HESI Comprehensive Exit Exam 1 (And Rationale)
1. After eye drops are instilled, which instruction should the nurse provide to the
client?
a. "Tilt your head back."
b. "Look to each side."
c. "Close your eyelids."
d. "Blink quickly 3 times."
Answer: (c. "Close your eyelids.")
2. The nurse attempts to notify the healthcare provider about a client who is
exhibiting an extrapyramidal reaction to psychotropic medications. When the
receptionist for the answering service offers to take a message, which nursing
action is best for the nurse to take?
a. Ask when the healthcare provider plans to return to the office and the usual
office hours.
b. Tell the receptionist to have the healthcare provider return the phone call.
c. Provide the receptionist with the client's name, age, and type of reaction.
d. Ask the receptionist to notify the client's family if the healthcare provider
cannot be contacted.
Answer: (b. Tell the receptionist to have the healthcare provider return the phone
call.)
3. A nurse whose tuberculosis (TB ) skin test result reveals an 8 mm induration
obtains a negative chest radiograph, which indicates latent tuberculosis. The
employee-health nurse should implement which intervention for this nurse?
a. Repeat the skin test and chest radiograph in three weeks.
b. Administer isoniazid (INH) daily for 6 to 9 months.
c. Give combination therapy of antitubercular drugs for 6 months.
d. Recommend the bacille Calmette-Gu rin (BCG) vaccine.
Answer: (b. Administer isoniazid (INH) daily for 6 to 9 months.)
4. The nurse is preparing a client for a scheduled surgical procedure. What client
statement should the nurse report to the healthcare provider?
, a. Expresses fear about the surgical procedure.
b. Recalls drinking a glass of juice after midnight.
c. Reports a history of hives after eating shellfish.
d. States has a history of post-operative nausea.
Answer: (b. Recalls drinking a glass of juice after midnight.)
5. A client who is one week postoperative after an aortic valve replacement
suddenly develops severe pain in the left leg. On assessment, the nurse
determines that the client's leg is pale and cool, and no pulses are palpable in
the left leg. After notifying the healthcare provider, which action should the
nurse take?
a. Elevate the legs and medicate for pain.
b. Apply firm pressure to the femoral artery.
c. Keep the client in bed in the supine position.
d. Encourage the client to exercise the leg.
Answer: (c. Keep the client in bed in the supine position.)
6. Preoperatively, a client is to receive 75 mg of meperidine (Demerol) IM. The
Demerol solution contains 50 mg/ml. How much solution should the nurse
administer?
a. 0.5 ml.
b. 1 ml.
c. 1.5 ml.
d. 2 ml.
Answer: (c. 1.5 ml.)
{75: * =50 : 1.50x = 75/50 or reduced to 1.5ml}
7. The nurse is developing a series of childbirth preparation classes for
primigravida women and their significant others. What is the priority expected
outcome for these classes?
a. Educate significant others about providing support for their partner during
labor.
b. Participants can identify at least three coping strategies to use during labor.
1. After eye drops are instilled, which instruction should the nurse provide to the
client?
a. "Tilt your head back."
b. "Look to each side."
c. "Close your eyelids."
d. "Blink quickly 3 times."
Answer: (c. "Close your eyelids.")
2. The nurse attempts to notify the healthcare provider about a client who is
exhibiting an extrapyramidal reaction to psychotropic medications. When the
receptionist for the answering service offers to take a message, which nursing
action is best for the nurse to take?
a. Ask when the healthcare provider plans to return to the office and the usual
office hours.
b. Tell the receptionist to have the healthcare provider return the phone call.
c. Provide the receptionist with the client's name, age, and type of reaction.
d. Ask the receptionist to notify the client's family if the healthcare provider
cannot be contacted.
Answer: (b. Tell the receptionist to have the healthcare provider return the phone
call.)
3. A nurse whose tuberculosis (TB ) skin test result reveals an 8 mm induration
obtains a negative chest radiograph, which indicates latent tuberculosis. The
employee-health nurse should implement which intervention for this nurse?
a. Repeat the skin test and chest radiograph in three weeks.
b. Administer isoniazid (INH) daily for 6 to 9 months.
c. Give combination therapy of antitubercular drugs for 6 months.
d. Recommend the bacille Calmette-Gu rin (BCG) vaccine.
Answer: (b. Administer isoniazid (INH) daily for 6 to 9 months.)
4. The nurse is preparing a client for a scheduled surgical procedure. What client
statement should the nurse report to the healthcare provider?
, a. Expresses fear about the surgical procedure.
b. Recalls drinking a glass of juice after midnight.
c. Reports a history of hives after eating shellfish.
d. States has a history of post-operative nausea.
Answer: (b. Recalls drinking a glass of juice after midnight.)
5. A client who is one week postoperative after an aortic valve replacement
suddenly develops severe pain in the left leg. On assessment, the nurse
determines that the client's leg is pale and cool, and no pulses are palpable in
the left leg. After notifying the healthcare provider, which action should the
nurse take?
a. Elevate the legs and medicate for pain.
b. Apply firm pressure to the femoral artery.
c. Keep the client in bed in the supine position.
d. Encourage the client to exercise the leg.
Answer: (c. Keep the client in bed in the supine position.)
6. Preoperatively, a client is to receive 75 mg of meperidine (Demerol) IM. The
Demerol solution contains 50 mg/ml. How much solution should the nurse
administer?
a. 0.5 ml.
b. 1 ml.
c. 1.5 ml.
d. 2 ml.
Answer: (c. 1.5 ml.)
{75: * =50 : 1.50x = 75/50 or reduced to 1.5ml}
7. The nurse is developing a series of childbirth preparation classes for
primigravida women and their significant others. What is the priority expected
outcome for these classes?
a. Educate significant others about providing support for their partner during
labor.
b. Participants can identify at least three coping strategies to use during labor.
