HESI EXIT EXAM- LATEST 2021/2022 COMPLETE QUESTIONS
& ANSWERS.
1. A nurse is evaluating care of an immobilized patient. Which action will the
nurse take?
a. Focus on whether the interdisciplinary team is satisfied with the care.
Compare the patient’s actual outcomes with the outcomes in the care
b. plan.
Involve primarily the patient’s family and health care team to
c. determine goal achievement.
Use objective data solely in determining whether interventions have
d. been successful.
ANS: B
From your perspective as the nurse, you are to evaluate outcomes and
response to nursing care and compare the patient’s actual outcomes with the
outcomes selected during planning. Ask if the patient’s expectations
(subjective data) of care are being met, and use objective data to determine
the success of interventions. Just as it was important to include the patient
during the assessment and planning phase of the care plan, it is essential to
have the patient’s evaluation of the plan of care, not just the patient’s family
and health care team.
2. The nurse is admitting a patient who has been diagnosed as having had
a stroke. The health care provider writes orders for “ROM as needed.”
What should the nurse do next?
a. Restrict patient’s mobility as much as possible.
, b. Realize the patient is unable to move extremities.
c. Move all the patient’s extremities.
d. Further assess the patient.
ANS: D
Further assessment of the patient is needed to determine what the patient is
able to perform. Some patients are able to move some joints actively, whereas
the nurse passively moves others. With a weak patient, the nurse may have to
support an extremity while the patient performs the movement. In general,
exercises need to be as active as health and mobility allow.
3. A nurse is supervising the logrolling of a patient. To which patient is the
nurse most likely providing care?
a. A patient with neck surgery
b. A patient with hypostatic pneumonia
c. A patient with a total knee replacement
d. A patient with a Stage IV pressure ulcer
ANS: A
A nurse supervises and aids personnel when there is a health care provider’s
& ANSWERS.
1. A nurse is evaluating care of an immobilized patient. Which action will the
nurse take?
a. Focus on whether the interdisciplinary team is satisfied with the care.
Compare the patient’s actual outcomes with the outcomes in the care
b. plan.
Involve primarily the patient’s family and health care team to
c. determine goal achievement.
Use objective data solely in determining whether interventions have
d. been successful.
ANS: B
From your perspective as the nurse, you are to evaluate outcomes and
response to nursing care and compare the patient’s actual outcomes with the
outcomes selected during planning. Ask if the patient’s expectations
(subjective data) of care are being met, and use objective data to determine
the success of interventions. Just as it was important to include the patient
during the assessment and planning phase of the care plan, it is essential to
have the patient’s evaluation of the plan of care, not just the patient’s family
and health care team.
2. The nurse is admitting a patient who has been diagnosed as having had
a stroke. The health care provider writes orders for “ROM as needed.”
What should the nurse do next?
a. Restrict patient’s mobility as much as possible.
, b. Realize the patient is unable to move extremities.
c. Move all the patient’s extremities.
d. Further assess the patient.
ANS: D
Further assessment of the patient is needed to determine what the patient is
able to perform. Some patients are able to move some joints actively, whereas
the nurse passively moves others. With a weak patient, the nurse may have to
support an extremity while the patient performs the movement. In general,
exercises need to be as active as health and mobility allow.
3. A nurse is supervising the logrolling of a patient. To which patient is the
nurse most likely providing care?
a. A patient with neck surgery
b. A patient with hypostatic pneumonia
c. A patient with a total knee replacement
d. A patient with a Stage IV pressure ulcer
ANS: A
A nurse supervises and aids personnel when there is a health care provider’s
