HESI EXIT EXAM 2022 NEW EXAM SOLUTION
A client with Gout experiences an acute attack. The client reports he has been trying to loose
weight. Which information is the most important for the nurse to obtain?
A. Serum cholesterol level
B. Capillary glucose level
C. Daily caloric intake
D. Daily calcium intake - C
A male client with a c-6 spinal cord injury is in rehabilitation. in the middle of the night he
reports a severe, pounding headache, an observed goose bumps. The nurse should asses for
what trigger?
A. loud hallway noise
B. Fever
C. Full bladder
D. Frequent cough - C
After learning that she has terminal pancreatic cancer, a female client becomes very angry and
says to the nurse. "God has abandoned me. What did I do to deserve this?" Based on this
response, the nurse decides to include which nursing problem in the client's plan of care?
A. Acute pain
B. spiritual distress
C.ineffective coping
D. Complicated grieving - B
A nurse working on an endocrine unit should see which client first?
A. An adolescent male with type 1 diabetes who is arguing about his insulin dose.
B. A older client with Addison's disease whose current blood sugar level is 62 mg/dl
C. An adult with a blood sugar of 384 mg/dl and a urine output of 350 ml in the last hour.
,D. A client taking Corticosteroids who has become disoriented in the last hour. - D
A young boy who is in a chronic vegetative state and living at home is readmitted to the
hospital with pneumonia and pressure ulcers. The mother insists that she is capable of caring
for her son and that she is going to take him home when he is discharged. Which action should
the nurse implement next?
A. Report the incident to the local child protective services.
B. Find a home health agency that specializes in brain injuries.
C. Determine the mother's basic level in providing care.
D. consult the ethics committee to determine how to proceed. - C
A male client with persistent low back pain has received a prescription for an electronic
stimulator (TENS) unit. After the nurse applies the electrodes and turns on the power, the client
reports a tingling sensation. How should the nurse respond?
A. Determine if the sensation feels uncomfortable.
B. Decrease the strength of the electrical signals.
C. Remove electrodes and observe for skin redness.
D. Check the amount of gel coating on the electrodes. - A
A male client returns to the mental health clinic for assistance with his anxiety reaction that is
manifested by rapid heartbeat, sweating, shaking and nausea while driving over the bay bridge.
What action in the treatment plan should the nurse implement?
A. Tell client to drive over the bridge until fear is manageable.
B. Teach the client to listen to music or audio books while driving.
C. Encourage client to have spouses drive in stressful places.
D. Recommend that the client avoid driving over the bridge. - B
The nurse preparing to administer 1.6 ML of medication IM to a 4-month-old infant. Which
action should the nurse include?
A. Select a 22 gauge 1 1/2 inch (3,8cm) needle for the intramuscular injection
, B. Administer into the deltoid muscle while the parent holds the infant securely
C. divide the medication into two injections with volumes under 1ml
D. use a quick dart-like motion to inject into the dorsogluteal site. - C
Which problem reported by a client taking lovastatin requires the most immediate follow-up by
the nurse?
A. Diarrhea and flatulence
B. Abdominal pain
C. muscle pain
D. Altered taste - C
The nurse is triaging victims of a tornado at an emergency shelter. an adult woman who has
been wondering and crying comes to the nurse. What action should the nurse take?
A. Check the client's temperature, blood sugar and urine output.
B. Transport the client for laboratory test and electrocardiogram (EKG).
C. Delegate the care of the crying client to an unlicensed assistant.
D. send the client to the shelter's nutrient center to obtain water and food. - C
The nurse is collecting a sterile sample for culture and sensitivity from a disposable three
chamber water-seal drainage system connected to a pleural chest tube. the nurse should obtain
the sample from which site on the drainage system?
A. Tubing located on the top of the suction chamber.
B. Plastic tubing located at the chest insertion site.
C. stopper port located above the water-seal level.
D. Rubberized port at the bottom of collection chamber. - D
The healthcare provider prescribes a low fiber diet for a client with ulcerative colitis Selection of
which food items indicated to the nurse that the client understands the prescribed diet?
A client with Gout experiences an acute attack. The client reports he has been trying to loose
weight. Which information is the most important for the nurse to obtain?
A. Serum cholesterol level
B. Capillary glucose level
C. Daily caloric intake
D. Daily calcium intake - C
A male client with a c-6 spinal cord injury is in rehabilitation. in the middle of the night he
reports a severe, pounding headache, an observed goose bumps. The nurse should asses for
what trigger?
A. loud hallway noise
B. Fever
C. Full bladder
D. Frequent cough - C
After learning that she has terminal pancreatic cancer, a female client becomes very angry and
says to the nurse. "God has abandoned me. What did I do to deserve this?" Based on this
response, the nurse decides to include which nursing problem in the client's plan of care?
A. Acute pain
B. spiritual distress
C.ineffective coping
D. Complicated grieving - B
A nurse working on an endocrine unit should see which client first?
A. An adolescent male with type 1 diabetes who is arguing about his insulin dose.
B. A older client with Addison's disease whose current blood sugar level is 62 mg/dl
C. An adult with a blood sugar of 384 mg/dl and a urine output of 350 ml in the last hour.
,D. A client taking Corticosteroids who has become disoriented in the last hour. - D
A young boy who is in a chronic vegetative state and living at home is readmitted to the
hospital with pneumonia and pressure ulcers. The mother insists that she is capable of caring
for her son and that she is going to take him home when he is discharged. Which action should
the nurse implement next?
A. Report the incident to the local child protective services.
B. Find a home health agency that specializes in brain injuries.
C. Determine the mother's basic level in providing care.
D. consult the ethics committee to determine how to proceed. - C
A male client with persistent low back pain has received a prescription for an electronic
stimulator (TENS) unit. After the nurse applies the electrodes and turns on the power, the client
reports a tingling sensation. How should the nurse respond?
A. Determine if the sensation feels uncomfortable.
B. Decrease the strength of the electrical signals.
C. Remove electrodes and observe for skin redness.
D. Check the amount of gel coating on the electrodes. - A
A male client returns to the mental health clinic for assistance with his anxiety reaction that is
manifested by rapid heartbeat, sweating, shaking and nausea while driving over the bay bridge.
What action in the treatment plan should the nurse implement?
A. Tell client to drive over the bridge until fear is manageable.
B. Teach the client to listen to music or audio books while driving.
C. Encourage client to have spouses drive in stressful places.
D. Recommend that the client avoid driving over the bridge. - B
The nurse preparing to administer 1.6 ML of medication IM to a 4-month-old infant. Which
action should the nurse include?
A. Select a 22 gauge 1 1/2 inch (3,8cm) needle for the intramuscular injection
, B. Administer into the deltoid muscle while the parent holds the infant securely
C. divide the medication into two injections with volumes under 1ml
D. use a quick dart-like motion to inject into the dorsogluteal site. - C
Which problem reported by a client taking lovastatin requires the most immediate follow-up by
the nurse?
A. Diarrhea and flatulence
B. Abdominal pain
C. muscle pain
D. Altered taste - C
The nurse is triaging victims of a tornado at an emergency shelter. an adult woman who has
been wondering and crying comes to the nurse. What action should the nurse take?
A. Check the client's temperature, blood sugar and urine output.
B. Transport the client for laboratory test and electrocardiogram (EKG).
C. Delegate the care of the crying client to an unlicensed assistant.
D. send the client to the shelter's nutrient center to obtain water and food. - C
The nurse is collecting a sterile sample for culture and sensitivity from a disposable three
chamber water-seal drainage system connected to a pleural chest tube. the nurse should obtain
the sample from which site on the drainage system?
A. Tubing located on the top of the suction chamber.
B. Plastic tubing located at the chest insertion site.
C. stopper port located above the water-seal level.
D. Rubberized port at the bottom of collection chamber. - D
The healthcare provider prescribes a low fiber diet for a client with ulcerative colitis Selection of
which food items indicated to the nurse that the client understands the prescribed diet?
