HESI exit exam questions and verified
multiple choice answers|graded A+
success guaranteed.
While assessing a radial artery catheter, the client complains of
numbness and pain distal to the insertion site. What interventions
should the nurse implement?
a. Determine of aspirin was given prior to radial artery catheter
insertion.
b. Promptly remove the arterial catheter from the radial artery.
c. Irrigate the arterial line using a syringe with sterile saline
d. Administer a PRN analgesic and assess numbness in 30 mints -
answ✔✔b. Promptly remove the arterial catheter from the radial
artery.
A client is admitted with an epidural hematoma that resulted from a
skateboarding accident. To differentiate the vascular source of the
intracranial bleeding, which finding should the nurse monitor?
a. Slow increasing intracranial pressure (ICP)
b. Decerebrate posturing
c. Rapid onset of decreased level of consciousness.
d. Coup contrecoup signs - answ✔✔c. Rapid onset of decreased level of
consciousness.
,The nurse finds a client at 33 weeks gestation in cardiac arrest. What
adaptation to cardiopulmonary resuscitation (CPR) should the nurse
implement?
a. Apply oxygen by mask after opening the airway
b. Position a firm wedge to support pelvis and thorax at 30-degree tilt.
c. Give continuous compression with a ventilation ratio at 20:3
d. Apply less compression force to reduce aspiration - answ✔✔b.
Position a firm wedge to support pelvis and thorax at 30-degree tilt.
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. Her Papanicolau (Pap) smear results are
negative. What information should the nurse include in the client's
teaching plan
a. Further evaluation involving surgery may be needed
b. A pelvic exam is also needed before cancer is ruled out
c. Pap smear evaluation should be continued every six month
d. One additional negative pap smear in six months is needed. -
answ✔✔a. Further evaluation involving surgery may be needed
A client who recently underwent a tracheostomy is being prepared for
discharge to home. Which instructions is most important for the nurse
to include in the discharge plan?
a. Explain how to use communication tools.
b. Teach tracheal suctioning techniques
,c. Encourage self-care and independence.
d. Demonstrate how to clean tracheostomy site. - answ✔✔b. 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
a. Encourage the client to take deep breaths
b. Remove the mask to deflate the bag
c. Increase the liter flow of oxygen
d. Document the assessment data - answ✔✔d. Document the
assessment data
During shift report, the central electrocardiogram (EKG) monitoring
system alarms. Which client alarm should the nurse investigate first?
a. Respiratory apnea of 30 seconds
b. Oxygen saturation rate of 88%
c. Eight premature ventricular beats every minute
d. Disconnected monitor signal for the last 6 minutes. - answ✔✔a.
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?
, a. Give the client 4 ounces of orange juice
b. Call 911 to summon emergency assistance
c. Check the client for lacerations or fractures
d. Asses clients blood sugar level - answ✔✔c. 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 to avoid getting a headache. Which
action should the nurse take first?
a. Ensure preoperative lab results are available
b. Start prescribed IV with lactated Ringer's
c. Inform the anesthesia care provider
d. Contact the client's obstetrician. - answ✔✔c. 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 nurse take first
a. Side the stethoscope across the sternum.
b. Move the stethoscope to the mitral site
c. Listen with the bell at the same location
multiple choice answers|graded A+
success guaranteed.
While assessing a radial artery catheter, the client complains of
numbness and pain distal to the insertion site. What interventions
should the nurse implement?
a. Determine of aspirin was given prior to radial artery catheter
insertion.
b. Promptly remove the arterial catheter from the radial artery.
c. Irrigate the arterial line using a syringe with sterile saline
d. Administer a PRN analgesic and assess numbness in 30 mints -
answ✔✔b. Promptly remove the arterial catheter from the radial
artery.
A client is admitted with an epidural hematoma that resulted from a
skateboarding accident. To differentiate the vascular source of the
intracranial bleeding, which finding should the nurse monitor?
a. Slow increasing intracranial pressure (ICP)
b. Decerebrate posturing
c. Rapid onset of decreased level of consciousness.
d. Coup contrecoup signs - answ✔✔c. Rapid onset of decreased level of
consciousness.
,The nurse finds a client at 33 weeks gestation in cardiac arrest. What
adaptation to cardiopulmonary resuscitation (CPR) should the nurse
implement?
a. Apply oxygen by mask after opening the airway
b. Position a firm wedge to support pelvis and thorax at 30-degree tilt.
c. Give continuous compression with a ventilation ratio at 20:3
d. Apply less compression force to reduce aspiration - answ✔✔b.
Position a firm wedge to support pelvis and thorax at 30-degree tilt.
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. Her Papanicolau (Pap) smear results are
negative. What information should the nurse include in the client's
teaching plan
a. Further evaluation involving surgery may be needed
b. A pelvic exam is also needed before cancer is ruled out
c. Pap smear evaluation should be continued every six month
d. One additional negative pap smear in six months is needed. -
answ✔✔a. Further evaluation involving surgery may be needed
A client who recently underwent a tracheostomy is being prepared for
discharge to home. Which instructions is most important for the nurse
to include in the discharge plan?
a. Explain how to use communication tools.
b. Teach tracheal suctioning techniques
,c. Encourage self-care and independence.
d. Demonstrate how to clean tracheostomy site. - answ✔✔b. 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
a. Encourage the client to take deep breaths
b. Remove the mask to deflate the bag
c. Increase the liter flow of oxygen
d. Document the assessment data - answ✔✔d. Document the
assessment data
During shift report, the central electrocardiogram (EKG) monitoring
system alarms. Which client alarm should the nurse investigate first?
a. Respiratory apnea of 30 seconds
b. Oxygen saturation rate of 88%
c. Eight premature ventricular beats every minute
d. Disconnected monitor signal for the last 6 minutes. - answ✔✔a.
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?
, a. Give the client 4 ounces of orange juice
b. Call 911 to summon emergency assistance
c. Check the client for lacerations or fractures
d. Asses clients blood sugar level - answ✔✔c. 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 to avoid getting a headache. Which
action should the nurse take first?
a. Ensure preoperative lab results are available
b. Start prescribed IV with lactated Ringer's
c. Inform the anesthesia care provider
d. Contact the client's obstetrician. - answ✔✔c. 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 nurse take first
a. Side the stethoscope across the sternum.
b. Move the stethoscope to the mitral site
c. Listen with the bell at the same location
