ADRESSED HESI EXIT EXAM QUESTIONS AND ANSWERS

ADRESSED HESI EXIT EXAM 58 58 58




QUESTIONS AND ANSWERS 58 58



1. The58home58health58nurse58supervises58an58UAP58in58providing58home58care58for58a58client58who58
is58awaiting58a58liver58transplant.58The58UAP58reports58that58the58client58is58often58angry.58Which58ins
truction58should58the58nurse58emphasize58with58the58UAP?58-58CORRECT58ANSWER58-



-Provide58the58client58with58choices58about58personal58care.58-58CORRECT58ANSWER58-



2. Two58days58after58receiving58a58pathology58report,58a58male58client58requests58to58speak58with58so
meone58concerning58end-of-
life58issues.58While58assisting58the58client58with58his58palliative58care58requests,58which58action58is58m
ost58important58for58the58nurse58to58take?58-58CORRECT58ANSWER58-



-Document58the58end-of-life58requests.58-58CORRECT58ANSWER58-



3. A58client58who58is58at583658weeks58gestations58is58admitted58with58severe58preclampsia.58After58a
58658gram58loading58dose58of58magnesium58sulfate58is58administered,58an58intravenous58infusion58of5
8magnesium58sulfate58at58a58rate58of58258grams/hour58is58initiated.58Which58assessment58finding58w
arrants58immediate58intervention58by58the58nurse?58-58CORRECT58ANSWER58-



-Urine58output582058ml/hour58-58CORRECT58ANSWER58-



4. The58mother58of58a581-year-
old58brings58her58child58to58the58clinic58because58of58severe58diarrhea.58Physical58exam58by58the58nur
se58reveals58that58the58child58is58febrile58and58has58a58distended58and58tympanic58abdomen.58Which
58action58should58the58nurse58take58first?58-58CORRECT58ANSWER58-




-Collect58a58stool58sample58-58CORRECT58ANSWER58-

, 5. A58client58is58admitted58for58cellulitis58surrounding58as58insect58bite58on58the58lower,58right58arm58an
d58intravenous
(IV)58antibiotic58therapy58is58prescribed.58Which58action58should58the58nurse58implement58before58perf
orming58the58venipuncture?58-58CORRECT58ANSWER58-



-Lower58the58left58arm58below58the58level58of58the58heart58-58CORRECT58ANSWER58-



6. A58woman58who58is58a58gravid582,58para58158has58been58in58labor58for581058hours,58without58an58e
pidural58or58intravenous58pain58medication,58and58is58now58experiencing58intensifying58contractions5
8that58are58occurring58every58258minutes.58Assessment58by58the58nurse58determines58that58the58clien
t's58cervix58is58100%58effaced58and58dilated58858cm.58The58client58is58requesting58intravenous58nalbup
hine58hydrochloride.58Which58action58should58the58nurse58implement?58-58CORRECT58ANSWER58-



-Reinforce58relaxation58technique58-58CORRECT58ANSWER58-



7. The58healthcare58provider58prescribes58ceftazidime583558mg58every58858hours58IM58for58an58infant.
58The5850058mg58vial58is58labeled58with58the58instructions58to58ad585.358ml58diluent58to58provide58a58c
oncentration58of5810058mg/ml.58How58many58ml58should58the58nurse58administer58for58each58dose?58
-58CORRECT58ANSWER58-



-0.458(using58the58formula,58D/H58x58Q5835/100x1=0.35=0.458ml)58-58CORRECT58ANSWER58-



8. A58client58is58receiving58an58IV58solution58of58nitroglycerin5810058mg/50058ml58D5W58at581058mcg/
minute.58The58nurse58should58program58the58infusion58pump58to58deliver58how58many58ml/hour?58-
58CORRECT58ANSWER58-




-
358(First58convert58mcg/minute58to58mg/hour.581058mcg/minute58x58100058mcg/mg58x586058minutes58
=0.658mg/hour58next58use58the58formula,58dose58prescribed58(0.658mg/hour)58/58dose58available58(1005
8mg)58x58volume58available58(50058ml)=358ml/hour)58-58CORRECT58ANSWER58-




9. In58caring58for58a58client58receiving58the58amino58glycoside58antibiotic58gentamicin,58it58is58most58i
mportant58for58the58nurse58to58monitor58which58diagnostic58test?58-58CORRECT58ANSWER58-