HESI Exit Version 2 Exam Latest 2025 Qs And As
With Complete Solutions
The nurse is assessing a client with thigh high anti embolism stockings. Assessment findings
include redness, swelling, and pain in the left calf. What is the priority action by the nurse? -
answers-• Notify the healthcare provider.
Which client statement indicates an understanding of the risk of alcohol relapse? - answers-•
"Stopping support groups and not expressing feelings can lead to relapse."
A nurse is caring for a client who has end-stage chronic obstructive pulmonary disease receiving
I.V. push morphine for pain management. During rounds, the nurse discusses with the physician
the need to start the client on a continuous morphine infusion. The nurse bases this request on
the fact that: - answers-• serving as a client advocate is an important role.
A client with posttraumatic stress disorder states, "You don't know what I've been through.
What can you do?" The nurse should respond: - answers-• "I haven't been through what you
have, but I'll be better able to understand if you tell me more about it."
A client was hospitalized for 1 week with major depression with suicidal ideation. He is taking
venlafaxine 75 mg three times a day and is planning to return to work. The nurse asks the client
if he is experiencing thoughts of self-harm. The client responds, "I hardly think about it anymore
and wouldn't do anything to hurt - answers-• The depression is improving, and the suicidal
ideation is lessening.
A school-age client with diabetes is placed on an intermediate- acting insulin and regular insulin
before breakfast and before dinner. She will receive a snack of milk and cereal at bedtime. What
does the nurse tell the client the snack is intended to do? - answers-Prevent late night
hypoglycemia.
,A well-known public official of a small community is admitted to the emergency department
following an episode of chest pain. Several nurses from the medical unit are aware of the
admission and access the official's electronic medical record to obtain a status update. What is
the best response for the nurse manager to make to the nurses regarding this situation? -
answers-"Assessing the official's medical record is a breach of confidentiality."
- answers-Protect your child from infections because his resistance toinfection is decreased
The nurse is caring for a client with influenza. The most effective way to decrease the spread of
microorganisms is: - answers-washing the hands frequently.
A client with a history of hypertension has been prescribed a new antihypertensive medication
and is reporting dizziness. Which is the best way for the nurse to assess blood pressure? -
answers-in the supine, sitting, and standing positions
A client has a soft wrist-safety device. Which assessment finding should the nurse investigate
further? - answers-cool, pale fingers
A nurse is caring for a female client before surgery. The client states that she is glad that she will
not be going through menopause as a result of her surgery and is only having her uterus
removed. The nurse reviews the consent form and notes that the surgery is for a total
abdominal hysterectomy with a salpingo-oophorectomy. What should the nurse do in this
situation? - answers-Contact the surgeon to explain that the client needs further clarification
regarding surgery.
A young client diagnosed with schizophrenia is talking with the nurse and says, "You know, when
I thought everyone was out to get me, I was staying in my apartment all the time. Now, I would
like to get out and do things again." What is the best initial response by the nurse? - answers-•
"What activities did you enjoy in the past?"
, A client with anemia has been admitted to the medical-surgical unit.Which assessment findings
are characteristic of iron deficiency anemia? - answers-• dyspnea, tachycardia, and pallor
The nurse is discontinuing an intravenous catheter on a 10-year-old client with hemophilia.
What would be the most important intervention for this client? - answers-• Apply firm pressure
on the site for 5 minutes after removal.
When a client returns from the recovery room postmastectomy, an initial postoperative
assessment is performed by the nurse. What is the nurse's priority assessment? - answers-•
assessing the vital signs and oxygen saturation levels
A client with an uncomplicated term pregnancy arrives at the labor- and- delivery unit in early
labor saying that she thinks her water has broken. What is the nurse's best action? - answers-•
Ask what time this happened and note the color, amount, andodor of the fluid.
When documenting the care of a client, the nurse is aware of the need to use abbreviations
conscientiously and safely. This includes - answers-limiting abbreviations to those approved for
use by the institution
During routine prenatal screening, a nurse tells a client that her blood sample will be used for
alpha fetoprotein (AFP) testing. Which statement best describes what AFP testing indicates? -
answers-"This test will screen for spina bifida, Down syndrome, or other genetic defects."
A client is recovering from an infected abdominal wound. Which foods should the nurse
encourage the client to eat to support wound healing and recovery from the infection? -
answers-• chicken and orange slices
A nurse suspects that the laboring client may have been physically abused by her partner. What
is the most appropriate intervention by the nurse? - answers-• Collaborate with the
interprofessional team to make a referral to social services.
With Complete Solutions
The nurse is assessing a client with thigh high anti embolism stockings. Assessment findings
include redness, swelling, and pain in the left calf. What is the priority action by the nurse? -
answers-• Notify the healthcare provider.
Which client statement indicates an understanding of the risk of alcohol relapse? - answers-•
"Stopping support groups and not expressing feelings can lead to relapse."
A nurse is caring for a client who has end-stage chronic obstructive pulmonary disease receiving
I.V. push morphine for pain management. During rounds, the nurse discusses with the physician
the need to start the client on a continuous morphine infusion. The nurse bases this request on
the fact that: - answers-• serving as a client advocate is an important role.
A client with posttraumatic stress disorder states, "You don't know what I've been through.
What can you do?" The nurse should respond: - answers-• "I haven't been through what you
have, but I'll be better able to understand if you tell me more about it."
A client was hospitalized for 1 week with major depression with suicidal ideation. He is taking
venlafaxine 75 mg three times a day and is planning to return to work. The nurse asks the client
if he is experiencing thoughts of self-harm. The client responds, "I hardly think about it anymore
and wouldn't do anything to hurt - answers-• The depression is improving, and the suicidal
ideation is lessening.
A school-age client with diabetes is placed on an intermediate- acting insulin and regular insulin
before breakfast and before dinner. She will receive a snack of milk and cereal at bedtime. What
does the nurse tell the client the snack is intended to do? - answers-Prevent late night
hypoglycemia.
,A well-known public official of a small community is admitted to the emergency department
following an episode of chest pain. Several nurses from the medical unit are aware of the
admission and access the official's electronic medical record to obtain a status update. What is
the best response for the nurse manager to make to the nurses regarding this situation? -
answers-"Assessing the official's medical record is a breach of confidentiality."
- answers-Protect your child from infections because his resistance toinfection is decreased
The nurse is caring for a client with influenza. The most effective way to decrease the spread of
microorganisms is: - answers-washing the hands frequently.
A client with a history of hypertension has been prescribed a new antihypertensive medication
and is reporting dizziness. Which is the best way for the nurse to assess blood pressure? -
answers-in the supine, sitting, and standing positions
A client has a soft wrist-safety device. Which assessment finding should the nurse investigate
further? - answers-cool, pale fingers
A nurse is caring for a female client before surgery. The client states that she is glad that she will
not be going through menopause as a result of her surgery and is only having her uterus
removed. The nurse reviews the consent form and notes that the surgery is for a total
abdominal hysterectomy with a salpingo-oophorectomy. What should the nurse do in this
situation? - answers-Contact the surgeon to explain that the client needs further clarification
regarding surgery.
A young client diagnosed with schizophrenia is talking with the nurse and says, "You know, when
I thought everyone was out to get me, I was staying in my apartment all the time. Now, I would
like to get out and do things again." What is the best initial response by the nurse? - answers-•
"What activities did you enjoy in the past?"
, A client with anemia has been admitted to the medical-surgical unit.Which assessment findings
are characteristic of iron deficiency anemia? - answers-• dyspnea, tachycardia, and pallor
The nurse is discontinuing an intravenous catheter on a 10-year-old client with hemophilia.
What would be the most important intervention for this client? - answers-• Apply firm pressure
on the site for 5 minutes after removal.
When a client returns from the recovery room postmastectomy, an initial postoperative
assessment is performed by the nurse. What is the nurse's priority assessment? - answers-•
assessing the vital signs and oxygen saturation levels
A client with an uncomplicated term pregnancy arrives at the labor- and- delivery unit in early
labor saying that she thinks her water has broken. What is the nurse's best action? - answers-•
Ask what time this happened and note the color, amount, andodor of the fluid.
When documenting the care of a client, the nurse is aware of the need to use abbreviations
conscientiously and safely. This includes - answers-limiting abbreviations to those approved for
use by the institution
During routine prenatal screening, a nurse tells a client that her blood sample will be used for
alpha fetoprotein (AFP) testing. Which statement best describes what AFP testing indicates? -
answers-"This test will screen for spina bifida, Down syndrome, or other genetic defects."
A client is recovering from an infected abdominal wound. Which foods should the nurse
encourage the client to eat to support wound healing and recovery from the infection? -
answers-• chicken and orange slices
A nurse suspects that the laboring client may have been physically abused by her partner. What
is the most appropriate intervention by the nurse? - answers-• Collaborate with the
interprofessional team to make a referral to social services.
