Hesi Exit Exam Study Guide Questions
and Answers Graded A+ 2025
A client with Gout experiences an acute attack. The client reports he has been trying to
loose weight. Which information is the most important for the nurse to obtain?
A. Serum cholesterol level
B. Capillary glucose level
C. Daily caloric intake
D. Daily calcium intake -Correct Answer ✔C
A male client with a c-6 spinal cord injury is in rehabilitation. in the middle of the night he
reports a severe, pounding headache, an observed goose bumps. The nurse should
asses for what trigger?
A. loud hallway noise
B. Fever
C. Full bladder
D. Frequent cough -Correct Answer ✔C
After learning that she has terminal pancreatic cancer, a female client becomes very
angry and says to the nurse. "God has abandoned me. What did I do to deserve this?"
Based on this response, the nurse decides to include which nursing problem in the
client's plan of care?
A. Acute pain
B. spiritual distress
C.ineffective coping
D. Complicated grieving -Correct Answer ✔B
A nurse working on an endocrine unit should see which client first?
A. An adolescent male with type 1 diabetes who is arguing about his insulin dose.
B. A older client with Addison's disease whose current blood sugar level is 62 mg/dl
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C. An adult with a blood sugar of 384 mg/dl and a urine output of 350 ml in the last hour.
D. A client taking Corticosteroids who has become disoriented in the last hour. -Correct
Answer ✔D
A young boy who is in a chronic vegetative state and living at home is readmitted to the
hospital with pneumonia and pressure ulcers. The mother insists that she is capable of
caring for her son and that she is going to take him home when he is discharged. Which
action should the nurse implement next?
A. Report the incident to the local child protective services.
B. Find a home health agency that specializes in brain injuries.
C. Determine the mother's basic level in providing care.
D. consult the ethics committee to determine how to proceed. -Correct Answer ✔C
A male client with persistent low back pain has received a prescription for an electronic
stimulator (TENS) unit. After the nurse applies the electrodes and turns on the power,
the client reports a tingling sensation. How should the nurse respond?
A. Determine if the sensation feels uncomfortable.
B. Decrease the strength of the electrical signals.
C. Remove electrodes and observe for skin redness.
D. Check the amount of gel coating on the electrodes. -Correct Answer ✔A
A male client returns to the mental health clinic for assistance with his anxiety reaction
that is manifested by rapid heartbeat, sweating, shaking and nausea while driving over
the bay bridge. What action in the treatment plan should the nurse implement?
A. Tell client to drive over the bridge until fear is manageable.
B. Teach the client to listen to music or audio books while driving.
C. Encourage client to have spouses drive in stressful places.
D. Recommend that the client avoid driving over the bridge. -Correct Answer ✔B
The nurse preparing to administer 1.6 ML of medication IM to a 4-month-old infant.
Which action should the nurse include?
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A. Select a 22 gauge 1 1/2 inch (3,8cm) needle for the intramuscular injection
B. Administer into the deltoid muscle while the parent holds the infant securely
C. divide the medication into two injections with volumes under 1ml
D. use a quick dart-like motion to inject into the dorsogluteal site. -Correct Answer ✔C
Which problem reported by a client taking lovastatin requires the most immediate follow-
up by the nurse?
A. Diarrhea and flatulence
B. Abdominal pain
C. muscle pain
D. Altered taste -Correct Answer ✔C
The nurse is triaging victims of a tornado at an emergency shelter. an adult woman who
has been wondering and crying comes to the nurse. What action should the nurse take?
A. Check the client's temperature, blood sugar and urine output.
B. Transport the client for laboratory test and electrocardiogram (EKG).
C. Delegate the care of the crying client to an unlicensed assistant.
D. send the client to the shelter's nutrient center to obtain water and food. -Correct
Answer ✔C
The nurse is collecting a sterile sample for culture and sensitivity from a disposable
three chamber water-seal drainage system connected to a pleural chest tube. the nurse
should obtain the sample from which site on the drainage system?
A. Tubing located on the top of the suction chamber.
B. Plastic tubing located at the chest insertion site.
C. stopper port located above the water-seal level.
D. Rubberized port at the bottom of collection chamber. -Correct Answer ✔D
The healthcare provider prescribes a low fiber diet for a client with ulcerative colitis
Selection of which food items indicated to the nurse that the client understands the
prescribed diet?
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A. Roasted turkey, canned vegetables.
B. Baked potato with skin, raw carrots
C. Pancakes, whole-grain cereals.
D. Roast pork, freash strawberries. -Correct Answer ✔A
A client exposed to tuberculosis is scheduled to begin prophylactic treatment with
Isoniazid. Which information is most important for the nurse to note before administering
the initial dose?
A. Conversion of the client's PPD test from negative to positive.
B. Length of time of the exposure to tuberculosis
C. Current diagnosis of Hepatitis B
D. History of intravenous drug abuse -Correct Answer ✔C
After placing a client at 26-weeks gestation in the lithotomy position, the client
complains of dizziness and becomes pale and diaphoretic. What action should the
nurse implement?
A. Place the client in the Trendelenburg position.
B. Instruct the client to take deep breaths
C. Place a wedge under the client's hip
D. Remove the client's legs from the stirrups -Correct Answer ✔C
A gravida 2 para 1, at 38 weeks gestation , scheduled for a repeat cesarean section in
one week, is brought to the labor and delivery unit complaining of contractions every 10
minutes. While assessing the client, the client's mother enters the labor suite and says
in a loud voice "I've had 8 children and I know she is in labor. I want her to have her
cesarean section right now" What action should the nurse take?
A. Request the mother to leave the room
B. tell the mother to stop speaking for the client
C. request security to remove her from the room
D. Notify the charge nurse of the situation -Correct Answer ✔A
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