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Hesi Exit Exam Prep Test Bank Latest with 800
Questions and Detailed Rationales/ Hesi Exit Exam
Prep Test Bank (Most Recent Version)
Ask the patient to describe the pain -
...✔✔ANSWER✔✔...A pt presses the call bell and requests
pain medication for a severe headache. To assess the
quality of the pt. Pain, which approach should the nurse
use?
Gloves - ...✔✔ANSWER✔✔...The nurse is wearing
personal protective equipment while caring for a pt. When
exiting the room, which PPE should be removed first?
Increasing confusion of the pt. - ...✔✔ANSWER✔✔...An
older pt is brought to the ED with a sudden onset of
confusion that occurred after experiencing a fall at home.
The daughter, who has power of attorney, has brought the
client's prescriptions. Which information should the nurse
provide first when reporting to the healthcare provider
using SBAR communication?
Ask the pt for a description of the exercise schedule that
is being followed - ...✔✔ANSWER✔✔...A pt tells the nurse
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about working out with a personal trainer and swimming
three times a week in an effort to lose weight and sleep
better. The pt states that it still is taking hours to fall
asleep at night. Which action should the nurse
implement?
-review safe transfer strategies
-develop a nutritional plan
-help identify community support - ...✔✔ANSWER✔✔...2
days prior to discharge from the rehab facility, the nurse
is teaching a pt who is recovering from Guillain-Barre
syndrome about home. Which actions should the nurse
include when providing discharge teaching to the pt and
spouse? SATA
pt who develop disease complications promptly received
rehabilitation - ...✔✔ANSWER✔✔...The nurse implements
a tertiary prevention program for type 2 diabetes in a
rural health clinic. Which outcome indicates that the
program was effective?
participation of community leaders in planning the
program - ...✔✔ANSWER✔✔...The nurse has received
funding to design a health promotion project for African
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American women who are at risk for developing breast
cancer. Which resource is most important in designing
this program?
use gown, mask, and gloves with dressing changes -
...✔✔ANSWER✔✔...A pt with multiple injuries is being
treated in the burn trauma unit just hours after the
injuries occurred. The healthcare provider instructs the
nurse to avoid auto contamination when performing
dressing changes. Which intervention is most important
for the nurse to implement?
Stimulate the pt to take deep breaths -
...✔✔ANSWER✔✔...A pt is recovering in the critical care
unit following a cardiac cath. IV nitro and heparin are
infusing. The pt is sedated but responds to instructions.
After changing positions, the pt complains of pain at the
right groin insertion site. What action should the nurse
implement?
upper body muscle strength - ...✔✔ANSWER✔✔...Prior to
obtaining a trapeze bar for a pt with limited mobility,
which pt assessment is most important for the nurse to
obtain?
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Continue to obtain pt data needed to complete the fall risk
survey - ...✔✔ANSWER✔✔...While the nurse is assessing
an older pt fall risk, the pt reports living at home alone
and never falling. Which action should the nurse take?
Teach coughing and deep breathing exercises -
...✔✔ANSWER✔✔...The nurse is feeding an older adult
who was admitted with aspiration pneumonia. The pt is
weak and begins coughing while attempting to drink
through a straw. Which intervention should the nurse
implement?
Empty the pouch when it is half full. -
...✔✔ANSWER✔✔...The nurse is teaching the pt about
home care after surgery for an ileal conduit placement.
When reviewing the information, which statement should
the nurse recognize as needing additional education?
initiate prescribed IV fluids - ...✔✔ANSWER✔✔...A 12
week gestation is admitted to the antepartum unit with a
dx of hyperemesis gravidarum. Which action is most
important for the nurse to implement?
Hesi Exit Exam Prep Test Bank Latest with 800
Questions and Detailed Rationales/ Hesi Exit Exam
Prep Test Bank (Most Recent Version)
Ask the patient to describe the pain -
...✔✔ANSWER✔✔...A pt presses the call bell and requests
pain medication for a severe headache. To assess the
quality of the pt. Pain, which approach should the nurse
use?
Gloves - ...✔✔ANSWER✔✔...The nurse is wearing
personal protective equipment while caring for a pt. When
exiting the room, which PPE should be removed first?
Increasing confusion of the pt. - ...✔✔ANSWER✔✔...An
older pt is brought to the ED with a sudden onset of
confusion that occurred after experiencing a fall at home.
The daughter, who has power of attorney, has brought the
client's prescriptions. Which information should the nurse
provide first when reporting to the healthcare provider
using SBAR communication?
Ask the pt for a description of the exercise schedule that
is being followed - ...✔✔ANSWER✔✔...A pt tells the nurse
,2|Page
about working out with a personal trainer and swimming
three times a week in an effort to lose weight and sleep
better. The pt states that it still is taking hours to fall
asleep at night. Which action should the nurse
implement?
-review safe transfer strategies
-develop a nutritional plan
-help identify community support - ...✔✔ANSWER✔✔...2
days prior to discharge from the rehab facility, the nurse
is teaching a pt who is recovering from Guillain-Barre
syndrome about home. Which actions should the nurse
include when providing discharge teaching to the pt and
spouse? SATA
pt who develop disease complications promptly received
rehabilitation - ...✔✔ANSWER✔✔...The nurse implements
a tertiary prevention program for type 2 diabetes in a
rural health clinic. Which outcome indicates that the
program was effective?
participation of community leaders in planning the
program - ...✔✔ANSWER✔✔...The nurse has received
funding to design a health promotion project for African
,3|Page
American women who are at risk for developing breast
cancer. Which resource is most important in designing
this program?
use gown, mask, and gloves with dressing changes -
...✔✔ANSWER✔✔...A pt with multiple injuries is being
treated in the burn trauma unit just hours after the
injuries occurred. The healthcare provider instructs the
nurse to avoid auto contamination when performing
dressing changes. Which intervention is most important
for the nurse to implement?
Stimulate the pt to take deep breaths -
...✔✔ANSWER✔✔...A pt is recovering in the critical care
unit following a cardiac cath. IV nitro and heparin are
infusing. The pt is sedated but responds to instructions.
After changing positions, the pt complains of pain at the
right groin insertion site. What action should the nurse
implement?
upper body muscle strength - ...✔✔ANSWER✔✔...Prior to
obtaining a trapeze bar for a pt with limited mobility,
which pt assessment is most important for the nurse to
obtain?
, 4|Page
Continue to obtain pt data needed to complete the fall risk
survey - ...✔✔ANSWER✔✔...While the nurse is assessing
an older pt fall risk, the pt reports living at home alone
and never falling. Which action should the nurse take?
Teach coughing and deep breathing exercises -
...✔✔ANSWER✔✔...The nurse is feeding an older adult
who was admitted with aspiration pneumonia. The pt is
weak and begins coughing while attempting to drink
through a straw. Which intervention should the nurse
implement?
Empty the pouch when it is half full. -
...✔✔ANSWER✔✔...The nurse is teaching the pt about
home care after surgery for an ileal conduit placement.
When reviewing the information, which statement should
the nurse recognize as needing additional education?
initiate prescribed IV fluids - ...✔✔ANSWER✔✔...A 12
week gestation is admitted to the antepartum unit with a
dx of hyperemesis gravidarum. Which action is most
important for the nurse to implement?
