2018 HESI EXIT V6
1. A parent tells the nurse that their 6 year-old child who normally enjoys school, has not been doing well since the grandmother died 2 months ago. Which statement most accurately describes thoughts on
death and dying at this age?
A) Death is personified as the bogeyman or devil
B) Death is perceived as being irreversible
C) The child feels guilty for the grandmother's death
D) The child is worried that he, too, might die
The correct answer is A: Death is personified as the bogeyman or devil
2. A 67 year-old client with non-insulin dependent diabetes should be instructed to
contact the out-patient clinic immediately if the following findings are present
A) Temperature of 37.5 degrees Celsius with painful urination
B) An open wound on their heel
C) Insomnia and daytime fatigue
D) Nausea with 2 episodes of vomiting
The correct answer is B: An open wound on their heel
3. The nurse admits an elderly Mexican-American migrant worker after an accident that
occurred during work. To facilitate communication the nurse should initially
A) Request a Spanish interpreter
B) Speak through the family or co-workers
C) Use pictures, letter boards, or monitoring
D) Assess the client's ability to speak English
The correct answer is D: Assess the client''s ability to speak English
4. In assessing a post partum client, the nurse palpates a firm fundus and observes a
constant trickle of bright red blood from the vagina. What is the most likely cause of
these findings?
A) Uterine atony
B) Genital lacerations
C) Retained placenta
D) Clotting disorder
The correct answer is B: Genital lacerations
5. The nurse notes an abrupt onset of confusion in an elderly patient. Which of the
following recently-ordered medications would most likely contribute to this change?hhhhhhesii A) AnticoagulantB) Liquid antacidC) AntihistamineD) Cardiac glycosideThe correct answer is C: Antihistamine6. The nurse is caring for a client with active tuberculosis who has a history of noncompliance. Which of the following actions by the nurse would represent appropriate care for this client?A) Instruct the client to wear a high efficiency particulate air mask in public places.B) Ask a family member to supervise daily complianceC) Schedule weekly clinic visits for the clientD) Ask the health care provider to change the regimen to fewer medications The correct answer is B: Ask a family member to supervise daily compliance7. The nurse manager identifies that time spent by staff in charting is excessive, requiring overtime for completion. The nurse manager states that "staff will form a task force to investigate and develop potential solutions to the problem, and report on this at the next staff meeting." The nurse manager's leadership style is best described asA) Laissez-faireB) AutocraticC) ParticipativeD) Group The correct answer is C: Participative8. A nursing student asks the nurse manager to explain the forces that drive health care reform. The appropriate response by the nurse manager should includeA) The escalation of fees with a decreased reimbursement percentageB) High costs of diagnostic and end-of-life treatment proceduresC) Increased numbers of elderly and of the chronically ill of all agesD) A steep rise in health care provider fees and in insurance premiums The correct answer is A: The escalation of fees with a decreased reimbursement percentage9. A client with hepatitis A (HA V) is newly admitted to the unit. Which action would be the priority to include in the plan of care within the initial 24 hours for this client?A) Wear masks with shields if potential splashB) Use disposable utensils and plates for mealsC) Wear gown and gloves during client contactD) Provide soft easily digested food with frequent snacks The correct answer is C: Wear gown and gloves during client contact10. A client has been taking alprazolam (Xanax) for 3 days. Nursing assessment should reveal which expected effect of the drug?A) Tranquilization, numbing of emotionsB) Sedation, analgesiaC) Relief of insomnia and phobiasD) Diminished tachycardia and tremors associated with anxiety The correct answer is A: Tranquilization, numbing of emotions11. The nurse observes a staff member caring for a client with a left unilateral mastectomy. The nurse would intervene if she notices the staff member isA) Advising client to restrict sodium intakeB) Taking the blood pressure in the left armC) Elevating her left arm above heart levelD) Compressing the drainage deviceThe correct answer is B: Taking the blood pressure in the left arm12. A 70 year-old post-operative client has elevated serum BUN, Hct, Cl, and Na+. Creatinine and K+ are within normal limits. The nurse should perform additional assessments to confirm that an actualproblem is:A) Impaired gas exchangeB) Metabolic acidosisC) Renal insufficiencyD) Fluid volume deficitThe correct answer is D: Fluid volume deficit13. The nurse is providing foot care instructions to a client with arterial insufficiency. The nurse would identify the need for additional teaching if the client statedA) "I can only wear cotton socks."B) "I cannot go barefoot around my house."C) "I will trim corns and calluses regularly."D) "I should ask a family member to inspect my feet daily." The correct answer is C: "I will trim corns and calluses regularly."14. A woman who delivered 5 days ago and had been diagnosed with preeclampsia calls the hospital triage nurse hotline to ask for advice. She states “ I have had the worst headache for the past 2 days. Itpounds and by the middle of the afternoon everything I look at looks wavy. Nothing I have taken helps.” What should the nurse do next?A) Advise the client that the swings in her hormones may have that effect. However, suggest for her to call her health care provider within the next day.B) Advise the client to have someone bring her to the emergency room as soon as possibleC) Ask the client to stay on the line, get the address and send an ambulance to the homeD) Ask what the client has taken? How often? Ask about other specific complaints.The correct answer is C: Ask the client to stay on the line, get the address and send an ambulance to the home15. The primary teaching for a client following an extracorporeal shock-wave lithotripsy (ESWL) procedure isA) Drink 3000 to 4000 cc of fluid each day for one monthB) Limit fluid intake to 1000 cc each day for one monthC) Increase intake of citrus fruits to three servings per dayD) Restrict milk and dairy products for one month The correct answer is A: Drink 3000 to 4000 cc of fluid each day for 1 month16. A client on warfarin therapy following coronary artery stent placement calls the clinic to ask if he can take Alka-Seltzer for an upset stomach. What is the best response by the nurse?A) Avoid Alka-Seltzer because it contains aspirinB) Take Alka-Seltzer at a different time of day than the warfarinC) Select another antacid that does not inactivate warfarinD) Use on-half the recommended dose of Alka-Seltzer The correct answer is A: Avoid Alka-Seltzer because it contains aspirin17. The nurse is working with parents to plan home care for a 2 year-old with a heart problem. A priority nursing intervention would be toA) Encourage the parents to enroll in cardiopulmonary resuscitation classB) Assist the parents to plan quiet play activities at homeC) Stress to the parents that they will need relief care giversD) Instruct the parents to avoid contact with persons with infection The correct answer is A: Encourage the parents to enroll in cardiopulmonary resuscitation class
1. A parent tells the nurse that their 6 year-old child who normally enjoys school, has not been doing well since the grandmother died 2 months ago. Which statement most accurately describes thoughts on
death and dying at this age?
A) Death is personified as the bogeyman or devil
B) Death is perceived as being irreversible
C) The child feels guilty for the grandmother's death
D) The child is worried that he, too, might die
The correct answer is A: Death is personified as the bogeyman or devil
2. A 67 year-old client with non-insulin dependent diabetes should be instructed to
contact the out-patient clinic immediately if the following findings are present
A) Temperature of 37.5 degrees Celsius with painful urination
B) An open wound on their heel
C) Insomnia and daytime fatigue
D) Nausea with 2 episodes of vomiting
The correct answer is B: An open wound on their heel
3. The nurse admits an elderly Mexican-American migrant worker after an accident that
occurred during work. To facilitate communication the nurse should initially
A) Request a Spanish interpreter
B) Speak through the family or co-workers
C) Use pictures, letter boards, or monitoring
D) Assess the client's ability to speak English
The correct answer is D: Assess the client''s ability to speak English
4. In assessing a post partum client, the nurse palpates a firm fundus and observes a
constant trickle of bright red blood from the vagina. What is the most likely cause of
these findings?
A) Uterine atony
B) Genital lacerations
C) Retained placenta
D) Clotting disorder
The correct answer is B: Genital lacerations
5. The nurse notes an abrupt onset of confusion in an elderly patient. Which of the
following recently-ordered medications would most likely contribute to this change?hhhhhhesii A) AnticoagulantB) Liquid antacidC) AntihistamineD) Cardiac glycosideThe correct answer is C: Antihistamine6. The nurse is caring for a client with active tuberculosis who has a history of noncompliance. Which of the following actions by the nurse would represent appropriate care for this client?A) Instruct the client to wear a high efficiency particulate air mask in public places.B) Ask a family member to supervise daily complianceC) Schedule weekly clinic visits for the clientD) Ask the health care provider to change the regimen to fewer medications The correct answer is B: Ask a family member to supervise daily compliance7. The nurse manager identifies that time spent by staff in charting is excessive, requiring overtime for completion. The nurse manager states that "staff will form a task force to investigate and develop potential solutions to the problem, and report on this at the next staff meeting." The nurse manager's leadership style is best described asA) Laissez-faireB) AutocraticC) ParticipativeD) Group The correct answer is C: Participative8. A nursing student asks the nurse manager to explain the forces that drive health care reform. The appropriate response by the nurse manager should includeA) The escalation of fees with a decreased reimbursement percentageB) High costs of diagnostic and end-of-life treatment proceduresC) Increased numbers of elderly and of the chronically ill of all agesD) A steep rise in health care provider fees and in insurance premiums The correct answer is A: The escalation of fees with a decreased reimbursement percentage9. A client with hepatitis A (HA V) is newly admitted to the unit. Which action would be the priority to include in the plan of care within the initial 24 hours for this client?A) Wear masks with shields if potential splashB) Use disposable utensils and plates for mealsC) Wear gown and gloves during client contactD) Provide soft easily digested food with frequent snacks The correct answer is C: Wear gown and gloves during client contact10. A client has been taking alprazolam (Xanax) for 3 days. Nursing assessment should reveal which expected effect of the drug?A) Tranquilization, numbing of emotionsB) Sedation, analgesiaC) Relief of insomnia and phobiasD) Diminished tachycardia and tremors associated with anxiety The correct answer is A: Tranquilization, numbing of emotions11. The nurse observes a staff member caring for a client with a left unilateral mastectomy. The nurse would intervene if she notices the staff member isA) Advising client to restrict sodium intakeB) Taking the blood pressure in the left armC) Elevating her left arm above heart levelD) Compressing the drainage deviceThe correct answer is B: Taking the blood pressure in the left arm12. A 70 year-old post-operative client has elevated serum BUN, Hct, Cl, and Na+. Creatinine and K+ are within normal limits. The nurse should perform additional assessments to confirm that an actualproblem is:A) Impaired gas exchangeB) Metabolic acidosisC) Renal insufficiencyD) Fluid volume deficitThe correct answer is D: Fluid volume deficit13. The nurse is providing foot care instructions to a client with arterial insufficiency. The nurse would identify the need for additional teaching if the client statedA) "I can only wear cotton socks."B) "I cannot go barefoot around my house."C) "I will trim corns and calluses regularly."D) "I should ask a family member to inspect my feet daily." The correct answer is C: "I will trim corns and calluses regularly."14. A woman who delivered 5 days ago and had been diagnosed with preeclampsia calls the hospital triage nurse hotline to ask for advice. She states “ I have had the worst headache for the past 2 days. Itpounds and by the middle of the afternoon everything I look at looks wavy. Nothing I have taken helps.” What should the nurse do next?A) Advise the client that the swings in her hormones may have that effect. However, suggest for her to call her health care provider within the next day.B) Advise the client to have someone bring her to the emergency room as soon as possibleC) Ask the client to stay on the line, get the address and send an ambulance to the homeD) Ask what the client has taken? How often? Ask about other specific complaints.The correct answer is C: Ask the client to stay on the line, get the address and send an ambulance to the home15. The primary teaching for a client following an extracorporeal shock-wave lithotripsy (ESWL) procedure isA) Drink 3000 to 4000 cc of fluid each day for one monthB) Limit fluid intake to 1000 cc each day for one monthC) Increase intake of citrus fruits to three servings per dayD) Restrict milk and dairy products for one month The correct answer is A: Drink 3000 to 4000 cc of fluid each day for 1 month16. A client on warfarin therapy following coronary artery stent placement calls the clinic to ask if he can take Alka-Seltzer for an upset stomach. What is the best response by the nurse?A) Avoid Alka-Seltzer because it contains aspirinB) Take Alka-Seltzer at a different time of day than the warfarinC) Select another antacid that does not inactivate warfarinD) Use on-half the recommended dose of Alka-Seltzer The correct answer is A: Avoid Alka-Seltzer because it contains aspirin17. The nurse is working with parents to plan home care for a 2 year-old with a heart problem. A priority nursing intervention would be toA) Encourage the parents to enroll in cardiopulmonary resuscitation classB) Assist the parents to plan quiet play activities at homeC) Stress to the parents that they will need relief care giversD) Instruct the parents to avoid contact with persons with infection The correct answer is A: Encourage the parents to enroll in cardiopulmonary resuscitation class
