HESI Exit Exam A

A nurse is providing education to a new graduate nurse regarding the correct application and use of a simple face mask for a client with a respiratory rate of 24/min and an oxygen saturation of 89%. W

The nurse uses the Modified Caregiver Strain Index (MCSI) and determines that the daughter is under significant stress caused by the assumption of her mother’s care.

The nurse instructs an unlicensed assistive personnel (UAP) to turn an immobilized older client with an indwelling urinary catheter every two hours. Which additional action should the nurse instruct t

An older adult with a terminal illness is receiving hospice care and is having difficulty coping with feelings related to death and dying. What interventions should the nurse include in this client’s

The nurse is caring for a client with a history of coronary artery disease who reports waking up with a sudden onset of vise-like chest pressure. The client reports that the pain decreases at rest but

The nurse is caring for a client with decompensated liver disease who is experiencing fever, chills, and abdominal tenderness. Following a paracentesis, the nurse receives laboratory results of the as

A client with a venous ulcer, which has not responded to intravenous vancomycin treatment and is discharging pus, has been admitted with a potential infection of Vancomycin-Resistant Enterococci (VRE)

A client with atrial fibrillation is scheduled for an elective cardioversion. The nurse prepares for the procedure by inserting two intravenous (IV) catheters and connecting the monitoring lead wires

The nurse uses the Modified Caregiver Strain Index (MCSI) and determines that the daughter is experiencing significant stress due to taking on her mother’s care. The nurse plans to discuss ways to red

The nurse inspects the airway and finds no visible trauma, and the airway appears to be patent. What other assessment items are included in the primary survey? Select all that apply.

An adult patient visits the clinic expressing concern about a lump that appeared on their neck about a week ago. Upon examination, the nurse finds a large, non-tender, hardened left subclavian lymph n

A 49-year-old male patient has been experiencing flu-like symptoms, including fever and chest congestion, for the past 4 days. He visited the emergency department (ED) last night due to increased diff

An adolescent patient with a non-union of a comminuted fracture of the tibia is admitted with osteomyelitis. After the healthcare provider collects bone aspirate specimens for culture and sensitivity

A client on the mental health unit has been displaying signs of agitation, such as scowling and pacing rapidly up and down the hallway for several minutes. Which behaviors should the nurse prioritize

The patient is a 75-year-old female who has been admitted to the preoperative area in preparation for pacemaker insertion. She reports that she is undergoing this procedure because her heart rate has

A family brought their 3-week-old infant to the hospital by ambulance after having a seizure at home. The baby received phenytoin in the ambulance and arrived at the hospital on 1 L/minute oxygen with

The nurse is implementing the plan of care for a client. For each body system, identify the potential nursing intervention that would be appropriate for the care of the client. Each body system may su