Exit Hesi Practice Questions and
answers all in one document
A 12-year-old child is receiving a blood transfusion per infusion pump and begins to complain of
"itchy" skin 15 minutes after the unit of blood is started. The child appears flushed. What action
should the practical nurse take first?
A. Apply lotion to the skin
B. Stop the transfusion
C. Inspect the infusion site
D. Obtain the vital signs B
A child with glomerulonephritis is admitted in the acute edematous phase. Based on this
diagnosis, which nursing intervention should the PN plan to include in the child's plan of care?
A. Recommend parents bring favorite snacks
B. Encourage ambulation daily to playroom
C. Measure blood pressure every 4 to 6 hours
D. Offer a selection of fresh fruit for each meal C
A client confides to the PN that the client has been substituting herbal supplements for high
blood pressure instead of the prescribed medication. How should the PN respond first?
A. Ask the client's reason for choosing to take herbs instead of prescribed drugs
B. Reinforce that the healthcare provider prescribed the medication for a reason
C. Have client use own words to describe complications of high blood pressure
D. Point out the risks of not taking the herbal medications rather than prescribed A
A client has a prescription for a transcutaneous electrical nerve stimulator(TENS) unit for pain
management during the postoperative period following a lumbar laminectomy. Which
information should the PN reinforce about the action of the adjuvant pain modality?
A. The discharge of electricity will distract the client's focus on the pain
B. An infusion of medication in the spinal canal will block pain perception
C. Pain perception in the cerebral cortex is dulled by the unit's discharge of an electrical stimulus
D. A mild electrical stimulus on the skin surface closes the gates of nerve conduction for severe
pain B
A client is admitted to the postoperative surgical unit with two test tubes after a left lobectomy.
The ON observed that the chambers are set at the prescribed suction of 20 cm water pressure and
tidying occurs with respirations and bubbling. What action should the PN implement?
A. Clamp the chest tube to see if the activity stops
,B. Notify the registered nurse of the malfunction
C. Maintain system integrity to promote lung reexpansion
D. Apply a partially occlusive dressing toterm-10 chest C
A client is complaining of a tingling sensation in the fingers, nose tip, and ear lobes 24-hours
after a total thyroidectomy. Which measure should the PN implement first?
A. Apply sequential compression devices bilaterally
B. Initiate prescribed L-thyroxine replacement therapy
C. Obtain prescribed calcium gluconate for tetany
D. Prepare for emergency tracheotomy at the bedside C
A client is scheduled to receive hydroxyzine 75 mg IM postoperatively. The vial contains
50mg/mL. How many mL should the PN administer? 1.5
A client on bedrest refuses to wear the prescribed pneumatic compression devices after surgery.
Which action should the PN implement in response to the client's refusal?
A. Emphasize the importance of active foot flexion
B. Check the surgical dressing
C. Complete an incident report
D. Explain the use of incentive spirometer q2 hours A
A client reports being able to swallow only small bites of solid food and liquids for the last 3
months. The PN should assess the client for what additional information?
A. Past traumatic injury to neck
B. Daily consumption of hot beverages
C. History of alcohol or tobacco use
D. Daily dietary intake of roughage C
A client takes one 500 mg calcium tablet twice daily. How many grams of calcium is the client
taking daily? 1
A client tells the PN that she has a family history of cancer and has increased the amount of dairy
products in her diet to reduce her risk of getting cancer. How should the PN respond?
A. Encourage the client to get plenty of exercise as well as the dietary change
B. Provide written information about the seven warning signs of cancer
C. Remind the client to make sure that the dairy products are fortified with Vitamin D
D. Suggest that an increase in fruits and vegetables is more beneficial D
A client who is at full-term gestation is in active labor and complains of a cramp in her leg.
Which intervention should the PN implement ?
A. Massage the calf and foot
B. Elevate the leg above the heart
C. Check the pedal pulse in the affected leg
D. Extend the leg and flex the foot D
A client who is receiving chemotherapy has developed stomatitis. Which instruction should the
PN provide the UAP who is assisting with the care of this client?
A. Keep the room environment free of unpleasant odors
, B. Gather supplies for protective environmental precautions
C. Assist the client with feeding at meal times
D. Provide gentle and meticulous mouth care B
A client with blood type AB negative delivers a newborn with blood type A positive. The cord
blood reveals a positive indirect Coomb's test. Which is the implication of this finding?
A. The newborn is infected with an infectious blood-borne disease
B. The newborn needs phototherapy for physiologic jaundice
C. The mother's Rh antibodies are present in the neonatal serum
D. The mother no longer needs Rho immune globulin injections C
A female client taking a liquid iron preparation expresses concern that her tooth color has
darkened since starting the medication. What action should the PN implement?
A. Teach the client to use a straw when taking the medication to reduce further tooth staining
B. Advise the client to withhold further doses until consulting with the HCP
C. Reassure the client that this change indicates the medication is having the desired effect
D. Determine if the client is also experiencing mouth or gum pain and difficulty swallowing
C
A female client tells the PN that her hemorrhoids are inflamed and hurt constantly. Which
intervention is best for the PN to implement to complete a focused assessment?
A. Determine if the client uses any over-the-counter preparations for hemmorhoids
B. Place the client in a standing position, leaning over the exam bed for inspection.
C. Position client in left lateral position to inspect perineal area for fissures or sacs
D. Ask the client how long she has experienced discomfort related to hemorrhoids. D
A female client who has been taking oral contraceptives for the past year comes in the clinic for
an annual exam. Which finding is most important for the PN to report to the HCP?
A. Breast tenderness
B. Change in menstrual flow
C. Left calf pain
D> Weight gain of 5 pounds C
A female Native American client who is receiving chemotherapy places a native artifact, an
Indian medicine wheel in her hospital room. The HCP removes the medicine wheel and tells the
client, "This type of thing does not belong in the hospital." Which intervention should the PN
implement?
A. Teach the client the importance of implementing the chemotherapy regimen
B. Act as the client's advocate when discussing the issue with the HCP
C. Consult with a Native American healer regarding the proper use of a medicine wheel
D. Report the client's feelings of culture shock to the HCP B
A full-term, 24-hour-old infant in the nursery regurgitates and suddenly turns cyanotic. Which
immediate intervention should the PN implement?
A. Stimulate the infant to cry
B. Give oxygen by positive pressure
answers all in one document
A 12-year-old child is receiving a blood transfusion per infusion pump and begins to complain of
"itchy" skin 15 minutes after the unit of blood is started. The child appears flushed. What action
should the practical nurse take first?
A. Apply lotion to the skin
B. Stop the transfusion
C. Inspect the infusion site
D. Obtain the vital signs B
A child with glomerulonephritis is admitted in the acute edematous phase. Based on this
diagnosis, which nursing intervention should the PN plan to include in the child's plan of care?
A. Recommend parents bring favorite snacks
B. Encourage ambulation daily to playroom
C. Measure blood pressure every 4 to 6 hours
D. Offer a selection of fresh fruit for each meal C
A client confides to the PN that the client has been substituting herbal supplements for high
blood pressure instead of the prescribed medication. How should the PN respond first?
A. Ask the client's reason for choosing to take herbs instead of prescribed drugs
B. Reinforce that the healthcare provider prescribed the medication for a reason
C. Have client use own words to describe complications of high blood pressure
D. Point out the risks of not taking the herbal medications rather than prescribed A
A client has a prescription for a transcutaneous electrical nerve stimulator(TENS) unit for pain
management during the postoperative period following a lumbar laminectomy. Which
information should the PN reinforce about the action of the adjuvant pain modality?
A. The discharge of electricity will distract the client's focus on the pain
B. An infusion of medication in the spinal canal will block pain perception
C. Pain perception in the cerebral cortex is dulled by the unit's discharge of an electrical stimulus
D. A mild electrical stimulus on the skin surface closes the gates of nerve conduction for severe
pain B
A client is admitted to the postoperative surgical unit with two test tubes after a left lobectomy.
The ON observed that the chambers are set at the prescribed suction of 20 cm water pressure and
tidying occurs with respirations and bubbling. What action should the PN implement?
A. Clamp the chest tube to see if the activity stops
,B. Notify the registered nurse of the malfunction
C. Maintain system integrity to promote lung reexpansion
D. Apply a partially occlusive dressing toterm-10 chest C
A client is complaining of a tingling sensation in the fingers, nose tip, and ear lobes 24-hours
after a total thyroidectomy. Which measure should the PN implement first?
A. Apply sequential compression devices bilaterally
B. Initiate prescribed L-thyroxine replacement therapy
C. Obtain prescribed calcium gluconate for tetany
D. Prepare for emergency tracheotomy at the bedside C
A client is scheduled to receive hydroxyzine 75 mg IM postoperatively. The vial contains
50mg/mL. How many mL should the PN administer? 1.5
A client on bedrest refuses to wear the prescribed pneumatic compression devices after surgery.
Which action should the PN implement in response to the client's refusal?
A. Emphasize the importance of active foot flexion
B. Check the surgical dressing
C. Complete an incident report
D. Explain the use of incentive spirometer q2 hours A
A client reports being able to swallow only small bites of solid food and liquids for the last 3
months. The PN should assess the client for what additional information?
A. Past traumatic injury to neck
B. Daily consumption of hot beverages
C. History of alcohol or tobacco use
D. Daily dietary intake of roughage C
A client takes one 500 mg calcium tablet twice daily. How many grams of calcium is the client
taking daily? 1
A client tells the PN that she has a family history of cancer and has increased the amount of dairy
products in her diet to reduce her risk of getting cancer. How should the PN respond?
A. Encourage the client to get plenty of exercise as well as the dietary change
B. Provide written information about the seven warning signs of cancer
C. Remind the client to make sure that the dairy products are fortified with Vitamin D
D. Suggest that an increase in fruits and vegetables is more beneficial D
A client who is at full-term gestation is in active labor and complains of a cramp in her leg.
Which intervention should the PN implement ?
A. Massage the calf and foot
B. Elevate the leg above the heart
C. Check the pedal pulse in the affected leg
D. Extend the leg and flex the foot D
A client who is receiving chemotherapy has developed stomatitis. Which instruction should the
PN provide the UAP who is assisting with the care of this client?
A. Keep the room environment free of unpleasant odors
, B. Gather supplies for protective environmental precautions
C. Assist the client with feeding at meal times
D. Provide gentle and meticulous mouth care B
A client with blood type AB negative delivers a newborn with blood type A positive. The cord
blood reveals a positive indirect Coomb's test. Which is the implication of this finding?
A. The newborn is infected with an infectious blood-borne disease
B. The newborn needs phototherapy for physiologic jaundice
C. The mother's Rh antibodies are present in the neonatal serum
D. The mother no longer needs Rho immune globulin injections C
A female client taking a liquid iron preparation expresses concern that her tooth color has
darkened since starting the medication. What action should the PN implement?
A. Teach the client to use a straw when taking the medication to reduce further tooth staining
B. Advise the client to withhold further doses until consulting with the HCP
C. Reassure the client that this change indicates the medication is having the desired effect
D. Determine if the client is also experiencing mouth or gum pain and difficulty swallowing
C
A female client tells the PN that her hemorrhoids are inflamed and hurt constantly. Which
intervention is best for the PN to implement to complete a focused assessment?
A. Determine if the client uses any over-the-counter preparations for hemmorhoids
B. Place the client in a standing position, leaning over the exam bed for inspection.
C. Position client in left lateral position to inspect perineal area for fissures or sacs
D. Ask the client how long she has experienced discomfort related to hemorrhoids. D
A female client who has been taking oral contraceptives for the past year comes in the clinic for
an annual exam. Which finding is most important for the PN to report to the HCP?
A. Breast tenderness
B. Change in menstrual flow
C. Left calf pain
D> Weight gain of 5 pounds C
A female Native American client who is receiving chemotherapy places a native artifact, an
Indian medicine wheel in her hospital room. The HCP removes the medicine wheel and tells the
client, "This type of thing does not belong in the hospital." Which intervention should the PN
implement?
A. Teach the client the importance of implementing the chemotherapy regimen
B. Act as the client's advocate when discussing the issue with the HCP
C. Consult with a Native American healer regarding the proper use of a medicine wheel
D. Report the client's feelings of culture shock to the HCP B
A full-term, 24-hour-old infant in the nursery regurgitates and suddenly turns cyanotic. Which
immediate intervention should the PN implement?
A. Stimulate the infant to cry
B. Give oxygen by positive pressure
