SPRING 2023 HESI EXIT QUESTIONS
AND ANSWERS
Theanurseaisaprovidingateachingatoaaaclientawithatypea2adiabetesamellitusaaboutaimportanta
pointsaforadiseaseaandasymptomamanagement.aWhichastatementabyatheaclientaindicatesau
nderstanding?
AaUsingasalt,aherbs,aandaspicesawillaimproveatheaflavoraofafoods.
BaGetaanaeyeaexaminationawithaanaophthalmologistaannually.
CaArrangeadietascheduleaaroundathreearegularamealsaaaday.
DaInspectafeetaeveryamonthaforaingrownanails,acuts,aandacalluses.a-aans--
BaGetaanaeyeaexaminationawithaanaophthalmologistaannually.
Theanurseaisaprovidingaeducationatoaaaclientawhoaexperiencesarecurrentalevelsaofamoderat
eaanxietyatoasituationsaandaperceivedastress.aInaadditionatoainformationaaboutaprescribeda
medicationaandaadministration,awhichainstructionashouldatheanurseaincludeainatheateachin
g?
AaCenteraattentionaonapositiveaupbeatamusic.
BaFindaoutletsaforamoreasocialainteraction.
CaPracticeausingamusclearelaxationatechniques.
DaThinkaaboutareasonsatheaepisodesaoccur.a-aans--
CaPracticeausingamusclearelaxationatechniques.
Theachargeanurseaisaplanningaforatheashiftaandahasaaaregisteredanursea(RN)aandaaapractic
alanursea(PN)aonatheateam.aWhichaclientashouldatheachargeanurseaassignatoatheaRN?
AaAa75-year-oldaclientawitharenalacalculiawhoarequiresaurineastraining.
BaAa64-year-oldaclientawhoahadaaatotalahipareplacementatheapreviousaday.
CaAa30-year-oldadepressedaclientawhoaadmitsatoasuicideaideation.
DaAnaadolescentawithamultipleacontusionsadueatoaaafallathataoccurreda2adaysaago.a-aans--
CaAa30-year-oldadepressedaclientawhoaadmitsatoasuicideaideation.
Aaclientawithapancreatitisacomplainsaofasevereaepigastricapain,asoatheanurseaadministersaa
aprescribedanarcoticaanalgesic.aTenaminutesalater,atheaclientainsistsaonasittingaupaandalean
ingaforward.aWhichainterventionashouldatheanurseaimplement?
,AaRaiseaheadaofabedauntilatoaaa90adegreeaangle.
BaPositionabedsideatableasoatheaclientacanaleanaacrossait.
CaPlaceabedainaaareverseatrendelenburgaposition.
DaEncouragearestauntilatheaanalgesicabecomesaeffective.a-aans--
BaPositionabedsideatableasoatheaclientacanaleanaacrossait.
Theanurseaisacaringaforaaaclientawhoaarrivesatoatheaemergencyadepartmentawithareportsaofa
experiencingadizzinessaandadifficultyawalkingatoatheabathroom.aTheanurseaobservesaright-
sidedaweaknessaandasluggishaenunciationaofaspeech.aTheanurseashouldaimmediatelyatak
eawhichaaction?
AaMaintainaelevatedapositioningaofatheadependentajointsaonaaffectedaside.
BaKeepatheabedainathealowestapositionaandainitiateaseizureaandafallaprecautions.
CaPlaceaanaindwellingaurinaryacatheteraandameasureastrictaintakeaandaoutput.
DaStartatwoalargeaboreaIVacathetersaandareviewainclusionacriteriaaforaIVafibrinolyticatherapy
.a-aans--
DaStartatwoalargeaboreaIVacathetersaandareviewainclusionacriteriaaforaIVafibrinolyticatherapy
.
Aamaleaclientawithaaabrainatumoraisascheduledaforaaabiopsyainatheamorning.aDuringatheaad
missionaprocedure,atheaclientahasaaatonic-
clonicaseizureathatalastsa50aseconds.aFollowingatheaseizure,atheaclientaisalethargicaandaco
nfusedaandahisawifeatellsatheanurseathataherahusbandahasaneverahadaaaseizureabeforeaand
ahasaalwaysabeenaalertaandacommunicative.aWhichaactionashouldatheanurseatake?
AaAskatheawifeatoawaitaoutsideathearoomauntilatheanurseacanatalkawithaher.
BaKeepaorientingatheaclientatoatimeaandaspaceauntilaheaisalessaconfused.
CaNotifyatheaemergencyaresponseateamaofatheaclient'saseizure.
DaExplainatheapostictalastateathatausuallyafollowsaseizures.a-aans--
DaExplainatheapostictalastateathatausuallyafollowsaseizures.
Theanurseaisaprovidingalifestyleachangeaeducationaforaaaclientatoaslowatheaprogressionaofac
oronaryaarteryadisease.aWhichastatement(s)madeabyatheaclientashouldatheanursearecogniz
eaasaneedingaadditionalaeducation?a(Selectaallathataapply.)
AaKeepaaafoodadiary.
BaEatamoreacannedavegetables.
CaConsumeafoodsawithasaturatedafats.
DaWalka30aminutesaperaday.
EaIncludeaoatmealaforabreakfast.
FaUseaaasaltasubstitute.a-aans--BaEatamoreacannedavegetables.
CaConsumeafoodsawithasaturatedafats.
Whileacaringaforaaatoddlerareceivingaoxygenaviaafaceamask,atheanurseaobservesathatatheac
hild'salipsaandanaresaareadryaandacracked.aWhichainterventionashouldatheanurseaimplemen
t?
, AaUseaaawaterasolublealubricantaonaaffectedaoralaandanasalamucosa.
BaUseaaatopicalalidocaineaanalgesicaforacrackedalips.
CaAskatheamotherawhatasheausuallyausesaonatheachild'salipsaandanose.
DaApplyaaapetroleumajellyatoatheachild'sanoseaandalips.a-aans--
AaUseaaawaterasolublealubricantaonaaffectedaoralaandanasalamucosa.
Whenaassessingaaamultigravidaaonatheafirstapostpartumaday,atheanurseafindsaaamoderatea
amountaofalochiaarubra,awithatheauterusafirm,aandathreeafingerbreadthsaaboveatheaumbilic
us.aWhataactionashouldatheanurseaimplementafirst?
AaIncreaseaintravenousainfusion.
BaMassageatheauterusatoadecreaseaatony.
CaReviewatheahemoglobinatoadetermineahemorrhage.
DaCheckaforaaadistendedabladder.a-aans--DaCheckaforaaadistendedabladder.
Theanurseaisacaringaforaaaclientaonatheafirstadayapostoperativeaforaaadescendingaaorticaane
urysmarepair.aWhichaassessmentafindingashouldatheanurseaprioritizeareportingatoatheahealt
hcareaprovider?
ReferenceaRange
Potassiuma(ReferenceaRange:a3.5atoa5amEq/La(3.5atoa5ammol/L)]
AaSerumapotassiuma4.8amEg/La(4.8ammol/L).
BaElectrocardiogramaSTasegmentaelevation.
CaUrineaoutputa30amL/hour.
DaBloodapressurea130/80.a-aans--BaElectrocardiogramaSTasegmentaelevation.
Theahealthcareaprovideraprescribesaaalow-
fiberadietaforaaaclientawithaulcerativeacolitis.aWhichafoodaselectionaindicateatoatheanurseatha
tathe
clientaunderstandatheaprescribedadiet?
AaRoastapork,afreshastrawberries.
BaBakedapotatoawithaskin,arawacarrots.
CaRoastedaturkey,acannedavegetables.
DaPancakes,awhole-grainacereals.a-aans--CaRoastedaturkey,acannedavegetables.
Theapsychiatricanurseaisacaringaforaclientsainaanaadolescentaunit.aWhichaclientarequiresath
eanurse'saimmediateaattention?
AaAna18-year-oldaclientawithaantisocialabehaviorawhoaisabeingayelledaatabyaotheraclients.
BaAa17-year-oldaclientadiagnosedawithabipolaradisorderawhoaisapacingaaroundathealobby.
CaAa16-year-
oldaclientadiagnosedawithamajoradepressionawhoarefusesatoaparticipateainaaagroup.
AND ANSWERS
Theanurseaisaprovidingateachingatoaaaclientawithatypea2adiabetesamellitusaaboutaimportanta
pointsaforadiseaseaandasymptomamanagement.aWhichastatementabyatheaclientaindicatesau
nderstanding?
AaUsingasalt,aherbs,aandaspicesawillaimproveatheaflavoraofafoods.
BaGetaanaeyeaexaminationawithaanaophthalmologistaannually.
CaArrangeadietascheduleaaroundathreearegularamealsaaaday.
DaInspectafeetaeveryamonthaforaingrownanails,acuts,aandacalluses.a-aans--
BaGetaanaeyeaexaminationawithaanaophthalmologistaannually.
Theanurseaisaprovidingaeducationatoaaaclientawhoaexperiencesarecurrentalevelsaofamoderat
eaanxietyatoasituationsaandaperceivedastress.aInaadditionatoainformationaaboutaprescribeda
medicationaandaadministration,awhichainstructionashouldatheanurseaincludeainatheateachin
g?
AaCenteraattentionaonapositiveaupbeatamusic.
BaFindaoutletsaforamoreasocialainteraction.
CaPracticeausingamusclearelaxationatechniques.
DaThinkaaboutareasonsatheaepisodesaoccur.a-aans--
CaPracticeausingamusclearelaxationatechniques.
Theachargeanurseaisaplanningaforatheashiftaandahasaaaregisteredanursea(RN)aandaaapractic
alanursea(PN)aonatheateam.aWhichaclientashouldatheachargeanurseaassignatoatheaRN?
AaAa75-year-oldaclientawitharenalacalculiawhoarequiresaurineastraining.
BaAa64-year-oldaclientawhoahadaaatotalahipareplacementatheapreviousaday.
CaAa30-year-oldadepressedaclientawhoaadmitsatoasuicideaideation.
DaAnaadolescentawithamultipleacontusionsadueatoaaafallathataoccurreda2adaysaago.a-aans--
CaAa30-year-oldadepressedaclientawhoaadmitsatoasuicideaideation.
Aaclientawithapancreatitisacomplainsaofasevereaepigastricapain,asoatheanurseaadministersaa
aprescribedanarcoticaanalgesic.aTenaminutesalater,atheaclientainsistsaonasittingaupaandalean
ingaforward.aWhichainterventionashouldatheanurseaimplement?
,AaRaiseaheadaofabedauntilatoaaa90adegreeaangle.
BaPositionabedsideatableasoatheaclientacanaleanaacrossait.
CaPlaceabedainaaareverseatrendelenburgaposition.
DaEncouragearestauntilatheaanalgesicabecomesaeffective.a-aans--
BaPositionabedsideatableasoatheaclientacanaleanaacrossait.
Theanurseaisacaringaforaaaclientawhoaarrivesatoatheaemergencyadepartmentawithareportsaofa
experiencingadizzinessaandadifficultyawalkingatoatheabathroom.aTheanurseaobservesaright-
sidedaweaknessaandasluggishaenunciationaofaspeech.aTheanurseashouldaimmediatelyatak
eawhichaaction?
AaMaintainaelevatedapositioningaofatheadependentajointsaonaaffectedaside.
BaKeepatheabedainathealowestapositionaandainitiateaseizureaandafallaprecautions.
CaPlaceaanaindwellingaurinaryacatheteraandameasureastrictaintakeaandaoutput.
DaStartatwoalargeaboreaIVacathetersaandareviewainclusionacriteriaaforaIVafibrinolyticatherapy
.a-aans--
DaStartatwoalargeaboreaIVacathetersaandareviewainclusionacriteriaaforaIVafibrinolyticatherapy
.
Aamaleaclientawithaaabrainatumoraisascheduledaforaaabiopsyainatheamorning.aDuringatheaad
missionaprocedure,atheaclientahasaaatonic-
clonicaseizureathatalastsa50aseconds.aFollowingatheaseizure,atheaclientaisalethargicaandaco
nfusedaandahisawifeatellsatheanurseathataherahusbandahasaneverahadaaaseizureabeforeaand
ahasaalwaysabeenaalertaandacommunicative.aWhichaactionashouldatheanurseatake?
AaAskatheawifeatoawaitaoutsideathearoomauntilatheanurseacanatalkawithaher.
BaKeepaorientingatheaclientatoatimeaandaspaceauntilaheaisalessaconfused.
CaNotifyatheaemergencyaresponseateamaofatheaclient'saseizure.
DaExplainatheapostictalastateathatausuallyafollowsaseizures.a-aans--
DaExplainatheapostictalastateathatausuallyafollowsaseizures.
Theanurseaisaprovidingalifestyleachangeaeducationaforaaaclientatoaslowatheaprogressionaofac
oronaryaarteryadisease.aWhichastatement(s)madeabyatheaclientashouldatheanursearecogniz
eaasaneedingaadditionalaeducation?a(Selectaallathataapply.)
AaKeepaaafoodadiary.
BaEatamoreacannedavegetables.
CaConsumeafoodsawithasaturatedafats.
DaWalka30aminutesaperaday.
EaIncludeaoatmealaforabreakfast.
FaUseaaasaltasubstitute.a-aans--BaEatamoreacannedavegetables.
CaConsumeafoodsawithasaturatedafats.
Whileacaringaforaaatoddlerareceivingaoxygenaviaafaceamask,atheanurseaobservesathatatheac
hild'salipsaandanaresaareadryaandacracked.aWhichainterventionashouldatheanurseaimplemen
t?
, AaUseaaawaterasolublealubricantaonaaffectedaoralaandanasalamucosa.
BaUseaaatopicalalidocaineaanalgesicaforacrackedalips.
CaAskatheamotherawhatasheausuallyausesaonatheachild'salipsaandanose.
DaApplyaaapetroleumajellyatoatheachild'sanoseaandalips.a-aans--
AaUseaaawaterasolublealubricantaonaaffectedaoralaandanasalamucosa.
Whenaassessingaaamultigravidaaonatheafirstapostpartumaday,atheanurseafindsaaamoderatea
amountaofalochiaarubra,awithatheauterusafirm,aandathreeafingerbreadthsaaboveatheaumbilic
us.aWhataactionashouldatheanurseaimplementafirst?
AaIncreaseaintravenousainfusion.
BaMassageatheauterusatoadecreaseaatony.
CaReviewatheahemoglobinatoadetermineahemorrhage.
DaCheckaforaaadistendedabladder.a-aans--DaCheckaforaaadistendedabladder.
Theanurseaisacaringaforaaaclientaonatheafirstadayapostoperativeaforaaadescendingaaorticaane
urysmarepair.aWhichaassessmentafindingashouldatheanurseaprioritizeareportingatoatheahealt
hcareaprovider?
ReferenceaRange
Potassiuma(ReferenceaRange:a3.5atoa5amEq/La(3.5atoa5ammol/L)]
AaSerumapotassiuma4.8amEg/La(4.8ammol/L).
BaElectrocardiogramaSTasegmentaelevation.
CaUrineaoutputa30amL/hour.
DaBloodapressurea130/80.a-aans--BaElectrocardiogramaSTasegmentaelevation.
Theahealthcareaprovideraprescribesaaalow-
fiberadietaforaaaclientawithaulcerativeacolitis.aWhichafoodaselectionaindicateatoatheanurseatha
tathe
clientaunderstandatheaprescribedadiet?
AaRoastapork,afreshastrawberries.
BaBakedapotatoawithaskin,arawacarrots.
CaRoastedaturkey,acannedavegetables.
DaPancakes,awhole-grainacereals.a-aans--CaRoastedaturkey,acannedavegetables.
Theapsychiatricanurseaisacaringaforaclientsainaanaadolescentaunit.aWhichaclientarequiresath
eanurse'saimmediateaattention?
AaAna18-year-oldaclientawithaantisocialabehaviorawhoaisabeingayelledaatabyaotheraclients.
BaAa17-year-oldaclientadiagnosedawithabipolaradisorderawhoaisapacingaaroundathealobby.
CaAa16-year-
oldaclientadiagnosedawithamajoradepressionawhoarefusesatoaparticipateainaaagroup.
