366 EXIT HESI, BSN366, HESI RN EXIT EXAM QUESTIONS AND VERIFIED ANSWERS
2026 , EXIT HESI 6, HESI 7, EXIT HESI RN , HESI COMPREHENSIVE EXIT EXAM 1 (AND
RATIONALE), 366 EXIT HESI PRACTICE, EXIT HESI COMPREHENSIVE B EVOLVE
PRACTICE QUESTIONS, MODULE 4 EXAM…
A newly admitted client complains of pain rating a 7 on a scale of 0 to 10. The client has not
been sleeping well lately and is experiencing labored breathing. List the client's problems in
order of priority for the nurse. (Rank in the priority order from highest to lowest.)
1.
Airway and breathing.
2.
Pain management.
3.
Definitive therapy.
4.
Sleep and rest.
Correct Answer:
1.Airway and breathing. 2.Pain management. 3.Sleep and rest. 4.Definitive therapy.
Rationale
First-level problems are immediate priorities (airway, breathing, and circulation). In this
scenario, airway and breathing are the first priority, followed by pain management, Maslow's
hierarchy of basic needs for rest and sleep, and then definitive drug therapies.
Which biological practices are federally regulated for healthcare workers? (Select all that
apply.)
Select all that apply
1.Standard precautions.
2. N-95 tuberculosis standard.
3. Blood-borne pathogen standard.
4. Biological product exposure limit (BPEL).
5. Resource Conservation and Recovery Act (RCRA).
6. As Low as Reasonably Allowable standard (ALARA).
3. Blood-borne pathogen standard.
5. Resource Conservation and Recovery Act (RCRA)
Basic standards for healthcare workers, as delineated by Occupational Safety and Health
Administration (OSHA), include standard precautions, droplet precautions using N-95
respiratory particulate masks when caring for a client who is positive for tuberculosis, and
required annual updates for healthcare workers about blood-borne pathogen transmission,
methods of minimizing exposure, and employee rights. Other options [BPEL and ALARA ] are
not federally regulated.
A client with severe depression tells the nurse, "I do not know why you bother with me or
give me pills. I am never going to get well." What is the most therapeutic response?
,1. "You need to stop thinking negative thoughts. They get in the way of your recovery."
2. "You are no bother to me or to the staff. We want you to get well and not feel sad
anymore."
3. "I have known many clients with depression who have felt better after several weeks of
treatment."
4. "You are feeling very pessimistic, but that is part of your illness. It should go away as
you recover."
3. "I have known many clients with depression who have felt better after several weeks of
treatment."
Stating the observation that others have recovered can give a client hope. Telling a person to stop
negtive thinking is ineffective because the client must be taught cognitive strategies to stop
negative thinking. Stating the person is "no bother" is arguing with the client's beliefs and
attempting to tell him how to feel, both of which are not therapeutic responses. Bring up
pessimistic feelings interprets the client's feelings and does not provide the same degree of hope.
The nurse is caring for a client with a nursing problem of, "Infection, risk for, related to
inadequate primary defenses as evidenced by surgical incision and IV access." What
nursing intervention should the nurse implement?
1. Limit visitors to immediate family to decrease exposure to infection.
2. Maintain "clean" technique in the change of wound dressing and IV site.
3. Assess and document skin condition around the incision and IV site at each shift.
4. Require the use of a face mask by staff when providing care requiring close contact.
3. Assess and document skin condition around the incision and IV site at each shift.
Early identification of infection leads to prompt treatment and decreased nosocomial
transmission to others, so the condition of any invasive lines or breaks in the skin should be
assessed and documented during each shift.
A client with ulcerative colitis is scheduled for surgical creation of an ileoanal reservoir (J
pouch). As part of preoperative teaching, what information should the nurse provide?
1. The transverse loop ostomy is permanent.
2. Easily removable appliances allow independence in self-care.
3. Daily irrigation is started after the J pouch heals.
4. Stool is eventually expelled through the rectum.
4. Stool is eventually expelled through the rectum.
An ileal pouch-anal anastomosis (also known as the J pouch) is a surgically created ileoanal
reservoir in the anal canal that preserves the rectal sphincter muscle, so that passage of stool
through the rectum is the eventual result. To promote healing of the anastomosed parts of the
colon, a temporary loop ostomy is created, not a permanent one. Although appliances that are
easy to use are advantageous, the ostomy is reversed after healing takes place. Stool drains into
the reservoir, so daily irrigation is not usually indicated.
The nurse inflates the cuff on a tracheostomy tube to minimal occlusion pressure for a
client who is breathing spontaneously. Which action should the nurse follow?
1. Check the pilot balloon to ensure that it is firm.
2. Verify the healthcare provider's prescription for the required cuff pressure.
,3. Use a manometer to maintain cuff pressure between 25 and 30 mmHg.
4. Inject air until no air is auscultated over the larynx during a deep breath.
4. Inject air until no air is auscultated over the larynx during a deep breath.
To achieve minimal pressure (minimal occlusion volume technique) against the tracheal wall,
inject air into the tracheostomy tube cuff while auscultating with a stethoscope placed over the
larynx (over the cuff) during inhalation. At the point when sounds of air movement cease,
inflation is stopped, indicating that the cuff is sealed against the tracheal wall.
A 60-year-old homeless man who complains of a cough, late-afternoon fever, and night
sweats has a 10 mm induration after receiving a purified protein derivative (PPD) skin test.
Which action should the nurse implement?
1. Refer for further diagnostic evaluation.
2. Determine exposure of others to the tuberculosis.
3. Begin anti-tubercular drug therapy.
4. Quarantine or isolate to control communicability.
1. Refer for further diagnostic evaluation.
The PPD skin test results is indicative of exposure or latent Mycobacterium tuberculosis
infection (LTBI), which this client is in a high-risk category for exposure in a homeless
environment. Although productive prolonged cough, fever, and night sweats are common early
symptoms, persons suspected of LTBI should not begin treatment until active TB disease has
been excluded. Further diagnostic evaluation should be implemented. A dormant form that
neither causes disease nor is communicable.
Which contextual factors are considered external environmental influences in the
framework for occupational health programs and services? (Select all that apply.)
Select all that apply
1. Economics.
2. Workforce.
3. Technology.
4. Interventions.
5. Socio-economic status.
6. Legislation/regulation.
1. Economics.
3. Technology.
6. Legislation/regulation.
Economics affects the health of the company and its workforce productivity, in termsof
profitability, growth, and expansion. Technology adds to an industry's capacity to develop and
implement new or improved work processes. Legislation/regulation in the workplace, such as the
blood-borne pathogen standard, affects the workforce in terms of requirements, administration,
and control strategies. Occupational safety programs are built around the workforce to strive for
maximum internal productivity. Interventions are internal environmental influences of an
occupational health and safety program. Socio-economic status is a demographic variable
commonly used in epidemiology.
The nurse is analyzing the waveforms of a client's electrocardiogram. What finding
indicates a disturbance in electrical conduction in the ventricles?
, 1. T wave of 0.16 second.
2. PR interval of 0.18 second.
3. QT interval of 0.34 second.
4. QRS interval of 0.14 second.
4. QRS interval of 0.14 second.
The normal duration of the QRS is 0.04 to 0.12 second, so a prolonged QRS indicates an
electrical anomaly in the ventricles. The T wave is normally 0.16 seconds. The PR interval range
is 0.12 to 0.20 second. The QT interval should be 0.31 to 0.38 second.
The nurse is assigned a client with numerous treatments and decides it is not possible to
complete all the needed treatments in the time scheduled for this shift. Which process
should the nurse use?
1. Delegate tasks to competent team members.
2. Prioritize tasks with the most crucial needs first.
3. Report the incomplete treatments to next shift nurse.
4. Start with the easiest treatment first.
2. Prioritize tasks with the most crucial needs first.
Planning care for a client with numerous treatments should be prioritized with the most crucial
client needs first to the least. Delegating to others or reporting displace the nurse's responsibility
to provide care. Starting with easiest is an inefficient utilization of time in meeting critical client
needs.
A male client is on contact precautions due to an infected draining wound and is being
discharged home. The client lives at home with his wife and their adolescent daughter.
What discharge instruction should the nurse include for the client?
1. Use disposable plates and utensils.
2. Stay in a room with the door closed.
3. Dispose of soiled dressings in plastic bags that are securely closed.
4. Others who are in the same room with the client should wear a mask.
3. Dispose of soiled dressings in plastic bags that are securely closed.
Contact precautions require the use of a barrier that prevents contact with wound secretions on
soiled dressings, which are best disposed of in tightly closed plastic bags. Disposable dishes is
not necessary with contact precautions. Isolating themself to one room or wearing masks should
be implemented for airborne, droplet precautions, or protective environments.
When assessing a client's interior eye structures with an ophthalmoscope, which action
should the nurse use?
1. Use a red-free filter.
2. Adjust the diopters.
3. Direct a wide-beam light.
4. Dilate the client's pupils.
2. Adjust the diopters.
The diopter corresponds to the magnification power of the ophthalmoscope's lens, which is
adjusted to bring the retina into focus when a client's error of refraction, such as myopia or
hyperopia, causes a change in the eyeball shape. Using a red-free filter produces a green beam
2026 , EXIT HESI 6, HESI 7, EXIT HESI RN , HESI COMPREHENSIVE EXIT EXAM 1 (AND
RATIONALE), 366 EXIT HESI PRACTICE, EXIT HESI COMPREHENSIVE B EVOLVE
PRACTICE QUESTIONS, MODULE 4 EXAM…
A newly admitted client complains of pain rating a 7 on a scale of 0 to 10. The client has not
been sleeping well lately and is experiencing labored breathing. List the client's problems in
order of priority for the nurse. (Rank in the priority order from highest to lowest.)
1.
Airway and breathing.
2.
Pain management.
3.
Definitive therapy.
4.
Sleep and rest.
Correct Answer:
1.Airway and breathing. 2.Pain management. 3.Sleep and rest. 4.Definitive therapy.
Rationale
First-level problems are immediate priorities (airway, breathing, and circulation). In this
scenario, airway and breathing are the first priority, followed by pain management, Maslow's
hierarchy of basic needs for rest and sleep, and then definitive drug therapies.
Which biological practices are federally regulated for healthcare workers? (Select all that
apply.)
Select all that apply
1.Standard precautions.
2. N-95 tuberculosis standard.
3. Blood-borne pathogen standard.
4. Biological product exposure limit (BPEL).
5. Resource Conservation and Recovery Act (RCRA).
6. As Low as Reasonably Allowable standard (ALARA).
3. Blood-borne pathogen standard.
5. Resource Conservation and Recovery Act (RCRA)
Basic standards for healthcare workers, as delineated by Occupational Safety and Health
Administration (OSHA), include standard precautions, droplet precautions using N-95
respiratory particulate masks when caring for a client who is positive for tuberculosis, and
required annual updates for healthcare workers about blood-borne pathogen transmission,
methods of minimizing exposure, and employee rights. Other options [BPEL and ALARA ] are
not federally regulated.
A client with severe depression tells the nurse, "I do not know why you bother with me or
give me pills. I am never going to get well." What is the most therapeutic response?
,1. "You need to stop thinking negative thoughts. They get in the way of your recovery."
2. "You are no bother to me or to the staff. We want you to get well and not feel sad
anymore."
3. "I have known many clients with depression who have felt better after several weeks of
treatment."
4. "You are feeling very pessimistic, but that is part of your illness. It should go away as
you recover."
3. "I have known many clients with depression who have felt better after several weeks of
treatment."
Stating the observation that others have recovered can give a client hope. Telling a person to stop
negtive thinking is ineffective because the client must be taught cognitive strategies to stop
negative thinking. Stating the person is "no bother" is arguing with the client's beliefs and
attempting to tell him how to feel, both of which are not therapeutic responses. Bring up
pessimistic feelings interprets the client's feelings and does not provide the same degree of hope.
The nurse is caring for a client with a nursing problem of, "Infection, risk for, related to
inadequate primary defenses as evidenced by surgical incision and IV access." What
nursing intervention should the nurse implement?
1. Limit visitors to immediate family to decrease exposure to infection.
2. Maintain "clean" technique in the change of wound dressing and IV site.
3. Assess and document skin condition around the incision and IV site at each shift.
4. Require the use of a face mask by staff when providing care requiring close contact.
3. Assess and document skin condition around the incision and IV site at each shift.
Early identification of infection leads to prompt treatment and decreased nosocomial
transmission to others, so the condition of any invasive lines or breaks in the skin should be
assessed and documented during each shift.
A client with ulcerative colitis is scheduled for surgical creation of an ileoanal reservoir (J
pouch). As part of preoperative teaching, what information should the nurse provide?
1. The transverse loop ostomy is permanent.
2. Easily removable appliances allow independence in self-care.
3. Daily irrigation is started after the J pouch heals.
4. Stool is eventually expelled through the rectum.
4. Stool is eventually expelled through the rectum.
An ileal pouch-anal anastomosis (also known as the J pouch) is a surgically created ileoanal
reservoir in the anal canal that preserves the rectal sphincter muscle, so that passage of stool
through the rectum is the eventual result. To promote healing of the anastomosed parts of the
colon, a temporary loop ostomy is created, not a permanent one. Although appliances that are
easy to use are advantageous, the ostomy is reversed after healing takes place. Stool drains into
the reservoir, so daily irrigation is not usually indicated.
The nurse inflates the cuff on a tracheostomy tube to minimal occlusion pressure for a
client who is breathing spontaneously. Which action should the nurse follow?
1. Check the pilot balloon to ensure that it is firm.
2. Verify the healthcare provider's prescription for the required cuff pressure.
,3. Use a manometer to maintain cuff pressure between 25 and 30 mmHg.
4. Inject air until no air is auscultated over the larynx during a deep breath.
4. Inject air until no air is auscultated over the larynx during a deep breath.
To achieve minimal pressure (minimal occlusion volume technique) against the tracheal wall,
inject air into the tracheostomy tube cuff while auscultating with a stethoscope placed over the
larynx (over the cuff) during inhalation. At the point when sounds of air movement cease,
inflation is stopped, indicating that the cuff is sealed against the tracheal wall.
A 60-year-old homeless man who complains of a cough, late-afternoon fever, and night
sweats has a 10 mm induration after receiving a purified protein derivative (PPD) skin test.
Which action should the nurse implement?
1. Refer for further diagnostic evaluation.
2. Determine exposure of others to the tuberculosis.
3. Begin anti-tubercular drug therapy.
4. Quarantine or isolate to control communicability.
1. Refer for further diagnostic evaluation.
The PPD skin test results is indicative of exposure or latent Mycobacterium tuberculosis
infection (LTBI), which this client is in a high-risk category for exposure in a homeless
environment. Although productive prolonged cough, fever, and night sweats are common early
symptoms, persons suspected of LTBI should not begin treatment until active TB disease has
been excluded. Further diagnostic evaluation should be implemented. A dormant form that
neither causes disease nor is communicable.
Which contextual factors are considered external environmental influences in the
framework for occupational health programs and services? (Select all that apply.)
Select all that apply
1. Economics.
2. Workforce.
3. Technology.
4. Interventions.
5. Socio-economic status.
6. Legislation/regulation.
1. Economics.
3. Technology.
6. Legislation/regulation.
Economics affects the health of the company and its workforce productivity, in termsof
profitability, growth, and expansion. Technology adds to an industry's capacity to develop and
implement new or improved work processes. Legislation/regulation in the workplace, such as the
blood-borne pathogen standard, affects the workforce in terms of requirements, administration,
and control strategies. Occupational safety programs are built around the workforce to strive for
maximum internal productivity. Interventions are internal environmental influences of an
occupational health and safety program. Socio-economic status is a demographic variable
commonly used in epidemiology.
The nurse is analyzing the waveforms of a client's electrocardiogram. What finding
indicates a disturbance in electrical conduction in the ventricles?
, 1. T wave of 0.16 second.
2. PR interval of 0.18 second.
3. QT interval of 0.34 second.
4. QRS interval of 0.14 second.
4. QRS interval of 0.14 second.
The normal duration of the QRS is 0.04 to 0.12 second, so a prolonged QRS indicates an
electrical anomaly in the ventricles. The T wave is normally 0.16 seconds. The PR interval range
is 0.12 to 0.20 second. The QT interval should be 0.31 to 0.38 second.
The nurse is assigned a client with numerous treatments and decides it is not possible to
complete all the needed treatments in the time scheduled for this shift. Which process
should the nurse use?
1. Delegate tasks to competent team members.
2. Prioritize tasks with the most crucial needs first.
3. Report the incomplete treatments to next shift nurse.
4. Start with the easiest treatment first.
2. Prioritize tasks with the most crucial needs first.
Planning care for a client with numerous treatments should be prioritized with the most crucial
client needs first to the least. Delegating to others or reporting displace the nurse's responsibility
to provide care. Starting with easiest is an inefficient utilization of time in meeting critical client
needs.
A male client is on contact precautions due to an infected draining wound and is being
discharged home. The client lives at home with his wife and their adolescent daughter.
What discharge instruction should the nurse include for the client?
1. Use disposable plates and utensils.
2. Stay in a room with the door closed.
3. Dispose of soiled dressings in plastic bags that are securely closed.
4. Others who are in the same room with the client should wear a mask.
3. Dispose of soiled dressings in plastic bags that are securely closed.
Contact precautions require the use of a barrier that prevents contact with wound secretions on
soiled dressings, which are best disposed of in tightly closed plastic bags. Disposable dishes is
not necessary with contact precautions. Isolating themself to one room or wearing masks should
be implemented for airborne, droplet precautions, or protective environments.
When assessing a client's interior eye structures with an ophthalmoscope, which action
should the nurse use?
1. Use a red-free filter.
2. Adjust the diopters.
3. Direct a wide-beam light.
4. Dilate the client's pupils.
2. Adjust the diopters.
The diopter corresponds to the magnification power of the ophthalmoscope's lens, which is
adjusted to bring the retina into focus when a client's error of refraction, such as myopia or
hyperopia, causes a change in the eyeball shape. Using a red-free filter produces a green beam
