HESI Exit Exam Test Bank 2023-2024
MED SURG HESI EXIT EXAM/Latest
2022/Test Bank
Following discharge teaching, a male client with duodenal ulcer tells the nurse
thehe 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?
(ANS- Review with the client the need to avoid foods that are rich in milk andcream
A male client with hypertension, who received new antihypertensive
prescriptionsat 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? (ANS- Stroke
secondary to hemorrhage
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?
(ANS- Instruct the UAP to obtain soft blankets to secure to the side rails instead
ofpillows.
An adolescent with major depressive disorder has been taking duloxetine
(Cymbalta) for the past 12 days. Which assessment finding requires
immediatefollow-up?
(ANS- Describes life without purpose
A 60-year-old female client with a positive family history of ovarian cancer
,HESI Exit Exam Test Bank 2023-2024
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?
(ANS- Further evaluation involving surgery may be needed
,HESI Exit Exam Test Bank 2023-2024
A client who recently underwear a tracheostomy is being prepared for discharge
tohome. Which instructions is most important for the nurse toinclude in the
discharge plan?
(ANS- Teach tracheal suctioning techniques
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'srespiratory rate is 14 breaths / minute. What action should the nurse
implement? (ANS- Document the assessment data
Rationale: reservoir bag should not deflate completely during inspiration and
theclient's respiratory rate is within normal limits.
During shift report, the central electrocardiogram (EKG) monitoring systemalarms.
Which client alarm should the nurse investigate firs?
(ANS- Respiratory apnea of 30 seconds
During a home visit, the nurse observed an elderly client with diabetesslip
andfall. What action should the nurse take first?
(ANS- Check the client for lacerations or fractures
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
shewanted to avoid getting a headache. Which action should the nurse take first?
(ANS- Inform the anesthesia care provider
After placing a stethoscope as seen in the picture, the nurse auscultates S1and
S2 heart sounds. To determine if an S3 heart sound is present, what
, HESI Exit Exam Test Bank 2023-2024
action should thenurse take first?
(ANS- Listen with the bell at the same location
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 referredto
bythe employee health nurse for health insurance needs?
(ANS- Medicare
MED SURG HESI EXIT EXAM/Latest
2022/Test Bank
Following discharge teaching, a male client with duodenal ulcer tells the nurse
thehe 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?
(ANS- Review with the client the need to avoid foods that are rich in milk andcream
A male client with hypertension, who received new antihypertensive
prescriptionsat 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? (ANS- Stroke
secondary to hemorrhage
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?
(ANS- Instruct the UAP to obtain soft blankets to secure to the side rails instead
ofpillows.
An adolescent with major depressive disorder has been taking duloxetine
(Cymbalta) for the past 12 days. Which assessment finding requires
immediatefollow-up?
(ANS- Describes life without purpose
A 60-year-old female client with a positive family history of ovarian cancer
,HESI Exit Exam Test Bank 2023-2024
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?
(ANS- Further evaluation involving surgery may be needed
,HESI Exit Exam Test Bank 2023-2024
A client who recently underwear a tracheostomy is being prepared for discharge
tohome. Which instructions is most important for the nurse toinclude in the
discharge plan?
(ANS- Teach tracheal suctioning techniques
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'srespiratory rate is 14 breaths / minute. What action should the nurse
implement? (ANS- Document the assessment data
Rationale: reservoir bag should not deflate completely during inspiration and
theclient's respiratory rate is within normal limits.
During shift report, the central electrocardiogram (EKG) monitoring systemalarms.
Which client alarm should the nurse investigate firs?
(ANS- Respiratory apnea of 30 seconds
During a home visit, the nurse observed an elderly client with diabetesslip
andfall. What action should the nurse take first?
(ANS- Check the client for lacerations or fractures
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
shewanted to avoid getting a headache. Which action should the nurse take first?
(ANS- Inform the anesthesia care provider
After placing a stethoscope as seen in the picture, the nurse auscultates S1and
S2 heart sounds. To determine if an S3 heart sound is present, what
, HESI Exit Exam Test Bank 2023-2024
action should thenurse take first?
(ANS- Listen with the bell at the same location
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 referredto
bythe employee health nurse for health insurance needs?
(ANS- Medicare
