanges moften mtake mseveral mweeks mto mbe
meffective
d. mAsk mthe mclient mfor ma mdescription mof mthe mexercise mschedule mthat mis mbeing
mfollowed m- mANS--d. mAsk mthe mclient mfor ma mdescription mof mthe mexercise mschedule
mthat mis mbeing mfollowed
,4. mWhich massessment mshould mthe mhome mhealth mnurse minclude mduring ma mroutine
mhome mvisit mfor ma mclient mwho mwas mdischarged mhome mwith ma msuprapubic
mcatheter? m
a. mObserve minsertion msite m
b. mPalpate mflank marea m
c. mAssess mperineal marea m
d. mMeasure mabdominal mgirth m- mANS--a. mObserve minsertion msite
5. mAn molder madult mclient mwith ma mhistory mof mtype m2 mdiabetes mmellitus mis mseen
min mthe mcommunity mhealth mclinic mfor man mannual mphysical mexamination. mWhich
mnursing mactions mshould mbe mincluded min massessing mfor mlong-term mcomplication
mof mdiabetes? m(SATA) m
a. mObtain murine mspecimen mto massess mfor malbumin m
b. mTest mlower mextremities mfor mchanges min msensation m
c. mObtain mvenous msample mfor mliver menzymes m
d. mPalpate mpedal mpulses mand mfoot mtemperature m
e. mAuscultate mfor madventitious mbreath msounds m- mANS--b. mTest mlower mextremities
mfor mchanges min msensation m
d. mPalpate mpedal mpulses mand mfoot mtemperature
6. mThe mhome mhealth mnurse mis massessing ma mmale mclient mwho mhas mstarted
mperitoneal mdialysis m(PD) m5 mdays mago. mWhich massessment mfinding mwarrants
mimmediate mintervention mby mthe mnurse? m
a. mAnorexia mand mpoor mintake mof madequate mdietary mprotein m
b. mArteriovenous m(AV) mgraft msurgical msite mpulsations m
c. mFingerstick mblood mglucose m12o mmg/Dl m(6.66 mmmol/L) mpost mexchange m
d. mCloudy mdialysate moutput mand mrebound mabdominal mpain m- mANS--d. mCloudy
mdialysate moutput mand mrebound mabdominal mpain
7. mWhat maction mshould mthe mschool mnurse mimplement mto mprovide msecondary
mprevention mfor mschool maged mchildren? m
a. mPrepare ma mpresentation mon mhow mto mprevent mthe mspread mof mlice m
b. mCollaborate mwith ma mscience mteacher mto mprepare ma mhealth mlesson m
c. mObserve ma mperson mwith mtype m1 mDiabetes mself-administer ma mdose mof minsulin m
d. mInitiate ma mhearing mand mvision mscreening mprogram mfor mfirst mgraders m- mANS--d.
mInitiate ma mhearing mand mvision mscreening mprogram mfor mfirst mgraders
8. mThe mnurse mis mdiscussing mmitigation mat ma mdisaster mpreparedness mcommittee
mmeeting. mWhich mactivity mshould mthe mnurse msuggest mto menhance mmitigation?
a. mDiscuss msome mways mto mensure msafety min mthe mhome mduring ma mdisaster m
b. mDesign mrequirement mfor man mincident mCommand mCenter
,c. mProvide ma mcommunity mdisaster mpreparedness mmeeting
d. mParticipate mas man mactive mmember mof mthe mlocal mAmerican mRed mCross m-
mANS--c. mProvide ma mcommunity mdisaster mpreparedness mmeeting
9. mA mclient mis madmitted mto mthe mintensive mcare munit m(ICU) mwith mspinal mcord
minjury m(SCI) mfollowing ma mmotor m
vehicle mcollision. mWhich mnurse mshould mbe mcontacted mto mcoordinate mthe
mprogression mof mthe mclient's m
care?
a. mNurse mCare mmanager
b. mNeurology munit msupervisor
c. mAdult mnurse mpractitioner
d. mRisk mmanagement mnurse m- mANS--b. mNeurology munit msupervisor
10. mA mclient mwho mweighs m80 mkg mreceives ma mprescription mfor mdobutamine m2
mmcg/kg/min mintravenously m(IV). mThe mIV mbag mis mcontains mdobutamine m500 mmg
min mdextrose m5% min mwater m(D5W) m500 mmL/hour mshould mthe mnurse mprogram mthe
minfusion mpump? m(Enter mthe mnumerical mvalue monly. mIf mrounding mis mrequired,
mround mto mthe mnearest mwhole mnumber) m- mANS--
11. mThe mnurse mis mcaring mfor ma mclient madmitted ma mspontaneous mpneumothorax.
mWhich mactions mshould m
the mnurse minclude min mthis mclient's mplan mof mcare?
a. mGive mbronchodilator mby mendotracheal mroute
b. mSchedule mclient mfor mhyperbaric moxygen mtherapy m(HBOT)
c. mMonitor mbubbling mof mchest munit mwater-seal mchamber
d. mAdminister mantibiotics mvia mlong-line mIV mcatheter m- mANS--c. mMonitor mbubbling
mof mchest munit mwater-seal mchamber
12. mThe mnurse mis mcaring mfor ma mclient mwho mdevelops msigns mand msymptoms mof
mseptic mshock mfollowing ma m
urinary mtract minfection mone mweek mago. mThe mhealthcare mprovider mprescribed ma
msepsis mprotocol mto mbe m
initiated. mWhich mintervention mis mMOST mimportant mfor mthe mnurse mto minclude min
mthe mplan mof mcare?
a. mMonitor mblood mglucose mlevel
b. mKeep mhead mof mbed mraised m45, mdegrees
c. mMaintain mstrict mintake mand moutput
d. mAssess mwarmth mof mextremities m- mANS--a. mMonitor mblood mglucose mlevel
13. mA mclient mwith mthe mhistory mof madrenal minsufficiency mis madmitted mto mthe
mintensive mcare munit mwith man m
acute madrenal mcrisis. mThe mclient mis mcomplaining mof mnausea mand mjoint mpain.
mVital msigns mare: m
temperature m102 mF m(38.9 mC), mheart mrate m138 mbeats/Min, mBP m80/60 mmmHg.
mWhich mintervention m
, should mthe mnurse mimplement mFIRST?
a. mCover mclient mwith mcooling mblanket
b. mInfuse mintravenous mfluid mbolus
c. mObtain man manalgesic mprescription
d. mAdminister mPRN moral mantipyretic m- mANS--b. mInfuse mintravenous mfluid mbolus
14. mA mclient mwho mis madmitted mto mthe mintensive mcare munit m(ICU) mwith msyndrome
mof minappropriate m
antidiuretic mhormone m(SIADH) mhas mdeveloped mosmotic mdemyelination. mWhich
mIntervention mshould m
the mnurse mimplement mFIRST?
a. mReorient moften
b. mEvaluate mswallow mor mSwollen mThroat mfor mS/SX
c. mRange mof mMotion
d. mPatch mone meye m- mANS--b. mEvaluate mswallow mor mSwollen mThroat mfor mS/SX
15. mAfter msuccessful mresuscitation, ma mclient mis mgiven mpropranolol mand mtransferred
mto mIntensive mCoronary mCare mUnit m(ICCU). mOn madmission, mmagnesium msulfate
m4 mgrams mIV min m250 mmL mD5W mat mone mgram/hour. mWhich massessment mfindings
mrequire mimmediate mintervention mby mthe mnurse?
a. mDark mamber murine mdraining mper mindwelling mcatheter mwith m40 mmL mper mhour
b. mSinus mrhythm mat m72 mbeats/minute mand mperipheral mblood mpressure mof m99/62
mmm mHg
c. mSerum mcalcium mof m9.0 mmg/dL m(2.2 mmmol/L mSI) mand mmagnesium mof m1.8
mmg/dL mor mEq/L m(0.74 m
mmol/L mS1)
d. mRespiratory mrate mof m10 mbreaths mper mminute mand mpulse moximetry mof m90% m-
mANS--d. mRespiratory mrate mof m10 mbreaths mper mminute mand mpulse moximetry mof
m90%
The mnurse musing ma mstraight murinary mcatheter mkit mto mcollect ma msterile murine
mspecimen mfrom ma mfemale mclient. mAfter mpositioning mand mprepping mthe mclient,
mrank mthe maction min mthe msequence mthey mshould mbe mimplemented m(place mthe
mfirst maction mat mthe mtop mwith mthe mlast maction mat mthe mbottom) m
Open mthe msterile mcatheter mkit mclose mto mthe mclient's mperineum m
Place mdistal mend mof mthe mcatheter min msterile mspecimen mcup mand minsert mcatheter
minto mmeatus
Cleanse mthe murinary mmeatus musing mthe msolution, mswabs, mand mforceps mprovided m
Don msterile mgloves mand mprepare mthe msterile mfield m- mANS--Open mthe msterile
mcatheter mkit mclose mto mthe mclient's mperineum m
100% CORRECT ANSWERS
A mclient mpresents mto mthe memergency mdepartment m(ED) mwith mcomplaints
mabdominal mpain. mThe mnurse mobserves mthe mclient's mright mcheek mand meye
mbruised mand msuspects mpossible mdomestic mviolence. mWhich mapproach mis mbest
mthe mnurse mto muse mwhen minterviewing mthe mclient? m
a. mShare mpersonal mvalues mto mput mthe mat mease m
b. mAsk mquestions min ma mvague, mnon-specific mformat m
c. mBegin mwith mquestions mthat mare mless msensitive min mnature m
d. mGet mthe mmost mdifficult mquestions mover mwith mfist m- mANS--c. mBegin mwith
mquestions mthat mare mless msensitive min mnature
A mclient mwho mreceived man mopen mreduction mand minternal mfixation m(ORIF) mof mthe
mright mfemur mafter mexperiencing ma mfall mhome mexperiences ma msudden monset mof
mincreasing mconfusion mand magitation. mWhen mreporting mto mthe mhealthcare musing
mSBAR mcommunication, mwhich minformation mshould mthe m
nurse mprovide mFIRST
a. mCurrently mprescribed mmedication
b. mClient's mhealthcare mpower mof mattorney
c. mIncreasing mconfusion mof mthe mclient
d. mFall mat mhome mas mreason mfor madmission m- mANS--c. mIncreasing mconfusion mof
mthe mclient
3. mA mclient mtells mthe mnurse mabout mbeginning man mexercise mprogram ma mmonth
mago mto mlose mweight mand mimprove msleep. mThe mclient mstates mthat mit mstill mtakes
mat mleast mtwo mhours mto mfall masleep mat mnight. mWhich m
action mshould mthe mnurse mimplement?
a. mDetermine mthe mamount mof mweight mthe mclient mhas mlost msince mincreasing
mactivity
b. mEncourage mthe mclient mto mexercise mevery mday mto meliminate mbedtime
mwakefulness
c. mAdvise mthe mclient mthat mlifestyle mchanges moften mtake mseveral mweeks mto mbe
meffective
d. mAsk mthe mclient mfor ma mdescription mof mthe mexercise mschedule mthat mis mbeing
mfollowed m- mANS--d. mAsk mthe mclient mfor ma mdescription mof mthe mexercise mschedule
mthat mis mbeing mfollowed
,4. mWhich massessment mshould mthe mhome mhealth mnurse minclude mduring ma mroutine
mhome mvisit mfor ma mclient mwho mwas mdischarged mhome mwith ma msuprapubic
mcatheter? m
a. mObserve minsertion msite m
b. mPalpate mflank marea m
c. mAssess mperineal marea m
d. mMeasure mabdominal mgirth m- mANS--a. mObserve minsertion msite
5. mAn molder madult mclient mwith ma mhistory mof mtype m2 mdiabetes mmellitus mis mseen
min mthe mcommunity mhealth mclinic mfor man mannual mphysical mexamination. mWhich
mnursing mactions mshould mbe mincluded min massessing mfor mlong-term mcomplication
mof mdiabetes? m(SATA) m
a. mObtain murine mspecimen mto massess mfor malbumin m
b. mTest mlower mextremities mfor mchanges min msensation m
c. mObtain mvenous msample mfor mliver menzymes m
d. mPalpate mpedal mpulses mand mfoot mtemperature m
e. mAuscultate mfor madventitious mbreath msounds m- mANS--b. mTest mlower mextremities
mfor mchanges min msensation m
d. mPalpate mpedal mpulses mand mfoot mtemperature
6. mThe mhome mhealth mnurse mis massessing ma mmale mclient mwho mhas mstarted
mperitoneal mdialysis m(PD) m5 mdays mago. mWhich massessment mfinding mwarrants
mimmediate mintervention mby mthe mnurse? m
a. mAnorexia mand mpoor mintake mof madequate mdietary mprotein m
b. mArteriovenous m(AV) mgraft msurgical msite mpulsations m
c. mFingerstick mblood mglucose m12o mmg/Dl m(6.66 mmmol/L) mpost mexchange m
d. mCloudy mdialysate moutput mand mrebound mabdominal mpain m- mANS--d. mCloudy
mdialysate moutput mand mrebound mabdominal mpain
7. mWhat maction mshould mthe mschool mnurse mimplement mto mprovide msecondary
mprevention mfor mschool maged mchildren? m
a. mPrepare ma mpresentation mon mhow mto mprevent mthe mspread mof mlice m
b. mCollaborate mwith ma mscience mteacher mto mprepare ma mhealth mlesson m
c. mObserve ma mperson mwith mtype m1 mDiabetes mself-administer ma mdose mof minsulin m
d. mInitiate ma mhearing mand mvision mscreening mprogram mfor mfirst mgraders m- mANS--d.
mInitiate ma mhearing mand mvision mscreening mprogram mfor mfirst mgraders
8. mThe mnurse mis mdiscussing mmitigation mat ma mdisaster mpreparedness mcommittee
mmeeting. mWhich mactivity mshould mthe mnurse msuggest mto menhance mmitigation?
a. mDiscuss msome mways mto mensure msafety min mthe mhome mduring ma mdisaster m
b. mDesign mrequirement mfor man mincident mCommand mCenter
,c. mProvide ma mcommunity mdisaster mpreparedness mmeeting
d. mParticipate mas man mactive mmember mof mthe mlocal mAmerican mRed mCross m-
mANS--c. mProvide ma mcommunity mdisaster mpreparedness mmeeting
9. mA mclient mis madmitted mto mthe mintensive mcare munit m(ICU) mwith mspinal mcord
minjury m(SCI) mfollowing ma mmotor m
vehicle mcollision. mWhich mnurse mshould mbe mcontacted mto mcoordinate mthe
mprogression mof mthe mclient's m
care?
a. mNurse mCare mmanager
b. mNeurology munit msupervisor
c. mAdult mnurse mpractitioner
d. mRisk mmanagement mnurse m- mANS--b. mNeurology munit msupervisor
10. mA mclient mwho mweighs m80 mkg mreceives ma mprescription mfor mdobutamine m2
mmcg/kg/min mintravenously m(IV). mThe mIV mbag mis mcontains mdobutamine m500 mmg
min mdextrose m5% min mwater m(D5W) m500 mmL/hour mshould mthe mnurse mprogram mthe
minfusion mpump? m(Enter mthe mnumerical mvalue monly. mIf mrounding mis mrequired,
mround mto mthe mnearest mwhole mnumber) m- mANS--
11. mThe mnurse mis mcaring mfor ma mclient madmitted ma mspontaneous mpneumothorax.
mWhich mactions mshould m
the mnurse minclude min mthis mclient's mplan mof mcare?
a. mGive mbronchodilator mby mendotracheal mroute
b. mSchedule mclient mfor mhyperbaric moxygen mtherapy m(HBOT)
c. mMonitor mbubbling mof mchest munit mwater-seal mchamber
d. mAdminister mantibiotics mvia mlong-line mIV mcatheter m- mANS--c. mMonitor mbubbling
mof mchest munit mwater-seal mchamber
12. mThe mnurse mis mcaring mfor ma mclient mwho mdevelops msigns mand msymptoms mof
mseptic mshock mfollowing ma m
urinary mtract minfection mone mweek mago. mThe mhealthcare mprovider mprescribed ma
msepsis mprotocol mto mbe m
initiated. mWhich mintervention mis mMOST mimportant mfor mthe mnurse mto minclude min
mthe mplan mof mcare?
a. mMonitor mblood mglucose mlevel
b. mKeep mhead mof mbed mraised m45, mdegrees
c. mMaintain mstrict mintake mand moutput
d. mAssess mwarmth mof mextremities m- mANS--a. mMonitor mblood mglucose mlevel
13. mA mclient mwith mthe mhistory mof madrenal minsufficiency mis madmitted mto mthe
mintensive mcare munit mwith man m
acute madrenal mcrisis. mThe mclient mis mcomplaining mof mnausea mand mjoint mpain.
mVital msigns mare: m
temperature m102 mF m(38.9 mC), mheart mrate m138 mbeats/Min, mBP m80/60 mmmHg.
mWhich mintervention m
, should mthe mnurse mimplement mFIRST?
a. mCover mclient mwith mcooling mblanket
b. mInfuse mintravenous mfluid mbolus
c. mObtain man manalgesic mprescription
d. mAdminister mPRN moral mantipyretic m- mANS--b. mInfuse mintravenous mfluid mbolus
14. mA mclient mwho mis madmitted mto mthe mintensive mcare munit m(ICU) mwith msyndrome
mof minappropriate m
antidiuretic mhormone m(SIADH) mhas mdeveloped mosmotic mdemyelination. mWhich
mIntervention mshould m
the mnurse mimplement mFIRST?
a. mReorient moften
b. mEvaluate mswallow mor mSwollen mThroat mfor mS/SX
c. mRange mof mMotion
d. mPatch mone meye m- mANS--b. mEvaluate mswallow mor mSwollen mThroat mfor mS/SX
15. mAfter msuccessful mresuscitation, ma mclient mis mgiven mpropranolol mand mtransferred
mto mIntensive mCoronary mCare mUnit m(ICCU). mOn madmission, mmagnesium msulfate
m4 mgrams mIV min m250 mmL mD5W mat mone mgram/hour. mWhich massessment mfindings
mrequire mimmediate mintervention mby mthe mnurse?
a. mDark mamber murine mdraining mper mindwelling mcatheter mwith m40 mmL mper mhour
b. mSinus mrhythm mat m72 mbeats/minute mand mperipheral mblood mpressure mof m99/62
mmm mHg
c. mSerum mcalcium mof m9.0 mmg/dL m(2.2 mmmol/L mSI) mand mmagnesium mof m1.8
mmg/dL mor mEq/L m(0.74 m
mmol/L mS1)
d. mRespiratory mrate mof m10 mbreaths mper mminute mand mpulse moximetry mof m90% m-
mANS--d. mRespiratory mrate mof m10 mbreaths mper mminute mand mpulse moximetry mof
m90%
The mnurse musing ma mstraight murinary mcatheter mkit mto mcollect ma msterile murine
mspecimen mfrom ma mfemale mclient. mAfter mpositioning mand mprepping mthe mclient,
mrank mthe maction min mthe msequence mthey mshould mbe mimplemented m(place mthe
mfirst maction mat mthe mtop mwith mthe mlast maction mat mthe mbottom) m
Open mthe msterile mcatheter mkit mclose mto mthe mclient's mperineum m
Place mdistal mend mof mthe mcatheter min msterile mspecimen mcup mand minsert mcatheter
minto mmeatus
Cleanse mthe murinary mmeatus musing mthe msolution, mswabs, mand mforceps mprovided m
Don msterile mgloves mand mprepare mthe msterile mfield m- mANS--Open mthe msterile
mcatheter mkit mclose mto mthe mclient's mperineum m
