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TESTBANK FOR HESI EXIT EXAMS 2024/2025 600+ VERIFIED QUESTIONS AND ANSWERS GRADED A+
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TESTBANK FOR HESI EXIT EXAMS 2024/2025 600+ VERIFIED QUESTIONS AND ANSWERS GRADED A+
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TESTBANK FOR HESI EXIT EXAMS2024/2025 600+ VERIFIED QUESTIONS AND
ANSWERS GRADED A+
1. Following discharge teaching, a male client with duodenal ulcer tells the nurse
the he will drink plenty of dairy products, such as milk, to help coat and protect
his ulcer. What is the best follow-up action by the nurse?
(CORRECT ANSWER- Review with the client the need to avoid foods that are
rich in milk and cream
2. A male client with hypertension, who received new antihypertensive
prescriptions at his last visit returns to the clinic two weeks later to evaluate his
blood pressure (BP). His BP is 158/106 and he admits that he has not been
taking the prescribed medication because the drugs make him "feel bad". In
explaining the need for hypertension control, the nurse should stress that an
elevated BP places the client at risk for which pathophysiological condition?
(CORRECT ANSWER- Stroke secondary to hemorrhage
3. The nurse observes an unlicensed assistive personnel (UAP) positioning a
newly admitted client who has a seizure disorder. The client is supine and the
UAP is placing soft pillows along the side rails. What action should the nurse
implement?
(CORRECT ANSWER- Instruct the UAP to obtain soft blankets to secure to
the side rails instead of pillows.
4. An adolescent with major depressive disorder has been taking duloxetine
(Cymbalta) for the past 12 days. Which assessment finding requires immediate
follow-up?
(CORRECT ANSWER- Describes life without purpose
5. A 60-year-old female client with a positive family history of ovarian cancer
has developed an abdominal mass and is being evaluated for possible ovarian
cancer. Her Papanicolau (Pap) smear results are negative. What information
should the nurse include in the client's teaching plan?
(CORRECT ANSWER- Further evaluation involving surgery may be needed
6. A client who recently underwear a tracheostomy is being prepared for
discharge to home. Which instructions is most important for the nurse to
include in the discharge plan?
, (CORRECT ANSWER- Teach tracheal suctioning techniques
7. In assessing an adult client with a partial rebreather mask, the nurse notes that
the oxygen reservoir bag does not deflate completely during inspiration and the
client's respiratory rate is 14 breaths / minute. What action should the nurse
implement?
(CORRECT ANSWER- Document the assessment data
7. During shift report, the central electrocardiogram (EKG) monitoring system
alarms. Which client alarm should the nurse investigate firs?
(CORRECT ANSWER- Respiratory apnea of 30 seconds
8. During a home visit, the nurse observed an elderly client with diabetes slip and
fall. What action should the nurse take first?
(CORRECT ANSWER- Check the client for lacerations or fractures
9. At 0600 while admitting a woman for a schedule repeat cesarean section (C-
Section), the client tells the nurse that she drank a cup a coffee at 0400 because
she wanted to avoid getting a headache. Which action should the nurse take
first?
(CORRECT ANSWER- Inform the anesthesia care provider
10. After placing a stethoscope as seen in the picture, the nurse auscultates S1 and
S2 heart sounds. To determine if an S3 heart sound is present, what action
should the nurse take first?
(CORRECT ANSWER- Listen with the bell at the same location
11. A 66-year-old woman is retiring and will no longer have a health insurance
through her place of employment. Which agency should the client be referred
to by the employee health nurse for health insurance needs?
(CORRECT ANSWER- Medicare
12. A client who is taking an oral dose of a tetracycline complains of
gastrointestinal upset. What snack should the nurse instruct the client to take
with the tetracycline?
(CORRECT ANSWER- Toasted wheat bread and jelly
14. Following a lumbar puncture, a client voices several complaints. What
complaint indicated to the nurse that the client is experiencing a complication?
, (CORRECT ANSWER- "I have a headache that gets worse when I sit up"
15. An elderly client seems confused and reports the onset of nausea, dysuria, and
urgency with incontinence. Which action should the nurse implement?
(CORRECT ANSWER- Obtain a clean catch mid-stream specimen
16. The nurse is assisting the mother of a child with phenylketonuria (PKU) to
select foods that are in keeping with the child's dietary restrictions. Which foods are
contraindicated for this child? (CORRECT ANSWER- Foods sweetened with
aspartame
17. Before preparing a client for the first surgical case of the day, a part-time scrub
nurse asks the circulating nurse if a 3 minute surgical hand scrub is adequate
preparation for this client. Which response should the circulating nurse provide?
(CORRECT ANSWER- Direct the nurse to continue the surgical hand scrub for a 5
minute duration
18. Which breakfast selection indicates that the client understands the nurse's
instructions about the dietary management of osteoporosis?
(CORRECT ANSWER- Bagel with jelly and skim milk
19. The charge nurse of a critical care unit is informed at the beginning of the shift
that less than the optimal number of registered nurses will be working that shift. In
planning assignments, which client should receive the most care hours by a
registered nurse (RN)?
(CORRECT ANSWER- An 82-year-old client with Alzheimer's disease newly-
fractures femur who has a Foley catheter and soft wrist restrains applied
20. A mother brings her 6-year-old child, who has just stepped on a rusty nail, to
the pediatrician's office. Upon inspection, the nurse notes that the nail went through
the shoe and pierced the bottom of the child's foot. Which action should the nurse
implement first?
(CORRECT ANSWER- Cleanse the foot with soap and water and apply an
antibiotic ointment
21. The mother of an adolescent tells the clinic nurse, "My son has athlete's foot, I
have been applying triple antibiotic ointment for two days, but there has been no
improvement." What instruction should the nurse provide?
(CORRECT ANSWER- Stop using the ointment and encourage complete drying of
the feet and wearing clean socks.
, 22. A 26-year-old female client is admitted to the hospital for treatment of a simple
goiter, and levothyroxine sodium (Synthroid) is prescribed. Which symptoms
indicate to the nurse that the prescribed dosage is too high for this client? The client
experiences
(CORRECT ANSWER- Palpitations and shortness of breath
23. A client with a history of heart failure presents to the clinic with a nausea,
vomiting, yellow vision and palpitations. Which finding is most important for the
nurse to assess to the client?
(CORRECT ANSWER- Obtain a list of medications taken for cardiac history
24. The healthcare provider prescribes an IV solution of isoproterenol (Isuprel) 1
mg in 250 ml of D5W at 300 mcg/hour. The nurse should program the infusion
pump to deliver how many ml/hour? (Enter numeric value only.)
(CORRECT ANSWER- 75 ml/hour
25. The pathophysiological mechanism are responsible for ascites related to liver
failure? (Select all that apply)
(CORRECT ANSWER- Fluid shifts from intravascular tointerstitial area due to
decreased serum protein
Increased hydrostatic pressure in portal circulation increases fluid shifts into
abdomen
Increased circulating aldosterone levels that increase sodium and water retention
26. The nurse is auscultating a client's heart sounds. Which description should the
nurse use to document this sound? (Please listen to the audio first to select the
option that applies)
(CORRECT ANSWER- Murmur
27. The healthcare provider prescribes celtazidime (Fortax) 35 mg every 8 hours
IM for an infant. The 500 mg vial is labeled with the instruction to add 5.3 ml
diluent to provide a concentration of 100 mg/ml. How many ml should the nurse
administered for each dose? (Enter numeric value only. If rounding is required,
round to the nearest tenth)
(CORRECT ANSWER- 0.4 ml
28. The nurse notes that a client has been receiving hydromorphone (Dilaudid)
every six hours for four days. What assessment is most important for the nurse to
complete?
(CORRECT ANSWER- Auscultate the client's bowel sounds
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