HESI EXIT PN ACTUAL EXAM LATEST 2023-
2024 CORRECT QUESTIONS AND ANSWERS
LATEST UPDATE GRADE A.
A morbidly obese client is scheduled for gastric bypass surgery. The
client completes the required preoperative nutritional counseling and
signs the operative permit. To promote effective discharge planning,
which intervention is most important for the nurse to implement? -
ANSWER >>> Discuss small, low fat, low sugar meal preparation
techniques.
A client who was splashed with a chemical has both eyes covered
with bandages. When assisting the client with eating, which
intervention should the nurse instruct the UAP to implement? -
ANSWER >>> Orient the client to the location of the food on the plate.
A client is admitted for an exacerbation of heart failure (HF) and is
being treated with diuretics for fluid volume excess. In planning
nursing care, which interventions should the nurse include? (Select all
that apply.) - ANSWER >>> • Observe for evidence of hypokalemia
• Teach the client how to restrict dietary sodium
• Weight the client daily, in the morning
While changing the dressing of a client who is immobile, the nurse
observes a red and swollen wound with a moderate amount of yellow
and green drainage and a foul odor. Given there is a positive
methicillin-resistant Staphylococcus aureus (MRSA), which is the most
important action for the nurse to take? - ANSWER >>> Administer
prescribed antibiotics.
A client who has asthma receives a new prescription for a
corticosteroid inhaler. The client expresses concern about taking
steroid medications. What information should the nurse provide the
,client about the use of this maintenance inhaler? - ANSWER >>>
Systemic side effects are reduced when taken by inhalation
The healthcare provider prescribes a sedative for a client with severe
hypothyroidism. The nurse plans to contact the provider to review the
safety of the prescription for the client and consults first with the
charge nurse. The charge nurse notes that the prescription is written
legally and completely. How should the charge nurse respond? -
ANSWER >>> Assume responsibility for discussing the concern with
the provider.
In assessing a client twelve hours following transurethral resection of
the prostate (TURP), the nurse observes that the urinary drainage
tubing contains a large amount of clear pale pink urine and the
continuous bladder irrigation is infusing slowly. Which action should
the nurse implement? - ANSWER >>> Ensure that no dependent
loops are present in the tubing.
Which information should the nurse include in the discharge teaching
plan of a client with low back pain who is taking cyclobenzaprine to
control muscle spasms? - ANSWER >>> Use cold and allergy
medications only as directed by a healthcare provider.
A client with deep vein thrombosis (DVT) is receiving a continuous
intravenous heparin infusion. The client now has tarry, black diarrhea
and reports abdominal pain. Which actions should the nurse
implement? (Select all that apply) - ANSWER >>> • Monitor stools for
presence of blood
• Auscultate bowel sounds in all quadrants
• Review last partial thromboplastin time results.
Which laboratory results should the nurse closely monitor in a client
who has end-stage renal disease (ESRD)? - ANSWER >>> • Serum
potassium, calcium, and phosphorus.
A mal client who was in a motor vehicle collision yesterday is receiving
a unit of packed red blood cells. When half of the unit is infused, the
, client reports lower back pain, and the nurse observes a fine rash over
his chest and back. Which intervention should the nurse implement? -
ANSWER >>> Replace the transfusion with normal saline
When developing a teaching plan for a client with newly diagnosed
Type 1 diabetes, the nurse should explain that an increased thirst is
an early sign of diabetic ketoacidosis (DKA). Which action should the
nurse instruct the client to implement if this sign of DKA occurs? -
ANSWER >>> Give a dose of regular insulin as prescribed
Which information is most important to include in the teaching plan for
a client who is discharged after a thyroidectomy for Grave's disease? -
ANSWER >>> Daily hormone replacement will be needed for the rest
of the client's life.
The nurse is planning discharge instructions for a client with type 2
diabetes who will be starting exenatide. Which information should be
included in the discharge instructions? - ANSWER >>> Notify your
healthcare provider if you start having abdominal pain.
Which breakfast selection should he nurse recommend for a 16-year-
old with diarrhea? - ANSWER >>> Oatmeal, banana, and herbal tea.
The nurse is preparing to administer 1.6 mL of medication
intramuscularly to a 4-month-old infant. Which action should the nurse
include? - ANSWER >>> Divide the medication into two injections with
volumes under 1 mL.
A school-aged child with chronic renal failure receives a prescription
from the healthcare provider for losartan. Which action should the
nurse implement prior to administering the medication? - ANSWER
>>> Evaluate the ability to swallow medication.
An adolescent client on a drug treatment unit becomes angry and
pulls the refrigerator from the wall and then throws the microwave.
After the client fails to respond to the redirection, the healthcare
provider prescribes restraints. Which assessment should the nurse
2024 CORRECT QUESTIONS AND ANSWERS
LATEST UPDATE GRADE A.
A morbidly obese client is scheduled for gastric bypass surgery. The
client completes the required preoperative nutritional counseling and
signs the operative permit. To promote effective discharge planning,
which intervention is most important for the nurse to implement? -
ANSWER >>> Discuss small, low fat, low sugar meal preparation
techniques.
A client who was splashed with a chemical has both eyes covered
with bandages. When assisting the client with eating, which
intervention should the nurse instruct the UAP to implement? -
ANSWER >>> Orient the client to the location of the food on the plate.
A client is admitted for an exacerbation of heart failure (HF) and is
being treated with diuretics for fluid volume excess. In planning
nursing care, which interventions should the nurse include? (Select all
that apply.) - ANSWER >>> • Observe for evidence of hypokalemia
• Teach the client how to restrict dietary sodium
• Weight the client daily, in the morning
While changing the dressing of a client who is immobile, the nurse
observes a red and swollen wound with a moderate amount of yellow
and green drainage and a foul odor. Given there is a positive
methicillin-resistant Staphylococcus aureus (MRSA), which is the most
important action for the nurse to take? - ANSWER >>> Administer
prescribed antibiotics.
A client who has asthma receives a new prescription for a
corticosteroid inhaler. The client expresses concern about taking
steroid medications. What information should the nurse provide the
,client about the use of this maintenance inhaler? - ANSWER >>>
Systemic side effects are reduced when taken by inhalation
The healthcare provider prescribes a sedative for a client with severe
hypothyroidism. The nurse plans to contact the provider to review the
safety of the prescription for the client and consults first with the
charge nurse. The charge nurse notes that the prescription is written
legally and completely. How should the charge nurse respond? -
ANSWER >>> Assume responsibility for discussing the concern with
the provider.
In assessing a client twelve hours following transurethral resection of
the prostate (TURP), the nurse observes that the urinary drainage
tubing contains a large amount of clear pale pink urine and the
continuous bladder irrigation is infusing slowly. Which action should
the nurse implement? - ANSWER >>> Ensure that no dependent
loops are present in the tubing.
Which information should the nurse include in the discharge teaching
plan of a client with low back pain who is taking cyclobenzaprine to
control muscle spasms? - ANSWER >>> Use cold and allergy
medications only as directed by a healthcare provider.
A client with deep vein thrombosis (DVT) is receiving a continuous
intravenous heparin infusion. The client now has tarry, black diarrhea
and reports abdominal pain. Which actions should the nurse
implement? (Select all that apply) - ANSWER >>> • Monitor stools for
presence of blood
• Auscultate bowel sounds in all quadrants
• Review last partial thromboplastin time results.
Which laboratory results should the nurse closely monitor in a client
who has end-stage renal disease (ESRD)? - ANSWER >>> • Serum
potassium, calcium, and phosphorus.
A mal client who was in a motor vehicle collision yesterday is receiving
a unit of packed red blood cells. When half of the unit is infused, the
, client reports lower back pain, and the nurse observes a fine rash over
his chest and back. Which intervention should the nurse implement? -
ANSWER >>> Replace the transfusion with normal saline
When developing a teaching plan for a client with newly diagnosed
Type 1 diabetes, the nurse should explain that an increased thirst is
an early sign of diabetic ketoacidosis (DKA). Which action should the
nurse instruct the client to implement if this sign of DKA occurs? -
ANSWER >>> Give a dose of regular insulin as prescribed
Which information is most important to include in the teaching plan for
a client who is discharged after a thyroidectomy for Grave's disease? -
ANSWER >>> Daily hormone replacement will be needed for the rest
of the client's life.
The nurse is planning discharge instructions for a client with type 2
diabetes who will be starting exenatide. Which information should be
included in the discharge instructions? - ANSWER >>> Notify your
healthcare provider if you start having abdominal pain.
Which breakfast selection should he nurse recommend for a 16-year-
old with diarrhea? - ANSWER >>> Oatmeal, banana, and herbal tea.
The nurse is preparing to administer 1.6 mL of medication
intramuscularly to a 4-month-old infant. Which action should the nurse
include? - ANSWER >>> Divide the medication into two injections with
volumes under 1 mL.
A school-aged child with chronic renal failure receives a prescription
from the healthcare provider for losartan. Which action should the
nurse implement prior to administering the medication? - ANSWER
>>> Evaluate the ability to swallow medication.
An adolescent client on a drug treatment unit becomes angry and
pulls the refrigerator from the wall and then throws the microwave.
After the client fails to respond to the redirection, the healthcare
provider prescribes restraints. Which assessment should the nurse
