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Exam (elaborations)

Exit HESI Exam Questions With Correct and Verified Answers

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  • Hesi
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  • Hesi

Exit HESI Exam Questions and Answers "1. The nurse is caring for a client admitted a spontaneous pneumothorax. Which actions should the nurse include in this client's plan of care? a. Give bronchodilator by endotracheal route b. Schedule client for hyperbaric oxygen therapy (HBOT) c. Monito...

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  • January 27, 2025
  • 35
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Hesi
  • Hesi
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Smith01
Exit HESI Exam
Questions and
Answers
"1. The nurse is caring for a client admitted a spontaneous pneumothorax. Which
actions should
the nurse include in this client's plan of care?
a. Give bronchodilator by endotracheal route
b. Schedule client for hyperbaric oxygen therapy (HBOT)
c. Monitor bubbling of chest unit water-seal chamber
d. Administer antibiotics via long-line IV catheter - Correct answer c. Monitor
bubbling of chest unit water-seal chamber"

"2. The nurse is caring for a client who develops signs and symptoms of septic
shock following a
urinary tract infection one week ago. The healthcare provider prescribed a sepsis
protocol to be
initiated. Which intervention is MOST important for the nurse to include in the
plan of care?
a. Monitor blood glucose level
b. Keep head of bed raised 45, degrees
c. Maintain strict intake and output
d. Assess warmth of extremities - Correct answer a. Monitor blood glucose level"

"3. A client tells the nurse about beginning an exercise program a month ago to
lose weight and improve sleep. The client states that it still takes at least two
hours to fall asleep at night. Which
action should the nurse implement?

a. Determine the amount of weight the client has lost since increasing activity
b. Encourage the client to exercise every day to eliminate bedtime wakefulness
c. Advise the client that lifestyle changes often take several weeks to be effective
d. Ask the client for a description of the exercise schedule that is being followed -
Correct answer d. Ask the client for a description of the exercise schedule that is
being followed"

"4. What action should the school nurse implement to provide secondary
prevention for school aged children?

a. Prepare a presentation on how to prevent the spread of lice
b. Collaborate with a science teacher to prepare a health lesson
c. Observe a person with type 1 Diabetes self-administer a dose of insulin

,d. Initiate a hearing and vision screening program for first graders - Correct
answer d. Initiate a hearing and vision screening program for first graders"

"5. An older adult client with a history of type 2 diabetes mellitus is seen in the
community health clinic for an annual physical examination. Which nursing
actions should be included in assessing for long-term complication of diabetes?
(SATA)

a. Obtain urine specimen to assess for albumin
b. Test lower extremities for changes in sensation
c. Obtain venous sample for liver enzymes
d. Palpate pedal pulses and foot temperature
e. Auscultate for adventitious breath sounds - Correct answer b. Test lower
extremities for changes in sensation

d. Palpate pedal pulses and foot temperature"

"6. The home health nurse is assessing a male client who has started peritoneal
dialysis (PD) 5 days ago. Which assessment finding warrants immediate
intervention by the nurse?

a. Anorexia and poor intake of adequate dietary protein
b. Arteriovenous (AV) graft surgical site pulsations
c. Fingerstick blood glucose 12o mg/Dl (6.66 mmol/L) post exchange
d. Cloudy dialysate output and rebound abdominal pain - Correct answer d.
Cloudy dialysate output and rebound abdominal pain"

"7. Which assessment should the home health nurse include during a routine
home visit for a client who was discharged home with a suprapubic catheter?

a. Observe insertion site
b. Palpate flank area
c. Assess perineal area
d. Measure abdominal girth - Correct answer a. Observe insertion site"

"8. The nurse is discussing mitigation at a disaster preparedness committee
meeting. Which activity should the nurse suggest to enhance mitigation?
a. Discuss some ways to ensure safety in the home during a disaster
b. Design requirement for an incident Command Center
c. Provide a community disaster preparedness meeting
d. Participate as an active member of the local American Red Cross - Correct
answer c. Provide a community disaster preparedness meeting"

"9. A client is admitted to the intensive care unit (ICU) with spinal cord injury
(SCI) following a motor
vehicle collision. Which nurse should be contacted to coordinate the progression
of the client's
care?
a. Nurse Care manager
b. Neurology unit supervisor

,c. Adult nurse practitioner
d. Risk management nurse - Correct answer b. Neurology unit supervisor"

"10. A client who weighs 80 kg receives a prescription for dobutamine 2
mcg/kg/min intravenously (IV). The IV bag is contains dobutamine 500 mg in
dextrose 5% in water (D5W) 500 mL/hour should the nurse program the infusion
pump? (Enter the numerical value only. If rounding is required, round to the
nearest whole number) - Correct answer "

“11. A client presents to the emergency department (ED) with complaints
abdominal pain. The nurse observes the client's right cheek and eye bruised and
suspects possible domestic violence. Which approach is best the nurse to use
when interviewing the client?

a. Share personal values to put the at ease
b. Ask questions in a vague, non-specific format
c. Begin with questions that are less sensitive in nature
d. Get the most difficult questions over with fist - Correct answer c. Begin with
questions that are less sensitive in nature"

"12. A client who received an open reduction and internal fixation (ORIF) of the
right femur after experiencing a fall home experiences a sudden onset of
increasing confusion and agitation. When reporting to the healthcare using SBAR
communication, which information should the
nurse provide FIRST

a. Currently prescribed medication
b. Client's healthcare power of attorney
c. Increasing confusion of the client
d. Fall at home as reason for admission - Correct answer c. Increasing confusion
of the client"

"13. A client with the history of adrenal insufficiency is admitted to the intensive
care unit with an
acute adrenal crisis. The client is complaining of nausea and joint pain. Vital
signs are:
temperature 102 F (38.9 C), heart rate 138 beats/Min, BP 80/60 mmHg. Which
intervention
should the nurse implement FIRST?
a. Cover client with cooling blanket
b. Infuse intravenous fluid bolus
c. Obtain an analgesic prescription
d. Administer PRN oral antipyretic - Correct answer b. Infuse intravenous fluid
bolus"

"14. A client who is admitted to the intensive care unit (ICU) with syndrome of
inappropriate
antidiuretic hormone (SIADH) has developed osmotic demyelination. Which
Intervention should
the nurse implement FIRST?

, a. Reorient often
b. Evaluate swallow or Swollen Throat for S/SX
c. Range of Motion
d. Patch one eye - Correct answer b. Evaluate swallow or Swollen Throat for S/SX"

"15. After successful resuscitation, a client is given propranolol and transferred to
Intensive Coronary Care Unit (ICCU). On admission, magnesium sulfate 4 grams
IV in 250 mL D5W at one gram/hour. Which assessment findings require
immediate intervention by the nurse?

a. Dark amber urine draining per indwelling catheter with 40 mL per hour
b. Sinus rhythm at 72 beats/minute and peripheral blood pressure of 99/62 mm
Hg
c. Serum calcium of 9.0 mg/dL (2.2 mmol/L SI) and magnesium of 1.8 mg/dL or
Eq/L (0.74
mmol/L S1)
d. Respiratory rate of 10 breaths per minute and pulse oximetry of 90% - Correct
answer d. Respiratory rate of 10 breaths per minute and pulse oximetry of 90%"

"The nurse using a straight urinary catheter kit to collect a sterile urine specimen
from a female client. After positioning and prepping the client, rank the action in
the sequence they should be implemented (place the first action at the top with
the last action at the bottom)

Open the sterile catheter kit close to the client's perineum

Place distal end of the catheter in sterile specimen cup and insert catheter into
meatus

Cleanse the urinary meatus using the solution, swabs, and forceps provided

Don sterile gloves and prepare the sterile field - Correct answer Open the sterile
catheter kit close to the client's perineum

Don sterile gloves and prepare the sterile field

Cleanse the urinary meatus using the solution, swabs, and forceps provided

Place distal end of the catheter in sterile specimen cup and insert catheter into
meatus"

"17. A client who was splashed with a chemical has both eyes covered with
bandages. When assessing the clients with eating, which intervention should the
nurse instruct the unlicensed
assistive personnel (UAP) to implement?

a. Orients the client to locate to the location of the food on the plate
b. Provide with only fingers food
c. Feed the client the entire meal

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