The distorted-wave with exchange (DWE) method is employed to evaluate electron impact ionization cross sections in dense electron–ion plasmas. Bound and continuum electron wave functions are obtained from a non-relativistic average-atom code. Plots of DWE cross sections are presented for 1s electrons in Li and Be plasmas and 2p electrons in Na and Mg plasmas. For each of these elements, cross sections are evaluated at metallic density in a range of temperatures from 10 to 100 eV and at their respective melting points. Resonances in the cross sections appear near the incident energy threshold at high temperatures. The origin of these resonances is discussed. In general, the distorted wave (DW) method without exchange is found to be a good approximation to the DWE method for electron impact ionization calculations. In the resonance region, however, exchange effects are found to be very important and cannot be neglected.