EXIT HESI EXAM 2022/2023
A nurse is reviewing the laboratory results of a client who has
rheumatoid arthritis. Which of the following findings should the nurse
report to the provider?
a. WBC count
8,000 b. platelets
150,000
c. aspartate aminotransferase 10 units
d. erythrocyte sedimentation rate 75mm - ANSWER d
A nurse is caring for a client who has generalized petechiae and
ecchymoses. The nurse should expect a prescription for which of the
following laboratory tests?
a. platelet
count b.
potassium level
c. creatine clearance
d. prealbumin - ANSWER a
A nurse is caring for a client following application of a cast. Which of
the following actions should the nurse take first?
a. place an ice pack over the
cast b. palpate the pulse distal
to the cast
c. teach the client to keep the cast clean and dry
d. position the casted extremity on a pillow - ANSWER b
A nurse is caring for a client who has vision loss. Which of the following
actions should the nurse take? SATA
a. keep objects in the clients room in the same place.
b. ensure there is high-wattage lighting in the
clients room. c. approach the client from the side
d. allow extra time for the client to perform tasks
e. touch the client gently to announce presence - ANSWER a, b, d
,EXIT HESI EXAM 2022/2023
A nurse is caring for a client who is newly diagnosed with pancreatic cancer
and has questions about the disease. To research the nurse should identify
that which of the following electronic database has the most
comprehensive collection nursing articles? a. medline
b. C inahl
c.
ProQuest
d. health source - ANSWER b
A nurse in the emergency department is assessing newly admitted client who
is experiencing drooling and hoarseness following a brain injury. Which of the
following actions should the nurse take first?
a. obtain a baseline EKG
b. Obtain a blood specimen for ABG
analysis c. insert an 18 gauge IV
catheter
d. Administer 100% humidified oxygen - ANSWER d
,EXIT HESI EXAM 2022/2023
A nurse is planning care for a client who has unilateral paralysis and
dysphagia following a right hemispheric stroke. Which of the following
interventions should the nurse include in the plan?
a. Place food on the left side of the client's mouth when he is
ready to eat. b. Provide total care in performing the client's ADLs.
c. Maintain the client on bed rest.
d. Place the client's left arm on a pillow while he is sitting. - ANSWER d
A nurse is caring for a client who is in a seclusion room following violent
behavior. The client continues to display aggressive behavior. Which of the
following actions should the nurse take?
a. Confront the client about this behavior.
b. Express sympathy for the client's
situation. c. Speak assertively to the
client.
d. Stand within 30 cm (1 ft) of the client when speaking with them. - ANSWER
a
A nurse is caring for a client who is receiving brachytherapy for treatment
of prostate cancer. Which of the following actions should the nurse take?
a. Cleanse equipment before removal from the
client's room. b. Limit the client's visitors to 30 min
per day.
c. Discard the client's linens in a double bag.
d. Discard the radioactive source in a biohazard bag - ANSWER b
A nurse is caring for a client who has severe preeclampsia and is receiving
magnesium sulfate intravenously. The nurse discontinues the magnesium
sulfate after the client displaces toxicity. Which of the following actions
should the nurse take?
a. Position the client supine
b. Prepare an IV bolus of dextrose 5% in
water c. Administer methylergonovine
IM
, EXIT HESI EXAM 2022/2023
d. Administer calcium gluconate IV - ANSWER d
A charge nurse is teaching new staff members about factors that increase a
client's risk to become violent. Which of the following risk factors should the
nurse include as the best predictor of future violence?
a. Experiencing
delusions b. Male
gender
c. Pervious violent behavior
d. A history of being in prison - ANSWER c
A nurse is preparing to perform a sterile dressing change. Which of the
following actions should the nurse take when setting up the sterile field?
a. Place the cap from the solution sterile side up on clean surface
b. Open the outermost flap of the sterile kit toward the body→ flap
AWAY from the body's first
c. Place the sterile dressing within 1.25 cm (0.5in) of the edge of the sterile
field → 2.5 cm (1-inch) border around any sterile drape or wrap that is
considered contaminated.
A nurse is reviewing the laboratory results of a client who has
rheumatoid arthritis. Which of the following findings should the nurse
report to the provider?
a. WBC count
8,000 b. platelets
150,000
c. aspartate aminotransferase 10 units
d. erythrocyte sedimentation rate 75mm - ANSWER d
A nurse is caring for a client who has generalized petechiae and
ecchymoses. The nurse should expect a prescription for which of the
following laboratory tests?
a. platelet
count b.
potassium level
c. creatine clearance
d. prealbumin - ANSWER a
A nurse is caring for a client following application of a cast. Which of
the following actions should the nurse take first?
a. place an ice pack over the
cast b. palpate the pulse distal
to the cast
c. teach the client to keep the cast clean and dry
d. position the casted extremity on a pillow - ANSWER b
A nurse is caring for a client who has vision loss. Which of the following
actions should the nurse take? SATA
a. keep objects in the clients room in the same place.
b. ensure there is high-wattage lighting in the
clients room. c. approach the client from the side
d. allow extra time for the client to perform tasks
e. touch the client gently to announce presence - ANSWER a, b, d
,EXIT HESI EXAM 2022/2023
A nurse is caring for a client who is newly diagnosed with pancreatic cancer
and has questions about the disease. To research the nurse should identify
that which of the following electronic database has the most
comprehensive collection nursing articles? a. medline
b. C inahl
c.
ProQuest
d. health source - ANSWER b
A nurse in the emergency department is assessing newly admitted client who
is experiencing drooling and hoarseness following a brain injury. Which of the
following actions should the nurse take first?
a. obtain a baseline EKG
b. Obtain a blood specimen for ABG
analysis c. insert an 18 gauge IV
catheter
d. Administer 100% humidified oxygen - ANSWER d
,EXIT HESI EXAM 2022/2023
A nurse is planning care for a client who has unilateral paralysis and
dysphagia following a right hemispheric stroke. Which of the following
interventions should the nurse include in the plan?
a. Place food on the left side of the client's mouth when he is
ready to eat. b. Provide total care in performing the client's ADLs.
c. Maintain the client on bed rest.
d. Place the client's left arm on a pillow while he is sitting. - ANSWER d
A nurse is caring for a client who is in a seclusion room following violent
behavior. The client continues to display aggressive behavior. Which of the
following actions should the nurse take?
a. Confront the client about this behavior.
b. Express sympathy for the client's
situation. c. Speak assertively to the
client.
d. Stand within 30 cm (1 ft) of the client when speaking with them. - ANSWER
a
A nurse is caring for a client who is receiving brachytherapy for treatment
of prostate cancer. Which of the following actions should the nurse take?
a. Cleanse equipment before removal from the
client's room. b. Limit the client's visitors to 30 min
per day.
c. Discard the client's linens in a double bag.
d. Discard the radioactive source in a biohazard bag - ANSWER b
A nurse is caring for a client who has severe preeclampsia and is receiving
magnesium sulfate intravenously. The nurse discontinues the magnesium
sulfate after the client displaces toxicity. Which of the following actions
should the nurse take?
a. Position the client supine
b. Prepare an IV bolus of dextrose 5% in
water c. Administer methylergonovine
IM
, EXIT HESI EXAM 2022/2023
d. Administer calcium gluconate IV - ANSWER d
A charge nurse is teaching new staff members about factors that increase a
client's risk to become violent. Which of the following risk factors should the
nurse include as the best predictor of future violence?
a. Experiencing
delusions b. Male
gender
c. Pervious violent behavior
d. A history of being in prison - ANSWER c
A nurse is preparing to perform a sterile dressing change. Which of the
following actions should the nurse take when setting up the sterile field?
a. Place the cap from the solution sterile side up on clean surface
b. Open the outermost flap of the sterile kit toward the body→ flap
AWAY from the body's first
c. Place the sterile dressing within 1.25 cm (0.5in) of the edge of the sterile
field → 2.5 cm (1-inch) border around any sterile drape or wrap that is
considered contaminated.
