Nursing HESI-Exit Practice Test Questions ( Updated) – Real Exam Questions & Dumps PDF
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Nursing HESI-Exit Sample Questions – Free Practice Test & Real Exam Prep
Question #1
If a client with psoriasis is to begin NB-UVB phototherapy, how long should the initial treatment be?
A. 30 seconds to 1 minute
B. 1-2 minutes
C. 5-10 minutes
D. 15-20 minutes
Answer: B
Explanation:
If a client with psoriasis is to begin NB-UVB phototherapy, the initial treatment is 1—2 minutes long with
the time increased gradually by 10—15% until the optimal duration is reached. Treatments are usually done 3
times weekly to a maximum of 20—30 treatments. The phototherapy dosage is adjusted so that only slight
erythema occurs during treatment. If the dose is too high, the client may experience marked erythema or
burns.
Question #2
A client with prostate cancer has been given the option of various treatments and asks the nurse for advice. Which of the following is the most appropriate response?
A. "Let’s discuss the different options and how you feel about them."
B. "I can't help you to make a decision about your treatment."
C. "You need to discuss this decision with your physician."
D. "I would choose surgery if I were in your position."
Answer: A
Explanation:
If a client with prostate cancer has been given the option of various treatments and asks the nurse for
advice. the most appropriate response is: "Let's discuss the different options and how you feel about them."
The nurse must avoid trying to directly influence the client's choice; however, since the client asked for advice,
this is a good opportunity for the client to express feelings and concerns about the diagnosis and treatment.
Additionally, talking through the options may help the client reach an independent decision.
Question #3
A client has had a recent below-knee (BK) amputation of the right leg because of a traumatic injury. After removing the elastic wrap, which the client had applied, the nurse notes an unusual pattern of swelling. Which of the following is the most likely reason for this observation?
A. Wound infection
B. Impaired circulation to the stump
C. Incorrect wrap technique
D. Bleeding into the tissues
Answer: C
Explanation:
If a client has had a recent BK amputation of the right leg and the nurse notes an unusual pattern of
swelling after removing the elastic wrap, which the client had applied. the most likely reason for this observation is incorrect wrap technique in which the pressure from the wrap is uneven. The nurse should
point out the swelling and discuss the reasons. demonstrating the correct wrap procedure and then observing
the client rewrap the stump.
Question #4
If a client is to have a nasogastric (NG) tube inserted for intermittent feedings, which of the following is an appropriate task to delegate to unlicensed assistive personnel?
A. Inserting the NG tube
B. Verifying tube position
C. Administering tube feedings
D. Reposition a displaced NG tube
Answer: C
Explanation:
If a client is to have a nasogastric tube inserted for intermittent feedings, an appropriate task to delegate
to unlicensed assistive personnel (UAP) is the administering of the tube feedings if the person has been trained
in doing so. However, an RN or LVN /LPN must verify the tube position first because this cannot be delegated to
UAP. LIAP cannot insert or reposition a displaced NG tube. LIAP can be advised to monitor the client's condition
and to report any changes in condition, such as dyspnea or nausea.
Question #5
An older client has been sleeping poorly at night, and her daughter states that the client has always loved music and suggests that listening to music might relax the client. Which type of music is most likely to help the client relax?
A. Classical music
B. Jazz
C. Single instrument music (guitar, piano)
D. The client's favorite music
Answer: D
Explanation:
In this scenario, the nurse should ask about the client's favorite music. Tastes in music are very
individual. For example. while classical music may seem relaxing to some, others may find it boring or
irritating. If the client is not in a private room. then the client should use earphones.
Question #6
A client is to be discharged 48 hours after a normal vaginal delivery of an infant with no laceration or episiotomy. Which of the following danger signs should the client be advised to report to her physician? Select all that apply.
A. Temperature higher than 38 ?C (100.4 ?F)
B. Difficulty urinating
C. Swelling, redness, or pain in one or both legs
D. Fatigue
E. Foul-smelling vaginal discharge
Answer: A, B, C, E
Explanation:
When a client is discharged 48 hours after delivery of an infant. the client should be apprised
of danger signs that could indicate infection or other complications, Constant fatigue, although debilitating, is
usually normal so soon after delivery. Danger signs include:
•Temperature higher than 38 ?C (100.4 ?F)
•Difficulty urinating
•Swelling, redness, or pain in one or both legs
•Increased vaginal bleeding or foul vaginal discharge
•Swelling, masses, or red streaks in the breasts or bleeding nipples
•Blurred vision, persistent headache
•Depression, overwhelming feeling of sadness
Question #7
The nurse is assessing an older adult. The client does not appear to always understand the questions, sometimes answering incorrectly, and stares at the nurse's mouth rather than the nurse's eyes when the nurse is speaking. The client answers in an unusually loud voice. Which of the following impairments should the nurse suspect?
A. Hearing impairment
B. Cognitive impairment
C. Vision impairment
D. Anxiety
Answer: A
Explanation:
Clients who are hearing impaired often are reluctant to say so but may try to compensate by reading
lips. Because their hearing of their own voice may also be impaired, they may speak more loudly than usual.
Even clients who are quite adept at lip reading may misunderstand some words, resulting in answering
incorrectly. If A client appears to have hearing impairment. the nurse should ask the client directly if he or she
is having trouble hearing the nurse and ask how to best communicate.
Question #8
If the nurse is teaching a group of clients about risk factors for diabetes mellitus, type 2, the nurse should include which of the following? Select all that apply
A. Obesity
B. Hypertension and/or heart disease
C. 45 years or older
D. Caucasian race
E. Family history of diabetes mellitus, type 2
Answer: A, B, C, E
Explanation:
If the nurse is teaching a group of clients about risk factors for diabetes mellitus, type 2, the nurse should include
•High level of LDL cholesterol or low level of HDL cholesterol and high level of triglycerides
•History of polycystic ovarian syndrome
Question #9
A client with rheumatoid arthritis tells the nurse that she is having increasing difficulty cooking, cleaning, and attending to activities of daily living. Which of the following referrals is the most appropriate?
A. An occupational therapist
B. A physical therapist
C. A home health agency
D. An assisted-living facility
Answer: A
Explanation:
Because this client faces many challenges in the home environment, the most appropriate referral is to
an occupational therapist. The occupational therapist (OT) can meet with the client to determine her goals and
may observe her carrying out activities of daily living (ADLs) to evaluate her abilities and deficits. After words,
the OT can advise her about modifications needed in the home environment and assistive devices so she can
remain independent for as long as possible.
Question #10
When determining whether or not a client is a candidate for restraints, which of the following would be considered an appropriate reason for a restraint?
A. Current dangerous behavior
B. A history of falls
C. A recent violent attack on a staff member
D. Refusal to cooperate with treatment
Answer: A
Explanation:
When determining whether or not A client is a candidate for restraints, only current behavior should be
considered. If the client currently poses a danger to others or to self and no other reasonable alternative exists,
then restraints may be considered. Restraints cannot be applied as a preventive measure for such things as a
previous violent attack against a staff member or a history of falls. There must be evidence of current risk
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