INTEGRATED HESI EXIT
EXAM
QUESTIONS AND
ANSWERS
Suicide precautions are initiated for a child admitted to the mental health unit following an
intentional narcotic overdose. After a visitor leaves, the nurse finds a package of cigarettes in the
client's room.
Which intervention is most important for the nurse to implement? - CORRECT ANSWER -
Remove cigarettes for the client's room
A family member of a frail elderly adult asks the nurse about eligibility requirements for hospice
care. What information should the nurse provide? (Select all that apply.)
A.) A client must be willing to accept palliative care, not curative care.
B.) The healthcare provider must project that the client has 6 months or less to live.
C.) The client must be diagnosed with clinical depression
D.) The client must be of sound mind - CORRECT ANSWER -A,B
A client with atrial fibrillation receives a new prescription for dabigatran. What instruction should
the nurse include in this client's teaching plan? - CORRECT ANSWER -Avoid use of
nonsteroidal ant- inflammatory drugs (NSAID).
An infant who is admitted for surgical repair of a ventricular septal defect (VSD) is irritable and
diaphoretic with jugular vein distention. Which prescription should the nurse administer first? -
CORRECT ANSWER -Digoxin
,The nursing staff on a medical unit includes a registered nurse (RN), practical nurse (PN), and an
unlicensed assistive personnel (UAP). Which task should the charge nurse assign to the RN? -
CORRECT ANSWER -Supervise a newly hired graduate nurse during an admission assessment.
While teaching a young male adult to use an inhaler for his newly diagnosed asthma, the client
stares into the distance and appears to be concentrating on something other than the lesson
the nurse is presenting. What action should the nurse take? - CORRECT ANSWER -Ask the
client what he is thinking about at his time.
After several hours of non-productive coughing, a client presents to the emergency room
ecomplaining eof echest etightness eand eshortness eof ebreath. eHistory eincludes eend estage
echronic eobstructive epulmonary edisease e(COPD) eand ediabetes emellitus. eWhile ecompleting
ethe epulmonary eassessment, ethe enurse ehears ewheezing eand epoor eair emovement
ebilaterally. eWhich eactions eshould ethe enurse eimplement? e(Select eall ethat eapply.)
A.) Administer ePRN enebulizer etreatment.
B.) Obtain e12 elead eelectrocardiogram.
C.) Monitor econtinuous eoxygen esaturation.
D.) Lay ethe eclient ein ethe eprone eposition e- eCORRECT eANSWER e-A,B,C
The enurse ecaring efor ea e3-month-old eboy eone eday eafter ea epylorotomy enotices ethat ethe
einfant eis erestless, eis eexhibiting efacial egrimaces, eand eis edrawing ehis eknees eto ehis echest.
eWhat eaction eshould ethe enurse etake? e- eCORRECT eANSWER e-Administer ea eprescribed
eanalgesia efor epain.
A e4-year-old ewith eacute elymphocytic eleukemia e(ALL) eis ereceiving ea echemotherapy e(CT)
eprotocol ethat eincludes emethotrexate e(Mexate, eTrexal, eMIX), ean eantimetabolite. eWhich
einformation eshould ethe enurse eprovide ethe eparents eabout ecaring efor etheir echild? e-
eCORRECT eANSWER e-Use esunblock eor eprotective eclothing ewhen eoutdoors.
,Two edays eafter eadmission ea emale eclient eremembers ethat ehe eis eallergic eto eeggs, eand
einforms ethe enurse eof ethe eallergy. eWhich eactions eshould ethe enurse eimplement? eSATA
A.) Tell ethe eclient ethat eits ea emild ereaction
B.) Notify ethe efood eservices edepartment eof ethe eallergy.
C.) Enter ethe eallergy einformation ein ethe eclient's erecord.
D.) Add eegg eallergy eto ethe eclient's eallergy earm eband. e- eCORRECT eANSWER e-B,C,D
The erapid eresponse eteam's edetects ereturn eof espontaneous ecirculation e(ROSC) eafter e2
emin eof econtinuous echest ecompressions. eThe eclient ehas ea eweak, efast epulse eand eno
erespiratory eeffort, eso ethe ehealthcare eprovider eperforms ea esuccessful eoral, eintubation.
eWhat eaction eshould ethe enurse eimplement? e- eCORRECT eANSWER e-Perform ebilateral
echest eauscultation.
After eadministering ean eantipyretic emedication. eWhich eintervention eshould ethe enurse
eimplement? e- eCORRECT eANSWER e-Encouraging eliberal efluid eintake
A eclient ewith ehyperthyroidism eis ebeing etreated ewith eradioactive eiodine e(I-131). eWhich
eexplanation eshould ebe eincluded ein epreparing ethis eclient efor ethis etreatment? e-
eCORRECT eANSWER e-Describe eradioactive eiodine eas ea etasteless, ecolorless emedication
eadministered eby ethe ehealthcare eprovider
After ea ecolon eresection efor ecolon ecancer, ea emale eclient eis emoaning ewhile ebeing
etransferred eto ethe ePostanesthesia eCare eUnit e(PACU). eWhich eintervention eshould ethe
enurse eimplement efirst? e- eCORRECT eANSWER e-Determine eclient's epulse, eblood epressure,
eand erespirations
, The enurse eis ecaring efor ea egroup eof eclients ewith ethe ehelp eof ea elicensed epractical enurse
e(LPN) eand ean eexperienced eunlicensed eassistive epersonnel e(UAP). eWhich eprocedures
ecan ethe enurse edelegate eto ethe eUAP? e(Select eall ethat eapply)
A.) Take epostoperative evital esigns efor ea eclient ewho ehas ean eepidual efollowing eknee
earthroplasty
B.) Collect ea esputum especimen efor ea eclient ewith ea efever eof eunknown eorigin
C.) Ambulate ea eclient ewho ehad ea efemoral-popliteal ebypass egraft eyesterday e- eCORRECT
eANSWER e-A,B,C
A emale eclient ewith ecirrhosis ehas eascites eand ereports efeeling eshort eof ebreath. eThe eclient
eis ein esemi eFowler eposition ewith ehis earms eat ehis eside. eWhat eaction eshould ethe enurse
eimplement? e- eCORRECT eANSWER e-Raise ethe ehead eof ethe ebed eto ea eFowler's eposition
eand esupport ehis earms ewith ea epillow
A eclient ewith ea ehistory eof echronic epain erequests ea enonopioid eanalgesic. eThe eclient eis ealert
ebut ehas edifficulty edescribing ethe eexact enature eand elocation eof ethe epain eto ethe enurse.
eWhich eaction eshould ethe enurse eimplement enext? e- eCORRECT eANSWER e-Administer ethe
eanalgesic eas erequested
The enurse euses ethe eparkland eformula e(4ml ex ekg ex etotal ebody esurface earea e= e24 ehours
efluid ereplacement) eto ecalculate ethe e24-hours eIV efluid ereplacement efor ea eclient ewith e40%
eburns ewho eweighs e76kg. eHow emany eml eshould ethe eclient ereceive? e(Enter enumeric
evalue eonly.) e- eCORRECT eANSWER e-12160
A eclient ewith eleukemia eundergoes ea ebone emarrow ebiopsy. eThe eclient's elaboratory evalues
eindicate ethe eclient ehas ethrombocytopenia. eBased eon ethis edata, ewhich enursing
eassessment eis emost eimportant efollowing ethe eprocedure?
A.) Observe easpiration esite.
B.) Assess ebody etemperature
EXAM
QUESTIONS AND
ANSWERS
Suicide precautions are initiated for a child admitted to the mental health unit following an
intentional narcotic overdose. After a visitor leaves, the nurse finds a package of cigarettes in the
client's room.
Which intervention is most important for the nurse to implement? - CORRECT ANSWER -
Remove cigarettes for the client's room
A family member of a frail elderly adult asks the nurse about eligibility requirements for hospice
care. What information should the nurse provide? (Select all that apply.)
A.) A client must be willing to accept palliative care, not curative care.
B.) The healthcare provider must project that the client has 6 months or less to live.
C.) The client must be diagnosed with clinical depression
D.) The client must be of sound mind - CORRECT ANSWER -A,B
A client with atrial fibrillation receives a new prescription for dabigatran. What instruction should
the nurse include in this client's teaching plan? - CORRECT ANSWER -Avoid use of
nonsteroidal ant- inflammatory drugs (NSAID).
An infant who is admitted for surgical repair of a ventricular septal defect (VSD) is irritable and
diaphoretic with jugular vein distention. Which prescription should the nurse administer first? -
CORRECT ANSWER -Digoxin
,The nursing staff on a medical unit includes a registered nurse (RN), practical nurse (PN), and an
unlicensed assistive personnel (UAP). Which task should the charge nurse assign to the RN? -
CORRECT ANSWER -Supervise a newly hired graduate nurse during an admission assessment.
While teaching a young male adult to use an inhaler for his newly diagnosed asthma, the client
stares into the distance and appears to be concentrating on something other than the lesson
the nurse is presenting. What action should the nurse take? - CORRECT ANSWER -Ask the
client what he is thinking about at his time.
After several hours of non-productive coughing, a client presents to the emergency room
ecomplaining eof echest etightness eand eshortness eof ebreath. eHistory eincludes eend estage
echronic eobstructive epulmonary edisease e(COPD) eand ediabetes emellitus. eWhile ecompleting
ethe epulmonary eassessment, ethe enurse ehears ewheezing eand epoor eair emovement
ebilaterally. eWhich eactions eshould ethe enurse eimplement? e(Select eall ethat eapply.)
A.) Administer ePRN enebulizer etreatment.
B.) Obtain e12 elead eelectrocardiogram.
C.) Monitor econtinuous eoxygen esaturation.
D.) Lay ethe eclient ein ethe eprone eposition e- eCORRECT eANSWER e-A,B,C
The enurse ecaring efor ea e3-month-old eboy eone eday eafter ea epylorotomy enotices ethat ethe
einfant eis erestless, eis eexhibiting efacial egrimaces, eand eis edrawing ehis eknees eto ehis echest.
eWhat eaction eshould ethe enurse etake? e- eCORRECT eANSWER e-Administer ea eprescribed
eanalgesia efor epain.
A e4-year-old ewith eacute elymphocytic eleukemia e(ALL) eis ereceiving ea echemotherapy e(CT)
eprotocol ethat eincludes emethotrexate e(Mexate, eTrexal, eMIX), ean eantimetabolite. eWhich
einformation eshould ethe enurse eprovide ethe eparents eabout ecaring efor etheir echild? e-
eCORRECT eANSWER e-Use esunblock eor eprotective eclothing ewhen eoutdoors.
,Two edays eafter eadmission ea emale eclient eremembers ethat ehe eis eallergic eto eeggs, eand
einforms ethe enurse eof ethe eallergy. eWhich eactions eshould ethe enurse eimplement? eSATA
A.) Tell ethe eclient ethat eits ea emild ereaction
B.) Notify ethe efood eservices edepartment eof ethe eallergy.
C.) Enter ethe eallergy einformation ein ethe eclient's erecord.
D.) Add eegg eallergy eto ethe eclient's eallergy earm eband. e- eCORRECT eANSWER e-B,C,D
The erapid eresponse eteam's edetects ereturn eof espontaneous ecirculation e(ROSC) eafter e2
emin eof econtinuous echest ecompressions. eThe eclient ehas ea eweak, efast epulse eand eno
erespiratory eeffort, eso ethe ehealthcare eprovider eperforms ea esuccessful eoral, eintubation.
eWhat eaction eshould ethe enurse eimplement? e- eCORRECT eANSWER e-Perform ebilateral
echest eauscultation.
After eadministering ean eantipyretic emedication. eWhich eintervention eshould ethe enurse
eimplement? e- eCORRECT eANSWER e-Encouraging eliberal efluid eintake
A eclient ewith ehyperthyroidism eis ebeing etreated ewith eradioactive eiodine e(I-131). eWhich
eexplanation eshould ebe eincluded ein epreparing ethis eclient efor ethis etreatment? e-
eCORRECT eANSWER e-Describe eradioactive eiodine eas ea etasteless, ecolorless emedication
eadministered eby ethe ehealthcare eprovider
After ea ecolon eresection efor ecolon ecancer, ea emale eclient eis emoaning ewhile ebeing
etransferred eto ethe ePostanesthesia eCare eUnit e(PACU). eWhich eintervention eshould ethe
enurse eimplement efirst? e- eCORRECT eANSWER e-Determine eclient's epulse, eblood epressure,
eand erespirations
, The enurse eis ecaring efor ea egroup eof eclients ewith ethe ehelp eof ea elicensed epractical enurse
e(LPN) eand ean eexperienced eunlicensed eassistive epersonnel e(UAP). eWhich eprocedures
ecan ethe enurse edelegate eto ethe eUAP? e(Select eall ethat eapply)
A.) Take epostoperative evital esigns efor ea eclient ewho ehas ean eepidual efollowing eknee
earthroplasty
B.) Collect ea esputum especimen efor ea eclient ewith ea efever eof eunknown eorigin
C.) Ambulate ea eclient ewho ehad ea efemoral-popliteal ebypass egraft eyesterday e- eCORRECT
eANSWER e-A,B,C
A emale eclient ewith ecirrhosis ehas eascites eand ereports efeeling eshort eof ebreath. eThe eclient
eis ein esemi eFowler eposition ewith ehis earms eat ehis eside. eWhat eaction eshould ethe enurse
eimplement? e- eCORRECT eANSWER e-Raise ethe ehead eof ethe ebed eto ea eFowler's eposition
eand esupport ehis earms ewith ea epillow
A eclient ewith ea ehistory eof echronic epain erequests ea enonopioid eanalgesic. eThe eclient eis ealert
ebut ehas edifficulty edescribing ethe eexact enature eand elocation eof ethe epain eto ethe enurse.
eWhich eaction eshould ethe enurse eimplement enext? e- eCORRECT eANSWER e-Administer ethe
eanalgesic eas erequested
The enurse euses ethe eparkland eformula e(4ml ex ekg ex etotal ebody esurface earea e= e24 ehours
efluid ereplacement) eto ecalculate ethe e24-hours eIV efluid ereplacement efor ea eclient ewith e40%
eburns ewho eweighs e76kg. eHow emany eml eshould ethe eclient ereceive? e(Enter enumeric
evalue eonly.) e- eCORRECT eANSWER e-12160
A eclient ewith eleukemia eundergoes ea ebone emarrow ebiopsy. eThe eclient's elaboratory evalues
eindicate ethe eclient ehas ethrombocytopenia. eBased eon ethis edata, ewhich enursing
eassessment eis emost eimportant efollowing ethe eprocedure?
A.) Observe easpiration esite.
B.) Assess ebody etemperature
