HESI EXIT EXAM Version 1 | QUESTIONS AND VERIFIED ANSWERS (2023/ 2024 Latest Update)
QUESTION
The school nurse suspects that a third grade child might
... [Show More] have Attention Deficit Hyperactivity Disorder. Prior to referring the child for further evaluation, the nurse should
A) Observe the child's behavior on at least 2 occasions
B) Consult with the teacher about how to control impulsivity
C) Compile a history of behavior patterns and developmental accomplishments
D) Compare the child's behavior with classic signs and symptoms
Answer:
C) Compile a history of behavior patterns and developmental accomplishments
QUESTION
Which of the actions suggested to the RN by the PN during a planning conference for a 10 month-old infant admitted 2 hours ago with bacterial meningitis would be acceptable to add to the plan of care?
A) Measure head circumference
B) Place in airborne isolation
C) Provide passive range of motion
D) Provide an over-the-crib protective top
Answer:
A) Measure head circumference
QUESTION
A client is admitted with a diagnosis of hepatitis B. In reviewing the initial laboratory
results, the nurse would expect to find elevation in which of the following values?
A) Blood urea nitrogen
B) Acid phosphatase
C) Bilirubin
D) Sedimentation Rate
Answer:
C) Bilirubin
QUESTION
The nurse is discussing nutritional requirements with the parents of an 18 month-old
child. Which of these statements about milk consumption is correct?
A) May drink as much milk as desired
B) Can have milk mixed with other foods
C) Will benefit from fat-free cow's milk
D) Should be limited to 3-4 cups of milk daily
Answer:
D) Should be limited to 3-4 cups of milk daily
QUESTION
The nurse is talking with a client. The client abruptly says to the nurse, "The moon is full. Astronauts walk on the moon. Walking is a good health habit." The client's behavior most likely indicates
A) Neologisms
B) Dissociation
C) Flight of ideas
D) Word salad
Answer:
C) Flight of ideas
QUESTION
A mother asks about expected motor skills for a 3 year-old child. Which of the
following would the nurse emphasize as normal at this age? A) Jumping rope
B) Tying shoelaces
C) Riding a tricycle
D) Playing hopscotch
Answer:
C) Riding a tricycle
QUESTION
A home health nurse is caring for a client with a pressure sore that is red, with serous drainage, is 2 inches in diameter with loss of subcutaneous tissue. The appropriate dressing for this wound is
A) A transparent film dressing
B) Wet dressing with debridement granules
C) Wet to dry with hydrogen peroxide
D) Moist saline dressing
Answer:
D) Moist saline dressing
QUESTION
The nurse enters a 2 year-old child's hospital room in order to administer an oral medication. When the child is asked if he is ready to take his medicine, he immediately says, "No!" What would be the most appropriate next action?
A) Leave the room and return five minutes later and give the medicine
B) Explain to the child that the medicine must be taken now C) Give the medication to the father and ask him to give it
D) Mix the medication with ice cream or applesauce
Answer:
A) Leave the room and return five minutes later and give the medicine
QUESTION
A nurse is doing pre conceptual counseling with a woman who is planning a pregnancy. Which of the following statements suggests that the client understands the connection between alcohol consumption and fetal alcohol syndrome?
A) "I understand that a glass of wine with dinner is healthy.
"B) "Beer is not really hard alcohol, so I guess I can drink some.
"C) "If I drink, my baby may be harmed before I know I am pregnant.
" D) "Drinking with meals reduces the effects of alcohol."
Answer:
"C) "If I drink, my baby may be harmed before I know I am pregnant.
QUESTION
A client has returned from a cardiac catheterization. Which one of the following assessments would indicate the client is experiencing a complication from the procedure?
A) Increased blood pressure
B) Increased heart rate
C) Loss of pulse in the extremity
D) Decreased urine output
Answer:
C) Loss of pulse in the extremity
QUESTION
A 60 year-old male client had a hernia repair in an outpatient surgery clinic. He is awake and alert, but has not been able to void since he returned from surgery 6 hours ago.He received 1000 mL of IV fluid. Which action would be most likely to help him void?
A) Have him drink several glasses of water
B) Crede' the bladder from the bottom to the top
C) Assist him to stand by the side of the bed to void
D) Wait 2 hours and have him try to void again
Answer:
C) Assist him to stand by the side of the bed to void
QUESTION
The nurse is caring for a client who requires a mechanical ventilator for breathing.The high pressure alarm goes off on the ventilator. What is the first action the nurse should perform?
A) Disconnect the client from the ventilator and use a manual resuscitation bag
B) Perform a quick assessment of the client's condition
C) Call the respiratory therapist for help
D) Press the alarm re-set button on the ventilator
Answer:
B) Perform a quick assessment of the client's condition
QUESTION
The nurse is preparing a client who will undergo a myelogram. Which of the following statements by the client indicates a contraindication for this test?
A) "I can't lie in 1 position for more than thirty minutes.
"B) "I am allergic to shrimp."
C) "I suffer from claustrophobia.
"D) "I developed a severe headache after a spinal tap."
Answer:
"B) "I am allergic to shrimp."
QUESTION
The health care provider order reads "aspirate nasogastric feeding (NG) tuber every 4 hours and check pH of aspirate." The pH of the aspirate is 10. Which action should the nurse take?
A) Hold the tube feeding and notify the provider
B) Administer the tube feeding as scheduled
C) Irrigate the tube with diet cola soda
D) Apply intermittent suction to the feeding tube
Answer:
A) Hold the tube feeding and notify the provider
QUESTION
To prevent unnecessary hypoxia during suctioning of a tracheostomy, the nurse must
A) Apply suction for no more than 10 seconds
B) Maintain sterile technique
C) Lubricate 3 to 4 inches of the catheter tip
D) Withdraw catheter in a circular motion
Answer:
A) Apply suction for no more than 10 seconds
QUESTION
An antibiotic IM injection for a 2 year-old child is ordered. The total volume of the injection equals 2.0 ml The correct action is to
A) Administer the medication in 2 separate injections
B) Give the medication in the dorsal gluteal site [Show Less]