Hesi Exit Exam 2023/ 2024 with NGN All
Questions and Answers (HESI EXIT
Exam) Test Bank/ Question Bank
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.) ——— Correct Answer ——– 200ml . 25 ml of
full strength feeding mixed with 25ml of water provided 50ml of half strength. 25ml × 8
hours= 200ml
An elderly male client is experiencing urinary incontinence. What is the best initial
nursing action? ——— Correct Answer ——– Apply an external condom catheter
- 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? ——— Correct Answer ——– Reschedule administration of the
antibiotic until after he completes his prayers
UAP using a hand sanitzers that is alcohol for 2 minutes ——— Correct Answer ——–
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 ——— Correct Answer ——– 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 - 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? ——— Correct Answer ——– Compare current vital signs with previous vital
signs
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? ——— Correct
Answer ——– Have the parent take the child for emergency help
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? ——— Correct Answer ——– Postpartum psychosis
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? ——— Correct Answer ——– Regular aerobic
exercise.
Psych/Alcohol/Tylenol overdose antidote ——— Correct Answer ——– Give Mucomyst
Medical Surgical/Laxative abuses ——— Correct Answer ——– Patient -taking Milk of
Magnesium
Spiritual/Documentation ——— Correct Answer ——– Native American – Allow pt’s
family to stay in the room
Leadership- Interpreter informed consent ——— Correct Answer ——– Pt should sign
the consent
Geriatrics/Emergency Rib fractures fall ——— Correct Answer ——– Pulmonary
embolism
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? ———
Correct Answer ——– Involve the client in usual at home activities
Upon assessment, the nurse discovers that a postpartum client has persistent red
lochia.
Which of the following does this assessment finding suggest to the nurse? ———
Correct Answer ——– Coagulation disorders
The healthcare provider performs peritoneal dialysis on a client, after which 2 liters of
fluid is drained. What action should the nurse complete first? ——— Correct Answer —-
—- Assess vital signs.
After administering a medication through a nasogastric tube connected to suction, what
action should the nurse take first? ——— Correct Answer ——– Clamp the tube
The nurse is caring for four clients: Client A 94% o2 saturation, Client B, hemoglobin of
8.;
Client C, potassium level of 3.8 and Client D appendectomy who has a white blood cell
count of 15,000. What
should the nurse implement? ——— Correct Answer ——– Determine if Client B has
two units of packed cells available in the blood bank.
Triage question with a train wreck The psychiatric nurse is called to a train derailment
that was likely caused by a terrorist bomb. In triaging those in need of immediate care,
what is the priority ranking for these cases?