HESI Exit Exam A

An elderly male patient, who has been experiencing abdominal pain, is admitted to the hospital from a long-term care facility. He hasn’t had a bowel movement in 7 days, his abdomen is distended, and h

A client with schizophrenia is admitted to the hospital reporting auditory hallucinations. Which query is most important for the nurse to include in the client’s assessment?

A mother rushes into the emergency department carrying her toddler who has been exposed to some cleaning products. The child has a chemical smell on their hands, face, and clothes. After ensuring the

The nurse identifies an electrolyte imbalance, elevated blood pressure, and a weight gain of 4.4 lbs (2 kg) in 24 hours in a client with hepatic failure. Which intervention should the nurse include in

A client with hepatic failure has an electrolyte imbalance, elevated blood pressure, and a weight gain of 4.4 lbs (2 kg) in 24 hours. What intervention should the nurse include in the plan of care?

A client who follows Mormon beliefs is on a clear liquid diet following abdominal surgery. Which menu items should the nurse request for this client? Select all that apply.

Restricted activity is prescribed for a client with Crohn’s disease. What is the primary purpose of the activity restriction?

A client with gout in the left great toe has received a prescription for prednisone 30 mg by mouth to be administered each day. Which symptom is most important for the client to report to the healthca

The nurse is planning to teach infant care and preventive measures for sudden infant death syndrome (SIDS) to a group of new parents. Which information is most important for the nurse to include?

An adult patient with type 2 diabetes mellitus (DM2) is due to be admitted to the medical unit from the emergency department within the next hour. The patient’s lab results show that the serum glucose

The nurse observes an unlicensed assistive personnel (UAP) preparing to provide personal care for a patient who requires contact precautions. The UAP has put on a gown and gloves and has secured the t

The patient is a 49-year-old male who has been experiencing flu-like symptoms, including fever and chest congestion, for 4 days. He came to the emergency department (ED) last night when his breathing

The charge nurse is observing a new nurse who is preparing to insert an intravenous (IV) catheter. The new nurse has gathered supplies including intravenous catheters, an intravenous insertion kit, an

A client with influenza requires assistance in transferring to the bedside commode. The nurse observes the unlicensed assistive personnel (UAP) donning gloves and a gown to assist the client. What act

A client with a history of gout comes to the clinic with an inflamed left knee. The client reports the knee is extremely painful to touch for the second time in 6 months. The healthcare provider presc

The client is a 26-year-old female who fell from an apartment balcony. She was transported to the hospital via ambulance. The client enters the emergency room on a stretcher and is met in the trauma b

An elderly male patient, who has been experiencing abdominal pain, is admitted to the hospital from a long-term care facility. He hasn’t had a bowel movement in 7 days, his abdomen is distended, and h

What action should the school nurse take to provide secondary prevention for school-aged children?

A client with chronic kidney disease (CKD) has elevated blood urea nitrogen (BUN) and serum creatinine levels. The client reports feeling fatigued and is unable to concentrate during the morning asses

A client on the cardiac telemetry unit suddenly starts showing signs of ventricular fibrillation. The advanced cardiac life support (ACLS) team defibrillates the client, restoring a normal sinus rhyth

The unlicensed assistive personnel (UAP) reports that a client’s blood pressure cannot be measured in the arms because the client has casts on both arms and is unable to be measured in the legs becaus

A client with chronic obstructive pulmonary disease (COPD) receives a prescription for chest physiotherapy (CPT) to help mobilize secretions. Following the therapy, which finding indicates to the nurs

The client is a 55-year-old male who was admitted to the hospital 1 week ago for sepsis. The client has been intubated since admission. Current ventilator settings are synchronized intermittent mandat

A 49-year-old male patient has been experiencing flu-like symptoms, including fever and chest congestion, for the past four days. He visited the emergency department (ED) last night due to increased d

A patient with a history of adrenal insufficiency has been admitted to the intensive care unit due to an acute adrenal crisis. The patient is experiencing nausea and joint pain. The patient’s vital si