IMPROVED EXIT HESI FINAL
EXAM QUESTIONS AND
ANSWERS
The practical nurse enters a male client's room to administer routine morning medications, and the
client is on the phone. Which action is best for the PN to take?
A. Ask another nurse to go back with the medication when the client's hung up the phone
B. Wait for the client to excuse himself from the telephone conversation, and observe the client taking
the medication
C. Return the medication to the client's drawer on the cart and document the client refused the dose
D. Leave the medication with the client, and let him take it when he finishes the conversation. -
CORRECT ANSWER -B
A client is admitted to the postoperative surgical unit with two test tubes after a left lobectomy. The ON
observed that the chambers are set at the prescribed suction of 20 cm water pressure and tidying occurs
with respirations and bubbling. What action should the PN implement?
A. Clamp the chest tube to see if the activity stops
B. Notify the registered nurse of the malfunction
C. Maintain system integrity to promote lung reexpansion
D. Apply a partially occlusive dressing toterm-10 chest - CORRECT ANSWER -C
The mother of a 9-month-child who was diagnosed with respiratory syncytial virus yesterday calls the
clinic to inquire if it will be all right to take her infant to the first birthday party of a friend's child for the
following day. Which response should the PN provide the mother?
,A. Do not expose other children as the virus is very contagious even without direct contact
B. The child will no longer be contagious, no need to take any further precautions
C. The child can be around other children but should wear a mask
D. Make sure there are no children under the age of 5 months around the infected child. - CORRECT
ANSWER -A
The practical nurse is assisting the nurse with the admission of a young adult female Korean exchange
student with acute abdominal pain. Although the client has been able to easily answer questions, when
asked about sexual activity, she looks away. What action should ithe iPN itake?
A. Omit icompelling ithis isection iof ithe iassessment iform
B. Ask iher iif ishe iwould ilike ian iinterpreter ito iask iher ithe iquestion
C. Reword ithe iquestion iin icase ithe iclient idid inot iunderstand
D. Watch ithe iclient's iresponse iwhen iasked ia idifferent iquestion i- iCORRECT iANSWER i-D
During iimmediate ipostoperative iperiod ifollowing ia itotal ihip iplacement, iwhich iintervention iis
imostiimportant ifor ithe iPN ito iimplement?
A. Encourage iclient ito iuse iwalker ior icane iwhen iambulating
B. Keep iclient's ihip ialigned iwith iknees iabducted
C. Teach iclient ito isit ion ithe iside iof ithe ibed ibefore istanding
D. Monitor iurinary iflow ivia iindwelling icatheter i- iCORRECT iANSWER i-B
A iclient iconfides ito ithe iPN ithat ithe iclient ihas ibeen isubstituting iherbal isupplements ifor ihigh
ibloodipressure iinstead iof ithe iprescribed imedication. iHow ishould ithe iPN irespond ifirst?
,A. Ask ithe iclient's ireason ifor ichoosing ito itake iherbs iinstead iof iprescribed idrugs
B. Reinforce ithat ithe ihealthcare iprovider iprescribed ithe imedication ifor ia ireason
C. Have iclient iuse iown iwords ito idescribe icomplications iof ihigh iblood ipressure
D. Point iout ithe irisks iof inot itaking ithe iherbal imedications irather ithan iprescribed i- iCORRECT iANSWER
i-A
The iPN iis iassigned ito iadminister imedications iin ia ilong iterm icare ifacility. iA idisoriented iresident ihas
ino iidentification iband ior ipicture. iWhat iis ithe ibest inursing iaction ifor ithe iPN ito itake iprior
iadministering itheimedications ithis iresident?
term-14
A. Ask ia iregular istaff imember ito iconfirm ithe iresident's iidentity
B. Hold ithe imedication iuntil ia ifamily imember iagain
C. Re-orient ithe iresident ito iname, iplace, iand isituation
D. Confirm ithe iroom iand ibed inumbers iwith ithose ion ithe imedication irecord. i- iCORRECT iANSWER i-D
An iadult iclient iwho iweighs i150 ipounds ihas ipartial-thickness iand ifull-thickness iburns iover i40% iof
ithe ibody ifrom ia ihouse ifire. iAfter iadmission, iwhich iobservation iis imost iimportant ifor ithe ipractical
inurse itoireport iimmediately?
A. Poor iappetite iand irefusing ito ieat
B. Systolic iblood ipressure iat i102
C. Painful imoaning iand icrying
D. Urinary iOutput iof i20ml/hr i- iCORRECT iANSWER i-D
A i12-year-old ichild iis ireceiving ia iblood itransfusion iper iinfusion ipump iand ibegins ito icomplain iof
i"itchy"iskin i15 iminutes iafter ithe iunit iof iblood iis istarted. iThe ichild iappears iflushed. iWhat iaction
ishould ithe ipractical inurse itake ifirst?
A. Apply ilotion ito ithe iskin
, B. Stop ithe itransfusion
C. Inspect ithe iinfusion isite
D. Obtain ithe ivital isigns i- iCORRECT iANSWER i-B
A iPN iis icompeting ia ifocused iassessment iof ian iolder iadult's iskin. iThe iPN inotes ia icrusted i0.7 icm
ilesion ionithe iclient's iforehead. iWhich iaction ishould ithe iPN itake iin iresponse ito ithis ifinding?
A. Report ithe ifinding ito ithe ihealthcare iprovider
B. Place ia iclear iocclusive idressing iover ithe isite
C. Apply ia iwarm icompress ito iremove ithe icrusted iarea
D. Explain ithat ithis iis ia inormal iskin ichange iwith iaging i- iCORRECT iANSWER i-C
While itaking ithe ivital isigns iof ian iolder imale iclient iwho itakes ipsychotropic imedications, ithe iPN
inotes ithat ihe ihas iuncontrollable ihand imovements iand iis iexcessively iblinking ihis ieyes. iWhich
iinformation iinithe iclient's imedical irecord ishould ithe iPN ireview?
A. Prescription ifor ilorazepam
B. History iof iParkinson's idisease
C. Screening ifor itardive idyskinesia
D. Recent iurine idrug iscreen ireport i- iCORRECT iANSWER i-B
The iPN iis icaring ifor ian ielderly ifemale iclient iwho itells ithe iPN, i"When iI isneeze, iI iwet imy ipants."
iAfter idiscussing ithe iclient's icomplaint iwith ithe icharge inurse, ithe iPN iplans ito ireinforce iteaching ithat
ithe iclientihas ireceived iabout ithe iimportance iof iKegel iexercises.WHat imuscles iare iinvolved iin ithese
iexercises?
A. Pectoral imuscles
B. Buttock imuscles
EXAM QUESTIONS AND
ANSWERS
The practical nurse enters a male client's room to administer routine morning medications, and the
client is on the phone. Which action is best for the PN to take?
A. Ask another nurse to go back with the medication when the client's hung up the phone
B. Wait for the client to excuse himself from the telephone conversation, and observe the client taking
the medication
C. Return the medication to the client's drawer on the cart and document the client refused the dose
D. Leave the medication with the client, and let him take it when he finishes the conversation. -
CORRECT ANSWER -B
A client is admitted to the postoperative surgical unit with two test tubes after a left lobectomy. The ON
observed that the chambers are set at the prescribed suction of 20 cm water pressure and tidying occurs
with respirations and bubbling. What action should the PN implement?
A. Clamp the chest tube to see if the activity stops
B. Notify the registered nurse of the malfunction
C. Maintain system integrity to promote lung reexpansion
D. Apply a partially occlusive dressing toterm-10 chest - CORRECT ANSWER -C
The mother of a 9-month-child who was diagnosed with respiratory syncytial virus yesterday calls the
clinic to inquire if it will be all right to take her infant to the first birthday party of a friend's child for the
following day. Which response should the PN provide the mother?
,A. Do not expose other children as the virus is very contagious even without direct contact
B. The child will no longer be contagious, no need to take any further precautions
C. The child can be around other children but should wear a mask
D. Make sure there are no children under the age of 5 months around the infected child. - CORRECT
ANSWER -A
The practical nurse is assisting the nurse with the admission of a young adult female Korean exchange
student with acute abdominal pain. Although the client has been able to easily answer questions, when
asked about sexual activity, she looks away. What action should ithe iPN itake?
A. Omit icompelling ithis isection iof ithe iassessment iform
B. Ask iher iif ishe iwould ilike ian iinterpreter ito iask iher ithe iquestion
C. Reword ithe iquestion iin icase ithe iclient idid inot iunderstand
D. Watch ithe iclient's iresponse iwhen iasked ia idifferent iquestion i- iCORRECT iANSWER i-D
During iimmediate ipostoperative iperiod ifollowing ia itotal ihip iplacement, iwhich iintervention iis
imostiimportant ifor ithe iPN ito iimplement?
A. Encourage iclient ito iuse iwalker ior icane iwhen iambulating
B. Keep iclient's ihip ialigned iwith iknees iabducted
C. Teach iclient ito isit ion ithe iside iof ithe ibed ibefore istanding
D. Monitor iurinary iflow ivia iindwelling icatheter i- iCORRECT iANSWER i-B
A iclient iconfides ito ithe iPN ithat ithe iclient ihas ibeen isubstituting iherbal isupplements ifor ihigh
ibloodipressure iinstead iof ithe iprescribed imedication. iHow ishould ithe iPN irespond ifirst?
,A. Ask ithe iclient's ireason ifor ichoosing ito itake iherbs iinstead iof iprescribed idrugs
B. Reinforce ithat ithe ihealthcare iprovider iprescribed ithe imedication ifor ia ireason
C. Have iclient iuse iown iwords ito idescribe icomplications iof ihigh iblood ipressure
D. Point iout ithe irisks iof inot itaking ithe iherbal imedications irather ithan iprescribed i- iCORRECT iANSWER
i-A
The iPN iis iassigned ito iadminister imedications iin ia ilong iterm icare ifacility. iA idisoriented iresident ihas
ino iidentification iband ior ipicture. iWhat iis ithe ibest inursing iaction ifor ithe iPN ito itake iprior
iadministering itheimedications ithis iresident?
term-14
A. Ask ia iregular istaff imember ito iconfirm ithe iresident's iidentity
B. Hold ithe imedication iuntil ia ifamily imember iagain
C. Re-orient ithe iresident ito iname, iplace, iand isituation
D. Confirm ithe iroom iand ibed inumbers iwith ithose ion ithe imedication irecord. i- iCORRECT iANSWER i-D
An iadult iclient iwho iweighs i150 ipounds ihas ipartial-thickness iand ifull-thickness iburns iover i40% iof
ithe ibody ifrom ia ihouse ifire. iAfter iadmission, iwhich iobservation iis imost iimportant ifor ithe ipractical
inurse itoireport iimmediately?
A. Poor iappetite iand irefusing ito ieat
B. Systolic iblood ipressure iat i102
C. Painful imoaning iand icrying
D. Urinary iOutput iof i20ml/hr i- iCORRECT iANSWER i-D
A i12-year-old ichild iis ireceiving ia iblood itransfusion iper iinfusion ipump iand ibegins ito icomplain iof
i"itchy"iskin i15 iminutes iafter ithe iunit iof iblood iis istarted. iThe ichild iappears iflushed. iWhat iaction
ishould ithe ipractical inurse itake ifirst?
A. Apply ilotion ito ithe iskin
, B. Stop ithe itransfusion
C. Inspect ithe iinfusion isite
D. Obtain ithe ivital isigns i- iCORRECT iANSWER i-B
A iPN iis icompeting ia ifocused iassessment iof ian iolder iadult's iskin. iThe iPN inotes ia icrusted i0.7 icm
ilesion ionithe iclient's iforehead. iWhich iaction ishould ithe iPN itake iin iresponse ito ithis ifinding?
A. Report ithe ifinding ito ithe ihealthcare iprovider
B. Place ia iclear iocclusive idressing iover ithe isite
C. Apply ia iwarm icompress ito iremove ithe icrusted iarea
D. Explain ithat ithis iis ia inormal iskin ichange iwith iaging i- iCORRECT iANSWER i-C
While itaking ithe ivital isigns iof ian iolder imale iclient iwho itakes ipsychotropic imedications, ithe iPN
inotes ithat ihe ihas iuncontrollable ihand imovements iand iis iexcessively iblinking ihis ieyes. iWhich
iinformation iinithe iclient's imedical irecord ishould ithe iPN ireview?
A. Prescription ifor ilorazepam
B. History iof iParkinson's idisease
C. Screening ifor itardive idyskinesia
D. Recent iurine idrug iscreen ireport i- iCORRECT iANSWER i-B
The iPN iis icaring ifor ian ielderly ifemale iclient iwho itells ithe iPN, i"When iI isneeze, iI iwet imy ipants."
iAfter idiscussing ithe iclient's icomplaint iwith ithe icharge inurse, ithe iPN iplans ito ireinforce iteaching ithat
ithe iclientihas ireceived iabout ithe iimportance iof iKegel iexercises.WHat imuscles iare iinvolved iin ithese
iexercises?
A. Pectoral imuscles
B. Buttock imuscles
