HESI EXIT REAL EXAM QUESTIONS
WITH CORRECT ANSWERS
VERIFIED AND GRADED A+
The nurse enters the room of a client with Parkinson's disease who is taking
carbidopa levodopa. The client is a rising slowly from the chair while the
unlicensed assistive personnel stands next to the chair. Which action should
the nurse take?
A) Offer a PRN analgesic to reduce painful movement.
B) Tell the UAP to assess the quiet and moving more quickly.
C) Affirm that the client should arise slowly from the chair.
D) Demonstrate how to help the client move more efficiently.
C) Affirm that the client should arise slowly from the chair.
The healthcare provider prescribes 500 mL IV bolus of 0.9% normal saline to
be infused over 30 minutes. How many milliliters per hour should the nurse
at the infusion pump? (Enter numerical value only.)
1000
The nurse observes an unlicensed assistive personnel begin to remove exam
gloves after emptying a bedpan containing feces. The UAP slides two fingers
inside one of the gloves and begins to roll the glove off which action should
the nurse implement?
,A) Advise the UAP that the technique being used will result in hand
contamination.
B) Suggest that the UAP row both of the gloves off and inside out at the
same time.
C) Instructor UAP to use two pairs of gloves when fecal contamination is
likely.
D) Remind the UAP to discard the gloves in the biohazard container after
removal.
A) Advise the UAP that the technique being used will result in hand
contamination.
Healthcare provider to move a client medication prescription from IV to PO
administration and doubles the dose. The nurse notes in the drug guide that
the prescribed medication, when given orally, has a high first pass effect and
reduce bio availability. Which action should the nurse implement?
A) Consult with the pharmacist regarding the error in prescription.
B) Give half the prescribed oral dose until the provider is consulted.
C) Administer the medication via the oral route as prescribed.
D) Continue to administer the medication via the IV route.
C) Administer the medication via the oral route as prescribed.
Three hours after birth, a newborn becomes jittery and tacky piña. Which
action should the nurse do first?
A) Feed 30 mL of 10% dextrose in water.
B) Obtain a capillary glucose level.
C) Wrapped tightly in a warm blanket.
,D) Encourage the mother to breastfeed.
B) Obtain a capillary glucose level.
Unlicensed assistive personnel is assigned to a client with flu like symptoms
who has been placed on a droplet precaution. The UAP request a change in
assignment because the UAP has not yet been fitted for a particulate filter
mask. Which action should the nurse take?
A) Before changing assignments, determine which staff members have fitted
particulate filter masks.
B) Advise the UAP to wear a standard facemask to obtain vital signs, and
then get fitted for a filter mask before providing care.
C) Instruct the UAP that a standard facemask is sufficient to be able to
provide care for the assigned client.
D) Send the UAP to be fitted for a particular filter mask immediately to be
able to provide care to this client.
B) Advise the UAP to wear a standard facemask to obtain vital signs, and
then get fitted for a filter mask before providing care.
NGN
A) Administer promethazine 25 mg slow IV push every four hours.
B) Begin potassium chloride 10 MEQ over one hour per second.
C) Initiate continuous dopamine infusion at two mics per kilogram per
minute.
D) Give a bolus of 0.9% sodium chloride 1000 mL over 30 minutes
D) Give a bolus of 0.9% sodium chloride 1000 mL over 30 minutes
, Client was brought in for his five-year-old well visit and to update vaccines.
The mother reports that the child is having some trouble paying attention in
school and has had a poor appetite in the past few weeks. Each column must
have at least one but may have more than one response selected.
Which interventions the nurse would include in the plan of care to manage
the lead poisoning level of 7.
-Monitor urine glucose and proteins for renal effects of lead.
-Monitor H&H for potential anemia.
-Chelation therapy.
-Monitor blood lead levels at one month and then every 3 to 4 months.
-Provide family with lead...
-Monitor urine glucose and proteins for renal effects of lead. (INCLUDE)
-Monitor H&H for potential anemia. (INCLUDE)
-Chelation therapy. (NOT INCLUDED)
-Monitor blood lead levels at one month and then every 3 to 4 months. (NOT
INCLUDED)
-Provide family with lead...
??????????
A client admitted with COPD exacerbation is receiving assisted ventilation
with CPAP. The clients vital signs are an oral temperature 98.8 F, a heart rate
of 118 bpm, a respiratory rate of 46 breaths per minute, and a blood
pressure of 176/92. While completing the pulmonary assessment, the clients
oxygen saturation rating is 78% and he is difficult to arouse. Which action
should the nurse implement?
A) Increase the oxygen delivery by 10%.
WITH CORRECT ANSWERS
VERIFIED AND GRADED A+
The nurse enters the room of a client with Parkinson's disease who is taking
carbidopa levodopa. The client is a rising slowly from the chair while the
unlicensed assistive personnel stands next to the chair. Which action should
the nurse take?
A) Offer a PRN analgesic to reduce painful movement.
B) Tell the UAP to assess the quiet and moving more quickly.
C) Affirm that the client should arise slowly from the chair.
D) Demonstrate how to help the client move more efficiently.
C) Affirm that the client should arise slowly from the chair.
The healthcare provider prescribes 500 mL IV bolus of 0.9% normal saline to
be infused over 30 minutes. How many milliliters per hour should the nurse
at the infusion pump? (Enter numerical value only.)
1000
The nurse observes an unlicensed assistive personnel begin to remove exam
gloves after emptying a bedpan containing feces. The UAP slides two fingers
inside one of the gloves and begins to roll the glove off which action should
the nurse implement?
,A) Advise the UAP that the technique being used will result in hand
contamination.
B) Suggest that the UAP row both of the gloves off and inside out at the
same time.
C) Instructor UAP to use two pairs of gloves when fecal contamination is
likely.
D) Remind the UAP to discard the gloves in the biohazard container after
removal.
A) Advise the UAP that the technique being used will result in hand
contamination.
Healthcare provider to move a client medication prescription from IV to PO
administration and doubles the dose. The nurse notes in the drug guide that
the prescribed medication, when given orally, has a high first pass effect and
reduce bio availability. Which action should the nurse implement?
A) Consult with the pharmacist regarding the error in prescription.
B) Give half the prescribed oral dose until the provider is consulted.
C) Administer the medication via the oral route as prescribed.
D) Continue to administer the medication via the IV route.
C) Administer the medication via the oral route as prescribed.
Three hours after birth, a newborn becomes jittery and tacky piña. Which
action should the nurse do first?
A) Feed 30 mL of 10% dextrose in water.
B) Obtain a capillary glucose level.
C) Wrapped tightly in a warm blanket.
,D) Encourage the mother to breastfeed.
B) Obtain a capillary glucose level.
Unlicensed assistive personnel is assigned to a client with flu like symptoms
who has been placed on a droplet precaution. The UAP request a change in
assignment because the UAP has not yet been fitted for a particulate filter
mask. Which action should the nurse take?
A) Before changing assignments, determine which staff members have fitted
particulate filter masks.
B) Advise the UAP to wear a standard facemask to obtain vital signs, and
then get fitted for a filter mask before providing care.
C) Instruct the UAP that a standard facemask is sufficient to be able to
provide care for the assigned client.
D) Send the UAP to be fitted for a particular filter mask immediately to be
able to provide care to this client.
B) Advise the UAP to wear a standard facemask to obtain vital signs, and
then get fitted for a filter mask before providing care.
NGN
A) Administer promethazine 25 mg slow IV push every four hours.
B) Begin potassium chloride 10 MEQ over one hour per second.
C) Initiate continuous dopamine infusion at two mics per kilogram per
minute.
D) Give a bolus of 0.9% sodium chloride 1000 mL over 30 minutes
D) Give a bolus of 0.9% sodium chloride 1000 mL over 30 minutes
, Client was brought in for his five-year-old well visit and to update vaccines.
The mother reports that the child is having some trouble paying attention in
school and has had a poor appetite in the past few weeks. Each column must
have at least one but may have more than one response selected.
Which interventions the nurse would include in the plan of care to manage
the lead poisoning level of 7.
-Monitor urine glucose and proteins for renal effects of lead.
-Monitor H&H for potential anemia.
-Chelation therapy.
-Monitor blood lead levels at one month and then every 3 to 4 months.
-Provide family with lead...
-Monitor urine glucose and proteins for renal effects of lead. (INCLUDE)
-Monitor H&H for potential anemia. (INCLUDE)
-Chelation therapy. (NOT INCLUDED)
-Monitor blood lead levels at one month and then every 3 to 4 months. (NOT
INCLUDED)
-Provide family with lead...
??????????
A client admitted with COPD exacerbation is receiving assisted ventilation
with CPAP. The clients vital signs are an oral temperature 98.8 F, a heart rate
of 118 bpm, a respiratory rate of 46 breaths per minute, and a blood
pressure of 176/92. While completing the pulmonary assessment, the clients
oxygen saturation rating is 78% and he is difficult to arouse. Which action
should the nurse implement?
A) Increase the oxygen delivery by 10%.
