Hesi EXIT Exam Prep Questions And Answers (202472025) The
nurse knows that which statement by the mother indicates that the
mother
Question:
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."
Answer:
is D: "I have the four year-old hold and help feed the four month-old
Question:
a bottle in the kitchen Upon completing the admission documents, the nurse learns that the 87
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
Answer:
is B: Give information about advance directives
Question:
A nurse administers the influenza vaccine to a client in a clinic. Within 15 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
Answer:
is B: Administer epinephrine 1:1000 as ordered .
Question:
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
Answer:
is B: A toddler with severe deep abrasions over 98% of the body .
Question:
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
Answer:
is C: notify the admissions office and wait to apply the bracelet
Question:
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
Answer:
is D: Call the provider for clarification
Question:
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
Answer:
is D: open the client''s airway
Question:
A client has an order for 1000 ml of D5W over an 8 hour period. The nurse discovers that 800 ml
has been infused after 4 hours. What is the priority nursing action? A) Ask the client if there are
any breathing problems B) Have the client void as much as possible C) Check the vital signs D)
Auscultate the lungs
Answer:
,is D: Auscultate the lungs
Following change-of-shift report on an orthopedic unit, which client should the nurse
Question:
see first? A) 16 year-old who had an open reduction of a fractured wrist 10 hours ago B) 20
year-old in skeletal traction for 2 weeks since a motor cycle accident C) 72 year-old recovering
from surgery after a hip replacement 2 hours ago D) 75 year-old who is in skin traction prior to
planned hip pinning surgery.
Answer:
is C: 72 year- old recovering from surgery after a hip replacement 2
hours ago
1
Question:
A nurse observes a family member administer a rectal suppository by having the client lie on the
left side for the administration. The family member pushed the suppository until the finger went up
to the second knuckle. After 10 minutes the client was told by the family member to turn to the
right side and the client did this. What is the appropriate comment for the nurse to make? A) Why
don't we now have the client turn back to the left side. B) That was done correctly. Did you have
any problems with the insertion? C) Let's check to see if the suppository is in far enough. D) Did
you feel any stool in the intestinal tract?
Answer:
is B: That was done correctly. Did you have any problems with the
Question:
insertion? 1 A client with a diagnosis of Methicillin resistant Staphylococcus aureus (MRSA) has
died. Which type of precautions is the appropriate type to use when performing postmortem care?
A) airborne precautions B) droplet precautions C) contact precautions D) compromised host
precautions
Answer:
is C: contact precautions
1
Question:
, The nurse is reviewing with a client how to collect a clean catch urine specimen. Which sequence is
appropriate teaching? A) Void a little, clean the meatus, then collect specimen B) clean the meatus,
begin voiding, then catch urine stream C) Clean the meatus, then urinate into container D) Void
continuously and catch some of the urine
Answer:
is B: clean the meatus, begin voiding, then catch urine stream
1
Question:
The provider orders Lanoxin (digoxin) 125 mg PO and furosomide 40 mg every day. Which of
these foods would the nurse reinforce for the client to eat at least daily? A) spaghetti B) watermelon
C) chicken D) tomatoes
Answer:
is B: watermelon
1
Question:
A nurse is stuck in the hand by an exposed needle. What immediate action should the nurse take?
A) Look up the policy on needle sticks B) Contact employee health services C) Immediately wash
the hands with vigor D) Notify the supervisor and risk management
Answer:
is C: Immediately wash the hands with vigor
1
As the nurse observes the student nurse during the administration of a narcotic
analgesic IM injection, the nurse notes that the student begins to give the medication
Question:
without first aspirating. What should the nurse do? A) Ask the student: "What did you forget to
do?" B) Stop. Tell me why aspiration is needed. C) Loudly state: "You forgot to aspirate." D) Walk
up and whisper in the student's ear "Stop. Aspirate. Then inject."
Answer:
is D: Walk up and whisper in the student's ear "Stop. Aspirate. Then
nurse knows that which statement by the mother indicates that the
mother
Question:
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."
Answer:
is D: "I have the four year-old hold and help feed the four month-old
Question:
a bottle in the kitchen Upon completing the admission documents, the nurse learns that the 87
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
Answer:
is B: Give information about advance directives
Question:
A nurse administers the influenza vaccine to a client in a clinic. Within 15 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
Answer:
is B: Administer epinephrine 1:1000 as ordered .
Question:
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
Answer:
is B: A toddler with severe deep abrasions over 98% of the body .
Question:
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
Answer:
is C: notify the admissions office and wait to apply the bracelet
Question:
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
Answer:
is D: Call the provider for clarification
Question:
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
Answer:
is D: open the client''s airway
Question:
A client has an order for 1000 ml of D5W over an 8 hour period. The nurse discovers that 800 ml
has been infused after 4 hours. What is the priority nursing action? A) Ask the client if there are
any breathing problems B) Have the client void as much as possible C) Check the vital signs D)
Auscultate the lungs
Answer:
,is D: Auscultate the lungs
Following change-of-shift report on an orthopedic unit, which client should the nurse
Question:
see first? A) 16 year-old who had an open reduction of a fractured wrist 10 hours ago B) 20
year-old in skeletal traction for 2 weeks since a motor cycle accident C) 72 year-old recovering
from surgery after a hip replacement 2 hours ago D) 75 year-old who is in skin traction prior to
planned hip pinning surgery.
Answer:
is C: 72 year- old recovering from surgery after a hip replacement 2
hours ago
1
Question:
A nurse observes a family member administer a rectal suppository by having the client lie on the
left side for the administration. The family member pushed the suppository until the finger went up
to the second knuckle. After 10 minutes the client was told by the family member to turn to the
right side and the client did this. What is the appropriate comment for the nurse to make? A) Why
don't we now have the client turn back to the left side. B) That was done correctly. Did you have
any problems with the insertion? C) Let's check to see if the suppository is in far enough. D) Did
you feel any stool in the intestinal tract?
Answer:
is B: That was done correctly. Did you have any problems with the
Question:
insertion? 1 A client with a diagnosis of Methicillin resistant Staphylococcus aureus (MRSA) has
died. Which type of precautions is the appropriate type to use when performing postmortem care?
A) airborne precautions B) droplet precautions C) contact precautions D) compromised host
precautions
Answer:
is C: contact precautions
1
Question:
, The nurse is reviewing with a client how to collect a clean catch urine specimen. Which sequence is
appropriate teaching? A) Void a little, clean the meatus, then collect specimen B) clean the meatus,
begin voiding, then catch urine stream C) Clean the meatus, then urinate into container D) Void
continuously and catch some of the urine
Answer:
is B: clean the meatus, begin voiding, then catch urine stream
1
Question:
The provider orders Lanoxin (digoxin) 125 mg PO and furosomide 40 mg every day. Which of
these foods would the nurse reinforce for the client to eat at least daily? A) spaghetti B) watermelon
C) chicken D) tomatoes
Answer:
is B: watermelon
1
Question:
A nurse is stuck in the hand by an exposed needle. What immediate action should the nurse take?
A) Look up the policy on needle sticks B) Contact employee health services C) Immediately wash
the hands with vigor D) Notify the supervisor and risk management
Answer:
is C: Immediately wash the hands with vigor
1
As the nurse observes the student nurse during the administration of a narcotic
analgesic IM injection, the nurse notes that the student begins to give the medication
Question:
without first aspirating. What should the nurse do? A) Ask the student: "What did you forget to
do?" B) Stop. Tell me why aspiration is needed. C) Loudly state: "You forgot to aspirate." D) Walk
up and whisper in the student's ear "Stop. Aspirate. Then inject."
Answer:
is D: Walk up and whisper in the student's ear "Stop. Aspirate. Then
