HESI EXIT EXAMS VERSION 1 -7 COMPREHENSIVE
EXAMS 900+ QUESTIONS AND CORRECT DETAILED
ANSWERS
During a home visit, the nurse observed an elderly client with diabetes slip and
fall. What action should the nurse take first?
a. Give the client 4 ounces of orange juice
b. Call 911 to summon emergency assistance
c. Check the client for lacerations or fractures
d. Asses clients blood sugar level
Check the client for lacerations or fractures
Rationale: After the client falls, the nurse should immediately assess for the
possibility of injuries and provide first aid as needed
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?
a. Ensure preoperative lab results are available
b. Start prescribed IV with lactated Ringer's
c. Inform the anesthesia care provider
d. Contact the client's
obstetrician. Inform the
anesthesia care provider
Rationale: Surgical preoperative instruction includes NPO after midnight the day
of surgery to decrease the risk of aspiration should vomiting occur during
anesthesia. While it is possible the C-section will be done on schedule or
rescheduled for later in the day, the anesthesia provider should be notified first.
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
a. Side the stethoscope across the sternum.
b. Move the stethoscope to the mitral site
c. Listen with the bell at the same location
d. Observe the cardiac telemetry monitor
, HESI EXIT EXAMS VERSION 1 -7 COMPREHENSIVE
EXAMS 900+ QUESTIONS AND CORRECT DETAILED
ANSWERS
Listen with the bell at the same location
Rationale: The nurse uses the bell of the stethoscope to hear low-pitched sounds
such as S3 and S4. The nurse listens at the same site using the diaphragm the
diaphragm and bell before moving systematically to the next sites.
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?
a. Woman, Infant, and Children program
b. Medicaid
c. Medicare
d. Consolidated Omnibus Budget Reconciliation Act
provision. Medicare
Rationale: Title XVII of the social security Act of 1965 created Medicare
Program to provide medical insurance for person more than 65 years or older,
disable or with permeant kidney failure, WIC provides supplemental nutrition
to meet the needs of pregnant of breastfeeding woman, infants and children up
to age of 6. Medicaid provides financial assistance to pay for medical services
for poor older adults, blind, disable and families with dependent children.
COBRA(D) health benefit provisions is a limited insurance plan for those who
has been laid off or become unemployed.
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?
a. Fruit-flavored yogurt.
b. Cheese and crackers.
c. Cold cereal with skim milk.
d. Toasted wheat bread and
jelly Toasted wheat bread
and jelly
Rationale: Dairy products decrease the effect of tetracycline, so the nurse
instructs the client to eat a snack such as toast, which contains no dairy products
and may decrease GI symptoms.
Following a lumbar puncture, a client voices several complaints. What complaint
indicated to the nurse that the client is experiencing a complication?
, HESI EXIT EXAMS VERSION 1 -7 COMPREHENSIVE
EXAMS 900+ QUESTIONS AND CORRECT DETAILED
ANSWERS
a. "I am having pain in my lower back when I move my legs"
b. "My throat hurts when I swallow"
c. "I feel sick to my stomach and am going to throw up"
d. I have a headache that gets worse when I sit up"
, HESI EXIT EXAMS VERSION 1 -7 COMPREHENSIVE
EXAMS 900+ QUESTIONS AND CORRECT DETAILED
ANSWERS
"I have a headache that gets worse when I sit up"
Rationale: A post-lumbar puncture headache, ranging from mild to severe, may
occur as a result of leakage of cerebrospinal fluid at the puncture site. This
complication is usually managed by bedrest, analgesic, and hydration.
An elderly client seems confused and reports the onset of nausea, dysuria, and
urgency with incontinence. Which action should the nurse implement
a. Auscultate for renal bruits
b. Obtain a clean catch mid-stream specimen
c. Use a dipstick to measure for urinary ketone
d. Begin to strain the client's urine.
Obtain a clean catch mid-stream specimen
Rationale: This elderly is experiencing symptoms of urinary tract infection. The
nurse should obtain a clean catch mid-stream specimen to determine the
causative agent so an anti-infective agent can be prescribed.
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?
a. Wheat products
b. Foods sweetened with aspartame.
c. High fat foods
d. High calories foods.
Foods sweetened with aspartame
Rationale: Aspartame should not be consumed by a child with PKU because ut is
converted to phenylalanine in the body. Additionally, milk and milk products are
contraindicated for children with PKU.
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?
a. Ask a more experience nurse to perform that scrub since it is the first time of the
day
b. Validate the nurse is implementing the OR policy for surgical hand scrub
c. Inform the nurse that hand scrubs should be 3 minutes between cases.
d. Direct the nurse to continue the surgical hand scrub for a 5-
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