HESI Exit Exam Test Bank
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? - ANSWERReview with the client the need to
avoid foods that are rich in milk and cream
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? - ANSWERStroke secondary to hemorrhage
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? -
ANSWERInstruct the UAP to obtain soft blankets to secure to the side rails instead of
pillows.
4. An adolescent with major depressive disorder has been taking duloxetine (Cymbalta)
for the past 12 days. Which assessment finding requires immediate follow-up? -
ANSWERDescribes life without purpose
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? - ANSWERFurther evaluation involving surgery
may be needed
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? - ANSWERTeach tracheal suctioning techniques
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? -
ANSWERDocument the assessment data
8. During shift report, the central electrocardiogram (EKG) monitoring system alarms.
Which client alarm should the nurse investigate firs? - ANSWERRespiratory apnea of
30 seconds
9. During a home visit, the nurse observed an elderly client with diabetes slip and fall.
What action should the nurse take first? - ANSWERCheck the client for lacerations or
fractures
, HESI Exit Exam Test Bank
10. At 0600 while admitting a woman for a schedule repeat cesarean section (C-
Section), the client tells the nurse that she drank a cup a coffee at 0400 because she
wanted to avoid getting a headache. Which action should the nurse take first? -
ANSWERInform the anesthesia care provider
11. After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2
heart sounds. To determine if an S3 heart sound is present, what action should the
nurse take first? - ANSWERListen with the bell at the same location
12. A 66-year-old woman is retiring and will no longer have a health insurance through
her place of employment. Which agency should the client be referred to by the
employee health nurse for health insurance needs? - ANSWERMedicare
13. A client who is taking an oral dose of a tetracycline complains of gastrointestinal
upset. What snack should the nurse instruct the client to take with the tetracycline? -
ANSWERToasted wheat bread and jelly
14. Following a lumbar puncture, a client voices several complaints. What complaint
indicated to the nurse that the client is experiencing a complication? - ANSWER"I have
a headache that gets worse when I sit up"
15. An elderly client seems confused and reports the onset of nausea, dysuria, and
urgency with incontinence. Which action should the nurse implement? -
ANSWERObtain a clean catch mid-stream specimen
16. The nurse is assisting the mother of a child with phenylketonuria (PKU) to select
foods that are in keeping with the child's dietary restrictions. Which foods are
contraindicated for this child? - ANSWERFoods sweetened with aspartame
17. Before preparing a client for the first surgical case of the day, a part-time scrub
nurse asks the circulating nurse if a 3 minute surgical hand scrub is adequate
preparation for this client. Which response should the circulating nurse provide? -
ANSWERDirect the nurse to continue the surgical hand scrub for a 5 minute duration
18. Which breakfast selection indicates that the client understands the nurse's
instructions about the dietary management of osteoporosis? - ANSWERBagel with jelly
and skim milk
19. The charge nurse of a critical care unit is informed at the beginning of the shift that
less than the optimal number of registered nurses will be working that shift. In planning
assignments, which client should receive the most care hours by a registered nurse
(RN)? - ANSWERAn 82-year-old client with Alzheimer's disease newly-fractures femur
who has a Foley catheter and soft wrist restrains applied
20. A mother brings her 6-year-old child, who has just stepped on a rusty nail, to the
pediatrician's office. Upon inspection, the nurse notes that the nail went through the
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? - ANSWERReview with the client the need to
avoid foods that are rich in milk and cream
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? - ANSWERStroke secondary to hemorrhage
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? -
ANSWERInstruct the UAP to obtain soft blankets to secure to the side rails instead of
pillows.
4. An adolescent with major depressive disorder has been taking duloxetine (Cymbalta)
for the past 12 days. Which assessment finding requires immediate follow-up? -
ANSWERDescribes life without purpose
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? - ANSWERFurther evaluation involving surgery
may be needed
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? - ANSWERTeach tracheal suctioning techniques
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? -
ANSWERDocument the assessment data
8. During shift report, the central electrocardiogram (EKG) monitoring system alarms.
Which client alarm should the nurse investigate firs? - ANSWERRespiratory apnea of
30 seconds
9. During a home visit, the nurse observed an elderly client with diabetes slip and fall.
What action should the nurse take first? - ANSWERCheck the client for lacerations or
fractures
, HESI Exit Exam Test Bank
10. At 0600 while admitting a woman for a schedule repeat cesarean section (C-
Section), the client tells the nurse that she drank a cup a coffee at 0400 because she
wanted to avoid getting a headache. Which action should the nurse take first? -
ANSWERInform the anesthesia care provider
11. After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2
heart sounds. To determine if an S3 heart sound is present, what action should the
nurse take first? - ANSWERListen with the bell at the same location
12. A 66-year-old woman is retiring and will no longer have a health insurance through
her place of employment. Which agency should the client be referred to by the
employee health nurse for health insurance needs? - ANSWERMedicare
13. A client who is taking an oral dose of a tetracycline complains of gastrointestinal
upset. What snack should the nurse instruct the client to take with the tetracycline? -
ANSWERToasted wheat bread and jelly
14. Following a lumbar puncture, a client voices several complaints. What complaint
indicated to the nurse that the client is experiencing a complication? - ANSWER"I have
a headache that gets worse when I sit up"
15. An elderly client seems confused and reports the onset of nausea, dysuria, and
urgency with incontinence. Which action should the nurse implement? -
ANSWERObtain a clean catch mid-stream specimen
16. The nurse is assisting the mother of a child with phenylketonuria (PKU) to select
foods that are in keeping with the child's dietary restrictions. Which foods are
contraindicated for this child? - ANSWERFoods sweetened with aspartame
17. Before preparing a client for the first surgical case of the day, a part-time scrub
nurse asks the circulating nurse if a 3 minute surgical hand scrub is adequate
preparation for this client. Which response should the circulating nurse provide? -
ANSWERDirect the nurse to continue the surgical hand scrub for a 5 minute duration
18. Which breakfast selection indicates that the client understands the nurse's
instructions about the dietary management of osteoporosis? - ANSWERBagel with jelly
and skim milk
19. The charge nurse of a critical care unit is informed at the beginning of the shift that
less than the optimal number of registered nurses will be working that shift. In planning
assignments, which client should receive the most care hours by a registered nurse
(RN)? - ANSWERAn 82-year-old client with Alzheimer's disease newly-fractures femur
who has a Foley catheter and soft wrist restrains applied
20. A mother brings her 6-year-old child, who has just stepped on a rusty nail, to the
pediatrician's office. Upon inspection, the nurse notes that the nail went through the
