HESI Exit Exam V2
HESI EXIT EXAM V2 NEWEST ACTUAL EXAM WITH COMPLETE 150
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
Four hours after an aortoiliac bypass graft, the nurse notes warmth, redness,
edema, and unchanged pedal pulses in the affected leg. How should this be
interpreted?
a) Early graft failure
b) Acute arterial occlusion
c) Infection
d) Normal, due to increased blood flow
Correct answer: d) Normal, due to increased blood flow
A client with rapid atrial fibrillation asks why carotid massage is ordered. The
nurse explains it may stimulate which?
a) Sympathetic nervous system
b) Sinoatrial node
c) Vagus nerve to slow the heart rate
d) Atrioventricular node to speed conduction
Correct answer: c) Vagus nerve to slow the heart rate
A client is admitted with possible rheumatic endocarditis. The nurse should assess
for a history of which infection?
a) Viral upper respiratory infection
b) Streptococcal infection
c) Staphylococcal infection
d) Fungal infection
Correct answer: c) Staphylococcal infection
1|Page
, HESI Exit Exam V2
A client with an Unna boot reports numbness and tingling, and the toes are cool
and mottled. What should the nurse conclude?
a) Normal response to compression therapy
b) Venous congestion
c) Infection is developing
d) The boot has been applied too tightly
Correct answer: d) The boot has been applied too tightly
A client reports severe, prolonged anginal pain that occurs daily at the same time
without exertion. How should the nurse describe this pain?
a) Stable angina
b) Unstable angina
c) Variant angina
d) Silent ischemia
Correct answer: c) Variant angina
Which finding is probably UNRELATED to an abdominal aortic aneurysm (AAA)?
a) Pulsatile abdominal mass
b) Abdominal pain
c) Back pain
d) Hyperactive bowel sounds
Correct answer: d) Hyperactive bowel sounds
A client with ongoing chest pain refuses nitroglycerin, stating nothing is wrong.
Which defense mechanism is demonstrated?
a) Rationalization
b) Denial
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, HESI Exit Exam V2
c) Projection
d) Regression
Correct answer: b) Denial
Before cardiac catheterization using radiopaque dye, which assessment is MOST
critical?
a) Baseline vital signs
b) Renal function
c) Prior reaction to contrast media
d) NPO status
Correct answer: c) Prior reaction to contrast media
Before a dipyridamole thallium scan, the nurse should verify that the client has
avoided which substance?
a) Alcohol
b) Nicotine
c) Caffeine
d) Sugar
Correct answer: c) Caffeine
The LPN/LVN is preparing to ambulate a postoperative client after cardiac surgery.
Which action will best help the client tolerate ambulation?
a) Encourage ambulation immediately after meals
b) Apply oxygen during ambulation only
c) Premedicate the client with an analgesic before ambulating
d) Limit ambulation to 1–2 minutes
Correct answer: c) Premedicate the client with an analgesic before ambulating
3|Page
, HESI Exit Exam V2
A client wearing a continuous cardiac monitor triggers an alarm, and no ECG
complexes are visible on the screen. What should the nurse do FIRST?
a) Call the rapid response team
b) Check the client’s status and lead placement
c) Silence the alarm
d) Replace the monitor
Correct answer: b) Check the client’s status and lead placement
A client with heart failure suddenly develops extreme dyspnea, tachycardia, and
crackles, suggesting pulmonary edema. Which interventions does the nurse
anticipate? (Select all that apply.)
a) Restrict oral fluids
b) Administer oxygen
c) Insert a Foley catheter
d) Administer furosemide (Lasix)
e) Place the client in a supine position
Correct answers: b) Administer oxygen
c) Insert a Foley catheter
d) Administer furosemide (Lasix)
The nurse is monitoring a client following cardioversion. Which observation is the
HIGHEST priority?
a) Blood pressure
b) Heart rhythm
c) Status of airway
d) Urine output
Correct answer: c) Status of airway
4|Page
HESI EXIT EXAM V2 NEWEST ACTUAL EXAM WITH COMPLETE 150
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
Four hours after an aortoiliac bypass graft, the nurse notes warmth, redness,
edema, and unchanged pedal pulses in the affected leg. How should this be
interpreted?
a) Early graft failure
b) Acute arterial occlusion
c) Infection
d) Normal, due to increased blood flow
Correct answer: d) Normal, due to increased blood flow
A client with rapid atrial fibrillation asks why carotid massage is ordered. The
nurse explains it may stimulate which?
a) Sympathetic nervous system
b) Sinoatrial node
c) Vagus nerve to slow the heart rate
d) Atrioventricular node to speed conduction
Correct answer: c) Vagus nerve to slow the heart rate
A client is admitted with possible rheumatic endocarditis. The nurse should assess
for a history of which infection?
a) Viral upper respiratory infection
b) Streptococcal infection
c) Staphylococcal infection
d) Fungal infection
Correct answer: c) Staphylococcal infection
1|Page
, HESI Exit Exam V2
A client with an Unna boot reports numbness and tingling, and the toes are cool
and mottled. What should the nurse conclude?
a) Normal response to compression therapy
b) Venous congestion
c) Infection is developing
d) The boot has been applied too tightly
Correct answer: d) The boot has been applied too tightly
A client reports severe, prolonged anginal pain that occurs daily at the same time
without exertion. How should the nurse describe this pain?
a) Stable angina
b) Unstable angina
c) Variant angina
d) Silent ischemia
Correct answer: c) Variant angina
Which finding is probably UNRELATED to an abdominal aortic aneurysm (AAA)?
a) Pulsatile abdominal mass
b) Abdominal pain
c) Back pain
d) Hyperactive bowel sounds
Correct answer: d) Hyperactive bowel sounds
A client with ongoing chest pain refuses nitroglycerin, stating nothing is wrong.
Which defense mechanism is demonstrated?
a) Rationalization
b) Denial
2|Page
, HESI Exit Exam V2
c) Projection
d) Regression
Correct answer: b) Denial
Before cardiac catheterization using radiopaque dye, which assessment is MOST
critical?
a) Baseline vital signs
b) Renal function
c) Prior reaction to contrast media
d) NPO status
Correct answer: c) Prior reaction to contrast media
Before a dipyridamole thallium scan, the nurse should verify that the client has
avoided which substance?
a) Alcohol
b) Nicotine
c) Caffeine
d) Sugar
Correct answer: c) Caffeine
The LPN/LVN is preparing to ambulate a postoperative client after cardiac surgery.
Which action will best help the client tolerate ambulation?
a) Encourage ambulation immediately after meals
b) Apply oxygen during ambulation only
c) Premedicate the client with an analgesic before ambulating
d) Limit ambulation to 1–2 minutes
Correct answer: c) Premedicate the client with an analgesic before ambulating
3|Page
, HESI Exit Exam V2
A client wearing a continuous cardiac monitor triggers an alarm, and no ECG
complexes are visible on the screen. What should the nurse do FIRST?
a) Call the rapid response team
b) Check the client’s status and lead placement
c) Silence the alarm
d) Replace the monitor
Correct answer: b) Check the client’s status and lead placement
A client with heart failure suddenly develops extreme dyspnea, tachycardia, and
crackles, suggesting pulmonary edema. Which interventions does the nurse
anticipate? (Select all that apply.)
a) Restrict oral fluids
b) Administer oxygen
c) Insert a Foley catheter
d) Administer furosemide (Lasix)
e) Place the client in a supine position
Correct answers: b) Administer oxygen
c) Insert a Foley catheter
d) Administer furosemide (Lasix)
The nurse is monitoring a client following cardioversion. Which observation is the
HIGHEST priority?
a) Blood pressure
b) Heart rhythm
c) Status of airway
d) Urine output
Correct answer: c) Status of airway
4|Page
