ALL HESI EXIT QUESTIONS AND ANSWERS
LATEST UPDATE 2024
1. A client who had a percutaneous transluminal coronary
angioplasty (PTCA) two weeks ago returns to the clinic for a
follow up visit. The client has a postoperative ejection fraction
ejection fraction of 30%. Today the client haslungs which are
clear, +1 pedal edema, and a 5pound weight gain. Which
intervention the nurse implement? (correct Answer- Assess
compliance withroutine prescriptions.
2. The RN is assigned to care for four surgical clients. After
receiving report,which client should the nurse see first? The
client who is
(correct Answer-Three days postoperative colon resection
receiving transfusion of packed RBCs.
3. The nurse is preparing an older client for discharge following
cataract extraction. Which instruction should be include in the
discharge teaching?
(correct Answer- Avoid straining at stool, bending, or lifting
heavy objects.
4. The healthcare provider prescribes potassium chloride 25 mEq
in 500 ml D_5W to infuse over 6 hours. The available 20 ml vial
of potassium chloride is labeled, "10 mEq/5ml." how many ml
of potassium chloride should the nurse add the IV fluid?
(Enter numeric value only. If is rounding is required,round to the
nearest tenth.)
(correct Answer- 12.5
5. At 40 week gestation, a laboring client who is lying is a supine
position tells the nurse that she has finally found a comfortable
, position. What action should the nurse take?
(correct Answer- Place a wedge under the client's right hip.
6. A client with a history of diabetes and coronary artery disease is
admitted with shortness of breath, anxiety, and confusion. The
client's blood pressure is80/60 mmHg, heart rate 120
beats/minute with audible third and fourth heart sounds, and
bibasilar crackles. The client's average urinary output is 5
ml/hour.Normal saline is infusing at 124 ml/hour with a
secondary infusion of dopamine at mcg/kg/minute per infusion
pump. With intervention should the nurse implement?
(correct Answer- Titrate the dopamine infusion to raise the BP.
7. A client with asthma receives a prescription for high blood
pressure during a clinic visit. Which prescription should the nurse
anticipate the client to receive that is least likely to exacerbate
asthma?
(correct Answer- The best antihypertensive agent for clients with
asthma is metoprolol (Lopressor) (C), a beta2 blocking agent
which is also cardioselective and less likely to cause
bronchoconstriction. Pindolol
8. A male client who has been taking propranolol (Inderal) for 18
months tells the nurse that the healthcare provider discontinued
the medication because his blood pressure has been normal for
the past three months. Which instruction should the nurse
provide?
(correct Answer- Although the healthcare provider discontinued
thepropranolol, measures to prevent rebound cardiac excitation,
such as progressivelyreducing the dose over one to two weeks
(C), should be recommended to prevent rebound tachycardia,
hypertension, and ventricular dysrhythmias. Abrupt cessation(A
and B) of the beta-blocking agent may precipitate tachycardia and
rebound hypertension, so gradual weaning should be
recommended. (D) is not indicated.
,9. A client who is taking clonidine (Catapres, Duraclon) reports
drowsiness. Which additional assessment should the nurse make?
(correct Answer- How long has theclient been taking the
medication?
Drowsiness can occur in the early weeks of treatment with
clonidine and with continued use becomes less intense, so the
length of time the client has been on the medication (A) provides
information to direct additional instruction. (B, C, and D) are not
relevant
10. The nurse is preparing to administer atropine, an anticholinergic,
to a client who is scheduled for a cholecystectomy. The client
asks the nurse to explain the reason forthe prescribed medication.
What response is best for the nurse to provide?
(correct Answer- Decrease the risk of bradycardia during surgery.
11. A 80-year-old client is given morphine sulphate for
postoperative pain. Which concomitant medication should the
nurse question that poses a potential development of urinary
retention in this geriatric client?
(correct Answer- Drugs with anticholinergic properties, such as
tricyclic antidepressants (C), can exacerbate urinary retention
associated with opioids in the older client. Although tricyclic
antidepressants and antihistamines with opioids can exacerbate
urinary retention, the concurrent use of (A and B) with opioids
do not. Nonsteroidal antiinflammatory agents (D) can increase
the risk for bleeding, but do not increaseurinary retention with
opioids (D).
12. A client with osteoarthritis is given a new prescription for a
nonsteroidal antiinflammatory drug (NSAID). The client asks the
nurse, "How is this medication different from the acetaminophen
I have been taking?" Which information about the therapeutic
action of NSAIDs should the nurse provide?
(correct Answer- Provide antiinflammatory response.
13. A client with cancer has a history of alcohol abuse and is taking
acetaminophen (Tylenol) for pain. Which organ function is most
important for the nurse to monitor?
, (correct Answer- Acetaminophen and alcohol are both
metabolized in the liver. This places the client at risk for
hepatotoxicity, so monitoring liver (A) function is the most
important assessment because the combination of acetaminophen
and alcohol, even in moderate amounts, can cause potentially
fatal liver damage. Other non-narcotic analgesics, such as n
onsteroidal antiinflam
14. The nurse obtains a heart rate of 92 and a blood pressure of
110/76 prior to administering a scheduled dose of verapamil
(Calan) for a client with atrial flutter.Which action should the
nurse implement?
(correct Answer- Administer the dose as prescribed.
Verapamil slows sinoatrial (SA) nodal automaticity, delays
atrioventricular (AV) nodal conduction, which slows the
ventricular rate, and is used to treat atrial flutter, so (A) should
be implemented, based on the client's heart rate and blood
pressure. (B and C) are not indicated. (D) delays the
administration of the scheduled dose.
15. A client is admitted to the hospital with a diagnosis of Type 2
diabetes mellitus and influenza. Which categories of illness
should the nurse develop goals for the client's plan of care?
(correct Answer- One chronic and one acute illness.
16. Following an emergency Cesarean delivery, the nurse
encourages the new motherto breastfeed her newborn. The client
asks why she should breastfeed now. Whichinformation should
the nurse provide?
(correct Answer- Stimulate contraction of the uterus.
17. Which intervention should the nurse include in the plan of care
for a female clientwith severe postpartum depression who is
admitted to the inpatient psychiatric unit?
(correct Answer- Supervised and guided visits with infant.
LATEST UPDATE 2024
1. A client who had a percutaneous transluminal coronary
angioplasty (PTCA) two weeks ago returns to the clinic for a
follow up visit. The client has a postoperative ejection fraction
ejection fraction of 30%. Today the client haslungs which are
clear, +1 pedal edema, and a 5pound weight gain. Which
intervention the nurse implement? (correct Answer- Assess
compliance withroutine prescriptions.
2. The RN is assigned to care for four surgical clients. After
receiving report,which client should the nurse see first? The
client who is
(correct Answer-Three days postoperative colon resection
receiving transfusion of packed RBCs.
3. The nurse is preparing an older client for discharge following
cataract extraction. Which instruction should be include in the
discharge teaching?
(correct Answer- Avoid straining at stool, bending, or lifting
heavy objects.
4. The healthcare provider prescribes potassium chloride 25 mEq
in 500 ml D_5W to infuse over 6 hours. The available 20 ml vial
of potassium chloride is labeled, "10 mEq/5ml." how many ml
of potassium chloride should the nurse add the IV fluid?
(Enter numeric value only. If is rounding is required,round to the
nearest tenth.)
(correct Answer- 12.5
5. At 40 week gestation, a laboring client who is lying is a supine
position tells the nurse that she has finally found a comfortable
, position. What action should the nurse take?
(correct Answer- Place a wedge under the client's right hip.
6. A client with a history of diabetes and coronary artery disease is
admitted with shortness of breath, anxiety, and confusion. The
client's blood pressure is80/60 mmHg, heart rate 120
beats/minute with audible third and fourth heart sounds, and
bibasilar crackles. The client's average urinary output is 5
ml/hour.Normal saline is infusing at 124 ml/hour with a
secondary infusion of dopamine at mcg/kg/minute per infusion
pump. With intervention should the nurse implement?
(correct Answer- Titrate the dopamine infusion to raise the BP.
7. A client with asthma receives a prescription for high blood
pressure during a clinic visit. Which prescription should the nurse
anticipate the client to receive that is least likely to exacerbate
asthma?
(correct Answer- The best antihypertensive agent for clients with
asthma is metoprolol (Lopressor) (C), a beta2 blocking agent
which is also cardioselective and less likely to cause
bronchoconstriction. Pindolol
8. A male client who has been taking propranolol (Inderal) for 18
months tells the nurse that the healthcare provider discontinued
the medication because his blood pressure has been normal for
the past three months. Which instruction should the nurse
provide?
(correct Answer- Although the healthcare provider discontinued
thepropranolol, measures to prevent rebound cardiac excitation,
such as progressivelyreducing the dose over one to two weeks
(C), should be recommended to prevent rebound tachycardia,
hypertension, and ventricular dysrhythmias. Abrupt cessation(A
and B) of the beta-blocking agent may precipitate tachycardia and
rebound hypertension, so gradual weaning should be
recommended. (D) is not indicated.
,9. A client who is taking clonidine (Catapres, Duraclon) reports
drowsiness. Which additional assessment should the nurse make?
(correct Answer- How long has theclient been taking the
medication?
Drowsiness can occur in the early weeks of treatment with
clonidine and with continued use becomes less intense, so the
length of time the client has been on the medication (A) provides
information to direct additional instruction. (B, C, and D) are not
relevant
10. The nurse is preparing to administer atropine, an anticholinergic,
to a client who is scheduled for a cholecystectomy. The client
asks the nurse to explain the reason forthe prescribed medication.
What response is best for the nurse to provide?
(correct Answer- Decrease the risk of bradycardia during surgery.
11. A 80-year-old client is given morphine sulphate for
postoperative pain. Which concomitant medication should the
nurse question that poses a potential development of urinary
retention in this geriatric client?
(correct Answer- Drugs with anticholinergic properties, such as
tricyclic antidepressants (C), can exacerbate urinary retention
associated with opioids in the older client. Although tricyclic
antidepressants and antihistamines with opioids can exacerbate
urinary retention, the concurrent use of (A and B) with opioids
do not. Nonsteroidal antiinflammatory agents (D) can increase
the risk for bleeding, but do not increaseurinary retention with
opioids (D).
12. A client with osteoarthritis is given a new prescription for a
nonsteroidal antiinflammatory drug (NSAID). The client asks the
nurse, "How is this medication different from the acetaminophen
I have been taking?" Which information about the therapeutic
action of NSAIDs should the nurse provide?
(correct Answer- Provide antiinflammatory response.
13. A client with cancer has a history of alcohol abuse and is taking
acetaminophen (Tylenol) for pain. Which organ function is most
important for the nurse to monitor?
, (correct Answer- Acetaminophen and alcohol are both
metabolized in the liver. This places the client at risk for
hepatotoxicity, so monitoring liver (A) function is the most
important assessment because the combination of acetaminophen
and alcohol, even in moderate amounts, can cause potentially
fatal liver damage. Other non-narcotic analgesics, such as n
onsteroidal antiinflam
14. The nurse obtains a heart rate of 92 and a blood pressure of
110/76 prior to administering a scheduled dose of verapamil
(Calan) for a client with atrial flutter.Which action should the
nurse implement?
(correct Answer- Administer the dose as prescribed.
Verapamil slows sinoatrial (SA) nodal automaticity, delays
atrioventricular (AV) nodal conduction, which slows the
ventricular rate, and is used to treat atrial flutter, so (A) should
be implemented, based on the client's heart rate and blood
pressure. (B and C) are not indicated. (D) delays the
administration of the scheduled dose.
15. A client is admitted to the hospital with a diagnosis of Type 2
diabetes mellitus and influenza. Which categories of illness
should the nurse develop goals for the client's plan of care?
(correct Answer- One chronic and one acute illness.
16. Following an emergency Cesarean delivery, the nurse
encourages the new motherto breastfeed her newborn. The client
asks why she should breastfeed now. Whichinformation should
the nurse provide?
(correct Answer- Stimulate contraction of the uterus.
17. Which intervention should the nurse include in the plan of care
for a female clientwith severe postpartum depression who is
admitted to the inpatient psychiatric unit?
(correct Answer- Supervised and guided visits with infant.
