ASSESSED EXIT HESI EXAM
QUESTIONS AND ANSWERS
1. Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink plenty
of dairy products, such as milk, to help coat and protect his ulcer. What is the best follow-up action by
the nurse?
A) Remind the client that it is also important to switch to decaffeinated coffee and tea.
B) Suggest that the client also plan to eat frequent small meals to reduce discomfort.
C) Review with the client the need to avoid foods that are rich in milk and cream.
D) Reinforce this teaching by asking the client to list a dairy food that he might select. - CORRECT
ANSWER -C) Review with the client the need to avoid foods that are rich in milk and cream.
Rationale: Diets rich in milk and cream stimulate gastric acid secretion and should be avoided.
2. A male client with hypertension, who received new antihypertensive prescriptions at his last visit
returns to the clinic two weeks later to evaluate his blood pressure (BP). His BP is 158/106 and he admits
that he has not been taking the prescribed medication because the drugs make him "feel bad". In
explaining the need for hypertension control, the nurse should stress that an elevated BP places the
client at risk for which pathophysiological condition?
A) Blindness secondary to cataracts
B) Acute kidney injury due to glomerular damage
,C) Stoke secondary to hemorrhage
D) Heart block due to myocardial damage - CORRECT ANSWER -C) Stoke secondary to hemorrhage
Rationale: Stroke related to cerebral hemorrhage is major risk for uncontrolled hypertension.
3. The nurse observes an unlicensed assistive personnel (UAP) positioning a newly admitted client who
has a seizure disorder. The client is supine and the UAP is placing soft pillows along the side rails. What
action should the nurse implement?
A) Ensure that the UAP has placed pillows effectively to protect the client.
B) Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows.
C) Assume responsibility for placing the pillows while the UAP completes another task.
D) Ask the UAP to use some of the pillows to prop the client in a side lying position. - CORRECT ANSWER
-B) Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows.
Rationale: The nurse should instruct the UAP to pad the side rails with soft blankets because the use of
pillows could result in suffocation and would need to be removed at the onset of seizure. The nurse CAN
delegate padding the side rails to the UAP.
4. An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for the past 12
days. Which assessment requires immediate follow-up?
A) Describes life without purpose
,B) Complains of nausea and loss of appetite
C) States is often fatigued and drowsy
D) Exhibits an increase in sweating - CORRECT ANSWER -A) Describes life without purpose
Rationale: Cymbalta is a selective serotonin and norepinephrine reuptake inhibitor that is known to
increase the risk of suicidal thinking in adolescents and young adults with major depressive disorder. B,
C and D are side effects.
5. A 60-year-old female client with a positive family history of ovarian cancer has developed an
abdominal mass and is being evaluated for possible ovarian cancer. Her papanicolau (pap) smear results
are negative. What information should the nurse include in the client's teaching plan?
A) Further evaluation involving surgery may be needed
B) A pelvic exam is also needed before cancer is ruled out
C) Pap smear evaluation should be continued every six month
D) One additional negative pap smear in six months is needed - CORRECT ANSWER -A) Further
evaluation involving surgery may be needed
Rationale: An abdominal mass in a client with family history for ovarian cancer should be evaluated
carefully.
, 6. A client who recently underwear a tracheostomy is being prepared for discharge to home. Which
instructions is most important for the nurse to include in the discharge plan?
A) Explain how to use communication tools.
B) Teach tracheal suctioning techniques
C) Encourage self-care and independence.
D) Demonstrate how to clean tracheostomy site. - CORRECT ANSWER -B) Teach tracheal suctioning
techniques
Rationale: Suctioning helps to clear secretions and maintain an open airway, which is critical.
7. In assessing an adult client with a partial rebreather mask, the nurse notes that the oxygen reservoir
bag does not deflate completely during inspiration and the client's respiratory rate is 14 breaths /
minute. What action should the nurse implement?
A) Encourage the client to take deep breaths
B) Remove the mask to deflate the bag
C) Increase the liter flow of oxygen
D) Document the assessment data - CORRECT ANSWER -D) Document the assessment data
QUESTIONS AND ANSWERS
1. Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink plenty
of dairy products, such as milk, to help coat and protect his ulcer. What is the best follow-up action by
the nurse?
A) Remind the client that it is also important to switch to decaffeinated coffee and tea.
B) Suggest that the client also plan to eat frequent small meals to reduce discomfort.
C) Review with the client the need to avoid foods that are rich in milk and cream.
D) Reinforce this teaching by asking the client to list a dairy food that he might select. - CORRECT
ANSWER -C) Review with the client the need to avoid foods that are rich in milk and cream.
Rationale: Diets rich in milk and cream stimulate gastric acid secretion and should be avoided.
2. A male client with hypertension, who received new antihypertensive prescriptions at his last visit
returns to the clinic two weeks later to evaluate his blood pressure (BP). His BP is 158/106 and he admits
that he has not been taking the prescribed medication because the drugs make him "feel bad". In
explaining the need for hypertension control, the nurse should stress that an elevated BP places the
client at risk for which pathophysiological condition?
A) Blindness secondary to cataracts
B) Acute kidney injury due to glomerular damage
,C) Stoke secondary to hemorrhage
D) Heart block due to myocardial damage - CORRECT ANSWER -C) Stoke secondary to hemorrhage
Rationale: Stroke related to cerebral hemorrhage is major risk for uncontrolled hypertension.
3. The nurse observes an unlicensed assistive personnel (UAP) positioning a newly admitted client who
has a seizure disorder. The client is supine and the UAP is placing soft pillows along the side rails. What
action should the nurse implement?
A) Ensure that the UAP has placed pillows effectively to protect the client.
B) Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows.
C) Assume responsibility for placing the pillows while the UAP completes another task.
D) Ask the UAP to use some of the pillows to prop the client in a side lying position. - CORRECT ANSWER
-B) Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows.
Rationale: The nurse should instruct the UAP to pad the side rails with soft blankets because the use of
pillows could result in suffocation and would need to be removed at the onset of seizure. The nurse CAN
delegate padding the side rails to the UAP.
4. An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for the past 12
days. Which assessment requires immediate follow-up?
A) Describes life without purpose
,B) Complains of nausea and loss of appetite
C) States is often fatigued and drowsy
D) Exhibits an increase in sweating - CORRECT ANSWER -A) Describes life without purpose
Rationale: Cymbalta is a selective serotonin and norepinephrine reuptake inhibitor that is known to
increase the risk of suicidal thinking in adolescents and young adults with major depressive disorder. B,
C and D are side effects.
5. A 60-year-old female client with a positive family history of ovarian cancer has developed an
abdominal mass and is being evaluated for possible ovarian cancer. Her papanicolau (pap) smear results
are negative. What information should the nurse include in the client's teaching plan?
A) Further evaluation involving surgery may be needed
B) A pelvic exam is also needed before cancer is ruled out
C) Pap smear evaluation should be continued every six month
D) One additional negative pap smear in six months is needed - CORRECT ANSWER -A) Further
evaluation involving surgery may be needed
Rationale: An abdominal mass in a client with family history for ovarian cancer should be evaluated
carefully.
, 6. A client who recently underwear a tracheostomy is being prepared for discharge to home. Which
instructions is most important for the nurse to include in the discharge plan?
A) Explain how to use communication tools.
B) Teach tracheal suctioning techniques
C) Encourage self-care and independence.
D) Demonstrate how to clean tracheostomy site. - CORRECT ANSWER -B) Teach tracheal suctioning
techniques
Rationale: Suctioning helps to clear secretions and maintain an open airway, which is critical.
7. In assessing an adult client with a partial rebreather mask, the nurse notes that the oxygen reservoir
bag does not deflate completely during inspiration and the client's respiratory rate is 14 breaths /
minute. What action should the nurse implement?
A) Encourage the client to take deep breaths
B) Remove the mask to deflate the bag
C) Increase the liter flow of oxygen
D) Document the assessment data - CORRECT ANSWER -D) Document the assessment data
