SPRING HESI EXIT EXAM QUESTIONS
AND ANSWERS UPDATED (2024/2025)
(VERIFIED ANSWERS)
The nurse is providing lifestyle change education for a client to slow the
progression of coronary artery disease. Which statement(s)made by the
client should the nurse recognize as needing additional education? (Select
all that apply.)
A Keep a food diary.
B Eat more canned vegetables.
C Consume foods with saturated fats.
D Walk 30 minutes per day.
E Include oatmeal for breakfast.
F Use a salt substitute. - ANS ✓B Eat more canned vegetables.
C Consume foods with saturated fats.
While caring for a toddler receiving oxygen via face mask, the nurse
observes that the child's lips and nares are dry and cracked. Which
intervention should the nurse implement?
A Use a water soluble lubricant on affected oral and nasal mucosa.
B Use a topical lidocaine analgesic for cracked lips.
C Ask the mother what she usually uses on the child's lips and nose.
D Apply a petroleum jelly to the child's nose and lips. - ANS ✓A Use a water
soluble lubricant on affected oral and nasal mucosa.
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When assessing a multigravida on the first postpartum day, the nurse finds
a moderate amount of lochia rubra, with the uterus firm, and three
fingerbreadths above the umbilicus. What action should the nurse
implement first?
A Increase intravenous infusion.
B Massage the uterus to decrease atony.
C Review the hemoglobin to determine hemorrhage.
D Check for a distended bladder. - ANS ✓D Check for a distended bladder.
The nurse is caring for a client on the first day postoperative for a
descending aortic aneurysm repair. Which assessment finding should the
nurse prioritize reporting to the healthcare provider?
Reference Range
Potassium (Reference Range: 3.5 to 5 mEq/L (3.5 to 5 mmol/L)]
A Serum potassium 4.8 mEg/L (4.8 mmol/L).
B Electrocardiogram ST segment elevation.
C Urine output 30 mL/hour.
D Blood pressure 130/80. - ANS ✓B Electrocardiogram ST segment elevation.
The healthcare provider prescribes a low-fiber diet for a client with
ulcerative colitis. Which food selection indicate to the nurse that the
client understand the prescribed diet?
A Roast pork, fresh strawberries.
B Baked potato with skin, raw carrots.
C Roasted turkey, canned vegetables.
D Pancakes, whole-grain cereals. - ANS ✓C Roasted turkey, canned vegetables.
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The psychiatric nurse is caring for clients in an adolescent unit. Which
client requires the nurse's immediate attention?
A An 18-year-old client with antisocial behavior who is being yelled at by
other clients.
B A 17-year-old client diagnosed with bipolar disorder who is pacing
around the lobby.
C A 16-year-old client diagnosed with major depression who refuses to
participate in a group.
D A 14-year-old client with anorexia nervosa who is refusing to eat the
evening snack. - ANS ✓A An 18-year-old client with antisocial behavior who is
being yelled at by other clients.
A client recovering from pneumonia who has a history of severe chronic
obstructive pulmonary disease (COPD) and peripheral vascular disease
(PVD) is being discharged from a skilled nursing facility. Which action is
most important for the nurse to implement?
A Explain exercise daily regimen.
B Demonstrate specific strengthening exercises.
C Provide typed instructions for healthy diet selection
D Reinforce need for adequate hydration. - ANS ✓C Provide typed
instructions for healthy diet selection
A 6-week-old infant with pyloric stenosis is scheduled for a
pyloromyotomy. Which pre-operative nursing action has the highest
priority?
A Instruct parents regarding care of the incisional area.
B Mark an outline of the "olive-Shaped" mass in the right epigastric area.
C Initiate a continuous infusion of IV fluids per prescription.
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D Monitor amount of intake and infant's response to feedings. - ANS ✓C
Initiate a continuous infusion of IV fluids per prescription.
NGN: The client is a 26 yr old female who was in a car accident 6 months
ago that killed her mother, husband, and 2 yr old son. She and her father
were the only survivors of the crash. She is seeking care for depression.
Choose the most likely options for the information missing from the
statement by selecting from the list of options provided.
The client is exhibiting symptoms of _________ relating to ___________ and
__________. - ANS ✓The client is exhibiting symptoms of PTSD relating to
EXPERIENCING A LIFE-THREATENING EVENT and LOSING A LOVE ONE.
NGN: After the examination by the physician, the client was diagnosed with
depression and PSTD. The physician wrote orders for medication that need
to be filled. The nurse speaks with the client again to educate her about her
diagnose and medication. How can the nurse build a therapeutic
relationship with the client? Select all that apply.
A The nurse can establish a meaningful connection
B The nurse can be open, honest, and sincere
C The nurse can communicate acceptance of the client as she is
D The nurse can talk as much as needed to get the client talking
E The nurse can focus energy on the client
F The nurse can show no emotion when talking to the client - ANS ✓A The
nurse can establish a meaningful connection
B The nurse can be open, honest, and sincere
C The nurse can communicate acceptance of the client as she is
NGN: During the conversation with the client, the nurse documents a
statement by the client about wishing she had died in the crash. Choose the
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