HESI EXIT FINAL VERSION EXAM 2024 QUESTION AND ANSWERS GRADED A+
1. The nurse knows that which statement by the mother indicates that the mother
... [Show More] understands safety precautions with her four-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 the8 7-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. Within1 5 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
6. The nurse is having difficulty reading the health care provider's written order that was written right before the shift change. What action should be taken?
A) Leave the order for the oncoming staff to follow-up
B) Contact the charge nurse for an interpretation
C) Ask the pharmacy for assistance in the interpretation
D) Call the provider for clarification
The correct answer is D: Call the provider for clarification
7. An adult client is found to be unresponsive on morning rounds. After checking
for
responsiveness and calling for help, the next action that should be taken by the nurse is to:
A) check the carotid pulse
B) deliver 5 abdominal thrusts
C) give 2 rescue breaths
D) open the client's airway
The correct answer is D: open th [Show Less]