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Exit HESI practice questions 2024/2025 already graded A+
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Exit HESI practice questions 2024/2025 already graded A+
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Exit HESI practice questionsA 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 - ANSc. Begin with questions that are less
sensitive in nature
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 - ANSc. Increasing confusion of the client
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 - ANSd. Ask the
client for a description of the exercise schedule that is being followed
4. 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 - ANSa. Observe insertion site
,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 - ANSb. 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 - ANSd. Cloudy dialysate output and
rebound abdominal pain
7. 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 - ANSd. Initiate a hearing and
vision screening program for first graders
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 - ANSc. 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 - ANSb. 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) - ANS
11. 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 - ANSc. Monitor bubbling of chest unit
water-seal chamber
12. 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 - ANSa. Monitor blood glucose level
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 - ANSb. 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 - ANSb. 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% - ANSd. 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 - ANSOpen 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 male client with right-sided weakness calls for assistance with ambulating to the
bathroom.
What action should the nurse implement?
a. Give the client a cane to hold in the right hand
b. Bring a bedside commode to the client
c. Walk directly behind the client to prevent a fall
d. Stand on the client's right side as he walks - ANSd. Stand on the client's right side as he
walks
18. The nurse observes unlicensed assistive personnel (UAP) who is preparing to provide care
for a client who requires contact precautions. The UAP has applied a gown and gloves and
secure the tops of the gloves over the gown sleeves what action should the nurse take space
a. help the UAP reposition the gown sleeve over the glove edge
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