HESI EXIT EXAM SS1 | COMPREHENSIVE EXAM
WITH OVER 200+ ACTUAL QUESTIONS WITH THEIR
CORRECT ANSWERS. GRADED A+
A mother runs into the emergency department with a toddler in her arms and tells the nurse that her
child got into some cleaning products. The child smells of chemicals on hands, face, and on the front
of the child's clothes. After ensuring the airway is patent, what action should the nurse implement
first?
B) Determine type of chemical exposure
Which conditions are most likely to respond to treatment with antihistamines? select all that apply.
B) Allergic rhinitis
D) Contact dermatitis
An older client's daughter calls the home health nurse and reports that her mother has become
forgetful and is very confused at night. The daughter states that her mother's behavior changed
suddenly a few days ago and is now getting worse. Which actions should the nurse take? select all
that apply.
A) Ask if the mother is experiencing any pain with urination.
C) Instruct the daughter to check her mother's temperature.
E) Determine if the mother has recently experienced a fall.
The nurse is assessing a male client with a history of Addison's disease. The client has flu-like
symptoms and nausea with vomiting over the past week. The client's spouse reports that the he acted
confused and was extremely weak when he awoke this morning. The client is febrile and has
,tachycardia. The healthcare provider diagnoses acute adrenal insufficiency. Which medication will
most likely be prescribed?
B) Hydrocortisone 100 mg IV every 6 hours until systolic BP reaches 110 mmHg
A male client with a history of mitral valve prolapse is admitted because of fever and dyspnea on
exertion, and is diagnosed with acute infective endocarditis. During the admission assessment, the
nurse observes multiple areas of petechiae on the client's skin. Which interventions should the nurse
include in the client's plan of care? (SATA)
A) Monitor cardiac rhythm via telemetry.
B) Report changes in pre-existing murmurs.
E) Initiate contact transmission precautions.
The nurse is planning an educational session for new parents on ways to prevent sudden infant death
syndrome (SIDS). Which information is most important to provide parents of newborns and infants?
C) Position the infant in a supine position while sleeping
The healthcare provider prescribes methylergonovine maleate for a postpartum client with uterine
atony. What finding should indicate to the nurse to withhold the next dose of the medication?
A) Hypertension
The nurse notes that an older client has a moist cough that increases in severity during and after
meals. Based on this finding, which action should the nurse take?
B) Request a consultant to confirm dysphagia.
,A multiparous client who delivered her infant 3 hours ago asks the nurse if she can take a warm sitz
bath because it helped reduce perineal pain after her last delivery. What action should the nurse
implement?
D) Review the use of sitz bath equipment with the client.
When the parents of a 6-year-old boy with a brain tumor are told that his condition is terminal, the
mother shouts at the father, "This is your fault! It never would have happened if we had sought
treatment sooner!" Which intervention is BEST for the nurse to implement?
B) Assure the parents that a terminal diagnosis was inevitable.
The wife of a newly-diagnosed client with Parkinson's disease asks the nurse if alternative or
complimentary medical therapies might cure the disease. Which response should the nurse provide?
D) Tell the wife that her husband's neurologist would know more about alternative treatments to cure
Parkinsonism.
An IV antibiotic is prescribed for a client with a postoperative infection. The medication is to be
administered in 4 divided doses. What schedule is BEST for administering this prescription?
A) 1000, 1600, 2200, 0400.
The mother of a child with cerebral palsy (CP) ask the nurse if her child's impaired movements will
worsen as the child grows. Which response provides the best explanation?
B) Brain damage with CP is not progressive but does have a variable course.
, The nurse is preparing a teaching plan for an older female client diagnosed with osteoporosis. Which
expected outcome has the highest priority for this client?
B) Names 3 home safety hazards to be resolved immediately.
A client is recovering in the outpatient surgical unit after an endoscopic carpal tunnel release. The
nurse assess the client's vital signs, pain level, and dressing. Before discharging the client, which
intervention should the nurse implement?
B) Check neurovascular status of the distal digits.
An older client is admitted in respiratory distress secondary to heart failure (HF), coronary artery
disease (CAD), hypertension (HTN), and atrial fibrillation. Which nursing problems should the nurse
include in this client's plan of care? (SATA)
A) Fluid volume excess
B) Decreased cardiac output
C) Altered peripheral tissue perfusion
E) Fatigue
The nurse is providing preoperative education for a Jewish client scheduled to receive a xenograft
graft to promote burn healing. Which information should the nurse provide this client?
D) The xenograft is taken from nonhuman sources.
A client is admitted with a severe asthma attack. For the last 3 hours the client has experienced
increasing shortness of breath. Arterial blood gas results are: pH 7.22; PaCO2 55 mmHg; HCO3 25
mEq/L (25 mmol/L). Which intervention should the nurse implement?
D) Administer PRN dose of albuterol.
WITH OVER 200+ ACTUAL QUESTIONS WITH THEIR
CORRECT ANSWERS. GRADED A+
A mother runs into the emergency department with a toddler in her arms and tells the nurse that her
child got into some cleaning products. The child smells of chemicals on hands, face, and on the front
of the child's clothes. After ensuring the airway is patent, what action should the nurse implement
first?
B) Determine type of chemical exposure
Which conditions are most likely to respond to treatment with antihistamines? select all that apply.
B) Allergic rhinitis
D) Contact dermatitis
An older client's daughter calls the home health nurse and reports that her mother has become
forgetful and is very confused at night. The daughter states that her mother's behavior changed
suddenly a few days ago and is now getting worse. Which actions should the nurse take? select all
that apply.
A) Ask if the mother is experiencing any pain with urination.
C) Instruct the daughter to check her mother's temperature.
E) Determine if the mother has recently experienced a fall.
The nurse is assessing a male client with a history of Addison's disease. The client has flu-like
symptoms and nausea with vomiting over the past week. The client's spouse reports that the he acted
confused and was extremely weak when he awoke this morning. The client is febrile and has
,tachycardia. The healthcare provider diagnoses acute adrenal insufficiency. Which medication will
most likely be prescribed?
B) Hydrocortisone 100 mg IV every 6 hours until systolic BP reaches 110 mmHg
A male client with a history of mitral valve prolapse is admitted because of fever and dyspnea on
exertion, and is diagnosed with acute infective endocarditis. During the admission assessment, the
nurse observes multiple areas of petechiae on the client's skin. Which interventions should the nurse
include in the client's plan of care? (SATA)
A) Monitor cardiac rhythm via telemetry.
B) Report changes in pre-existing murmurs.
E) Initiate contact transmission precautions.
The nurse is planning an educational session for new parents on ways to prevent sudden infant death
syndrome (SIDS). Which information is most important to provide parents of newborns and infants?
C) Position the infant in a supine position while sleeping
The healthcare provider prescribes methylergonovine maleate for a postpartum client with uterine
atony. What finding should indicate to the nurse to withhold the next dose of the medication?
A) Hypertension
The nurse notes that an older client has a moist cough that increases in severity during and after
meals. Based on this finding, which action should the nurse take?
B) Request a consultant to confirm dysphagia.
,A multiparous client who delivered her infant 3 hours ago asks the nurse if she can take a warm sitz
bath because it helped reduce perineal pain after her last delivery. What action should the nurse
implement?
D) Review the use of sitz bath equipment with the client.
When the parents of a 6-year-old boy with a brain tumor are told that his condition is terminal, the
mother shouts at the father, "This is your fault! It never would have happened if we had sought
treatment sooner!" Which intervention is BEST for the nurse to implement?
B) Assure the parents that a terminal diagnosis was inevitable.
The wife of a newly-diagnosed client with Parkinson's disease asks the nurse if alternative or
complimentary medical therapies might cure the disease. Which response should the nurse provide?
D) Tell the wife that her husband's neurologist would know more about alternative treatments to cure
Parkinsonism.
An IV antibiotic is prescribed for a client with a postoperative infection. The medication is to be
administered in 4 divided doses. What schedule is BEST for administering this prescription?
A) 1000, 1600, 2200, 0400.
The mother of a child with cerebral palsy (CP) ask the nurse if her child's impaired movements will
worsen as the child grows. Which response provides the best explanation?
B) Brain damage with CP is not progressive but does have a variable course.
, The nurse is preparing a teaching plan for an older female client diagnosed with osteoporosis. Which
expected outcome has the highest priority for this client?
B) Names 3 home safety hazards to be resolved immediately.
A client is recovering in the outpatient surgical unit after an endoscopic carpal tunnel release. The
nurse assess the client's vital signs, pain level, and dressing. Before discharging the client, which
intervention should the nurse implement?
B) Check neurovascular status of the distal digits.
An older client is admitted in respiratory distress secondary to heart failure (HF), coronary artery
disease (CAD), hypertension (HTN), and atrial fibrillation. Which nursing problems should the nurse
include in this client's plan of care? (SATA)
A) Fluid volume excess
B) Decreased cardiac output
C) Altered peripheral tissue perfusion
E) Fatigue
The nurse is providing preoperative education for a Jewish client scheduled to receive a xenograft
graft to promote burn healing. Which information should the nurse provide this client?
D) The xenograft is taken from nonhuman sources.
A client is admitted with a severe asthma attack. For the last 3 hours the client has experienced
increasing shortness of breath. Arterial blood gas results are: pH 7.22; PaCO2 55 mmHg; HCO3 25
mEq/L (25 mmol/L). Which intervention should the nurse implement?
D) Administer PRN dose of albuterol.
