1
HESI EXIT EXAM
HESI NURSING EXIT EXAM SET OF QUESTIONS AND CORRECT
ANSWERS ALREADY GRADED A+ GUARANTEED PASS
A pt who has hyperparathyroidism is scheduled to receive a prescribed dose of oral phosphate.
The RN notes that the pt's serum calcium level is 12.5 mg/dL. What action should the nurse
take?
Administer the dose of oral phosphate (to counter the hypercalcemia)
The nurse is caring for a pt 24 hours post-procedure for a Hemi-colectomy with a temporary
colostomy placement. The nurse assesses the pt's stoma, which is dry & dark blue. What action
should the nurse take based on this finding?
With possible necrosis occurring at the stoma site, the nurse should contact the pt's HCP
A nurse auscultates the abdomen of a pt who is 48 hours Post-op & finds hypoactive BS. The pt
states he is nauseous. The nurse knows the pt might be experiencing a ____________________
_____________
paralytic ileus
In the pt's Pre-op interview & assessment, what would the nurse be most concerned with?
+pt did not adhere to NPO orders
+pt took his OTCs that morning which included ASA and Vitamin E
+pt did not sign the surgical consent form
+pt does not know his allergies
A 60-yo pt who has a Hx of HTN, HF, and sleep apnea is admitted to the acute care unit. Which
findings would relate most directly to a diagnosis of acute decompensated HF?
Orthopnea
, 2
HESI EXIT EXAM
Dry, non-productive cough
HR of 69 & Irregular
In completing a pt's preoperative routine, the RN finds that the consent has not been signed.
The pt begins to ask more questions about the medical procedure. What action should the
nurse take next?
Inform the HCP that the pt has additional questions about the surgery
Complementary and Alternative therapy (CAM) includes the use of?
Culture, herbals, yoga, acupressure, acupuncture, reiki, and aromatherapy
What OTCs can cause bleeding?
ASA, ginko biloba, Vitamin E
What are the post-partum daily caloric increases?
Post-partum, 300 calories extra daily; Post-partum & breatfeeding, 500 calories extra daily
Regarding ABXs, after the 1st 2 doses, what should be done? One hour later?
Redraw blood to determine Trough; RE-draw blood to determine Peak
List of Teratogenic medications
Ibuprofen, Alcohol, Nicotine, Warfarin, Falidemide, Accutane, Tylenol
List of Vesicants
Chemo, Dopamine, Dobutamine; any Med whose pH is 9 or better is considered a Vesicant
Scope of Practice for an LPN
, 3
HESI EXIT EXAM
can assess wounds, perform wound dressing changes, administer PO, Nasal, SQ, IM &
transdermal meds; SVN therapy; BUT cannot do VANCO
The UAP reports to a staff nurse that a pt who had surgery 4 hours ago has had a dec in BP from
150/80 to 110/70 in the past hour. The nurse advises the UAP to check the pt's dressing for
excess drainage & report the findings to the nurse. Which factor is most important to consider
when assessing the legal ramifications of this situation?
The parameters of the State's or Province's Nurse Practice Act
An awake & alert pt with impending pulmonary edema is brought to the ED. The pt provides
the nurse with a copy of a living will stating "no invasive medical procedures should be used to
keep me alive." The healthcare team is questioning whether the pt should be intubated. What
info should guide the team's decision?
The pt is awake & alert, which makes the living will irrelevant & non-binding
A family member of a pt who is in a Posey vest restraint asks why the restraint was applied.
How should the nurse respond?
The pt's previous actions place her at a high risk for harming herself & others.
What nursing action has the highest priority when admitting a pt to a psychiatric unit on an
involuntary basis?
Determine the behaviors that resulted in the need for the pt's admission; i.e., danger to self or
others
Informed consent must meet the following criteria:
+pt is competent & of legal age
+legal sexual age is 13
+the pt understands the procedure, risks & benefits, & alternative procedures
+the RN is witnessing the signature
+all questions the pt has about the procedure are the responsibility of the HCP who will
perform the procedure
HESI EXIT EXAM
HESI NURSING EXIT EXAM SET OF QUESTIONS AND CORRECT
ANSWERS ALREADY GRADED A+ GUARANTEED PASS
A pt who has hyperparathyroidism is scheduled to receive a prescribed dose of oral phosphate.
The RN notes that the pt's serum calcium level is 12.5 mg/dL. What action should the nurse
take?
Administer the dose of oral phosphate (to counter the hypercalcemia)
The nurse is caring for a pt 24 hours post-procedure for a Hemi-colectomy with a temporary
colostomy placement. The nurse assesses the pt's stoma, which is dry & dark blue. What action
should the nurse take based on this finding?
With possible necrosis occurring at the stoma site, the nurse should contact the pt's HCP
A nurse auscultates the abdomen of a pt who is 48 hours Post-op & finds hypoactive BS. The pt
states he is nauseous. The nurse knows the pt might be experiencing a ____________________
_____________
paralytic ileus
In the pt's Pre-op interview & assessment, what would the nurse be most concerned with?
+pt did not adhere to NPO orders
+pt took his OTCs that morning which included ASA and Vitamin E
+pt did not sign the surgical consent form
+pt does not know his allergies
A 60-yo pt who has a Hx of HTN, HF, and sleep apnea is admitted to the acute care unit. Which
findings would relate most directly to a diagnosis of acute decompensated HF?
Orthopnea
, 2
HESI EXIT EXAM
Dry, non-productive cough
HR of 69 & Irregular
In completing a pt's preoperative routine, the RN finds that the consent has not been signed.
The pt begins to ask more questions about the medical procedure. What action should the
nurse take next?
Inform the HCP that the pt has additional questions about the surgery
Complementary and Alternative therapy (CAM) includes the use of?
Culture, herbals, yoga, acupressure, acupuncture, reiki, and aromatherapy
What OTCs can cause bleeding?
ASA, ginko biloba, Vitamin E
What are the post-partum daily caloric increases?
Post-partum, 300 calories extra daily; Post-partum & breatfeeding, 500 calories extra daily
Regarding ABXs, after the 1st 2 doses, what should be done? One hour later?
Redraw blood to determine Trough; RE-draw blood to determine Peak
List of Teratogenic medications
Ibuprofen, Alcohol, Nicotine, Warfarin, Falidemide, Accutane, Tylenol
List of Vesicants
Chemo, Dopamine, Dobutamine; any Med whose pH is 9 or better is considered a Vesicant
Scope of Practice for an LPN
, 3
HESI EXIT EXAM
can assess wounds, perform wound dressing changes, administer PO, Nasal, SQ, IM &
transdermal meds; SVN therapy; BUT cannot do VANCO
The UAP reports to a staff nurse that a pt who had surgery 4 hours ago has had a dec in BP from
150/80 to 110/70 in the past hour. The nurse advises the UAP to check the pt's dressing for
excess drainage & report the findings to the nurse. Which factor is most important to consider
when assessing the legal ramifications of this situation?
The parameters of the State's or Province's Nurse Practice Act
An awake & alert pt with impending pulmonary edema is brought to the ED. The pt provides
the nurse with a copy of a living will stating "no invasive medical procedures should be used to
keep me alive." The healthcare team is questioning whether the pt should be intubated. What
info should guide the team's decision?
The pt is awake & alert, which makes the living will irrelevant & non-binding
A family member of a pt who is in a Posey vest restraint asks why the restraint was applied.
How should the nurse respond?
The pt's previous actions place her at a high risk for harming herself & others.
What nursing action has the highest priority when admitting a pt to a psychiatric unit on an
involuntary basis?
Determine the behaviors that resulted in the need for the pt's admission; i.e., danger to self or
others
Informed consent must meet the following criteria:
+pt is competent & of legal age
+legal sexual age is 13
+the pt understands the procedure, risks & benefits, & alternative procedures
+the RN is witnessing the signature
+all questions the pt has about the procedure are the responsibility of the HCP who will
perform the procedure
