HESI EXIT EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+|| BRAND NEW!!
Following discharge teaching, a male client with duodenal ulcer tells the nurse he
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 and
cream
A male client with hypertension, who received new antihypertensive prescriptions
at his last visit returns to the clinic two weeks later to evaluate his blood pressure
(BP). HisBP is 158/106 and he admits that he has not been taking the prescribed
medicationbecause 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 softpillows 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 of
pillows.
,An adolescent with major depressive disorder has been taking duloxetine
(Cymbalta) for the past 12 days. Which assessment finding requires immediate
follow-up?(ANS- Describes life without purpose
A 60-year-old female client with a positive family history of ovarian cancer has
developed an abdominal mass and is being evaluated for possible ovarian cancer.
HerPapanicolau (Pap) smear results are negative. What information should the
nurse include in theclient's teaching plan?
(ANS- Further evaluation involving surgery may be needed
A client who recently underwear a tracheostomy is being prepared for discharge to
home. Which instructions is most important for the nurse to include 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's
respiratory rate is 14 breaths / minute. What action should the nurse implement?
(ANS- Document the assessment data — Rational: reservoir bag should notdeflate
completely during inspiration and the client'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 diabetes slip and fall.
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 she
wanted toavoid 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 S1 and S2
heart sounds. To determine if an S3 heart sound is present, what action should the
nursetake first?
(ANS- Listen with the bell at the same location
A 66-year-old woman is retiring and will no longer have a health insurancethrough
her place
of employment. Which agency should the client be referred to by the employee
health nurse
for health insurance needs?(ANS- Medicare
A client who is taking an oral dose of a tetracycline complains of gastrointestinal
upset. What
snack should the nurse instruct the client to take with the tetracycline? (ANS-
Toasted wheat bread and jelly
Following a lumbar puncture, a client voices several complaints. What complaint
indicated to
, the nurse that the client is experiencing a complication? (ANS- "I have a headache
that gets worse when I sit up"
An elderly client seems confused and reports the onset of nausea, dysuria, and
urgency with
incontinence. Which action should the nurse implement? (ANS- Obtain a clean
catch mid-stream specimen
The nurse is assisting the mother of a child with phenylketonuria (PKU) to select
foods that
are in keeping with the child's dietary restrictions. Which foods are contraindicated
for this
child?
(ANS- Foods sweetened with aspartame
Before preparing a client for the first surgical case of the day, a part-time scrub
nurse asks the
circulating nurse if a 3 minute surgical hand scrub is adequate preparation for this
client.
Which response should the circulating nurse provide?
(ANS- Direct the nurse to continue the surgical hand scrub for a 5 minute duration
Which breakfast selection indicates that the client understands the nurse's
instructions about
the dietary management of osteoporosis?(ANS- Bagel with jelly and skim milk
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+|| BRAND NEW!!
Following discharge teaching, a male client with duodenal ulcer tells the nurse he
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 and
cream
A male client with hypertension, who received new antihypertensive prescriptions
at his last visit returns to the clinic two weeks later to evaluate his blood pressure
(BP). HisBP is 158/106 and he admits that he has not been taking the prescribed
medicationbecause 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 softpillows 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 of
pillows.
,An adolescent with major depressive disorder has been taking duloxetine
(Cymbalta) for the past 12 days. Which assessment finding requires immediate
follow-up?(ANS- Describes life without purpose
A 60-year-old female client with a positive family history of ovarian cancer has
developed an abdominal mass and is being evaluated for possible ovarian cancer.
HerPapanicolau (Pap) smear results are negative. What information should the
nurse include in theclient's teaching plan?
(ANS- Further evaluation involving surgery may be needed
A client who recently underwear a tracheostomy is being prepared for discharge to
home. Which instructions is most important for the nurse to include 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's
respiratory rate is 14 breaths / minute. What action should the nurse implement?
(ANS- Document the assessment data — Rational: reservoir bag should notdeflate
completely during inspiration and the client'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 diabetes slip and fall.
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 she
wanted toavoid 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 S1 and S2
heart sounds. To determine if an S3 heart sound is present, what action should the
nursetake first?
(ANS- Listen with the bell at the same location
A 66-year-old woman is retiring and will no longer have a health insurancethrough
her place
of employment. Which agency should the client be referred to by the employee
health nurse
for health insurance needs?(ANS- Medicare
A client who is taking an oral dose of a tetracycline complains of gastrointestinal
upset. What
snack should the nurse instruct the client to take with the tetracycline? (ANS-
Toasted wheat bread and jelly
Following a lumbar puncture, a client voices several complaints. What complaint
indicated to
, the nurse that the client is experiencing a complication? (ANS- "I have a headache
that gets worse when I sit up"
An elderly client seems confused and reports the onset of nausea, dysuria, and
urgency with
incontinence. Which action should the nurse implement? (ANS- Obtain a clean
catch mid-stream specimen
The nurse is assisting the mother of a child with phenylketonuria (PKU) to select
foods that
are in keeping with the child's dietary restrictions. Which foods are contraindicated
for this
child?
(ANS- Foods sweetened with aspartame
Before preparing a client for the first surgical case of the day, a part-time scrub
nurse asks the
circulating nurse if a 3 minute surgical hand scrub is adequate preparation for this
client.
Which response should the circulating nurse provide?
(ANS- Direct the nurse to continue the surgical hand scrub for a 5 minute duration
Which breakfast selection indicates that the client understands the nurse's
instructions about
the dietary management of osteoporosis?(ANS- Bagel with jelly and skim milk
