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hesi exit exam review questions and answers 2024/2025
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hesi exit exam reviewThe mother of a child with cerebral palsy asks the nurse if her child's impaired movements will worsen
as the child grows which response provides the best explanation?
A. Brain damage with CP is not progressive but does have a variable course
B. CP is one of the most common permanent physical disability in children
C. Severe motor dysfunction determines the extent of successful habilitation
D. Continued development of the brain lesion determines the child's outcome. - ANS: A. Brain damage
with CP is not progressive but does have a variable course.
During shift report the central electrocardiogram 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. - ANS: A. Respiratory apnea of 30 seconds
The nurse is assessing a postpartum client who is 36 hours post-delivery which finding should the nurse
report to the health care provider?
A. White blood count of 19,000 mm3
B. Oral temperature of 100.6 F
C. Fundus deviated to the right side
D. Breasts are firm when palpated - ANS: B. Oral temperature of 100.6 Fahrenheit
An older woman who has difficulty hearing is being discharged from day surgery following a cataract
extraction and lens implantation which intervention is most important for the nurse to implement to
help ensure the client's compliance with self-care?
A. Speak clearly and face the clients for lip reading
,B. Provide written instructions for eyes drop administration
C. Ensure that someone will stay with the client for 24 hours.
D. Have the client vocalize the instructions provided. - ANS: D. Have client vocalize the instructions
provided
A client with diabetic peripheral nephropathy has been taking pregabalin Lyrica for four days which
finding indicates to the nurse that the medication is effective?
A. Reduced level of pain
B. Full volume of pedal pulses
C. Granulating tissue in foot ulcer
D. Improved visual acuity. - ANS: A. Reduce pain level
A client presents to the emergency department with muscle aches headache fever and describes a
recent loss of taste and smell the nurse obtains A nasal swab for COVID-19 testing which action is most
important for the nurse to take?
A. Place the nasal swab specimen for COVID-19 directly into a biohazard bag
B. Move the client to a private room, keep the door closed, and initiate droplet precautions.
C. Teach the client to wear a mask, hand wash, and social distance to prevent
spreading the virus
D. Explain to the client to inform others that they may have been potentially exposed inthe last 14 days.
- ANS: A. Place the nasal swab specimen for COVID-19 directly into a biohazard bag.
A client who experienced a cerebrovascular accident CVA is aphasic and has left-sided paralysis which
nurse should be responsible for coordinating the progression of this client's care?
A. Nurse case manager
B. Adult nurse practitioner
C. Neurology unit supervisor
D. Risk management nurse - ANS: B. adult nurse practitioner
,A client admitted to the psychiatric unit diagnosed with major depression wants to sleep during the day
refuses to take a bath and refuses to eat which nursing intervention should the nurse implement first?
A. Assess the client's ability to communicate with the other staff members. B. Arrange a meeting with
the family to discuss the client's situation
C. Administer the client's antidepressant medication as prescribed.
D. Establish a structured routine for the client to follow. - ANS: D. Establish a structured routine for the
client to follow.
A 41-week gestation primigravida woman is admitted to labor and delivery for induction of labor which
finding should the nurse report to the health care provider before initiating the infusion of oxytocin?
A. Fetal heart tones located in upper right quadrant
B. Biophysical profile results showing oligohydramnios
C. Regular contractions occurring every 10 minutes
D. Sterile vaginal exam reveling 3cm dilatation - ANS: A. Fetal heart tones located in upper right
quadrant
A client with Type I Diabetes Mellitus and a large draining ulcer of the right foot is admitted with a
suspected Staphylococcus Aureus infection which intervention should the nurse implement? select all
that apply
A. Monitor the client's white blood cell count
B. Explain the purpose of a low bacteria diet
C. Send wound drainage for culture and sensitivity
D. Institute contact precautions for staff and visitors
E. Use standard precautions and wear a mask - ANS: A. Monitor the clients white blood cell count
C. Send wound drainage for a culture and sensitivity
, D. Institute contact precautions for staff and visitors
An adult client is admitted to the psychiatric unit because of daily complex hand washing ritual that
takes 2 hours or longer to complete the client worries about staying clean and refuses to sit on any of
the chairs in the day area the client's hand washing is an example of which clinical behavior?
A. Addiction
B. Phobia
C. Compulsion
D. Obsession - ANS: D. Compulsion
The nurse observes a client prepare a meal in the kitchen of the rehabilitation facility prior to discharge
which behaviors indicates the client understands how to maintain balance safely? Select all that apply
A. Brings a heavy can close to body before lifting
B. Leans forward to pull on a pan from a high shelf
C. Locks knees while preparing food on the counter
D. Bends from the waist to pick trash off the floor
E. Widens stance while working near the sink - ANS: A. Brings a heavy can close to body before lifting.
E. Widens stance while working near the sink.
The nurse is interviewing a client with schizophrenia which clinical behaviors requires immediate
intervention?
A. Lip smacking and frequent eye blinking
B. Shuffling gait and stooped posture
C. Rocks back and forth in the chair
D. Muscle spasms of the back and neck - ANS: D. Muscle spasms of the back and neck
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