REAL EXAM QUESTIONS AND

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2024/2025 HESI EXIT EXAM WITH 160

REAL EXAM QUESTIONS AND

CORRECT ANSWERS GRADED A+/ HESI

EXIT EXAM 2025 (BRAND NEW!)

As the nurse observes the student nurse during the administration of a narcotic analgesic IM injection, the nurse notes that the student begins to give the medication without first aspirating. What should the nurse do?

A) Ask the student: "What did you forget to do?"

B)Stop. Tell me why aspiration is needed.

C) Loudly state: "You forgot to aspirate."

• Walk up and whisper in the student's ear "Stop. Aspirate. Then inject."

D

The provider orders Lanoxin (digoxin) 0.125 mg PO and furosemide 40 mg every day. Which of these foods would the nurse reinforce for the client to eat at least daily?

• spaghetti
• watermelon
• chicken
• tomatoes

B

The charge nurse has a health care team that consists of 1 PN, 1 unlicensed assistive personnel (UAP) and 1 PN nursing student. Which assignment should be questioned by the nurse manager?

• An admission at the change of shifts with atrial fibrillation and heart

failure - PN

• Client who had a major stroke 6 days ago - PN nursing student
• A child with burns who has packed cells and albumin IV running - charge 1 / 4

pg. 2 nurse

• An elderly client who had a myocardial infarction a week ago -

UAP A

The pediatric clinic nurse examines a toddler with a tentative diagnosis of neuroblastoma. Findings observed by the nurse that is associated with this problem include which of these?

• Lymphedema and nerve palsy
• Hearing loss and ataxia
• Headaches and vomiting
• Abdominal mass and weakness

D

The nurse knows that which statement by the mother indicates that the mother understands safety precautions with her four month-old infant and her 4 year-old child?

• "I strap the infant car seat on the front seat to face backwards."
• "I place my infant in the middle of the living room floor on a blanket to

play with my 4 year old while I make supper in the kitchen."

• "My sleeping baby lies so cute in the crib with the little buttocks stuck up in

the air while the four year old naps on the sofa." D)"I have the 4 year-old hold and help feed the four month-old a bottle in the kitchen while I make supper." D A client with moderate persistent asthma is admitted for a minor surgical procedure. On admission the peak flow meter is measured at 480 liters/minute.Post- operatively the client is complaining of chest tightness. The peak flow has dropped to 200 liters/minute. What should the nurse do first?

• Notify the health care provider
• Administer the PRN dose of Albuterol 2 / 4

pg. 3 C)Apply oxygen at 2 liters per nasal cannula D)Repeat the peak flow reading in 30 minutes B The nurse is caring for a client who is post-op following a thoracotomy. The client has 2 chest tubes in place, connected to 1 chest drain. The nursing assessment reveals bubbling in the water seal chamber when the client coughs. What is the most appropriate nursing action?A) Clamp the chest tube B) Call the surgeon immediately C) Continue to monitor the client to see if the bubbling increases D) Instruct the client to try to avoid coughing C The nurse is reinforcing teaching to a 24 year-old woman receiving acyclovir (Zovirax) for a Herpes Simplex Virus type 2 infection. Which of these instructions should the nurse give the client?A) Complete the entire course of the medication for an effective cure B) Begin treatment with acyclovir at the onset of symptoms of recurrence C) Stop treatment if she thinks she may be pregnant to prevent birth defects D) Continue to take prophylactic doses for at least 5 years after the diagnosis B

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pg. 4 An 8 year-old child is hospitalized during the edema phase of minimal change nephrotic syndrome. The nurse is assisting in choosing the lunch menu.Which menu is the best choice?A) Bologna sandwich, pudding, milk B) Frankfurter, baked potato, milk C) Chicken strips, corn on the cob, milk D) Grilled cheese sandwich, apple, milk C

The nurse is teaching parents about accidental poisoning in children.Which point should be emphasized?A) Call the Poison Control Center once the situation is identified B) Empty the child's mouth in any case of possible poisoning C) Have the child move minimally if a toxic substance was inhaled D) Do not induce vomiting if the poison is a hydrocarbon B

Which of the following findings contraindicate the use of haloperidol (Haldol) and warrant withholding the dose?A) Drowsiness, lethargy, and inactivity B) Dry mouth, nasal congestion, and blurred vision

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