HESI EXIT EXAM 2023-2024 VERSION 1
QUESTIONS AND CORRECT ANSWERS
GUARANTEED SUCCESS.
• The nurse is discussing with a group of students the disease Kawasaki.
What statementmade by a student about Kawasaki disease is incorrect?
• It also called mucocutaneous lymph node syndrome because it
affects the mucousmembranes (inside the mouth, throat and nose), skin
and lymph nodes.
• In the second phase of the disease, findings include peeling of the
skin on the handsand feet with joint and abdominal pain
• Kawasaki disease occurs most often in boys, children younger than age 5 and childrenof
Hispanic descent
• Initially findings are a sudden high fever, usually above 104 degrees
Fahrenheit, whichlasts 1 to2 weeks The correct answer is C: Kawasaki
disease occurs most often in boys, children younger
than age 5 and children of Hispanic descent
• A client has viral pneumonia affecting 2/3 of the right lung. What would be
the best position to teach the client to lie in every other hour during first 12 hours
after admission?
• A) Side-lying on the left with the head elevated 10 degrees
• Side-lying on the left with the head elevated 35 degrees
• Side-lying on the right wil the head elevated 10 degrees
• Side-lying on the right with the head elevated 35 degrees
The correct answer is A: Side-lying on the left with the head elevated 10 degrees
• A client has an indwelling catheter with continuous bladder
irrigation after undergoing a transurethral resection of the prostate
(TURP) 12 hours ago. Which findingat this time should be reported to
the health care provider?
• Light, pink urine
• occasional suprapubic cramping
• minimal drainage into the urinary collection bag
• complaints of the feeling of pulling on the urinary catheter The correct
answer is C:minimal drainage into the urinary collection bag
• A nurse is performing CPR on an adult who went into
cardiopulmonary arrest. Another nurse enters the room in response to
the call. After checking the client’s pulseand respirations, what should
be the function of the second nurse?
• Relieve the nurse performing CPR
• Go get the code cart
,• Participate with the compressions or breathing
• Validate the client's advanced directive
The correct answer is C: Participate with the compressions or breathing
• Which of these clients who are all in the terminal stage of cancer is
least appropriateto suggest the use of patient controlled analgesia (PCA)
with a pump?
• A young adult with a history of Down's syndrome
• A teenager who reads at a 4th grade level
• An elderly client with numerous arthritic
nodules on the hands
• D) A preschooler with intermittent episodes
of alertness
The correct answer is D: A preschooler with intermittent episodes of alertness
• The nurse is about to assess a 6 month-old child with
nonorganic failure-to thrive(NOFTT). Upon entering the room,
the nurse would expect the baby to be
• Irritable and "colicky" with no attempts to pull to standing
• Alert, laughing and playing with a rattle, sitting with support
• Skin color dusky with poor skin
turgor over abdomen
• D) Pale, thin arms and legs,
uninterested in surroundings
The correct answer is D: Pale, thin arms and legs, uninterested in surroundings
• As the nurse is speaking with a group of teens which of these side effects of
chemotherapy for cancer would the nurse expect this group to be more
interested induring the discussion?
• Mouth sores
• Fatigue
• Diarrhea
• D) Hair loss
The correct answer is D: Hair loss
• While caring for a client who was admitted with myocardial
infarction (MI) 2 daysago, the nurse notes today's temperature is 101.1
degrees Fahrenheit (38.5 degrees Celsius). The appropriate
nursing intervention is to
• Call the health care provider immediately
• Administer acetaminophen as ordered as this is normal at this time
• Send blood, urine and sputum for culture
• Increase the client's fluid intake
• Which information is a priority for the RN to
reinforce to an older client afterintravenous
pylegraphy?
• Eat a light diet for the rest of the day
,• Rest for the next 24 hours since the preparation and the test is tiring.
• During waking hours drink at least 1 8-ounce glass of fluid every hour for the next 2days
• Measure the urine output for the next day and immediately
notify the health careprovider if it should decrease.
The correct answer is D: Measure the urine output for the next day and
immediatelynotify the health care provider if it should decrease.
• A client has altered renal function and is being treated at home. The
nurse recognizesthat the most accurate indicator of fluid balance during
the weekly visits is
• difference in the intake and output
• changes in the mucous membranes
• skin turgor
• weekly weight
The correct answer is D: weekly weight
• A client has been diagnosed with Zollinger-Ellison
syndrome.Which information ismost important for the nurse to
reinforce with the client?
• It is a condition in which one or more tumors called gastrinomas form
in the pancreasor in the upper part of the small intestine (duodenum)
• It is critical to report promptly to your health care provider any findings of pepticulcers
c)Treatment consists of medications to reduce acid and heal any peptic ulcers
and, ifpossible, surgery to remove any tumors
D)With the average age at diagnosis at 50 years the peptic ulcers may occur at
unusualareas of the stomach or intestine
The correct answer is B: It is critical to report promptly to your health care provider
anyfindings of peptic ulcers .
• A primigravida in the third trimester is hospitalized for preeclampsia. The nurse
determines that the client’s blood pressure is increasing. Which action should the nurse
take first?
• Check the protein level in urine
• Have the client turn to the left side
• Take the temperature
• Monitor the urine output
The correct answer is B: Have the client turn to the left side
• The nurse is caring for a client in atrial fibrillation. The atrial heart rate is
250 and theventricular rate is controlled at 75. Which of the following findings is
cause for the most concern?
• Diminished bowel sounds
• Loss of appetite
• A cold, pale lower leg
• Tachypnea
The correct answer is C: A cold, pale lower leg
• The client with infective endocarditis must be assessed frequently by the
home healthnurse. Which finding suggests that antibiotic therapy is not
, effective, and must be reported by the nurse immediately to the healthcare
provider?
• Nausea and vomiting
• Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
• Diffuse macular rash
• Muscle tenderness
The correct answer is B: Fever of 103 degrees F (39.5 degrees C)
• A client who had a vasectomy is in the post recovery unit at an
outpatient clinic. Whichof these points is most important to be reinforced by
the nurse?
• Until the health care provider has determined that your ejaculate
doesn't contain sperm, continue to use another form of contraception.
• This procedure doesn't impede the production of male hormones or the
production ofsperm in the testicles. The sperm can no longer enter your
semen and no sperm are in your ejaculate.
• After your vasectomy, strenuous activity needs to be avoided for at
least 48 hours. If your work doesn't involve hard physical labor, you can
return to your job as soon as you feel up to it. The stitches
generally dissolve in seven to ten days.
• The health care provider at this clinic recommends rest, ice, an
athletic supporter orover-the-counter pain medication to relieve any
discomfort.
The correct answer is A: Until the health care provider has determined that
your ejaculatedoesn't contain sperm, continue to use another form of
contraception.
• A client who is to have antineoplastic chemotherapy tells the nurses of
a fear of being sick all the time and wishes to try acupuncture. Which of
these beliefs stated by the clientwould be incorrect about acupuncture?
• Some needles go as deep as 3 inches, depending on where they're placed in
the bodyand what the treatment is for. The needles usually are left in for 15
to 30 minutes.
• In traditional Chinese medicine, imbalances in the basic energetic
flow of life 4known as qi or chi 4 are thought to cause illness.
* C) The flow of life is believed to flow through major pathways or nerve clusters in
yourbody.
D) By inserting extremely fine needles into some of the over 400
acupuncture points invarious combinations it is believed that energy flow
will rebalance to allow the body's natural healing
mechanisms to take over.
The correct answer is C: The flow of life is believed to flow through major
pathways ornerve clusters in your body.
• The nurse assesses a 72 year-old client who was admitted for right sided
congestiveheart failure. Which of the following would the nurse anticipate
finding?
• Decreased urinary output
QUESTIONS AND CORRECT ANSWERS
GUARANTEED SUCCESS.
• The nurse is discussing with a group of students the disease Kawasaki.
What statementmade by a student about Kawasaki disease is incorrect?
• It also called mucocutaneous lymph node syndrome because it
affects the mucousmembranes (inside the mouth, throat and nose), skin
and lymph nodes.
• In the second phase of the disease, findings include peeling of the
skin on the handsand feet with joint and abdominal pain
• Kawasaki disease occurs most often in boys, children younger than age 5 and childrenof
Hispanic descent
• Initially findings are a sudden high fever, usually above 104 degrees
Fahrenheit, whichlasts 1 to2 weeks The correct answer is C: Kawasaki
disease occurs most often in boys, children younger
than age 5 and children of Hispanic descent
• A client has viral pneumonia affecting 2/3 of the right lung. What would be
the best position to teach the client to lie in every other hour during first 12 hours
after admission?
• A) Side-lying on the left with the head elevated 10 degrees
• Side-lying on the left with the head elevated 35 degrees
• Side-lying on the right wil the head elevated 10 degrees
• Side-lying on the right with the head elevated 35 degrees
The correct answer is A: Side-lying on the left with the head elevated 10 degrees
• A client has an indwelling catheter with continuous bladder
irrigation after undergoing a transurethral resection of the prostate
(TURP) 12 hours ago. Which findingat this time should be reported to
the health care provider?
• Light, pink urine
• occasional suprapubic cramping
• minimal drainage into the urinary collection bag
• complaints of the feeling of pulling on the urinary catheter The correct
answer is C:minimal drainage into the urinary collection bag
• A nurse is performing CPR on an adult who went into
cardiopulmonary arrest. Another nurse enters the room in response to
the call. After checking the client’s pulseand respirations, what should
be the function of the second nurse?
• Relieve the nurse performing CPR
• Go get the code cart
,• Participate with the compressions or breathing
• Validate the client's advanced directive
The correct answer is C: Participate with the compressions or breathing
• Which of these clients who are all in the terminal stage of cancer is
least appropriateto suggest the use of patient controlled analgesia (PCA)
with a pump?
• A young adult with a history of Down's syndrome
• A teenager who reads at a 4th grade level
• An elderly client with numerous arthritic
nodules on the hands
• D) A preschooler with intermittent episodes
of alertness
The correct answer is D: A preschooler with intermittent episodes of alertness
• The nurse is about to assess a 6 month-old child with
nonorganic failure-to thrive(NOFTT). Upon entering the room,
the nurse would expect the baby to be
• Irritable and "colicky" with no attempts to pull to standing
• Alert, laughing and playing with a rattle, sitting with support
• Skin color dusky with poor skin
turgor over abdomen
• D) Pale, thin arms and legs,
uninterested in surroundings
The correct answer is D: Pale, thin arms and legs, uninterested in surroundings
• As the nurse is speaking with a group of teens which of these side effects of
chemotherapy for cancer would the nurse expect this group to be more
interested induring the discussion?
• Mouth sores
• Fatigue
• Diarrhea
• D) Hair loss
The correct answer is D: Hair loss
• While caring for a client who was admitted with myocardial
infarction (MI) 2 daysago, the nurse notes today's temperature is 101.1
degrees Fahrenheit (38.5 degrees Celsius). The appropriate
nursing intervention is to
• Call the health care provider immediately
• Administer acetaminophen as ordered as this is normal at this time
• Send blood, urine and sputum for culture
• Increase the client's fluid intake
• Which information is a priority for the RN to
reinforce to an older client afterintravenous
pylegraphy?
• Eat a light diet for the rest of the day
,• Rest for the next 24 hours since the preparation and the test is tiring.
• During waking hours drink at least 1 8-ounce glass of fluid every hour for the next 2days
• Measure the urine output for the next day and immediately
notify the health careprovider if it should decrease.
The correct answer is D: Measure the urine output for the next day and
immediatelynotify the health care provider if it should decrease.
• A client has altered renal function and is being treated at home. The
nurse recognizesthat the most accurate indicator of fluid balance during
the weekly visits is
• difference in the intake and output
• changes in the mucous membranes
• skin turgor
• weekly weight
The correct answer is D: weekly weight
• A client has been diagnosed with Zollinger-Ellison
syndrome.Which information ismost important for the nurse to
reinforce with the client?
• It is a condition in which one or more tumors called gastrinomas form
in the pancreasor in the upper part of the small intestine (duodenum)
• It is critical to report promptly to your health care provider any findings of pepticulcers
c)Treatment consists of medications to reduce acid and heal any peptic ulcers
and, ifpossible, surgery to remove any tumors
D)With the average age at diagnosis at 50 years the peptic ulcers may occur at
unusualareas of the stomach or intestine
The correct answer is B: It is critical to report promptly to your health care provider
anyfindings of peptic ulcers .
• A primigravida in the third trimester is hospitalized for preeclampsia. The nurse
determines that the client’s blood pressure is increasing. Which action should the nurse
take first?
• Check the protein level in urine
• Have the client turn to the left side
• Take the temperature
• Monitor the urine output
The correct answer is B: Have the client turn to the left side
• The nurse is caring for a client in atrial fibrillation. The atrial heart rate is
250 and theventricular rate is controlled at 75. Which of the following findings is
cause for the most concern?
• Diminished bowel sounds
• Loss of appetite
• A cold, pale lower leg
• Tachypnea
The correct answer is C: A cold, pale lower leg
• The client with infective endocarditis must be assessed frequently by the
home healthnurse. Which finding suggests that antibiotic therapy is not
, effective, and must be reported by the nurse immediately to the healthcare
provider?
• Nausea and vomiting
• Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
• Diffuse macular rash
• Muscle tenderness
The correct answer is B: Fever of 103 degrees F (39.5 degrees C)
• A client who had a vasectomy is in the post recovery unit at an
outpatient clinic. Whichof these points is most important to be reinforced by
the nurse?
• Until the health care provider has determined that your ejaculate
doesn't contain sperm, continue to use another form of contraception.
• This procedure doesn't impede the production of male hormones or the
production ofsperm in the testicles. The sperm can no longer enter your
semen and no sperm are in your ejaculate.
• After your vasectomy, strenuous activity needs to be avoided for at
least 48 hours. If your work doesn't involve hard physical labor, you can
return to your job as soon as you feel up to it. The stitches
generally dissolve in seven to ten days.
• The health care provider at this clinic recommends rest, ice, an
athletic supporter orover-the-counter pain medication to relieve any
discomfort.
The correct answer is A: Until the health care provider has determined that
your ejaculatedoesn't contain sperm, continue to use another form of
contraception.
• A client who is to have antineoplastic chemotherapy tells the nurses of
a fear of being sick all the time and wishes to try acupuncture. Which of
these beliefs stated by the clientwould be incorrect about acupuncture?
• Some needles go as deep as 3 inches, depending on where they're placed in
the bodyand what the treatment is for. The needles usually are left in for 15
to 30 minutes.
• In traditional Chinese medicine, imbalances in the basic energetic
flow of life 4known as qi or chi 4 are thought to cause illness.
* C) The flow of life is believed to flow through major pathways or nerve clusters in
yourbody.
D) By inserting extremely fine needles into some of the over 400
acupuncture points invarious combinations it is believed that energy flow
will rebalance to allow the body's natural healing
mechanisms to take over.
The correct answer is C: The flow of life is believed to flow through major
pathways ornerve clusters in your body.
• The nurse assesses a 72 year-old client who was admitted for right sided
congestiveheart failure. Which of the following would the nurse anticipate
finding?
• Decreased urinary output
