HESI EXIT EXAM SPRING 2023 WITH NGN VERIFIED  QUESTIONS AND ANSWERS DOWNLOAD TO SCORE GRADE A

An older client admitted for observation following a fall while getting out of the bath 

tub becomes increasingly confused. The family arrives with the home medication 

list and the client's healthcare power of attorney. When providing a report to the 

healthcare provider using BAR (Situation, Background, Assessment, 

Recommendation) communication, which information should the nurse provide 

first?

A Increasing confusion of the client.

B Client's healthcare power of attorney.

C Fall at home as reason for admission.

D Currently prescribed medications.

A Increasing confusion of the client.

A nurse took drugs from the unit for personal use was temporarily released from 

duty. After completion of mandatory counseling, the impaired nurse has asked 

nursing administration to allow return to work. When the nurse administrator 

approaches the charge nurse with the impaired nurse's request, which action is 

best for the charge nurse to take?

A Meet with staff to assess their feelings about the impaired nurse's return to the 

unit.

B Allow the impaired nurse to return to work and monitor medication 

administration.

C Ask to meet with the impaired nurse's therapist before allowing the nurse back 

on the unit.

D Since treatment is completed, assign the nurse to routine R responsibilities.

B Allow the impaired nurse to return to work and monitor medication 

administration.

When preparing to administer a prescribed medication to a homeless male at a 

community psychiatric clinic, the client tells the nurse that he usually takes a 

different dosage. Which action should the nurse take?

A Explain to the client that the dosage has been changed.

B Tell him to take the medication then verify the dosage at the next healthcare 

team meeting.

C Withhold the medication until the dosage can be confirmed.

D Inform him that he may refuse the medication and document whether or not he 

takes it

C Withhold the medication until the dosage can be confirmed.

A client with cirrhosis of the liver is admitted with complications related to end 

stage liver disease. Which intervention (s) should the nurse implement? (Select all 

that apply.)

A Report serum albumin and globulin levels.

B Provide diet low in phosphorus.

C Increase oral fluid intake to 1,500 mL daily.

D Note signs of swelling and edema.

E Monitor abdominal girth.

A Report serum albumin and globulin levels.

D Note signs of swelling and edema.

E Monitor abdominal girth.

After receiving report, the nurse can most safely plan to assess which client last?

A An adult client with no postoperative drainage in the Jackson-Prat drain with the 

bulb compressed.

B An older client with a distended abdomen and no drainage from the nasogastric 

tube.

C An older client with dark red drainage on a postoperative dressing, but no 

drainage in the Hemovac

D An adult client with a rectal tube draining clear, pale red liquid drainage.

A An adult client with no postoperative drainage in the Jackson-Prat drain with the 

bulb compressed.

Which intervention Is most important for the nurse to include in the plan of Care

for a client who is 12 hours post-thyroidectomy?

A Resume antithyroid drug therapy.

B Prepare to administer radioactive iodine treatments.

C Anticipate and monitor for hypothermia.

D Maintain a semi-Fowler position.

A Resume antithyroid drug therapy.

A preschool-aged child who is being treated for Streptococcal pharyngitis returns to 

the clinic for signs of scarlet fever. Which assessment finding provides the earliest 

indication to the nurse that the child is experiencing a reaction to the toxins that 

are created by the Streptococcus bacteria?

A Red bumps across chest.

B White coating on tongue.

C High, protracted fever.

D Flaky, peeling skin.

B White coating on tongue.

The nurse is caring for a client with a fractured femur. Following removal of 

traction and the application of a full-leg cast, which action should the nurse 

prioritize?

A Leg elevation.

B Pain management.

C Ambulation teaching.

D Neurovascular checks.

D Neurovascular checks.

Which environmental factor is most significant when planning care for a client with 

osteomalacia?

A Cool, moist air.

B Stimulating sounds and activity.

C Quiet, calm surroundings.

D Adequate sunlight.

D Adequate sunlight.

A client who weighs 176 pounds receives a prescription for enoxaparin sodium 1.5 

mg/kg/day subcutaneously. The medication is available in 120 mg/0.8 mL 

prefilled syringe. How many mL should the nurse administer? (Enter numerical 

value only.)

0.8 Ml

What action should the school nurse implement to provide secondary prevention 

for

school-aged children?

A Initiate a hearing and vision screening program for first graders.

B Prepare a presentation on how to prevent the spread of lice.

C Observe a person with type 1 diabetes self-administer a dose of insulin.

D Collaborate with a science teacher to prepare a health lesson.

A Initiate a hearing and vision screening program for first graders.

An older client recently transferred to a rehabilitation facility after aortic valve 

replacement surgery is experiencing anxiety and difficulty adjusting to the 

transition. The healthcare provider prescribes an antidepressant and a mild 

sedative for sleep. Which intervention is most important for the nurse to include in 

client's plan of care?

A Measure and record the client's urinary output every day.

B Provide the client with teaching regarding a cardiac diet.

C Obtain a blood pressure reading before client gets out of bed.

D Obtain client's vital signs every 4 hours when awake.

C Obtain a blood pressure reading before client gets out of bed.

The nurse is preparing a 50 mL dose of 50?xtrose IV for a client with insulin 

shock. How should the nurse administer the medication?

A Push the undiluted Dextrose slowly through the currently infusing IV.

B Dilute the Dextrose in one liter of 0.9% Normal Saline solution.

C Mix the Dextrose in a 50 mL piggyback for a total volume of 100 mL.

D Ask the pharmacist to add the Dextrose to a TPN solution.

A Push the undiluted Dextrose slowly through the currently infusing IV.

The parents of a 6-year-old child recently diagnosed with Duchenne muscular 

dystrophy tell the nurse that their child wants to continue attending swimming 

classes. How should the nurse respond?

A Suggest that the child be encouraged to participate in a team sport to encourage 

socialization.

B Explain that their child is too young to understand the risks associated with 

swimming.

C Provide a list of alternative activities that are less likely to cause the child to 

experience fatigue.

D Encourage the parents to allow the child to continue attending swimming lessons 

with supervision.

D Encourage the parents to allow the child to continue attending swimming lessons 

with supervision.

A male client admitted with chronic pulmonary obstruction disease (COPD) 

exacerbation is receiving assisted ventilation with continuous positive airway 

pressure (CPAP). His vital signs are: temperature 98.8 °F (37.1 °C), heart rate 118 

beats/minute, respirations 46 breaths/minute, blood pressure 176/92 mmHg. 

While completing the pulmonary assessment, his oxygen saturation reading is 78% 

and he is difficult to arouse. Which action should the nurse implement?

A Prepare for rapid sequence intubation.

B Increase the oxygen delivery by 10%.

C Administer PRN nebulizer treatment.

D Complete neurological assessment.

A Prepare for rapid sequence intubation.