HESI EXIT EXAM PART 3 Questions with
Correct Solutions
1. Following an esophagogastroduodenoscopy (EGD) a male client is
drowsy and difficult to arouse, and his respiration are slow and
shallow. Which action should the nurse implement? Select all that
apply.
a. Prepare medication reversal agent
b. Check oxygen saturation level
c. Apply oxygen via nasal cannula
d. Initiate bag- valve mask ventilation.
e. Begin cardiopulmonary resuscitation: a. Prepare medication reversal agent
b. Check oxygen saturation level
c. Apply oxygen via nasal cannula
Rationale: Sedation, given during the procedure may need to be reverse if the client does not easily wake
up. Oxygen saturation level should be asses, and oxygen applied to support respiratory ettort and
oxygenation. The client is still breathing so the bag- valve mask ventilation and CPR are not necessary.
2. The nurse is planning preoperative teaching plan of a 12-years old
child who is scheduled for surgery. To help reduce the child
anxiety, which action is the best for the nurse to implement?
a. Give the child syringes or hospital mask to play it at home prior
to hospital- ization.
b. Include the child in pay therapy with children who are hospitalized
for similar surgery
.c. Provide a family tour of the preoperative unit one week before
the surgery is scheduled.
1/
79
,HESI EXIT EXAM PART 3 Questions with
Correct Solutions
d. Provide doll an equipment to re-enact feeling associated with painful
proce- dures: Provide a family tour of the preoperative unit one week before the surgery is
scheduled
Rationale: School age children gain satisfaction from exploring and manipulating their environment,
thinking about
2/
79
,HESI EXIT EXAM PART 3 Questions with
Correct Solutions
objectives, situations and events, and making judgments based on what they reason. A tour of the unit
allows the child to see the hospital environment and reinforce explanation and conceptual thinking.
3. Which intervention should the nurse implement during the
administration of vesicant chemotherapeutic agent via an IV site
in the client's arm?
a. Explain the temporary burning of the IV site may occur.
b. Assess IV site frequently for signs of extravasation
c. Apply a topical anesthetic of the infusion site for burning
d. Monitor capillary refill distal to the infusion site.: Assess IV site
frequently for signs of extravasation
Rationale: Infiltration of a vesicant can cause severe tissue damage and necrosis, so the IV site should
be assessed regularly for extravasation (B) of the chemotherapeutic agent. The client should be
instructed to report any discomfort at the site (A). If pain and burning occur, the IV should be stopped
and C is not indicated. Peripheral pulses, not D, provide the best assessment of perfusion distal to the
infusion should the drug extravasate or infiltrate.
4. When development a teaching plan for a client newly diagnosed
type 1 diabetes, the nurse should explain that an increase thirst is
an early sing of diabetes ketoacidosis (DKA), which action should
the nurse instruct the client to implement if this sign of DKA occur?
a. Resume normal physical activity
b. Drink electrolyte fluid replacement
c. Give a dose of regular insulin per sliding scale
d. Measure urinary output over 24 hours.: Give a dose of regular insulin per
sliding scale
Rationale: As hyperglycemia persist, ketone body become a fuel source, and the client manifest early
signs of DKA that include excessive thirst, frequent urination, headache, nausea and vomiting. Which
result in dehydration and loss of electrolyte. The client should determine fingerstick glucose level and
3/
79
,HESI EXIT EXAM PART 3 Questions with
Correct Solutions
self-administer a dose of regular insulin per sliding scale.
5. The nurse is teaching a group of clients with rheumatoid
arthritis about the need to modify daily activities. Which goal
should the nurse emphasize?
a. Protect joint function
4/
79
Correct Solutions
1. Following an esophagogastroduodenoscopy (EGD) a male client is
drowsy and difficult to arouse, and his respiration are slow and
shallow. Which action should the nurse implement? Select all that
apply.
a. Prepare medication reversal agent
b. Check oxygen saturation level
c. Apply oxygen via nasal cannula
d. Initiate bag- valve mask ventilation.
e. Begin cardiopulmonary resuscitation: a. Prepare medication reversal agent
b. Check oxygen saturation level
c. Apply oxygen via nasal cannula
Rationale: Sedation, given during the procedure may need to be reverse if the client does not easily wake
up. Oxygen saturation level should be asses, and oxygen applied to support respiratory ettort and
oxygenation. The client is still breathing so the bag- valve mask ventilation and CPR are not necessary.
2. The nurse is planning preoperative teaching plan of a 12-years old
child who is scheduled for surgery. To help reduce the child
anxiety, which action is the best for the nurse to implement?
a. Give the child syringes or hospital mask to play it at home prior
to hospital- ization.
b. Include the child in pay therapy with children who are hospitalized
for similar surgery
.c. Provide a family tour of the preoperative unit one week before
the surgery is scheduled.
1/
79
,HESI EXIT EXAM PART 3 Questions with
Correct Solutions
d. Provide doll an equipment to re-enact feeling associated with painful
proce- dures: Provide a family tour of the preoperative unit one week before the surgery is
scheduled
Rationale: School age children gain satisfaction from exploring and manipulating their environment,
thinking about
2/
79
,HESI EXIT EXAM PART 3 Questions with
Correct Solutions
objectives, situations and events, and making judgments based on what they reason. A tour of the unit
allows the child to see the hospital environment and reinforce explanation and conceptual thinking.
3. Which intervention should the nurse implement during the
administration of vesicant chemotherapeutic agent via an IV site
in the client's arm?
a. Explain the temporary burning of the IV site may occur.
b. Assess IV site frequently for signs of extravasation
c. Apply a topical anesthetic of the infusion site for burning
d. Monitor capillary refill distal to the infusion site.: Assess IV site
frequently for signs of extravasation
Rationale: Infiltration of a vesicant can cause severe tissue damage and necrosis, so the IV site should
be assessed regularly for extravasation (B) of the chemotherapeutic agent. The client should be
instructed to report any discomfort at the site (A). If pain and burning occur, the IV should be stopped
and C is not indicated. Peripheral pulses, not D, provide the best assessment of perfusion distal to the
infusion should the drug extravasate or infiltrate.
4. When development a teaching plan for a client newly diagnosed
type 1 diabetes, the nurse should explain that an increase thirst is
an early sing of diabetes ketoacidosis (DKA), which action should
the nurse instruct the client to implement if this sign of DKA occur?
a. Resume normal physical activity
b. Drink electrolyte fluid replacement
c. Give a dose of regular insulin per sliding scale
d. Measure urinary output over 24 hours.: Give a dose of regular insulin per
sliding scale
Rationale: As hyperglycemia persist, ketone body become a fuel source, and the client manifest early
signs of DKA that include excessive thirst, frequent urination, headache, nausea and vomiting. Which
result in dehydration and loss of electrolyte. The client should determine fingerstick glucose level and
3/
79
,HESI EXIT EXAM PART 3 Questions with
Correct Solutions
self-administer a dose of regular insulin per sliding scale.
5. The nurse is teaching a group of clients with rheumatoid
arthritis about the need to modify daily activities. Which goal
should the nurse emphasize?
a. Protect joint function
4/
79
