EXIT HESI Questions & Answers 2023(A+GRADED 100%VERIFIED)
EXIT HESI 2022
An older client’s daughter calls the home health nurse and reports that her
mother has become and is very confused at night. The daughter states that her
mother’s behavior changed suddenly a few days a few days ago and is now
getting worse. Which actions should the nurse take? Select all that apply
a. Ask if the mother is experiencing any pain with urination.
b. Encourage increase intake of high protein foods.
c. Instruct the daughter to check her mother’s temperature.
d. Review the clients current food and medication allergies.
e. Determine if the mother has recently experienced a fall. – ANS a. Ask if the
mother is experiencing any pain with urination.
c. Instruct the daughter to check her mother’s temperature.
e. Determine if the mother has recently experienced a fall.
1.The nurse is preparing a teaching plan for an older female client diagnosed
with osteoporosis, which expected outcome has the highest priority.
a. Identifies 2 treatments for Constipation due to immobility.
b. Names three home safety hazards to be resolved immediately.
c. States 4 risk factors for the development of osteoporosis.
d. List five calcium rich foods to be added to her daily diet. – ANS b. Names
three home safety hazards to be resolved immediately.
- The nurse preparing a client who had a BKA ( below the knee amp) for
discharge to home. Which recommendations should the nurse provide this
client? (SATA)
a. Avoid range of motion exercises
b. Use residual limb shrinker
c. Wash the stump with soap and water
d. Inspect skin for redness
e. Apply alcohol to the stump after bathing – ANS a. Inspect skin for redness
b. Use a residual limb shrinker
c. Wash the stump with soap and water
A client’s morning assessment includes bounding peripheral pulses, weight
gain of 2lbs (0.91 kg), pitting ankle edema, and moist crackles bilaterally.
Which intervention is most important for the nurse to include in this client’s
plan of care?
a. Restrict daily fluid intake to 1500 mL
b. Administer prescribed diuretic
c. Maintain accurate intake and output
d. Weigh client every morning – ANS b. Administer prescribed diuretic
The home care nurse visits a client who has cancer. The client reports having
a good appetite but experiencing nausea when smelling food cooking. Which
action should the nurse implement?
A. Encourage family members to cook meals outdoors and bring the cooked
food inside
B. Instruct the client to take an antiemetic before every meal to prevent
excessive vomiting
C. Assess the client’s mucous membranes and report the findings to the HCP
D. Advice the client to replace cooked foods with a variety of different
nutritional supplements – ANS A. Encourage family members to cook meals
outdoors and bring the cooked food inside
A client with syndrome of inappropriate antidiuretic hormone secretion
(SIADH) is admitted with hyponatremia. Which intervention is most important
for the nurse to include in the plan of care to protect the client from injury?
A. administer hypertonic IV fluids as prescribed
B. Limit fluid Intake
Assess neurological status every 8 hours
Initiate seizure precautions – ANS B. Limit fluid Intake
A client with chronic kidney disease has an arteriovenous (AV) fistula in the
left forearm. Which observation by the nurse indicates that the fistula is
patent?
a. distended tortuous veins in the left hand
b. auscultation of the thrill in the left forearm
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