Hesi Exit Exam Comprehensive B Evolve Practice
Questions and Answers Latest 2022/2023
1. A client is receiving a continuous half strength tube feeding at 50ml/hour. To prepare
enough of the solution for eight hours, how many ml of full strength feeding will the nurse
need? (Enter numeric value only.)
200ml . 25 ml of full strength feeding mixed with 25ml of water provided 50ml of half strength.
25ml × 8 hours= 200ml
2. An elderly male client is experiencing urinary incontinence. What is the best initial nursing
action?
Apply an external condom catheter
3. A male Muslim client with pneumonia is scheduled to receive a dose of an intravenous
antibiotic but refuses to allow the nurse to begin the medication, stating he cannot allow
fluids to enter his body once he is cleansed for prayer. What action should the nurse
implement?
Reschedule administration of the antibiotic until after he completes his prayers
4. UAP using a hand sanitzers that is alcohol for 2 minutes
tell that hand sanitizer use is less > 2min
5. A child is to receive vancomycin (Vancocin) 40 mg/kg IV one hour before a scheduled
procedure. The child weighs 44 pounds. How many mg of the medication should the nurse
administer
,Answer: 800 Rationale: First, convert the child's weight to kg: 44 pounds divided by
2.2pound/kg = 20 kg. Next calculate the mg/kg/dose, 40 mg x 20 kg = 800mg
6. While assisting a postpartum client with perineal care, the nurse notes that her vaginal
bleeding spurts rather than trickles from the vagina. The uterine fundus is firm and the
client's vital signs are pulse 88 beats/minute; respiratory rate, 21 breaths/minute; and blood
pressure, 104/68 mmHg. What action should the nurse take next?
Compare current vital signs with previous vital signs
7. A 6-year old boy was hit with a bat while playing at school. He has a splinter of wood
imbedded in his eye. Which action should the school nurse take?
Have the parent take the child for emergency help
8. Within four weeks of childbirth, a client is admitted to the hospital for disorganized speech
bizarre behavior, and strange thoughts about her infant being possessed by demons. The
nurse identifies a nursing diagnosis of "Altered thought processes, secondary to" what
condition?
Postpartum psychosis
9. The nurse identifies a priority diagnosis of, "Altered comfort related to menstrual cramps"
for a 25-year-old female client. Which self-care activity should the nurse emphasize in the
client's teaching plan?
Regular aerobic exercise.
, 10. Psych/Alcohol/Tylenol overdose antidote
Give Mucomyst
11. Medical Surgical/Laxative abuses
Patient -taking Milk of Magnesium
12. Spiritual/Documentation
Native American - Allow pt's family to stay in the room
13. Leadership- Interpreter informed consent
Pt should sign the consent
14. Geriatrics/Emergency Rib fractures fall
Pulmonary embolism
15. A client diagnosed with major depression is being allowed a weekend pass from the
psychiatric unit. Which instruction should the nurse provide to the client's family?
Involve the client in usual at home activities
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