EXIT HESI Test Exam Questions And Answers Verified
100% Correct
A nurse is administering a scheduled medication to a client. The client reports that the
medication appears different than what they take at home. Which of the following
responses should the nurse take?
a. "Did the doctor discuss with you that there was a change in this medication?"
b. "I recommend that you take this medication as prescribed"
c. "Do you know why this medication is being prescribed to you?"
d. " I will call the pharmacist now to check on this medication" - ANSWER d
A charge nurse is recommending postpartum client discharge following a local
disaster.
Which of the following should the nurse recommend for discharge?
a. A 42-year-old client who has preeclampsia and a BP of 166/110 mm Hg.
b. A 15-year-old client who delivered via emergency cesarean birth 1 day ago.
c. A client who received 2 units of packed RBCs 6 hr. ago for a postpartum
hemorrhage.
d. A client who delivered precipitously 36 hr. ago and has a second-degree perineal
laceration. - ANSWER d
A nurse in a provider's office is reviewing the laboratory results of a group of clients.
Which to report?
a. Herpes simplex.
b. Human papillomavirus
c. Candidiasis
d. Chlamydia - ANSWER d
A nurse is providing discharge teaching for a group of clients. The nurse should
recommend a referral to a dietitian
a. A client who has a prescription for warfarin and states "I will need to limit how much
spinach I eat".
b. A client who has gout and states, "I can continue to eat anchovies on my pizza."
c. A client who has a prescription for spironolactone and states "I will reduce my intake
of foods that contain potassium".
d. A client who has states "I'll plan to take my calcium carbonate with a full glass of
water". - ANSWER b
A nurse is preparing to measure a temperature of an infant. Which of the following
action should the nurse take?
a. Place the tip of the thermometer under the center of the infant's axilla.
b. Pull the pinna of the infant's ear forward before inserting the probe.
,c. Insert the probe 3.8 cm (1.5in) into the infant's rectum.
d. Insert the thermometer in front of the infant's tongue. - ANSWER a
A nurse in a pediatric clinic is teaching a newly hired nurse about the varicella rooster.
Which of the following information should the nurse include?
a. Children who have varicella are contagious until vesicles are crusted.
b. Children who have varicella should receive the herpes zoster vaccination.
c. Children who have varicella should be placed in droplet precaution.
d. Children who have varicella are contagious 4 days before the first vesicle eruption.
ANSWER a
-
A nurse is reviewing the laboratory report of a client who has been having lithium
carbonate for the past 12 months. The nurse notes a lithium level of 0.8 mEq/L.
Which of the following orders from the provider should the nurse expect? a. Withhold
the next dose.
b. Increase the dosage.
c. Discontinue the medication.
d. Administer the medication. - ANSWER d
A nurse is caring for a client who has fibromyalgia and requests pain medication.
Which of the following medications should the nurse administer? a. Pregabalin
b. Lorazepam
c. Colchicin
d. Codeine. - ANSWER a
A nurse is caring who is to receive a transfusion of packed RBCs. Which of the following
actions should the nurse take?
a. Prime IV tubing with 0.9% sodium chloride.
b. use a 24- gauge IV catheter
c. obtain filter less IV tubing
d. place blood in the warmer for 1 hr - ANSWER a
A nurse is caring for a toddler who has acute lymphocytic leukemia. In which of
the following should the toddler participate? a. Looking at alphabet flashcards.
b. Playing with a large plastic truck.
c. Use scissors cut out paper shapes.
,d. Watching a cartoon in the dayroom. - ANSWER b
A nurse is caring for a client who has chronic pancreatitis. Which of the following
dietary recommendations should the nurse make? a. Coffee with creamer.
b. Lettuce with sliced avocados.
c. Broiled skinless chicken breast with brown rice.
d. Warm toast with margarine. - ANSWER c
A nurse is caring for a client who is in active labor and requests pain management.
Which of the following actions should the nurse take?
a. Administer ondansetron.
b. Place the client in a warm shower.
c. Apply fundal pressure during contractions.
d. Assist the client to a supine position. - ANSWER b
A nurse in an emergency department is performing triage for multiple clients following
a disaster in the community. To which of the following types of injuries should the
nurse assign the highest priority?
a. Below-the knee amputation
b. Fractured tibia
c. 95% full-thickness body burn
d. 10cm (4in) laceration to the forearm - ANSWER a
A nurse manager is updating protocols for the use of belt restraints. Which of
the following guidelines should the nurse include? a. Remove the client's
restraint every 4hr
b. Document the client's condition every 15 min
c. Attach the restrain to the bed's side rails
d. Request a PRN restrain prescription for clients who are aggressive - ANSWER b
A nurse is teaching an in-service about nursing leadership. Which of the
following information should the nurse include about an effective leader? a. Acts
as an advocate for the nursing unit.
c. Priorities staff request over client needs.
d. Provides routine client care and documentation. - ANSWER a
A nurse is reviewing the laboratory findings of a client who has diabetes mellitus
and reports that she has been following her care. The nurse should identify which
of the following findings indicates a need to revise the client's plan of care. a.
Serum sodium 144 mEq/
b. Hba1c 10 %
c. Random serum glucose 190 mg/dl. - ANSWER b
, A nurse is caring for a client who is at 38 weeks of gestation and has a history of
hepatitis C. The client asks the nurse if she will be able to breastfeed. Which of the
following responses by the nurse is appropriate?
a. You may breastfeed unless your nipples are cracked or bleeding
b. You must use a breast pump to provide breast milk.
c. You must use nipple shield when breastfeeding.
d. You may breastfeed after your baby develops his antibiotics. - ANSWER a
A nurse is caring for a client who has returned to the medical-surgical unit following a
transurethral resection of the prostate. Which of the following should the nurse identify
as priority nursing assessment after reviewing the clients information? Exhibit.
a. loss of consciousness. (priority)- decreased LOC can mean less o2 going to the
brain.
b. Skin turgor
c. deep tendon reflexes
d. Bowel sounds - ANSWER a
A nurse is caring for a client who has hyperthermia .Which of the following actions for
the nurse to take?
a. Submerge the adolescent feet in ice water
b. Cover the adolescent with a thermal blanket → if hypothermia.
c. Administer oral acetaminophen
d. Initiate seizure precautions - ANSWER d
A nurse manager is updating protocols for belt restraints. Which of the following
guidelines should the nurse include?
a. Document the client's conditions every 15 minutes
b. Attach the restraints to the beds side rails
c. Request a PRN restraints prescription for clients who are aggressive
d. Remove the client restraints every 4 hours - ANSWER a
A nurse in emergency department is caring for a client who has full thickness burn
of the thorax and upper torso. After securing the client's airway, which of the
following is the nurse's priority intervention? a. Providing pain management
b. Offering emotional support
c. Preventing infection
d. Initiating IV fluid resuscitation- they are at risk for hypovolemic shock d/t 3rd spacing
-
ANSWER d
A nurse is caring for a client who has cancer and is being transferred to hospice care.
The client's daughter tells the nurse, "I'm not sure what to say to my mom if she asks
me about dying." which of the following responses by the nurse is appropriate? (SATA)
A. Hospice will take good care of your mom, so I wouldn't worry about that.
100% Correct
A nurse is administering a scheduled medication to a client. The client reports that the
medication appears different than what they take at home. Which of the following
responses should the nurse take?
a. "Did the doctor discuss with you that there was a change in this medication?"
b. "I recommend that you take this medication as prescribed"
c. "Do you know why this medication is being prescribed to you?"
d. " I will call the pharmacist now to check on this medication" - ANSWER d
A charge nurse is recommending postpartum client discharge following a local
disaster.
Which of the following should the nurse recommend for discharge?
a. A 42-year-old client who has preeclampsia and a BP of 166/110 mm Hg.
b. A 15-year-old client who delivered via emergency cesarean birth 1 day ago.
c. A client who received 2 units of packed RBCs 6 hr. ago for a postpartum
hemorrhage.
d. A client who delivered precipitously 36 hr. ago and has a second-degree perineal
laceration. - ANSWER d
A nurse in a provider's office is reviewing the laboratory results of a group of clients.
Which to report?
a. Herpes simplex.
b. Human papillomavirus
c. Candidiasis
d. Chlamydia - ANSWER d
A nurse is providing discharge teaching for a group of clients. The nurse should
recommend a referral to a dietitian
a. A client who has a prescription for warfarin and states "I will need to limit how much
spinach I eat".
b. A client who has gout and states, "I can continue to eat anchovies on my pizza."
c. A client who has a prescription for spironolactone and states "I will reduce my intake
of foods that contain potassium".
d. A client who has states "I'll plan to take my calcium carbonate with a full glass of
water". - ANSWER b
A nurse is preparing to measure a temperature of an infant. Which of the following
action should the nurse take?
a. Place the tip of the thermometer under the center of the infant's axilla.
b. Pull the pinna of the infant's ear forward before inserting the probe.
,c. Insert the probe 3.8 cm (1.5in) into the infant's rectum.
d. Insert the thermometer in front of the infant's tongue. - ANSWER a
A nurse in a pediatric clinic is teaching a newly hired nurse about the varicella rooster.
Which of the following information should the nurse include?
a. Children who have varicella are contagious until vesicles are crusted.
b. Children who have varicella should receive the herpes zoster vaccination.
c. Children who have varicella should be placed in droplet precaution.
d. Children who have varicella are contagious 4 days before the first vesicle eruption.
ANSWER a
-
A nurse is reviewing the laboratory report of a client who has been having lithium
carbonate for the past 12 months. The nurse notes a lithium level of 0.8 mEq/L.
Which of the following orders from the provider should the nurse expect? a. Withhold
the next dose.
b. Increase the dosage.
c. Discontinue the medication.
d. Administer the medication. - ANSWER d
A nurse is caring for a client who has fibromyalgia and requests pain medication.
Which of the following medications should the nurse administer? a. Pregabalin
b. Lorazepam
c. Colchicin
d. Codeine. - ANSWER a
A nurse is caring who is to receive a transfusion of packed RBCs. Which of the following
actions should the nurse take?
a. Prime IV tubing with 0.9% sodium chloride.
b. use a 24- gauge IV catheter
c. obtain filter less IV tubing
d. place blood in the warmer for 1 hr - ANSWER a
A nurse is caring for a toddler who has acute lymphocytic leukemia. In which of
the following should the toddler participate? a. Looking at alphabet flashcards.
b. Playing with a large plastic truck.
c. Use scissors cut out paper shapes.
,d. Watching a cartoon in the dayroom. - ANSWER b
A nurse is caring for a client who has chronic pancreatitis. Which of the following
dietary recommendations should the nurse make? a. Coffee with creamer.
b. Lettuce with sliced avocados.
c. Broiled skinless chicken breast with brown rice.
d. Warm toast with margarine. - ANSWER c
A nurse is caring for a client who is in active labor and requests pain management.
Which of the following actions should the nurse take?
a. Administer ondansetron.
b. Place the client in a warm shower.
c. Apply fundal pressure during contractions.
d. Assist the client to a supine position. - ANSWER b
A nurse in an emergency department is performing triage for multiple clients following
a disaster in the community. To which of the following types of injuries should the
nurse assign the highest priority?
a. Below-the knee amputation
b. Fractured tibia
c. 95% full-thickness body burn
d. 10cm (4in) laceration to the forearm - ANSWER a
A nurse manager is updating protocols for the use of belt restraints. Which of
the following guidelines should the nurse include? a. Remove the client's
restraint every 4hr
b. Document the client's condition every 15 min
c. Attach the restrain to the bed's side rails
d. Request a PRN restrain prescription for clients who are aggressive - ANSWER b
A nurse is teaching an in-service about nursing leadership. Which of the
following information should the nurse include about an effective leader? a. Acts
as an advocate for the nursing unit.
c. Priorities staff request over client needs.
d. Provides routine client care and documentation. - ANSWER a
A nurse is reviewing the laboratory findings of a client who has diabetes mellitus
and reports that she has been following her care. The nurse should identify which
of the following findings indicates a need to revise the client's plan of care. a.
Serum sodium 144 mEq/
b. Hba1c 10 %
c. Random serum glucose 190 mg/dl. - ANSWER b
, A nurse is caring for a client who is at 38 weeks of gestation and has a history of
hepatitis C. The client asks the nurse if she will be able to breastfeed. Which of the
following responses by the nurse is appropriate?
a. You may breastfeed unless your nipples are cracked or bleeding
b. You must use a breast pump to provide breast milk.
c. You must use nipple shield when breastfeeding.
d. You may breastfeed after your baby develops his antibiotics. - ANSWER a
A nurse is caring for a client who has returned to the medical-surgical unit following a
transurethral resection of the prostate. Which of the following should the nurse identify
as priority nursing assessment after reviewing the clients information? Exhibit.
a. loss of consciousness. (priority)- decreased LOC can mean less o2 going to the
brain.
b. Skin turgor
c. deep tendon reflexes
d. Bowel sounds - ANSWER a
A nurse is caring for a client who has hyperthermia .Which of the following actions for
the nurse to take?
a. Submerge the adolescent feet in ice water
b. Cover the adolescent with a thermal blanket → if hypothermia.
c. Administer oral acetaminophen
d. Initiate seizure precautions - ANSWER d
A nurse manager is updating protocols for belt restraints. Which of the following
guidelines should the nurse include?
a. Document the client's conditions every 15 minutes
b. Attach the restraints to the beds side rails
c. Request a PRN restraints prescription for clients who are aggressive
d. Remove the client restraints every 4 hours - ANSWER a
A nurse in emergency department is caring for a client who has full thickness burn
of the thorax and upper torso. After securing the client's airway, which of the
following is the nurse's priority intervention? a. Providing pain management
b. Offering emotional support
c. Preventing infection
d. Initiating IV fluid resuscitation- they are at risk for hypovolemic shock d/t 3rd spacing
-
ANSWER d
A nurse is caring for a client who has cancer and is being transferred to hospice care.
The client's daughter tells the nurse, "I'm not sure what to say to my mom if she asks
me about dying." which of the following responses by the nurse is appropriate? (SATA)
A. Hospice will take good care of your mom, so I wouldn't worry about that.
