2019 HESI EXIT V2
1. The nurse knows that which statement by the mother indicates that the
mother
understands safety precautions with her four
... [Show More] month-old infant and her 4
year-old child?
A) "I strap the infant car seat on the front seat to face backwards."
B) "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."
C) "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."
The correct answer is D: "I have the four year-old hold and help feed the
four month-old
a bottle in the kitchen
2. Upon completing the admission documents, the nurse learns that the
87 year-old client
does not have an advance directive. What action should the nurse take?
A) Record the information on the chart
B) Give information about advance directives
C) Assume that this client wishes a full code
D) Refer this issue to the unit secretary
The correct answer is B: Give information about advance directives
3. A nurse administers the influenza vaccine to a client in a clinic. Within
15 minutes after
the immunization was given, the client complains of itchy and watery
eyes, increased
anxiety, and difficulty breathing. The nurse expects that the first action in
the sequence of
care for this client will be to
A) Maintain the airway
B) Administer epinephrine 1:1000 as ordered
C) Monitor for hypotension with shock
D) Administer diphenhydramine as ordered
The correct answer is B: Administer epinephrine 1:1000 as ordered .
4. Which of these children at the site of a disaster at a child day care
center would the
triage nurse put in the "treat last" category?
A) An infant with intermittent bulging anterior fontanel between crying
episodes
B) A toddler with severe deep abrasions over 98% of the body
C) A preschooler with 1 lower leg fracture and the other leg with an upper
leg fracture
D) A school-age child with singed eyebrows and hair on the arms
The correct answer is B: A toddler with severe deep abrasions over 98% of
the body .
5. When admitting a client to an acute care facility, an identification
bracelet is sent up
with the admission form. In the event these do not match, the nurse’s
best action is to
A) Change whichever item is incorrect to the correct information
B) Use the bracelet and admission form until a replacement is supplied
C) Notify the admissions office and wait to apply the bracelet
D) Make a corrected identification bracelet for the client
The correct answer is C: notify the admissions office and wait to apply the
bracelet [Show Less]