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Hesi exit v5 new

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Dallas College

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History 10

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HESI Exit V5 160 Questions and Answers.

1. The nurse is has just admitted a client with severe depression. From which focus

should the nurse identify a priority nursing diagnosis?

a. Nutrition

b. Elimination

c. Activity

d. Safety

2. While explaining an illness to a 10 year-old, what should the nurse keep in mind about the

cognitive development at this age?

a. They are able to make simple association of ideas

b. They are able to think logically in organizing facts

c. Interpretation of events originate from their own perspective

d. Conclusions are based on previous experiences

3. The nurse enters the room as a 3 year-old is having a generalized seizure. Which

intervention should the nurse do first?

a. Clear the area of any hazards

b. Place the child on the side

c. Restrain the child

d. Give the prescribed anticonvulsant

4. The nurse is reviewing a depressed client's history from an earlier admission.

Documentation of anhedonia is noted. The nurse understands that this finding refers to

a. Reports of difficulty falling and staying asleep

b. Expression of persistent suicidal thoughts

c. Lack of enjoyment in usual pleasures

d. Reduced senses of taste and smell

5. A client has just returned to the medical-surgical unit following a segmental lung

resection. After assessing the client, the first nursing action would be to

a. Administer pain medication

b. Suction excessive tracheobronchial secretions

c. Assist client to turn, deep breath and cough

d. Monitor oxygen saturation

6. While assessing a client in an outpatient facility with a panic disorder, the nurse completes

a thorough health history and physical exam. Which finding is most significant for this

client?

a. Compulsive behavior

b. Sense of impending doom

c. Fear of flying

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d. Predictable episodes

7. A 16 month-old child has just been admitted to the hospital. As the nurse assigned to this

child enters the hospital room for the first time, the toddler runs to the mother, clings to

her and begins to cry. What would be the initial action by the nurse?

a. Arrange to change client care assignments

b. Explain that this behavior is expected

c. Discuss the appropriate use of "time-out"

d. Explain that the child needs extra attention

8. A 15 year-old client with a lengthy confining illness is at risk for altered growth and

development of which task?

a. Loss of control

b. Insecurity

c. Dependence

d. Lack of trust

9. Which playroom activities should the nurse organize for a small group of 7 year-old

hospitalized children?

a. Sports and games with rules

b. Finger paints and water play

c. "Dress-up" clothes and props

d. Chess and television programs

10. The nurse is discussing dietary intake with an adolescent who has acne. The most

appropriate statement for the nurse is

a. "Eat a balanced diet for your age."

b. "Increase your intake of protein and Vitamin A."

c. "Decrease fatty foods from your diet."

d. "Do not use caffeine in any form, including

chocolate."

11. The nurse is assigned to a newly delivered woman with HIV/AIDS. The student asks the

nurse about how it is determined that a person has AIDS other than a positive HIV test.

The nurse responds

a. "The complaints of at least 3 common findings."

b. "The absence of any opportunistic infection."

c. "CD4 lymphocyte count is less than 200."

d. "Developmental delays in children."

12. The nurse is caring for a child who has just returned from surgery following a

tonsillectomy and adenoidectomy. Which action by the nurse is appropriate?

a. Offer ice cream every 2 hours

b. Place the child in a supine position

c. Allow the child to drink through a straw

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d. Observe swallowing patterns

13. A 23 year-old single client is in the 33rd week of her first pregnancy. She tells the nurse

that she has everything ready for the baby and has made plans for the first weeks

together at home. Which normal emotional reaction does the nurse recognize?

a. Acceptance of the pregnancy

b. Focus on fetal development

c. Anticipation of the birth

d. Ambivalence about pregnancy

14. The nurse is planning care for a client with pneumococcal pneumonia. Which of the

following would be most effective in removing respiratory secretions?

a. Administration of cough suppressants

b. Increasing oral fluid intake to 3000 cc per day

c. Maintaining bed rest with bathroom privileges

d. Performing chest physiotherapy twice a day

15. The nurse in a well-child clinic examines many children on a daily basis. Which of the

following toddlers requires further follow up?

a. A 13 month-old unable to walk

b. A 20 month-old only using 2 and 3 word sentences

c. A 24 month-old who cries during examination

d. A 30 month-old only drinking from a sip cup

16. Which of the following would be the best strategy for the nurse to use when teaching

insulin injection techniques to a newly diagnosed client with diabetes?

a. Give written pre and post tests

b. Ask questions during practice

c. Allow another diabetic to assist

d. Observe a return demonstration

17. A client has developed thrombophlebitis of the left leg. Which nursing intervention

should be given the highest priority?

a. Elevate leg on 2 pillows

b. Apply support stockings

c. Apply warm compresses

d. Maintain complete bed rest

18. A nurse from the surgical department is reassigned to the pediatric unit. The charge

nurse should recognize that the child at highest risk for cardiac arrest and is the least

likely to be assigned to this nurse is which child?

a. Congenital cardiac defects

b. An acute febrile illness

c. Prolonged hypoxemia

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d. Severe multiple trauma

19. A home health nurse is at the home of a client with diabetes and arthritis. The client has

difficulty drawing up insulin. It would be most appropriate for the nurse to refer the

client to

a. A social worker from the local hospital

b. An occupational therapist from the community center

c. A physical therapist from the rehabilitation agency

d. Another client with diabetes mellitus and takes insulin

20. A priority goal of involuntary hospitalization of the severely mentally ill client is

a. Re-orientation to reality

b. Elimination of symptoms

c. Protection from harm to self or others

21. The nurse is caring for a client with a long leg cast. During discharge teaching about

appropriate exercises for the affected extremity, the nurse should recommend

a. Isometric

b. Range of motion

c. Aerobic

d. Isotonic

22. The nurse is teaching parents about the treatment plan for a 2 weeks-old infant with

Tetralogy of Fallot. While awaiting future surgery, the nurse instructs the parents to

immediately report

a. Loss of consciousness

b. Feeding problems

c. Poor weight gain

d. Fatigue with crying

23. A client is scheduled for an Intravenous Pyelogram (IVP). In order to prepare the

client for this test, the nurse would

a. Instruct the client to maintain a regular diet the day prior to the examination

b. Restrict the client's fluid intake 4 hours prior to the examination

c. Administer a laxative to the client the evening before the examination

d. Inform the client that only 1 x-ray of his abdomen is necessary

24. The nurse is caring for a woman 2 hours after a vaginal delivery. Documentation

indicates that the membranes were ruptured for 36 hours prior to delivery. What is the

priority nursing diagnoses at this time?

a. Altered tissue perfusion

b. Risk for fluid volume deficit

c. High risk for hemorrhage

d. Risk for infection

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HESI Exit V5 160 Questions and Answers. 1. The nurse is has just admitted a client with severe depression. From which focus should the nurse identify a priority nursing diagnosis? a. Nutrition b. Elimination c. Activity d. Safety 2. While explaining an illness to a 10 year-old, what should the nurse keep in mind aboutthe cognitive development at this age? a. They are able to make simple association of ideas b. They are able to think logically in organizing facts c. Interpretation of events originate from their own perspective d. Conclusions are based on previous experiences 3. The nurse enters the room as a 3 year-old is having a generalized seizure. Which intervention should the nurse do first? a. Clear the area of any hazards b. Place the child on the side c. Restrain the child d. Give the prescribed anticonvulsant 4. The nurse is reviewing a depressed client's history from an earlier admission. Documentation of anhedonia is noted. The nurse understands that this finding refers to a. Reports of difficulty falling and staying asleep b. Expression of persistent suicidal thoughts c. Lack of enjoyment in usual pleasures d. Reduced senses of taste and smell 5. A client has just returned to the medical-surgical unit following a segmental lung resection. After assessing the client, the first nursing action would be to a. Administer pain medication b. Suction excessive tracheobronchial secretions c. Assist client to turn, deep breath and cough d. Monitor oxygen saturation 6. While ...
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