2023 HESI EXIT V7 LATEST ACTUAL EXAM 150+
QUESTIONS AND CORRECT ANSWERS
• A parent tells the nurse that their 6 year-old child who normally enjoys school, has
notbeen doing well since the grandmother died 2 months ago. Which statement most
accurately describes thoughts on
death and dying at this age?
• Death is personified as the bogeyman or devil
• Death is perceived as being irreversible
• The child feels guilty for the grandmother's death
• The child is worried that he, too, might die
The correct answer is A: Death is personified as the bogeyman or devil
• A 67 year-old client with non-insulin dependent diabetes should be instructed
tocontact the out-patient clinic immediately if the following findings are present
• Temperature of 37.5 degrees Celsius with painful urination
• An open wound on their heel
• Insomnia and daytime fatigue
• Nausea with 2 episodes of vomiting
The correct answer is B: An open wound on their heel
• The nurse admits an elderly Mexican-American migrant worker after an accident
thatoccurred during work. To facilitate communication the nurse should initially
• Request a Spanish interpreter
• Speak through the family or co-workers
• Use pictures, letter boards, or monitoring
• Assess the client's ability to speak English
The correct answer is D: Assess the client''s ability to speak English
• In assessing a post partum client, the nurse palpates a firm fundus and observes a
constant trickle of bright red blood from the vagina. What is the most likely cause
ofthese findings?
• Uterine atony
• Genital lacerations
• Retained placenta
• Clotting disorder
The correct answer is B: Genital lacerations
,• The nurse notes an abrupt onset of confusion in an elderly patient. Which of the
following recently-ordered medications would most likely contribute to this
change?
• Anticoagulant
• Liquid antacid
• Antihistamine
• Cardiac glycoside
The correct answer is C: Antihistamine
• The nurse is caring for a client with active tuberculosis who has a history of
noncompliance. Which of the following actions by the nurse would represent
appropriatecare for this client?
• Instruct the client to wear a high efficiency particulate air mask in public places.
• Ask a family member to supervise daily compliance
• Schedule weekly clinic visits for the client
• Ask the health care provider to change the regimen to fewer medications
The correct answer is B: Ask a family member to supervise daily
compliance
• The nurse manager identifies that time spent by staff in charting is excessive,
requiringovertime for completion. The nurse manager states that "staff will form a task
force to investigate and develop potential solutions to the problem, and report on this at
the next staff meeting." The nurse manager's leadership style is best described as
• Laissez-faire
• Autocratic
• Participative
• Group
The correct answer is C: Participative
• A nursing student asks the nurse manager to explain the forces that drive health
carereform. The appropriate response by the nurse manager should include
• The escalation of fees with a decreased reimbursement percentage
• High costs of diagnostic and end-of-life treatment procedures
• Increased numbers of elderly and of the chronically ill of all ages
• A steep rise in health care provider fees and in insurance premiums
The correct answer is A: The escalation of fees with a decreased reimbursement
percentage
,• A client with hepatitis A (HAV) is newly admitted to the unit. Which action would
bethe priority to include in the plan of care within the initial 24 hours for this client?
• Wear masks with shields if potential splash
• Use disposable utensils and plates for meals
• Wear gown and gloves during client contact
• Provide soft easily digested food with frequent snacks
The correct answer is C: Wear gown and gloves during client contact
• A client has been taking alprazolam (Xanax) for 3 days. Nursing assessment
shouldreveal which expected effect of the drug?
• Tranquilization, numbing of emotions
• Sedation, analgesia
• Relief of insomnia and phobias
• Diminished tachycardia and tremors associated with
anxietyThe correct answer is A: Tranquilization, numbing of
emotions
• The nurse observes a staff member caring for a client with a left
unilateralmastectomy. The nurse would intervene if she notices the staff
member is
• Advising client to restrict sodium intake
• Taking the blood pressure in the left arm
• Elevating her left arm above heart level
• Compressing the drainage device
The correct answer is B: Taking the blood pressure in the left arm
• A 70 year-old post-operative client has elevated serum BUN, Hct, Cl, and
Na+.Creatinine and K+ are within normal limits. The nurse should perform
additional assessments to confirm that an actual
problem is:
• Impaired gas exchange
• Metabolic acidosis
• Renal insufficiency
• Fluid volume deficit
The correct answer is D: Fluid volume deficit
, • The nurse is providing foot care instructions to a client with arterial insufficiency.
Thenurse would identify the need for additional teaching if the client stated
• "I can only wear cotton socks."
• "I cannot go barefoot around my house."
• "I will trim corns and calluses regularly."
• "I should ask a family member to inspect my feet daily."
The correct answer is C: "I will trim corns and calluses regularly."
• A woman who delivered 5 days ago and had been diagnosed with preeclampsia calls
the hospital triage nurse hotline to ask for advice. She states “ I have had the worst
headache for the past 2 days. It
pounds and by the middle of the afternoon everything I look at looks wavy. Nothing I
have taken helps.” What should the nurse do next?
• Advise the client that the swings in her hormones may have that effect.
However,suggest for her to call her health care provider within the next day.
• Advise the client to have someone bring her to the emergency room as soon
aspossible
• Ask the client to stay on the line, get the address and send an ambulance to the home
• Ask what the client has taken? How often? Ask about other specific complaints.
The correct answer is C: Ask the client to stay on the line, get the address and send
anambulance to the home
• The primary teaching for a client following an extracorporeal shock-wave
lithotripsy(ESWL) procedure is
• Drink 3000 to 4000 cc of fluid each day for one month
• Limit fluid intake to 1000 cc each day for one month
• Increase intake of citrus fruits to three servings per day
• Restrict milk and dairy products for one month
The correct answer is A: Drink 3000 to 4000 cc of fluid each day for 1 month
• A client on warfarin therapy following coronary artery stent placement calls the
clinicto ask if he can take Alka-Seltzer for an upset stomach. What is the best response
by the nurse?
• Avoid Alka-Seltzer because it contains aspirin
• Take Alka-Seltzer at a different time of day than the warfarin
• Select another antacid that does not inactivate warfarin
QUESTIONS AND CORRECT ANSWERS
• A parent tells the nurse that their 6 year-old child who normally enjoys school, has
notbeen doing well since the grandmother died 2 months ago. Which statement most
accurately describes thoughts on
death and dying at this age?
• Death is personified as the bogeyman or devil
• Death is perceived as being irreversible
• The child feels guilty for the grandmother's death
• The child is worried that he, too, might die
The correct answer is A: Death is personified as the bogeyman or devil
• A 67 year-old client with non-insulin dependent diabetes should be instructed
tocontact the out-patient clinic immediately if the following findings are present
• Temperature of 37.5 degrees Celsius with painful urination
• An open wound on their heel
• Insomnia and daytime fatigue
• Nausea with 2 episodes of vomiting
The correct answer is B: An open wound on their heel
• The nurse admits an elderly Mexican-American migrant worker after an accident
thatoccurred during work. To facilitate communication the nurse should initially
• Request a Spanish interpreter
• Speak through the family or co-workers
• Use pictures, letter boards, or monitoring
• Assess the client's ability to speak English
The correct answer is D: Assess the client''s ability to speak English
• In assessing a post partum client, the nurse palpates a firm fundus and observes a
constant trickle of bright red blood from the vagina. What is the most likely cause
ofthese findings?
• Uterine atony
• Genital lacerations
• Retained placenta
• Clotting disorder
The correct answer is B: Genital lacerations
,• The nurse notes an abrupt onset of confusion in an elderly patient. Which of the
following recently-ordered medications would most likely contribute to this
change?
• Anticoagulant
• Liquid antacid
• Antihistamine
• Cardiac glycoside
The correct answer is C: Antihistamine
• The nurse is caring for a client with active tuberculosis who has a history of
noncompliance. Which of the following actions by the nurse would represent
appropriatecare for this client?
• Instruct the client to wear a high efficiency particulate air mask in public places.
• Ask a family member to supervise daily compliance
• Schedule weekly clinic visits for the client
• Ask the health care provider to change the regimen to fewer medications
The correct answer is B: Ask a family member to supervise daily
compliance
• The nurse manager identifies that time spent by staff in charting is excessive,
requiringovertime for completion. The nurse manager states that "staff will form a task
force to investigate and develop potential solutions to the problem, and report on this at
the next staff meeting." The nurse manager's leadership style is best described as
• Laissez-faire
• Autocratic
• Participative
• Group
The correct answer is C: Participative
• A nursing student asks the nurse manager to explain the forces that drive health
carereform. The appropriate response by the nurse manager should include
• The escalation of fees with a decreased reimbursement percentage
• High costs of diagnostic and end-of-life treatment procedures
• Increased numbers of elderly and of the chronically ill of all ages
• A steep rise in health care provider fees and in insurance premiums
The correct answer is A: The escalation of fees with a decreased reimbursement
percentage
,• A client with hepatitis A (HAV) is newly admitted to the unit. Which action would
bethe priority to include in the plan of care within the initial 24 hours for this client?
• Wear masks with shields if potential splash
• Use disposable utensils and plates for meals
• Wear gown and gloves during client contact
• Provide soft easily digested food with frequent snacks
The correct answer is C: Wear gown and gloves during client contact
• A client has been taking alprazolam (Xanax) for 3 days. Nursing assessment
shouldreveal which expected effect of the drug?
• Tranquilization, numbing of emotions
• Sedation, analgesia
• Relief of insomnia and phobias
• Diminished tachycardia and tremors associated with
anxietyThe correct answer is A: Tranquilization, numbing of
emotions
• The nurse observes a staff member caring for a client with a left
unilateralmastectomy. The nurse would intervene if she notices the staff
member is
• Advising client to restrict sodium intake
• Taking the blood pressure in the left arm
• Elevating her left arm above heart level
• Compressing the drainage device
The correct answer is B: Taking the blood pressure in the left arm
• A 70 year-old post-operative client has elevated serum BUN, Hct, Cl, and
Na+.Creatinine and K+ are within normal limits. The nurse should perform
additional assessments to confirm that an actual
problem is:
• Impaired gas exchange
• Metabolic acidosis
• Renal insufficiency
• Fluid volume deficit
The correct answer is D: Fluid volume deficit
, • The nurse is providing foot care instructions to a client with arterial insufficiency.
Thenurse would identify the need for additional teaching if the client stated
• "I can only wear cotton socks."
• "I cannot go barefoot around my house."
• "I will trim corns and calluses regularly."
• "I should ask a family member to inspect my feet daily."
The correct answer is C: "I will trim corns and calluses regularly."
• A woman who delivered 5 days ago and had been diagnosed with preeclampsia calls
the hospital triage nurse hotline to ask for advice. She states “ I have had the worst
headache for the past 2 days. It
pounds and by the middle of the afternoon everything I look at looks wavy. Nothing I
have taken helps.” What should the nurse do next?
• Advise the client that the swings in her hormones may have that effect.
However,suggest for her to call her health care provider within the next day.
• Advise the client to have someone bring her to the emergency room as soon
aspossible
• Ask the client to stay on the line, get the address and send an ambulance to the home
• Ask what the client has taken? How often? Ask about other specific complaints.
The correct answer is C: Ask the client to stay on the line, get the address and send
anambulance to the home
• The primary teaching for a client following an extracorporeal shock-wave
lithotripsy(ESWL) procedure is
• Drink 3000 to 4000 cc of fluid each day for one month
• Limit fluid intake to 1000 cc each day for one month
• Increase intake of citrus fruits to three servings per day
• Restrict milk and dairy products for one month
The correct answer is A: Drink 3000 to 4000 cc of fluid each day for 1 month
• A client on warfarin therapy following coronary artery stent placement calls the
clinicto ask if he can take Alka-Seltzer for an upset stomach. What is the best response
by the nurse?
• Avoid Alka-Seltzer because it contains aspirin
• Take Alka-Seltzer at a different time of day than the warfarin
• Select another antacid that does not inactivate warfarin
