Latest HESI Exit Exam Updated 2023

Latest HESI Exit Exam Updated 2023 1. A pt presses the call bell and requests pain medication for a severe headache. To assess the quality of the pt. Pain, which approach should the nurse use?: Ask the patient to describe the pain 2. The nurse is wearing personal protective equipment while caring for a pt. When exiting the room, which PPE should be removed first?: Gloves 3. An older pt is brought to the ED with a sudden onset of confusion that occurred after experiencing a fall at home. The daughter, who has power of attorney, has brought the client's prescriptions. Which information should the nurse provide first when reporting to the healthcare provider using SBAR communication?: Increasing confusion of the pt. 4. A pt tells the nurse about working out with a personal trainer and swimming three times a week in an effort to lose weight and sleep better. The pt states that it still is taking hours to fall asleep at night. Which action should the nurse implement?: Ask the pt for a description of the exercise schedule that is being followed 5. 2 days prior to discharge from the rehab facility, the nurse is teaching a pt who is recovering from Guillain-Barre syndrome about home. Which actions should the nurse include when providing discharge teaching to the pt and spouse? SATA: -review safe transfer strategies -develop a nutritional plan -help identify community support 6. The nurse implements a tertiary prevention program for type 2 diabetes in a rural health clinic. Which outcome indicates that the program was effective?- : pt who develop disease complications promptly received rehabilitation 7. The nurse has received funding to design a health promotion project for African American women who are at risk for developing breast cancer. Which resource is most important in designing this program?: participation of community leaders in planning the program 8. A pt with multiple injuries is being treated in the burn trauma unit just hours after the injuries occurred. The healthcare provider instructs the nurse to avoid auto contamination when performing dressing changes. Which intervention is most important for the nurse to implement?: use gown, mask, and gloves with dressing changes 9. A pt is recovering in the critical care unit following a cardiac cath. IV nitro and heparin are infusing. The pt is sedated but responds to instructions. After changing positions, the pt complains of pain at the right groin insertion site. What action should the nurse implement?: Stimulate the pt to take deep breaths 10 Prior to obtaining a trapeze bar for a pt with limited mobility, which pt assessment is most important for the nurse to obtain?: upper body muscle strength 11. While the nurse is assessing an older pt fall risk, the pt reports living at home alone and never falling. Which action should the nurse take?: Continue to obtain pt data needed to complete the fall risk survey 12. The nurse is feeding an older adult who was admitted with aspiration pneumonia. The pt is weak and begins coughing while attempting to drink through a straw. Which intervention should the nurse implement?: Teach coughing and deep breathing exercises 13. The nurse is teaching the pt about home care after surgery for an ileal conduit placement. When reviewing the information, which statement should the nurse recognize as needing additional education?: Empty the pouch when it is half full. 14. A 12 week gestation is admitted to the antepartum unit with a dx of hyperemesis gravidarum. Which action is most important for the nurse to implement?: initiate prescribed IV fluids 15. A pt with dyspnea is being admitted to the medical unit. To best prepare for the pt arrival, the nurse should ensure that the pt bed is in which position?: - Picture with the bed sitting up 16. A pt who is scheduled for a bronchoscopy in the morning is anxious and asking the nurse numerous questions about the procedure. In preparing the pt for the procedure, which intervention has the highest priority?: Instruct pt to write down questions 17. While caring for a pt post operative dressing, the nurse observes purulent drainage at the wound. Before reporting this finding to the provider, the nurse should review which of the pt lab values?: culture for sensitive organisms 18. A pt with a lower respiratory tract infection receives a prescription for ciprofloxacin 500mg PO every 12hrs. When the client requests an afternoon snack, which dietary choice should the nurse provide?: Cinnamon apple sauce 19. An older male reporting abd pain is admitted from a facility. It has been 7 days since his last BM and his abd is distended, and he just vomited 150ml of dark brown emesis. In what order should the nurse implement these interventions?: Send emesis to lab Elevate HOB complete focused assessment offers PRN pain meds 20. A patient who recently received a prescription for ramelteon to treat sleep deprivation reports experiencing several side effects since taking the med. Which side effect should the nurse report to the healthcare provider?: Somnambulism