EXIT HESI V5 UPDATED ACTUAL Questions and
CORRECT Answers
The nurse is has just admitted a client with D: Safety
severe depression. From which focus should
the nurse identify a priority nursing
diagnosis?
A) Nutrition
B) Elimination
C) Activity
D) Safety
While explaining an illness to a 10 year-old, B: Think logically in organizing facts
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
The nurse enters the room as a 3 year-old is B: Place the child on the side
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
,The nurse is reviewing a depressed client's C: Lack of enjoyment in usual pleasures
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
A client has just returned to the medical- B) Suction excessive tracheobronchial secretions
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 breathe and
cough
D) Monitor oxygen saturation
While assessing a client in an outpatient B) Sense of impending doom
facility with a panic disorder, the nurse
completes a thorough health history and
physical exam. Which finding is most
significantfor this client?
A) Compulsive behavior
B) Sense of impending doom
C) Fear of flying
D) Predictable episodes
A 16 month-old child has just been admitted B) Explain that this behavior is expected
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
A 15 year-old client with a lengthy confining C) Dependence
illness is at risk for altered growth and
development of which task?
A) Loss of control
B) Insecurity
C) Dependence
D) Lack of trust
, Which playroom activities should the nurse A) Sports and games with rules
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
The nurse is discussing dietary intake with an A) "Eat a balanced diet for your age."
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."
The nurse is assigned to a newly delivered C) "CD4 lymphocyte count is less than 200."
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."
The nurse is caring for a child who has just D: Observe swallowing patterns
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
D) Observe swallowing patterns
A 23 year-old single client is in the 33rd C: Anticipation of the birth
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
CORRECT Answers
The nurse is has just admitted a client with D: Safety
severe depression. From which focus should
the nurse identify a priority nursing
diagnosis?
A) Nutrition
B) Elimination
C) Activity
D) Safety
While explaining an illness to a 10 year-old, B: Think logically in organizing facts
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
The nurse enters the room as a 3 year-old is B: Place the child on the side
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
,The nurse is reviewing a depressed client's C: Lack of enjoyment in usual pleasures
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
A client has just returned to the medical- B) Suction excessive tracheobronchial secretions
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 breathe and
cough
D) Monitor oxygen saturation
While assessing a client in an outpatient B) Sense of impending doom
facility with a panic disorder, the nurse
completes a thorough health history and
physical exam. Which finding is most
significantfor this client?
A) Compulsive behavior
B) Sense of impending doom
C) Fear of flying
D) Predictable episodes
A 16 month-old child has just been admitted B) Explain that this behavior is expected
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
A 15 year-old client with a lengthy confining C) Dependence
illness is at risk for altered growth and
development of which task?
A) Loss of control
B) Insecurity
C) Dependence
D) Lack of trust
, Which playroom activities should the nurse A) Sports and games with rules
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
The nurse is discussing dietary intake with an A) "Eat a balanced diet for your age."
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."
The nurse is assigned to a newly delivered C) "CD4 lymphocyte count is less than 200."
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."
The nurse is caring for a child who has just D: Observe swallowing patterns
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
D) Observe swallowing patterns
A 23 year-old single client is in the 33rd C: Anticipation of the birth
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
