EXIT HESI V1 ACTUAL EXAM ALL
QUESTIONS AND WELL ELABORATED
ANSWERS TOP RATED VERSION FOR
ALREADY A+ GRADED HIGHLY
RECOMMENDED |NEW AND REVISED
Amclientmismreceivingmophthalmicmdropsmpreoperativelymformamcataractmextractionmandmasksmthemn
ursemwhymthemhealthcaremprovidermhasmprescribedmallmthesemmedications.mWhichminformationmsh
ouldmthemnursemincludedmwhenmrespondingmtomthismclient?m(Selectmallmthatmapply.)m-
mCORRECTmANSWERm•mBmPupillarymdilationmismnecessarymtomaccessmthemeyemchambermformlensmre
moval.
•mCmThemirismmustmbemparalyzedmduringmsurgerymtompreventmitmfrommreactingmtomlight.
EmOnemofmthemmedicationsmismusedmtomanesthetizemthemcornealmsurface.
Anmadultmclientmpresentsmtomthemclinicmwithmlargemdrainingmulcersmonmbothmlowermlegsmthatmaremc
haracteristicmofmKaposi'smsarcomamlesions.mThemclientmismaccompaniedmbymtwomfamilymmembers.m
Whichmactionmshouldmthemnursemtake?m-
mCORRECTmANSWERm•mCmSendmfamilymtomthemwaitingmareamwhilemthemclient'smhistorymismtaken.
Themnursemismdevelopingmamteachingmplanmformamclientmwithmacutemgastritismcausedmbymdrinkingmc
ontaminatedmwater.mThemnursemshouldmemphasizemthemneedmtomreportmthemonsetmofmwhichmprob
lem?m-mCORRECTmANSWERmAmBloodymmesis
Themchargemnurseminmanmextendedmcaremfacilitymismorganizingmunitmactivitiesmformthemday.mWhichma
ctionmmaymbemsafelymdelegatedmtomthempracticalmnursem(PN)?m-
mCORRECTmANSWERmEstablishmbloodmpressuremparametersmformclientmmonitoring.
Themschoolmnursemismpreparingmamteachingmpamphletminmresponsemtomrequestsmfrommparentsmreg
ardingmanmoutbreakmofmpinwormsmatmthemlocalmpreschool.mWhichminformationmaboutmthemmostmc
ommonlymprescribedmmedication,mmebendazole,mshouldmbemincluded?m-
mCORRECTmANSWERmAmOnlymchildrenmwithmperianalmitchingmshouldmtakemthemmedication.
,Am3-year-
oldmboymwasmsuccessfullymtoiletmtrainedmpriormtomhismadmissionmtomthemhospitalmforminuriesmsustai
nedmfrommamfall.mHismparentsmaremverymconcernedmthatmthemchildmhasmregressedminmhismtoiletingmb
ehaviors.mWhichminformationmshouldmthemnursemprovidemtomthemparents?m-
mCORRECTmANSWERmChildrenmusuallymresumemtheirmtoiletingmbehaviorsmwhenmtheymleavemthemho
spital.
Themhealthcaremprovidermprescribesmthemantibioticmcefdinirm300mmgmbymmouthmeverym12mhoursmf
ormamclientmwithmampostoperativemwoundminfection.
Whichmfoodsmshouldmthemnursemencouragemthismclientmtomeat?m-
mCORRECTmANSWERm•mBmYogurtmormbuttermilk.
Am10-year-
oldmwithmacutemdecompensatedmheartmfailuremhasmam3mpoundm(1.4mkg)mweightmgainminmthemlastm2
4mhours.mWhichminterventionmismmostmimportantmformthemnursemtomimplement?m-
mCORRECTmANSWERmAssessmbilateralmlungmsounds.
Amclientmwithmdelusionsmtellsmthemnurse,m"Youmaren'tmdoingmyourmjob.mGomgetmthosempeoplemoverm
theremandmshootmthemmbeforemtheymgetmme."mWhichmstatementmismthemnurse'smbestmresponse?m-
mCORRECTmANSWERm"Youmseemmquitemfrightenedmrightmnow."
Themnursemismcaringmformamclientmwhomreceivesmamprescriptionmformvalproicmacidminmwhichmthemma
ximummsafemdosagemism60mmg/kg/day.mHowmmanymmg/daymismthemmaximummsafemdosagemformamc
lientmwhomweighsm176mpounds?m(Entermnumericalmvaluemonly.)m-mCORRECTmANSWERm4800
Thempublicmhealthmnursemreceivesmfundingmtominitiatemamprimarympreventionmprogramminmthemcom
munity.mWhichmprogrammbestmfitsmthemnurse'smproposal?m-
mCORRECTmANSWERmVitaminmsupplementsmformhigh-riskmpregnantmwomen.
, AmclientmismadmittedmwithmthemdiagnosismofmWernicke'smsyndrome.mWhichmassessmentmfindingmsh
ouldmthemnursemuseminmplanningmthemclient'smcare?m-mCORRECTmANSWERmConfusion.
Themnursemismcaringmformamclientmaftermamthoracentesismthatmdrainedm50mmLmofmclearmfluidmfrommt
hemleftmlung.mWhichmassessmentmfindingmshouldmthemnursemreportmtomthemhealthcaremprovidermi
mmediately?m-mCORRECTmANSWERmMediastinalmshiftmtomthemright.
Amclientmarrivesmtomthememergencymdepartmentmwithmchestmpainmaftermtakingmsildenafil.mBasedmo
nmthemclient'smhistory,mwhichmmedicationmshouldmthemnursemwithhold?m-
mCORRECTmANSWERmNitroglycerin.
SixmweeksmaftermthembirthmofmamchildmwithmTrisomym21,mthemparentsmreturnmtomthemprenatalmclinic
mformamfollow-
upmvisit.mTheymhavemspokenmwithmamgeneticmcounselor,mbutmaremstillmunsuremaboutmthemriskmofmha
vingmanothermchildmwithmTrisomym21.mThemcouplembringsmliteraturemfrommthemcounselormwithmthe
m,mandmasksmthemnursemtomexplainmit.mWhichmactionmshouldmthemnursemtake?m-
mCORRECTmANSWERmReviewmthemliteraturemandmanswermanymquestionsmthemnursemismablemtomans
wer.
Amclientmwhomismonemdaympostpartummtellsmthemnursemthatmhermbabymcannotmlatchmontomthembrea
st.mThemnursemdeterminesmthatmthemclient'smnipplesmareminverted.m-
mCORRECTmANSWERmRecommendmusingmambreastmshield.
Whilemamchildmismhospitalizedmwithmacutemglomerulonephritis,mthemparentsmaskmwhymbloodmpress
uremreadingsmaremtakenmsomoften.mWhichmresponsembymthemnursemismmostmaccurate?m-
mCORRECTmANSWERmElevatedmbloodmpressuremmustmbemanticipatedmandmidentifiedmquickly.
Amweekmaftermadmissionmtomintensivemcaremformambowelmobstruction,mamclientmismconfusedmtomtim
emandmplace.mThemnursemfrequentlymattemptsmtomreorientmthemclientmbutmthemclientmremainsmconf
used.mWhichminterventionmshouldmthemnursemimplementmformthemclient'smsafety?m-
mCORRECTmANSWERmIncreasemdirectmobservationmtimes.
QUESTIONS AND WELL ELABORATED
ANSWERS TOP RATED VERSION FOR
ALREADY A+ GRADED HIGHLY
RECOMMENDED |NEW AND REVISED
Amclientmismreceivingmophthalmicmdropsmpreoperativelymformamcataractmextractionmandmasksmthemn
ursemwhymthemhealthcaremprovidermhasmprescribedmallmthesemmedications.mWhichminformationmsh
ouldmthemnursemincludedmwhenmrespondingmtomthismclient?m(Selectmallmthatmapply.)m-
mCORRECTmANSWERm•mBmPupillarymdilationmismnecessarymtomaccessmthemeyemchambermformlensmre
moval.
•mCmThemirismmustmbemparalyzedmduringmsurgerymtompreventmitmfrommreactingmtomlight.
EmOnemofmthemmedicationsmismusedmtomanesthetizemthemcornealmsurface.
Anmadultmclientmpresentsmtomthemclinicmwithmlargemdrainingmulcersmonmbothmlowermlegsmthatmaremc
haracteristicmofmKaposi'smsarcomamlesions.mThemclientmismaccompaniedmbymtwomfamilymmembers.m
Whichmactionmshouldmthemnursemtake?m-
mCORRECTmANSWERm•mCmSendmfamilymtomthemwaitingmareamwhilemthemclient'smhistorymismtaken.
Themnursemismdevelopingmamteachingmplanmformamclientmwithmacutemgastritismcausedmbymdrinkingmc
ontaminatedmwater.mThemnursemshouldmemphasizemthemneedmtomreportmthemonsetmofmwhichmprob
lem?m-mCORRECTmANSWERmAmBloodymmesis
Themchargemnurseminmanmextendedmcaremfacilitymismorganizingmunitmactivitiesmformthemday.mWhichma
ctionmmaymbemsafelymdelegatedmtomthempracticalmnursem(PN)?m-
mCORRECTmANSWERmEstablishmbloodmpressuremparametersmformclientmmonitoring.
Themschoolmnursemismpreparingmamteachingmpamphletminmresponsemtomrequestsmfrommparentsmreg
ardingmanmoutbreakmofmpinwormsmatmthemlocalmpreschool.mWhichminformationmaboutmthemmostmc
ommonlymprescribedmmedication,mmebendazole,mshouldmbemincluded?m-
mCORRECTmANSWERmAmOnlymchildrenmwithmperianalmitchingmshouldmtakemthemmedication.
,Am3-year-
oldmboymwasmsuccessfullymtoiletmtrainedmpriormtomhismadmissionmtomthemhospitalmforminuriesmsustai
nedmfrommamfall.mHismparentsmaremverymconcernedmthatmthemchildmhasmregressedminmhismtoiletingmb
ehaviors.mWhichminformationmshouldmthemnursemprovidemtomthemparents?m-
mCORRECTmANSWERmChildrenmusuallymresumemtheirmtoiletingmbehaviorsmwhenmtheymleavemthemho
spital.
Themhealthcaremprovidermprescribesmthemantibioticmcefdinirm300mmgmbymmouthmeverym12mhoursmf
ormamclientmwithmampostoperativemwoundminfection.
Whichmfoodsmshouldmthemnursemencouragemthismclientmtomeat?m-
mCORRECTmANSWERm•mBmYogurtmormbuttermilk.
Am10-year-
oldmwithmacutemdecompensatedmheartmfailuremhasmam3mpoundm(1.4mkg)mweightmgainminmthemlastm2
4mhours.mWhichminterventionmismmostmimportantmformthemnursemtomimplement?m-
mCORRECTmANSWERmAssessmbilateralmlungmsounds.
Amclientmwithmdelusionsmtellsmthemnurse,m"Youmaren'tmdoingmyourmjob.mGomgetmthosempeoplemoverm
theremandmshootmthemmbeforemtheymgetmme."mWhichmstatementmismthemnurse'smbestmresponse?m-
mCORRECTmANSWERm"Youmseemmquitemfrightenedmrightmnow."
Themnursemismcaringmformamclientmwhomreceivesmamprescriptionmformvalproicmacidminmwhichmthemma
ximummsafemdosagemism60mmg/kg/day.mHowmmanymmg/daymismthemmaximummsafemdosagemformamc
lientmwhomweighsm176mpounds?m(Entermnumericalmvaluemonly.)m-mCORRECTmANSWERm4800
Thempublicmhealthmnursemreceivesmfundingmtominitiatemamprimarympreventionmprogramminmthemcom
munity.mWhichmprogrammbestmfitsmthemnurse'smproposal?m-
mCORRECTmANSWERmVitaminmsupplementsmformhigh-riskmpregnantmwomen.
, AmclientmismadmittedmwithmthemdiagnosismofmWernicke'smsyndrome.mWhichmassessmentmfindingmsh
ouldmthemnursemuseminmplanningmthemclient'smcare?m-mCORRECTmANSWERmConfusion.
Themnursemismcaringmformamclientmaftermamthoracentesismthatmdrainedm50mmLmofmclearmfluidmfrommt
hemleftmlung.mWhichmassessmentmfindingmshouldmthemnursemreportmtomthemhealthcaremprovidermi
mmediately?m-mCORRECTmANSWERmMediastinalmshiftmtomthemright.
Amclientmarrivesmtomthememergencymdepartmentmwithmchestmpainmaftermtakingmsildenafil.mBasedmo
nmthemclient'smhistory,mwhichmmedicationmshouldmthemnursemwithhold?m-
mCORRECTmANSWERmNitroglycerin.
SixmweeksmaftermthembirthmofmamchildmwithmTrisomym21,mthemparentsmreturnmtomthemprenatalmclinic
mformamfollow-
upmvisit.mTheymhavemspokenmwithmamgeneticmcounselor,mbutmaremstillmunsuremaboutmthemriskmofmha
vingmanothermchildmwithmTrisomym21.mThemcouplembringsmliteraturemfrommthemcounselormwithmthe
m,mandmasksmthemnursemtomexplainmit.mWhichmactionmshouldmthemnursemtake?m-
mCORRECTmANSWERmReviewmthemliteraturemandmanswermanymquestionsmthemnursemismablemtomans
wer.
Amclientmwhomismonemdaympostpartummtellsmthemnursemthatmhermbabymcannotmlatchmontomthembrea
st.mThemnursemdeterminesmthatmthemclient'smnipplesmareminverted.m-
mCORRECTmANSWERmRecommendmusingmambreastmshield.
Whilemamchildmismhospitalizedmwithmacutemglomerulonephritis,mthemparentsmaskmwhymbloodmpress
uremreadingsmaremtakenmsomoften.mWhichmresponsembymthemnursemismmostmaccurate?m-
mCORRECTmANSWERmElevatedmbloodmpressuremmustmbemanticipatedmandmidentifiedmquickly.
Amweekmaftermadmissionmtomintensivemcaremformambowelmobstruction,mamclientmismconfusedmtomtim
emandmplace.mThemnursemfrequentlymattemptsmtomreorientmthemclientmbutmthemclientmremainsmconf
used.mWhichminterventionmshouldmthemnursemimplementmformthemclient'smsafety?m-
mCORRECTmANSWERmIncreasemdirectmobservationmtimes.