2023 HESI Exit Exam Question Bank Latest Update

HESI EXIT EXAM • A male client admitted the morning of his scheduled surgery tells the PN that he drank water last night. What intervention will the PN implement first? Determine the amount of water and exact time it was taken. • A client receives ondansetron prior to chemotherapy treatment. How should the PN evaluate this medication? Monitor the client for nausea or vomiting following the treatment. • During morning rounds a client is admitted with OCD is in the...of the same table. What intervention should the PN implement when approached? Provide time for the behavior then guide the client to other activities. • The PN is caring for an older adult client who is confused and spends...factor contributes to an increased risk for impaired skin integrity for this client? Has increasing episodes of urinary incontinence. • The PN determines that a client with cirrhosis is experiencing peripheral Take? Protect the clients’ feet from injury. 7.A client is admitted to the postoperative surgical unit after a left lobectomy with two chest tubes......observes the water-sealed chambers, set and prescribed suction of 20cm water what action should the PN implement? Maintain system integrity and to promote lung expansion. 8.Photo of chest and locating apical HR. Just below the left nipple. 9.At the end of a 12-hour shift the PN observes the urine in a client’s drainage. What action should the PN take next? Note the most recent white blood count. 10.A client with a compound fracture of the left ankle is being discharged with a below the knee cast PN provide to the client prior to discharge? Never scratch under the cast. 11.Thirty minutes after receiving IV morphine, a postoperative male client continues to rate his pain. what action should the PN implement first? Implement complementary pain relief methods. 12.A male client has been diagnosed with schizophrenia is withdrawn, isolates himself in.........................................................................................................with one or two word responses. The morning the PN observes that he Which intervention is most important for the PN to implement? Measure appropriate vital signs. 13.The PN is assisting an unsteady client to ambulate from the bed to the bath. client loses balance and falls onto the bedside table. What action should the PN take first? Stay with the client and call for assistance. 14.The PN is assisting a female client to obtain a voided specimen for Uri meatus. Which intervention is performed next? Initiate the urine stream? 15..................................................................................................................An 8year-old is placed in 90-90 traction for a fractured femur that resulted from .................................................................................................................further action by the PN? Weights are touching the foot of the bed. 16.The PN is reviewing diet instructions with a female client who has hypershe has increased her intakes of protein and calories. What action should the PN take? Encourage the client to continue the dietary changes she has made 17.A 3-year-old child returns to the pediatrician’s office for a postoperative visit after having...procedure. The PN should expect to observe which behavior that indicates... Plays doctor and nurse with the dolls 18.The PN reviews the procedure for measuring fluid intake and output glomerulonephritis and is preparing for discharge from the hospital. What... -why the fluid measurements need to be recoded -which food types are included when measuring fluid take -what container to use for the most accurate measurement 19.A male client receives a prescription for 3,000 mg of medication daily, which is available...taken twice daily in equal dosages. How many tablets should the PN....................................................................? 3. 20.A mother brings her 5-year-old child to the clinic for school physical examinations. Which assessment PN that intergenerational violence may be occurring in the home?  -The 6-year-old son hits his younger sister during the interview -the 10-year-old daughter has circular burns on her trunk and legs -the 3-year-old has multiple bruises on the chest and both legs 21.A client has a prescription to discontinue intravenous therapy when the liter that is infusing at 150 ml per hour is...1200 the PN notes that there are 750 ml of solution remaining. At what time should the nurse expect to discontinue the intravenous therapy? 1700. 22.The PN is caring for a client who had a total laryngectomy, left radical neck dissection... Client is receiving nasogastric tube feedings via an internal pump. Today the rate of the feeding was increased...ml/hr. What parameter should the PN use to evaluate the clients tolerate to the rate of the feeding? Gastric residual volumes. 23.A new mother is breastfeeding her newborn for the first time after delivery and complains of nipple pain...Based on the client complaint, what action should the PN take? Ensure that all the areolar tissue of the nipple is in the infant’s mouth. 24.Which site should the PN use when administering an injection of Rho (D) Immune negative postpartum client? Deltoid. 25.Before inserting medication into a client’s vagina, what instructions should the pn. Urinate until bladder is empty. 26. An 18-year old female client with pelvic inflammatory disease (PID0 asks the pn..Which information is best for the PN to provide? A history of untreated gonorrhea can lead to PID 27.A 28-year-old client is in active labor and complains of a cramp in her leg. What intervention should the PN implement? Extend the leg and flex the foot? 28.A new mother is bottle feeding instead of breastfeeding her newborn, The PN...most effectively deal with breast engorgement and discomfort? Wear a supportive bra at all times. 29.A client with schizophrenia reports auditory hallucinations when admitted to the hospital. PN to include in the assessment of this client? "What are the voices uttering?" 30. A young adult male tells the PN he has declared to change his hours at work so that he can...his community. Which stage of Maslow's development is this young adult attempting to achieve? Self-actualiztion. 31.A female client arrives to the clinic for an annal physical examination. When reviewing...the PN that she takes herbs for high blood pressure instead of the prescribed. Important for the PN to reinforce with the client? Explain risks associated with using herbs instead of the prescribed antihypertensives. 32.A female Native American client who is receiving chemotherapy places a native artifact...the health care provider removes the medicine wheel and tells the client “This type…hospital" what intervention should the PN implement? Act as the clients advocate when discussing the issue with the HCP. 33.The PN is caring for a client receiving chemotherapy who has thrombocytopenia. Important to include in the nursing care plan? Watch the client for abnormal bleeding 34.A client is transferred to the surgical unit from the intensive care unit after evacuation of bilateral. Primary observation should the PN monitor? Neuro-vital signs related to bleeding and intracranial pressure. 35.The PN is working the day shift in a long-term facility and is preparing. Delegate to the UAP to perform during the change of. Total the clients PO intake, fill the water pitchers, empty urinals and catheter bags. 36.While taking the vital signs of a older male client who takes psychotropic medication...uncontrollable hand movements ad is excessively blinking his eyes, which information. Screening for tardive dyskinesia. 37.A female client tells the PN that her hemorrhoids are inflamed and hurt. The PN to implement to complete a focused assessment? Position client in left lateral position to inspect perianal area for fissures or sacs. 38.The PN is implementing the plan of care for a client who admits having...indicates the highest risk for the client acting on these suicidal thoughts? Begins to show signs of improvement. 39.The PN observes that a male clients urinary catheter drainage tubing is...the attached to the bed frame. What action should the PN implement? Observe the appearance of the urine in the drainage tubing. 40.A 150-pound adult client with Partial-thickness burns over 40% of the body. Hospital burn unit. Which observation is most important for the PN to report? Urinary output of 20 ml/hr. 41.The PN notes that an elderly client has developed nonproductive...the previous day. Vital signs are temperature 99.8 F; pulse 94; respirations 22; and BP... Important for the PN to implement? Report the findings to the charge nurse. 42.The PN is making shift assignment at an extended care rehabilitation...assign to the UAP. -Toileting assistance for a client receiving therapy after a total hip replacement -daily skin care for a client with a descending double barrel colostomy -morning care for a client with a staph wound infection 43.A client is complaining of a tightening sensation in the fingers, nose tip and ear lobes...24...PN should be prepared to implement what measure first? Obtain prescribed calcium gluconate for tetany. 44.A client’s chief complaint is being able to swallow only small bites of solid food...PN should assess for what additional information? History of alcohol and tobacco use. 45. An adult female client with type 1 diabetes mellitus is receiving 35 units of NPH insulin...PN document as evidence that the amount of insulin is inadequate. Consecutive evening serum glucose readings of 260 mg/dl. 46.The PN is assigned the care of four clients on a medicalsurgical...prioritize client assessments -A client who is admitted with a suspected ruptured appendix -A client who is post-lumbar puncture is reporting a severe headache -An older male adult with Alzheimer’s who wanders out of his room -A postoperative client who needs reinforcement of discharge instruction  47.The partner refuses to go. The PN suspects the injuries may be the result of... Arrange to take the client to the operating room holding area for privacy. 48.The PN is caring for a client whose urine drug screen is positive for...exhibit during cocaine withdraw. Powerful craving for more 49.The PN is with a client when the health care provider explains that the tumor. Later in the morning the client asks the PN "What do the letters T, N, M: star for? The letters stand for tumor size, node involvement, and metastasis. 50.Following discharge teaching, a male client with duodenal ulcer tells the nurse 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? Review with the client the need to avoid foods that are rich in milk and cream. 51. An adolescent male with severe acne recently started treatment with isotretinoin, a form of Vitamin A. During a follow up clinic appointment, which assessment is most important for the PN to complete? Ask about occurrence and frequency of nosebleeds 52.The PN is caring for a client who has silvery scaling plaques bilaterally on elbows, forearms, and palms. When scratched, the skin bleeds over these plaques. What is most important to reinforce in this client plan of care? Interventions to decrease emotional stress. 53. An adult client is undergoing weekly external radiation treatments for breast cancer. Upon arrival at the outpatient clinic for a scheduled treatment, the client reports increasing fatigue to the PN, who is taking the client the clients vital signs. What action should the PN implement? Reinforce the need for extra rest periods and plenty of sleep. 54.The PN is completing a focused assessment of a client with acute hepatitis A. The client reports a constant sense of fatigue. How should the PN respond? Affirm the importance of rest to promote liver healing. 55.When the PN plans daily care for a group pf client, which client should the PN see first due to the risk of complication? An older client with a stroke who is febrile and confused.  56.Which foot care instructions is most important for the PN to reinforce that minimizes a long- term complication for a client who is newly diagnosed with type 2 diabetes mellitus (DM)? Report any food injury or sore that does not readily heal. 57.During a clinic visit for a sore throat a client’s basal metabolic panel reveals a serum potassium of 3.0bml q/L. Which action should the PN recommend to the client based on this finding? Increase intake of dried peaches and apricots. 58.A client with a fractured left hip fracture is in Bucks’ traction. The PN should expect the client to exhibit which outcome? The left foot is warm to touch with a palpable dorsalis pedis pulse 59.When entering the room of an older female resident of a long-term care facility, the PN finds one of the male residents in bed with her. What action should the PN take?