REVIEWED EXIT HESI 700
EXAM TEST QUESTIONS AND
ANSWERS
Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink plenty of
dairy products, such as milk, to help coat and protect his ulcer. What is the best follow-up action by the
nurse? - CORRECT ANSWER -Review with the client the need to avoid foods that are rich in milk and
cream
A male client with hypertension, who received new antihypertensive prescriptions at his last visit
returns to the clinic two weeks later to evaluate his blood pressure (BP). His BP is 158/106 and he admits
that he has not been taking the prescribed medication because the drugs make him "feel bad". In
explaining the need for hypertension control, the nurse should stress that an elevated BP places the
client at risk for which pathophysiological condition? - CORRECT ANSWER -Stroke secondary to
hemorrhage
The nurse observes an unlicensed assistive personnel (UAP) positioning a newly admitted client who has
a seizure disorder. The client is supine and the UAP is placing soft pillows along the side rails. What
action should the nurse implement? - CORRECT ANSWER -Instruct the UAP to obtain soft blankets to
secure to the side rails instead of pillows
An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for the 2past 212
2days. 2Which 2assessment 2finding 2requires 2immediate 2follow-up 2- 2CORRECT 2ANSWER 2-Describes
2life 2without 2purpose
A 260-year-old 2female 2client 2with 2a 2positive 2family 2history 2of 2ovarian 2cancer 2has 2developed 2an
2abdominal 2mass 2and 2is 2being 2evaluated 2for 2possible 2ovarian 2cancer. 2Her 2Papanicolau 2(Pap)
2smear 2results 2are 2negative. 2What 2information 2should 2the 2nurse 2include 2in 2the 2client's
2teaching 2plan 2- 2CORRECT 2ANSWER 2- 2Further 2evaluation 2involving 2surgery 2may 2be 2needed
,A 2client 2who 2recently 2underwent 2a 2tracheostomy 2is 2being 2prepared 2for 2discharge 2to 2home.
2Which 2instructions 2is 2most 2important 2for 2the 2nurse 2to 2include 2in 2the 2discharge 2plan? 2-
2CORRECT 2ANSWER 2-Teach 2tracheal 2suctioning 2techniques
In 2assessing 2an 2adult 2client 2with 2a 2partial 2rebreather 2mask, 2the 2nurse 2notes 2that 2the 2oxygen
2reservoir 2bag 2does 2not 2deflate 2completely 2during 2inspiration 2and 2the 2client's 2respiratory 2rate 2is
214 2breaths 2/ 2minute.
What 2action 2should 2the 2nurse 2implement 2- 2CORRECT 2ANSWER 2-Document 2the 2assessment 2data
Rational: 2reservoir 2bag 2should 2not 2deflate 2completely 2during 2inspiration 2and 2the 2client's
2respiratory 2rate 2is 2within 2normal 2limits.
During 2shift 2report, 2the 2central 2electrocardiogram 2(EKG) 2monitoring 2system 2alarms. 2Which 2client
2alarm 2should 2the 2nurse 2investigate 2first? 2- 2CORRECT 2ANSWER 2-Respiratory 2apnea 2of 230 2seconds
During 2a 2home 2visit, 2the 2nurse 2observed 2an 2elderly 2client 2with 2diabetes 2slip 2and 2fall. 2What
2action 2should 2the 2nurse 2take 2first? 2- 2CORRECT 2ANSWER 2-Check 2the 2client 2for 2lacerations 2or
2fractures
At 20600 2while 2admitting 2a 2woman 2for 2a 2schedule 2repeat 2cesarean 2section 2(C-Section), 2the
2client 2tells 2the 2nurse 2that 2she 2drank 2a 2cup 2a 2coffee 2at 20400 2because 2she 2wanted 2to 2avoid
2getting 2a 2headache. 2Which 2action 2should 2the 2nurse 2take 2first? 2- 2CORRECT 2ANSWER 2-Inform
2the 2anesthesia 2care 2provider
After 2placing 2a 2stethoscope 2as 2seen 2in 2the 2picture, 2the 2nurse 2auscultates 2S1 2and 2S2 2heart
2sounds. 2To 2determine 2if 2an 2S3 2heart 2sound 2is 2present, 2what 2action 2should 2the 2nurse 2take 2first
2- 2CORRECT 2ANSWER 2- 2Listen 2with 2the 2bell 2at 2the 2same 2location
A 266-year-old 2woman 2is 2retiring 2and 2will 2no 2longer 2have 2a 2health 2insurance 2through 2her 2place
2of 2employment. 2Which 2agency 2should 2the 2client 2be 2referred 2to 2by 2the 2employee 2health 2nurse
2for 2health 2insurance 2needs? 2- 2CORRECT 2ANSWER 2-Medicare
,A 2client 2who 2is 2taking 2an 2oral 2dose 2of 2a 2tetracycline 2complains 2of 2gastrointestinal 2upset.
2What 2snack 2should 2the 2nurse 2instruct 2the 2client 2to 2take 2with 2the 2tetracycline? 2- 2CORRECT
2ANSWER 2-Toasted 2wheat 2bread 2and 2jelly
Following 2a 2lumbar 2puncture, 2a 2client 2voices 2several 2complaints. 2What 2complaint 2indicated 2to
2the 2nurse 2that 2the 2client 2is 2experiencing 2a 2complication? 2- 2CORRECT 2ANSWER 2-"I 2have 2a
2headache 2that 2gets 2worse 2when 2I 2sit 2up"
An 2elderly 2client 2seems 2confused 2and 2reports 2the 2onset 2of 2nausea, 2dysuria, 2and 2urgency 2with
2incontinence. 2Which 2action 2should 2the 2nurse 2implement 2- 2CORRECT 2ANSWER 2-Obtain 2a 2clean
2catch 2mid- 2stream 2specimen
The 2nurse 2is 2assisting 2the 2mother 2of 2a 2child 2with 2phenylketonuria 2(PKU) 2to 2select 2foods 2that
2are 2in 2keeping 2with 2the 2child's 2dietary 2restrictions. 2Which 2foods 2are 2contraindicated 2for 2this
2child? 2- 2CORRECT 2ANSWER 2-Foods 2sweetened 2with 2aspartame
Before 2preparing 2a 2client 2for 2the 2first 2surgical 2case 2of 2the 2day, 2a 2part-time 2scrub 2nurse 2asks
2the 2circulating 2nurse 2if 2a 23 2minute 2surgical 2hand 2scrub 2is 2adequate 2preparation 2for 2this 2client.
2Which 2response 2should 2the 2circulating 2nurse 2provide? 2- 2CORRECT 2ANSWER 2-Direct 2the 2nurse
2to 2continue 2the 2surgical 2hand 2scrub 2for 2a 25 2minute 2duration
Which 2breakfast 2selection 2indicates 2that 2the 2client 2understands 2the 2nurse's 2instructions 2about
2the 2dietary 2management 2of 2osteoporosis? 2- 2CORRECT 2ANSWER 2-Bagel 2with 2jelly 2and 2skim
2milk
The 2charge 2nurse 2of 2a 2critical 2care 2unit 2is 2informed 2at 2the 2beginning 2of 2the 2shift 2that 2less
2than 2the 2optimal 2number 2of 2registered 2nurses 2will 2be 2working 2that 2shift. 2In 2planning
2assignments, 2which 2client 2should 2receive 2the 2most 2care 2hours 2by 2a 2registered 2nurse 2(RN) 2-
2CORRECT 2ANSWER 2-An 282-year-old 2client 2with 2Alzheimer's 2disease 2newly-fractures 2femur 2who
2has 2a 2Foley 2catheter 2and 2soft 2wrist 2restrains 2applied
A 2mother 2brings 2her 26-year-old 2child, 2who 2has 2just 2stepped 2on 2a 2rusty 2nail, 2to 2the
2pediatrician's 2office. 2Upon 2inspection, 2the 2nurse 2notes 2that 2the 2nail 2went 2through 2the 2shoe
2and 2pierced 2the 2bottom 2of 2the 2child's 2foot. 2Which 2action 2should 2the 2nurse 2implement 2first? 2-
2CORRECT 2ANSWER 2-Cleanse 2the 2foot 2with 2soap 2and 2water 2and 2apply 2an 2antibiotic 2ointment
, The 2mother 2of 2an 2adolescent 2tells 2the 2clinic 2nurse, 2"My 2son 2has 2athlete's 2foot, 2I 2have 2been
2applying 2triple 2antibiotic 2ointment 2for 2two 2days, 2but 2there 2has 2been 2no 2improvement." 2What
2instruction 2should 2the 2nurse 2provide? 2- 2CORRECT 2ANSWER 2-Stop 2using 2the 2ointment 2and
2encourage 2complete 2drying 2of 2the 2feet 2and 2wearing 2clean 2socks.
A 226-year-old 2female 2client 2is 2admitted 2to 2the 2hospital 2for 2treatment 2of 2a 2simple 2goiter, 2and
2levothyroxine 2sodium 2(Synthroid) 2is 2prescribed. 2Which 2symptoms 2indicate 2to 2the 2nurse 2that
2the 2prescribed 2dosage 2is 2too 2high 2for 2this 2client? 2The 2client 2experiences 2- 2CORRECT 2ANSWER
2-Palpitations 2and 2shortness 2of 2breath
A 2client 2with 2a 2history 2of 2heart 2failure 2presents 2to 2the 2clinic 2with 2a 2nausea, 2vomiting, 2yellow
2vision 2and 2palpitations. 2Which 2finding 2is 2most 2important 2for 2the 2nurse 2to 2assess 2to 2the 2client?
2- 2CORRECT 2ANSWER 2- 2Obtain 2a 2list 2of 2medications 2taken 2for 2cardiac 2history
The 2healthcare 2provider 2prescribes 2an 2IV 2solution 2of 2isoproterenol 2(Isuprel) 21 2mg 2in 2250 2ml 2of
2D5W 2at 2300 2mcg/hour. 2The 2nurse 2should 2program 2the 2infusion 2pump 2to 2deliver 2how 2many
2ml/hour? 2(Enter 2numeric 2value 2only.) 2- 2CORRECT 2ANSWER 2-75
Rationale: 2Convert 2mg 2to 2mcg 2and 2use 2the 2formula 2D/H 2x 2Q. 2300 2mcg/hour 2/ 21,000 2mcg 2x
2250 2ml 2= 23/1 2x 225 2= 275 2ml/hour
The 2pathophysiological 2mechanism 2are 2responsible 2for 2ascites 2related 2to 2liver 2failure? 2(Select
2all 2that 2apply) 2- 2CORRECT 2ANSWER 2--Fluid 2shifts 2from 2intravascular 2to 2interstitial 2area 2due 2to
2decreased 2serum 2protein
-Increased 2hydrostatic 2pressure 2in 2portal 2circulation 2increases 2fluid 2shifts 2into 2abdomen
-Increased 2circulating 2aldosterone 2levels 2that 2increase 2sodium 2and 2water 2retention
The 2nurse 2is 2auscultating 2a 2client's 2heart 2sounds. 2Which 2description 2should 2the 2nurse 2use 2to
2document 2this 2sound? 2(Please 2listen 2to 2the 2audio 2first 2to 2select 2the 2option 2that 2applies) 2-
2CORRECT 2ANSWER 2- 2Murmur
EXAM TEST QUESTIONS AND
ANSWERS
Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink plenty of
dairy products, such as milk, to help coat and protect his ulcer. What is the best follow-up action by the
nurse? - CORRECT ANSWER -Review with the client the need to avoid foods that are rich in milk and
cream
A male client with hypertension, who received new antihypertensive prescriptions at his last visit
returns to the clinic two weeks later to evaluate his blood pressure (BP). His BP is 158/106 and he admits
that he has not been taking the prescribed medication because the drugs make him "feel bad". In
explaining the need for hypertension control, the nurse should stress that an elevated BP places the
client at risk for which pathophysiological condition? - CORRECT ANSWER -Stroke secondary to
hemorrhage
The nurse observes an unlicensed assistive personnel (UAP) positioning a newly admitted client who has
a seizure disorder. The client is supine and the UAP is placing soft pillows along the side rails. What
action should the nurse implement? - CORRECT ANSWER -Instruct the UAP to obtain soft blankets to
secure to the side rails instead of pillows
An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for the 2past 212
2days. 2Which 2assessment 2finding 2requires 2immediate 2follow-up 2- 2CORRECT 2ANSWER 2-Describes
2life 2without 2purpose
A 260-year-old 2female 2client 2with 2a 2positive 2family 2history 2of 2ovarian 2cancer 2has 2developed 2an
2abdominal 2mass 2and 2is 2being 2evaluated 2for 2possible 2ovarian 2cancer. 2Her 2Papanicolau 2(Pap)
2smear 2results 2are 2negative. 2What 2information 2should 2the 2nurse 2include 2in 2the 2client's
2teaching 2plan 2- 2CORRECT 2ANSWER 2- 2Further 2evaluation 2involving 2surgery 2may 2be 2needed
,A 2client 2who 2recently 2underwent 2a 2tracheostomy 2is 2being 2prepared 2for 2discharge 2to 2home.
2Which 2instructions 2is 2most 2important 2for 2the 2nurse 2to 2include 2in 2the 2discharge 2plan? 2-
2CORRECT 2ANSWER 2-Teach 2tracheal 2suctioning 2techniques
In 2assessing 2an 2adult 2client 2with 2a 2partial 2rebreather 2mask, 2the 2nurse 2notes 2that 2the 2oxygen
2reservoir 2bag 2does 2not 2deflate 2completely 2during 2inspiration 2and 2the 2client's 2respiratory 2rate 2is
214 2breaths 2/ 2minute.
What 2action 2should 2the 2nurse 2implement 2- 2CORRECT 2ANSWER 2-Document 2the 2assessment 2data
Rational: 2reservoir 2bag 2should 2not 2deflate 2completely 2during 2inspiration 2and 2the 2client's
2respiratory 2rate 2is 2within 2normal 2limits.
During 2shift 2report, 2the 2central 2electrocardiogram 2(EKG) 2monitoring 2system 2alarms. 2Which 2client
2alarm 2should 2the 2nurse 2investigate 2first? 2- 2CORRECT 2ANSWER 2-Respiratory 2apnea 2of 230 2seconds
During 2a 2home 2visit, 2the 2nurse 2observed 2an 2elderly 2client 2with 2diabetes 2slip 2and 2fall. 2What
2action 2should 2the 2nurse 2take 2first? 2- 2CORRECT 2ANSWER 2-Check 2the 2client 2for 2lacerations 2or
2fractures
At 20600 2while 2admitting 2a 2woman 2for 2a 2schedule 2repeat 2cesarean 2section 2(C-Section), 2the
2client 2tells 2the 2nurse 2that 2she 2drank 2a 2cup 2a 2coffee 2at 20400 2because 2she 2wanted 2to 2avoid
2getting 2a 2headache. 2Which 2action 2should 2the 2nurse 2take 2first? 2- 2CORRECT 2ANSWER 2-Inform
2the 2anesthesia 2care 2provider
After 2placing 2a 2stethoscope 2as 2seen 2in 2the 2picture, 2the 2nurse 2auscultates 2S1 2and 2S2 2heart
2sounds. 2To 2determine 2if 2an 2S3 2heart 2sound 2is 2present, 2what 2action 2should 2the 2nurse 2take 2first
2- 2CORRECT 2ANSWER 2- 2Listen 2with 2the 2bell 2at 2the 2same 2location
A 266-year-old 2woman 2is 2retiring 2and 2will 2no 2longer 2have 2a 2health 2insurance 2through 2her 2place
2of 2employment. 2Which 2agency 2should 2the 2client 2be 2referred 2to 2by 2the 2employee 2health 2nurse
2for 2health 2insurance 2needs? 2- 2CORRECT 2ANSWER 2-Medicare
,A 2client 2who 2is 2taking 2an 2oral 2dose 2of 2a 2tetracycline 2complains 2of 2gastrointestinal 2upset.
2What 2snack 2should 2the 2nurse 2instruct 2the 2client 2to 2take 2with 2the 2tetracycline? 2- 2CORRECT
2ANSWER 2-Toasted 2wheat 2bread 2and 2jelly
Following 2a 2lumbar 2puncture, 2a 2client 2voices 2several 2complaints. 2What 2complaint 2indicated 2to
2the 2nurse 2that 2the 2client 2is 2experiencing 2a 2complication? 2- 2CORRECT 2ANSWER 2-"I 2have 2a
2headache 2that 2gets 2worse 2when 2I 2sit 2up"
An 2elderly 2client 2seems 2confused 2and 2reports 2the 2onset 2of 2nausea, 2dysuria, 2and 2urgency 2with
2incontinence. 2Which 2action 2should 2the 2nurse 2implement 2- 2CORRECT 2ANSWER 2-Obtain 2a 2clean
2catch 2mid- 2stream 2specimen
The 2nurse 2is 2assisting 2the 2mother 2of 2a 2child 2with 2phenylketonuria 2(PKU) 2to 2select 2foods 2that
2are 2in 2keeping 2with 2the 2child's 2dietary 2restrictions. 2Which 2foods 2are 2contraindicated 2for 2this
2child? 2- 2CORRECT 2ANSWER 2-Foods 2sweetened 2with 2aspartame
Before 2preparing 2a 2client 2for 2the 2first 2surgical 2case 2of 2the 2day, 2a 2part-time 2scrub 2nurse 2asks
2the 2circulating 2nurse 2if 2a 23 2minute 2surgical 2hand 2scrub 2is 2adequate 2preparation 2for 2this 2client.
2Which 2response 2should 2the 2circulating 2nurse 2provide? 2- 2CORRECT 2ANSWER 2-Direct 2the 2nurse
2to 2continue 2the 2surgical 2hand 2scrub 2for 2a 25 2minute 2duration
Which 2breakfast 2selection 2indicates 2that 2the 2client 2understands 2the 2nurse's 2instructions 2about
2the 2dietary 2management 2of 2osteoporosis? 2- 2CORRECT 2ANSWER 2-Bagel 2with 2jelly 2and 2skim
2milk
The 2charge 2nurse 2of 2a 2critical 2care 2unit 2is 2informed 2at 2the 2beginning 2of 2the 2shift 2that 2less
2than 2the 2optimal 2number 2of 2registered 2nurses 2will 2be 2working 2that 2shift. 2In 2planning
2assignments, 2which 2client 2should 2receive 2the 2most 2care 2hours 2by 2a 2registered 2nurse 2(RN) 2-
2CORRECT 2ANSWER 2-An 282-year-old 2client 2with 2Alzheimer's 2disease 2newly-fractures 2femur 2who
2has 2a 2Foley 2catheter 2and 2soft 2wrist 2restrains 2applied
A 2mother 2brings 2her 26-year-old 2child, 2who 2has 2just 2stepped 2on 2a 2rusty 2nail, 2to 2the
2pediatrician's 2office. 2Upon 2inspection, 2the 2nurse 2notes 2that 2the 2nail 2went 2through 2the 2shoe
2and 2pierced 2the 2bottom 2of 2the 2child's 2foot. 2Which 2action 2should 2the 2nurse 2implement 2first? 2-
2CORRECT 2ANSWER 2-Cleanse 2the 2foot 2with 2soap 2and 2water 2and 2apply 2an 2antibiotic 2ointment
, The 2mother 2of 2an 2adolescent 2tells 2the 2clinic 2nurse, 2"My 2son 2has 2athlete's 2foot, 2I 2have 2been
2applying 2triple 2antibiotic 2ointment 2for 2two 2days, 2but 2there 2has 2been 2no 2improvement." 2What
2instruction 2should 2the 2nurse 2provide? 2- 2CORRECT 2ANSWER 2-Stop 2using 2the 2ointment 2and
2encourage 2complete 2drying 2of 2the 2feet 2and 2wearing 2clean 2socks.
A 226-year-old 2female 2client 2is 2admitted 2to 2the 2hospital 2for 2treatment 2of 2a 2simple 2goiter, 2and
2levothyroxine 2sodium 2(Synthroid) 2is 2prescribed. 2Which 2symptoms 2indicate 2to 2the 2nurse 2that
2the 2prescribed 2dosage 2is 2too 2high 2for 2this 2client? 2The 2client 2experiences 2- 2CORRECT 2ANSWER
2-Palpitations 2and 2shortness 2of 2breath
A 2client 2with 2a 2history 2of 2heart 2failure 2presents 2to 2the 2clinic 2with 2a 2nausea, 2vomiting, 2yellow
2vision 2and 2palpitations. 2Which 2finding 2is 2most 2important 2for 2the 2nurse 2to 2assess 2to 2the 2client?
2- 2CORRECT 2ANSWER 2- 2Obtain 2a 2list 2of 2medications 2taken 2for 2cardiac 2history
The 2healthcare 2provider 2prescribes 2an 2IV 2solution 2of 2isoproterenol 2(Isuprel) 21 2mg 2in 2250 2ml 2of
2D5W 2at 2300 2mcg/hour. 2The 2nurse 2should 2program 2the 2infusion 2pump 2to 2deliver 2how 2many
2ml/hour? 2(Enter 2numeric 2value 2only.) 2- 2CORRECT 2ANSWER 2-75
Rationale: 2Convert 2mg 2to 2mcg 2and 2use 2the 2formula 2D/H 2x 2Q. 2300 2mcg/hour 2/ 21,000 2mcg 2x
2250 2ml 2= 23/1 2x 225 2= 275 2ml/hour
The 2pathophysiological 2mechanism 2are 2responsible 2for 2ascites 2related 2to 2liver 2failure? 2(Select
2all 2that 2apply) 2- 2CORRECT 2ANSWER 2--Fluid 2shifts 2from 2intravascular 2to 2interstitial 2area 2due 2to
2decreased 2serum 2protein
-Increased 2hydrostatic 2pressure 2in 2portal 2circulation 2increases 2fluid 2shifts 2into 2abdomen
-Increased 2circulating 2aldosterone 2levels 2that 2increase 2sodium 2and 2water 2retention
The 2nurse 2is 2auscultating 2a 2client's 2heart 2sounds. 2Which 2description 2should 2the 2nurse 2use 2to
2document 2this 2sound? 2(Please 2listen 2to 2the 2audio 2first 2to 2select 2the 2option 2that 2applies) 2-
2CORRECT 2ANSWER 2- 2Murmur
