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lHESI EXIT EXAM VERSION 1 QUESTIONS ANDCORRECT ANSWERS GUARANTEED SUCCESS.
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HESI EXIT EXAM VERSION 1 QUESTIONS ANDCORRECT ANSWERS GUARANTEED SUCCESS.
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HESI EXIT EXAM 2022-2023 VERSION 1l HESI EXIT EXAM 2022-2023 VERSION 1
QUESTIONS ANDCORRECT ANSWERS
GUARANTEED SUCCESS.
1. The nurse is discussing with a group of students the disease Kawasaki. What statementmade by a student about
Kawasaki disease is incorrect?
A) It also called mucocutaneous lymph node syndrome because it affects the mucousmembranes (inside the
mouth, throat and nose), skin and lymph nodes.
B) In the second phase of the disease, findings include peeling of the skin on the handsand feet with joint and
abdominal pain
C) Kawasaki disease occurs most often in boys, children younger than age 5 and childrenof Hispanic descent
D) Initially findings are a sudden high fever, usually above 104 degrees Fahrenheit, whichlasts 1 to2 weeks
The correct answer is C: Kawasaki disease occurs most often in boys, children younger
than age 5 and children of Hispanic descent
2. A client has viral pneumonia affecting 2/3 of the right lung. What would be the best position to teach the client
to lie in every other hour during first 12 hours after admission? A) Side-lying on the left with the head elevated 10
degrees
B) Side-lying on the left with the head elevated 35 degrees
C) Side-lying on the right wil the head elevated 10 degrees
D) Side-lying on the right with the head elevated 35 degrees
The correct answer is A: Side-lying on the left with the head elevated 10 degrees
3. A client has an indwelling catheter with continuous bladder irrigation after undergoing a transurethral
resection of the prostate (TURP) 12 hours ago. Which findingat this time should be reported to the health care
provider?
A) Light, pink urine
B) occasional suprapubic cramping
C) minimal drainage into the urinary collection bag
D) complaints of the feeling of pulling on the urinary catheter The correct answer is C:minimal drainage into
the urinary collection bag
4. A nurse is performing CPR on an adult who went into cardiopulmonary arrest. Another nurse enters the
room in response to the call. After checking the client’s pulseand respirations, what should
be the function of the second nurse?
, HESI EXIT EXAM 2022-2023 VERSION 1
A) Relieve the nurse performing CPR
B) Go get the code cart
C) Participate with the compressions or breathing
D) Validate the client's advanced directive
The correct answer is C: Participate with the compressions or breathing
5. Which of these clients who are all in the terminal stage of cancer is least appropriateto suggest the use of
patient controlled analgesia (PCA) with a pump?
A) A young adult with a history of Down's syndrome
B) A teenager who reads at a 4th grade level
C) An elderly client with numerous arthritic nodules on the handsD) A preschooler
with intermittent episodes of alertness
The correct answer is D: A preschooler with intermittent episodes of alertness
6. The nurse is about to assess a 6 month-old child with nonorganic failure-to thrive(NOFTT). Upon
entering the room, the nurse would expect the baby to be
A) Irritable and "colicky" with no attempts to pull to standing
B) Alert, laughing and playing with a rattle, sitting with support
C) Skin color dusky with poor skin turgor over abdomen D) Pale, thin arms
and legs, uninterested in surroundings
The correct answer is D: Pale, thin arms and legs, uninterested in surroundings
7. As the nurse is speaking with a group of teens which of these side effects of chemotherapy for cancer
would the nurse expect this group to be more interested induring the discussion?
A) Mouth sores
B) Fatigue
C) DiarrheaD) Hair
loss
The correct answer is D: Hair loss
8. While caring for a client who was admitted with myocardial infarction (MI) 2 daysago, the nurse notes
today's temperature is 101.1 degrees Fahrenheit (38.5 degrees Celsius). The appropriate
nursing intervention is to
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A) Call the health care provider immediately
B) Administer acetaminophen as ordered as this is normal at this time
C) Send blood, urine and sputum for culture
D) Increase the client's fluid intake
9. Which information is a priority for the RN to reinforce to an older client afterintravenous
pylegraphy?
A) Eat a light diet for the rest of the day
B) Rest for the next 24 hours since the preparation and the test is tiring.
C) During waking hours drink at least 1 8-ounce glass of fluid every hour for the next 2days
D) Measure the urine output for the next day and immediately notify the health careprovider if it should
decrease.
The correct answer is D: Measure the urine output for the next day and immediatelynotify the health care
provider if it should decrease.
10. A client has altered renal function and is being treated at home. The nurse recognizesthat the most accurate
indicator of fluid balance during the weekly visits is
A) difference in the intake and output
B) changes in the mucous membranes
C) skin turgor
D) weekly weight
The correct answer is D: weekly weight
11. A client has been diagnosed with Zollinger-Ellison syndrome.Which information ismost important for
the nurse to reinforce with the client?
A) It is a condition in which one or more tumors called gastrinomas form in the pancreasor in the upper part of
the small intestine (duodenum)
B) It is critical to report promptly to your health care provider any findings of pepticulcers
c)Treatment consists of medications to reduce acid and heal any peptic ulcers and, ifpossible, surgery to remove
any tumors
D)With the average age at diagnosis at 50 years the peptic ulcers may occur at unusualareas of the stomach or
intestine
The correct answer is B: It is critical to report promptly to your health care provider anyfindings of peptic ulcers .
12. A primigravida in the third trimester is hospitalized for preeclampsia. The nurse
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determines that the client’s blood pressure is increasing. Which action should the nurse take first?
A) Check the protein level in urine
B) Have the client turn to the left side
C) Take the temperature
D) Monitor the urine output
The correct answer is B: Have the client turn to the left side
13. The nurse is caring for a client in atrial fibrillation. The atrial heart rate is 250 and theventricular rate is controlled
at 75. Which of the following findings is cause for the most concern?
A) Diminished bowel sounds
B) Loss of appetite
C) A cold, pale lower leg
D) Tachypnea
The correct answer is C: A cold, pale lower leg
14. The client with infective endocarditis must be assessed frequently by the home healthnurse. Which finding
suggests that antibiotic therapy is not effective, and must be reported by the nurse immediately to the healthcare
provider?
A) Nausea and vomiting
B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
C) Diffuse macular rash
D) Muscle tenderness
The correct answer is B: Fever of 103 degrees F (39.5 degrees C)
15. A client who had a vasectomy is in the post recovery unit at an outpatient clinic. Whichof these points is most
important to be reinforced by the nurse?
A) Until the health care provider has determined that your ejaculate doesn't contain sperm, continue to use
another form of contraception.
B) This procedure doesn't impede the production of male hormones or the production ofsperm in the testicles.
The sperm can no longer enter your semen and no sperm are in your ejaculate.
C) After your vasectomy, strenuous activity needs to be avoided for at least 48 hours. If your work doesn't
involve hard physical labor, you can return to your job as soon as you
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