HESI EXIT EXAM REVIEW (NIGHTINGALE COLLEGE) 2024-2025 WITH UPDATED QUESTIONS AND DETAILED CORRECT ANSWERS WITH RATIONALES (ALREADY GRADED A+)

HESI EXIT EXAM REVIEW (NIGHTINGALE
COLLEGE) 2024-2025 WITH UPDATED
QUESTIONS AND DETAILED CORRECT
ANSWERS WITH RATIONALES (ALREADY
GRADED A+)
After an unsuccessful resuscitation attempt, the nurse calls the
family of the deceased. The family wish to see the body before it is
taken to the funeral home. Which interventions should the nurse
take to prepare the body before the family enters the room? Select
all that apply.
Take out dentures and place in a labeled cup
Apply a body shroud
Place a small pillow under the head
Remove resuscitation equipment from the room
Gently close the eyes - ANSWER-c. Place a small pillow under the
head
d. Remove resuscitation equipment from the room
2 | P a g e
e. Gently close the eyes
The nurse is preparing a client with an acoustic neuroma for a
magnetic resonance image (MRI). Which client complaint is lifethreatening and should be reported to the healthcare provider
immediately?
Facial numbness
Right ear hearing loss
Difficulty with balance
Intensifying headache - ANSWER-d. Intensifying headache
When caring for a client with full thickness burns to both lower
extremities, which assessment findings warrant immediate
intervention by the nurse? Select all that apply.
Weeping serosanguinous fluid from wounds
Sloughing tissue around wound edges
Change in the quality of peripheral pulses
Loss of sensation to the left lower extremity
Complaint of increased pain and pressure - ANSWER-c.
3 | P a g e
Change in the quality of peripheral pulses
d. Loss of sensation to the left lower extremity
e. Complaint of increased pain and pressure
The nurse is providing teaching to a client who has been recently
diagnosed with gestational diabetes mellitus. Which complication
poses the greatest risk to the fetus if euglycemia is not maintained?
Cleft palate
Preterm birth
Low birth weight
Macrosomic newborn - ANSWER-b. Preterm birth
A female client who has borderline personality disorder is being
discharged today. When the nurse makes morning rounds, the
client begins the interaction by complaining about the aloofness of
the night shift nurse and expresses joy to see that, "My favorite
nurses on duty now." Which response is best for the nurse to
provide to this clients dichotomous tendency?
Tomorrow I will talk to that nurse about how you were treated last
night
4 | P a g e
I am happy that you are getting better and will be able - ANSWERb. I am happy that you are getting better and will be able to go
home
The nurse is caring for a client who has been diagnosed with
malnutrition. Which finding supports the medical diagnosis?
Decrease in the appetite
Weight of 227 pounds (103 kg)
Dry mucosal membranes
Body mass index (BMI) of 17 - ANSWER-d. Body mass index
(BMI) of 17
The nurse is preparing a client who had a below the knee
amputation for discharge to home. Which recommendation should
the nurse provide this client? Select all that apply.
Avoid range of motion exercises
Use a residual limb shrinker
Watch the stump with soap and water
Inspect skin for redness