ALL HESI EXIT Questions and Answers Test
Bank; A+ Rated Guide
Pretest
Question 1
Ac. What document shouldbeinguidingthe care of thisclient?
A) Client Self Determination Act
B) Physician'streatment orders
C) Advance Directives.
D) Clinical Pathwayprotocols
Review Information: Thecorrect answer is: C) Advance Directives. Thisdocument specifiestheclient's wishes
Question 2
You aretheof ahealth care teamthatconsists of onelicensedpractical/vocational nurse, onenursing assistant , an
ursingstudent andyourself. To whomisit appropriate toassigncomplete care for
A) Yourself
B) Thenursingstudent
C) Thelicensedvocational nurse
D) Thenursingassistant
Review Information: Thecorrect answer is:A) Yourself.
Whilethenursemaydelegate abedbath for astableclient, thiscareshouldbeperformed byan RNfor a newadmi
ssion. Onlytasks that donot require independent judgment shouldbedelegated.
3Question 3
Amother brings her theclinic, complainingthat thechildseemstobe Thenurseexpects tofind whichof thefollow
ingontheinitial historyandphysical assessment?
A) Increasedtemperature andlethargy
B) Rashandrestlessness
C) Increasedsleepingandlistlessness
, ALL HESI EXIT Questions and Answers Test
Bank; A+ Rated Guide
D) Diarrheaandpoor skinturgor
Review Information: Thecorrect answer is:B) Rashandrestlessness.
, ALL HESI EXIT Questions and Answers Test
Bank; A+ Rated Guide
Question 4
Asthenursetakes ahistory of a 3 year-oldwithneuroblastoma, whatcommentsbytheparents require follow-
upandareconsistent withthediagnosis?
A) "Thechildhas beenlistless andhaslost weight."
B) "Her urineisdarkyellowandsmall in amounts."
C) "Clothesarebecomingtighter across her abdomen." D+)"
Wenoticemuscleweakness andsomeunsteadiness."
Review Information: Thecorrect answer is:C) "Clothesarebecomingtighter across her abdomen.".
Oneof themost common signsof neuroblastomaisincreasingabdominal girth. Theparents'' report that clothi
ngistight issignificant, andshouldbefollowedbyadditional assessments.
Question 5
A 16 year-
oldpresents totheemergency department. Thetriagenursefinds that thisteenager is legally married andsign
edtheconsent formfor treatment. Whatwouldbetheappropriate INITIAL action bythe nurse?
A) Refusetoseetheclient until aparent or legal guardiancanbecontacted
B) Withholdtreatment until telephoneconsent can beobtained fromthespouse
C) Refer theclient toacommunitypediatric hospital emergencyroom
D) Assessandtreat inthesamemanner asanyadult client
Review Information: Thecorrect answer is:D) Assessandtreat inthesame manner asanyadult client.
Minors may becomeknownas an"emancipatedminor" through marriage, pregnancy, highschool graduation, ind
ependent livingor serviceinthemilitary. Therefore, thisclient, whois married, hasthelegal capacity of anadult.
Question 6
Anewlyadmittedelderlyclient isseverelydehydrated. Whenplanning care for thisclient, whichoneof the followin
gisanappropriatetaskfor an Unlicensed Assistive Personnel (UAP)?
, ALL HESI EXIT Questions and Answers Test
Bank; A+ Rated Guide
A) Obtainahistoryof fluidloss
B) Report output of lessthan 30 ml/hr
C) Monitor responseto IVfluids
D) Checkskinturgor every four hours
Review Information: Thecorrect answer is:B) Report output of lessthan 30 ml/hr.
Whendirectinga UAP, thenursemust communicateclearlyabout eachdelegated taskwithspecific instructions on
what must bereported. Becausethe RNisresponsiblefor all care-
relateddecisions,only implementation tasks shouldbeassignedbecause theydonot requireindependent judgme
nt.
Question 7
Thenurseisassessinga 4 year-
oldfor possiblerheumaticfever. Whichof thefollowingwouldthenurse suspect is related tothis diagnosis?
A) Diagnosisof chickenpox sixmonthsago
B) Exposuretostrepthroat indaycarelast month
C) Treatment for ear infectiontwomonthsago
D) Episodeof fungal skininfectionlast week
Review Information: Thecorrect answer is:B) Exposuretostrepthroat indaycarelast month.
Evidencesupportsastrongrelationship betweeninfectionwith Group Astreptococci andsubsequent rheu
matic fever (usually within 2-
6 weeks). Therefore, thehistoryof playmatesrecoveringfromstrep throatwouldindicatethat thechilddia
gnosedwithrheumaticfever most likelyalsohadstrepthroat. Sometimes, suchaninfectionhasnoclinical s
ymptoms.
Question 8
Whenthenursebecomes aware of feelingreluctant tointeract witha manipulative client, the BESTaction bythen
urseisto
A) Discuss thefeelingof reluctancewithanobjectivepeer or supervisor
B) Limit contactswiththeclient toavoidreinforcingthe manipulative behavior
C) Confront theclient regardingthenegative effects of his/herRbehavior onothers
D) Developabehavior modificationplanthatwill promotemorefunctional behavior
Review Information: Thecorrect answer is:A) Discuss thefeeling of reluctancewithanobjectivepeer orRsupervis
or.
Bank; A+ Rated Guide
Pretest
Question 1
Ac. What document shouldbeinguidingthe care of thisclient?
A) Client Self Determination Act
B) Physician'streatment orders
C) Advance Directives.
D) Clinical Pathwayprotocols
Review Information: Thecorrect answer is: C) Advance Directives. Thisdocument specifiestheclient's wishes
Question 2
You aretheof ahealth care teamthatconsists of onelicensedpractical/vocational nurse, onenursing assistant , an
ursingstudent andyourself. To whomisit appropriate toassigncomplete care for
A) Yourself
B) Thenursingstudent
C) Thelicensedvocational nurse
D) Thenursingassistant
Review Information: Thecorrect answer is:A) Yourself.
Whilethenursemaydelegate abedbath for astableclient, thiscareshouldbeperformed byan RNfor a newadmi
ssion. Onlytasks that donot require independent judgment shouldbedelegated.
3Question 3
Amother brings her theclinic, complainingthat thechildseemstobe Thenurseexpects tofind whichof thefollow
ingontheinitial historyandphysical assessment?
A) Increasedtemperature andlethargy
B) Rashandrestlessness
C) Increasedsleepingandlistlessness
, ALL HESI EXIT Questions and Answers Test
Bank; A+ Rated Guide
D) Diarrheaandpoor skinturgor
Review Information: Thecorrect answer is:B) Rashandrestlessness.
, ALL HESI EXIT Questions and Answers Test
Bank; A+ Rated Guide
Question 4
Asthenursetakes ahistory of a 3 year-oldwithneuroblastoma, whatcommentsbytheparents require follow-
upandareconsistent withthediagnosis?
A) "Thechildhas beenlistless andhaslost weight."
B) "Her urineisdarkyellowandsmall in amounts."
C) "Clothesarebecomingtighter across her abdomen." D+)"
Wenoticemuscleweakness andsomeunsteadiness."
Review Information: Thecorrect answer is:C) "Clothesarebecomingtighter across her abdomen.".
Oneof themost common signsof neuroblastomaisincreasingabdominal girth. Theparents'' report that clothi
ngistight issignificant, andshouldbefollowedbyadditional assessments.
Question 5
A 16 year-
oldpresents totheemergency department. Thetriagenursefinds that thisteenager is legally married andsign
edtheconsent formfor treatment. Whatwouldbetheappropriate INITIAL action bythe nurse?
A) Refusetoseetheclient until aparent or legal guardiancanbecontacted
B) Withholdtreatment until telephoneconsent can beobtained fromthespouse
C) Refer theclient toacommunitypediatric hospital emergencyroom
D) Assessandtreat inthesamemanner asanyadult client
Review Information: Thecorrect answer is:D) Assessandtreat inthesame manner asanyadult client.
Minors may becomeknownas an"emancipatedminor" through marriage, pregnancy, highschool graduation, ind
ependent livingor serviceinthemilitary. Therefore, thisclient, whois married, hasthelegal capacity of anadult.
Question 6
Anewlyadmittedelderlyclient isseverelydehydrated. Whenplanning care for thisclient, whichoneof the followin
gisanappropriatetaskfor an Unlicensed Assistive Personnel (UAP)?
, ALL HESI EXIT Questions and Answers Test
Bank; A+ Rated Guide
A) Obtainahistoryof fluidloss
B) Report output of lessthan 30 ml/hr
C) Monitor responseto IVfluids
D) Checkskinturgor every four hours
Review Information: Thecorrect answer is:B) Report output of lessthan 30 ml/hr.
Whendirectinga UAP, thenursemust communicateclearlyabout eachdelegated taskwithspecific instructions on
what must bereported. Becausethe RNisresponsiblefor all care-
relateddecisions,only implementation tasks shouldbeassignedbecause theydonot requireindependent judgme
nt.
Question 7
Thenurseisassessinga 4 year-
oldfor possiblerheumaticfever. Whichof thefollowingwouldthenurse suspect is related tothis diagnosis?
A) Diagnosisof chickenpox sixmonthsago
B) Exposuretostrepthroat indaycarelast month
C) Treatment for ear infectiontwomonthsago
D) Episodeof fungal skininfectionlast week
Review Information: Thecorrect answer is:B) Exposuretostrepthroat indaycarelast month.
Evidencesupportsastrongrelationship betweeninfectionwith Group Astreptococci andsubsequent rheu
matic fever (usually within 2-
6 weeks). Therefore, thehistoryof playmatesrecoveringfromstrep throatwouldindicatethat thechilddia
gnosedwithrheumaticfever most likelyalsohadstrepthroat. Sometimes, suchaninfectionhasnoclinical s
ymptoms.
Question 8
Whenthenursebecomes aware of feelingreluctant tointeract witha manipulative client, the BESTaction bythen
urseisto
A) Discuss thefeelingof reluctancewithanobjectivepeer or supervisor
B) Limit contactswiththeclient toavoidreinforcingthe manipulative behavior
C) Confront theclient regardingthenegative effects of his/herRbehavior onothers
D) Developabehavior modificationplanthatwill promotemorefunctional behavior
Review Information: Thecorrect answer is:A) Discuss thefeeling of reluctancewithanobjectivepeer orRsupervis
or.
