HESI Comprehensive Exit Exam Answered A+
Solution 2024
1. A 2-year-old child has just been diagnosed with cystic fibrosis. The child's
father asks the nurse "What is our major concern now, and what will we have
to deal with in the future?" Which of the following is the best response?
A) "There is a probability of life-long complications."
B) "Cystic fibrosis results in nutritional concerns that can be dealt with."
C) "Thin, tenacious secretions from the lungs are a constant struggle in cystic
fibrosis."
D) "You will work with a team of experts and also have access to a support
group that the family can attend
2.A 20 year-old client has an infected leg wound from a motorcycle accident,
and the client has returned home from the hospital. The client is to keep the
affected leg elevated and is on contact precautions. The client wants to know
if visitors can come. The appropriate response from the home health nurse is
that:
A) Visitors must wear a mask and a gown
B) There are no special requirements for visitors of clients on contact
precautions
C) Visitors should wash their hands before and after touching the client
D) Visitors
3. A 26-year-old female client is admitted to the hospital for treatment of a
simple goiter, and levothyroxine sodium (Synthroid) is prescribed. Which
symptoms indicate to the nurse that the prescribed dosage is too high for
this client? The client experiences:
,A. Bradycardia and constipation
B. Lethargy and lack of appetite
C. Muscle cramping and dry, flushed skin
D. Palpitations and shortness of breath
4.A 30-month-old child is admitted to the hospital unit. Which of the
following toys would be appropriate for the nurse to select from the toy room
for this child?
A) Cartoon stickers
B) Large wooden puzzle
C) Blunt scissors and paper
D) Beach ball
5. A 35 year-old client with sickle cell crisis is talking on the telephone but
stops as the nurse enters the room to request something for pain. The nurse
should
A) Administer a placebo
B) Encourage increased fluid intake
C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control
6. A 38 year-old female client is admitted to the hospital with an acute
exacerbation of asthma. This is her third admission for asthma in 7 months.
She describes how she doesn't really like having to use her medications all
the time. Which explanation by the nurse best describes the long-term
consequence of uncontrolled airway inflammation?
A) Degeneration of the alveoli
B) Chronic broncho constriction of the large airways
C) Lung remodeling and permanent changes in lung function
,D) Frequent pneumonia
7. A 60-year-old male client had a hernia repair in an outpatient surgery
clinic. He is awake and alert but has not been able to void since he returned
from surgery 6 hours ago. He received 1000 mL of IV fluid. Which action
would be most likely to help him avoid?
A) Have him drink several glasses of water
B) Crede' the bladder from the bottom to the top
C) Assist him to stand by the side of the bed to void
D) Wait 2 hours and have him try to void again
8. A 65-year-old Hispanic-Latino client with prostate cancer rates his pain as
a 6 on a 0- to-10 scale. The client refuses all pain medication other than
Motrin, which does not relieve his pain. The next action for the nurse to take
is to
A) Ask the client about the refusal of certain pain medications
B) Talk with the client's family about the situation
C) Report the situation to the health care provider
D) Document the situation in the notes
9. A child is admitted to the pediatric unit with a diagnosis of suspected
meningococcal meningitis. Which admission orders should the nurse do first?
A) Institute seizure precautions
B) Monitor neurologic status every hour
C) Place in respiratory/secretion precautions
D) Cefotaxime IV 50 mg/kg/day divided q6h
9. A client asks the nurse to call the police and states: "I need to report that I
am being abused by a nurse." The nurse should first
, A) Focus on reality orientation to place and person
B) Assist with the report of the client's complaint to the police
C) Obtain more details of the client's claim of abuse
D) Document the statement on the client's chart with a report to the
manager
10. A client develops volume overload from an IV that has infused too
rapidly. What assessment would the nurse expect to find?
A) S3 heart sound
B) Thready pulse
C) Flattened neck veins
D) Hypoventilation
11. A client frequently admitted to the locked psychiatric unit repeatedly
compliments and invites one of the nurses to go out on a date. The nurse's
response should be to
A) Ask to not be assigned to this client or to work on another unit
B) Tell the client that such behavior is inappropriate
C) Inform the client that hospital policy prohibits staff to date clients
D) Discuss the boundaries of the therapeutic relationship with the client
12. A client has been receiving lithium (Li thane) for the past two weeks for
the treatment of bipolar illness. When planning client teaching, what is most
important to emphasize to the client?
A) Maintain a low sodium diet
B) Take a diuretic with lithium
C) Come in for evaluation of serum lithium levels every 1-3 months
D) Have blood lithium levels drawn during the summer months
Solution 2024
1. A 2-year-old child has just been diagnosed with cystic fibrosis. The child's
father asks the nurse "What is our major concern now, and what will we have
to deal with in the future?" Which of the following is the best response?
A) "There is a probability of life-long complications."
B) "Cystic fibrosis results in nutritional concerns that can be dealt with."
C) "Thin, tenacious secretions from the lungs are a constant struggle in cystic
fibrosis."
D) "You will work with a team of experts and also have access to a support
group that the family can attend
2.A 20 year-old client has an infected leg wound from a motorcycle accident,
and the client has returned home from the hospital. The client is to keep the
affected leg elevated and is on contact precautions. The client wants to know
if visitors can come. The appropriate response from the home health nurse is
that:
A) Visitors must wear a mask and a gown
B) There are no special requirements for visitors of clients on contact
precautions
C) Visitors should wash their hands before and after touching the client
D) Visitors
3. A 26-year-old female client is admitted to the hospital for treatment of a
simple goiter, and levothyroxine sodium (Synthroid) is prescribed. Which
symptoms indicate to the nurse that the prescribed dosage is too high for
this client? The client experiences:
,A. Bradycardia and constipation
B. Lethargy and lack of appetite
C. Muscle cramping and dry, flushed skin
D. Palpitations and shortness of breath
4.A 30-month-old child is admitted to the hospital unit. Which of the
following toys would be appropriate for the nurse to select from the toy room
for this child?
A) Cartoon stickers
B) Large wooden puzzle
C) Blunt scissors and paper
D) Beach ball
5. A 35 year-old client with sickle cell crisis is talking on the telephone but
stops as the nurse enters the room to request something for pain. The nurse
should
A) Administer a placebo
B) Encourage increased fluid intake
C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control
6. A 38 year-old female client is admitted to the hospital with an acute
exacerbation of asthma. This is her third admission for asthma in 7 months.
She describes how she doesn't really like having to use her medications all
the time. Which explanation by the nurse best describes the long-term
consequence of uncontrolled airway inflammation?
A) Degeneration of the alveoli
B) Chronic broncho constriction of the large airways
C) Lung remodeling and permanent changes in lung function
,D) Frequent pneumonia
7. A 60-year-old male client had a hernia repair in an outpatient surgery
clinic. He is awake and alert but has not been able to void since he returned
from surgery 6 hours ago. He received 1000 mL of IV fluid. Which action
would be most likely to help him avoid?
A) Have him drink several glasses of water
B) Crede' the bladder from the bottom to the top
C) Assist him to stand by the side of the bed to void
D) Wait 2 hours and have him try to void again
8. A 65-year-old Hispanic-Latino client with prostate cancer rates his pain as
a 6 on a 0- to-10 scale. The client refuses all pain medication other than
Motrin, which does not relieve his pain. The next action for the nurse to take
is to
A) Ask the client about the refusal of certain pain medications
B) Talk with the client's family about the situation
C) Report the situation to the health care provider
D) Document the situation in the notes
9. A child is admitted to the pediatric unit with a diagnosis of suspected
meningococcal meningitis. Which admission orders should the nurse do first?
A) Institute seizure precautions
B) Monitor neurologic status every hour
C) Place in respiratory/secretion precautions
D) Cefotaxime IV 50 mg/kg/day divided q6h
9. A client asks the nurse to call the police and states: "I need to report that I
am being abused by a nurse." The nurse should first
, A) Focus on reality orientation to place and person
B) Assist with the report of the client's complaint to the police
C) Obtain more details of the client's claim of abuse
D) Document the statement on the client's chart with a report to the
manager
10. A client develops volume overload from an IV that has infused too
rapidly. What assessment would the nurse expect to find?
A) S3 heart sound
B) Thready pulse
C) Flattened neck veins
D) Hypoventilation
11. A client frequently admitted to the locked psychiatric unit repeatedly
compliments and invites one of the nurses to go out on a date. The nurse's
response should be to
A) Ask to not be assigned to this client or to work on another unit
B) Tell the client that such behavior is inappropriate
C) Inform the client that hospital policy prohibits staff to date clients
D) Discuss the boundaries of the therapeutic relationship with the client
12. A client has been receiving lithium (Li thane) for the past two weeks for
the treatment of bipolar illness. When planning client teaching, what is most
important to emphasize to the client?
A) Maintain a low sodium diet
B) Take a diuretic with lithium
C) Come in for evaluation of serum lithium levels every 1-3 months
D) Have blood lithium levels drawn during the summer months
