2018 HESI EXIT EXAM V2 LATEST UPDATE ALL QUESTIONS AND
EXPERT VERIFIED ANSWERS (A+ GRADE GUARANTEED)
1. 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
The correct answer is B: Administer epinephrine 1:1000 as ordered .
2. 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
The correct answer is C: notify the admissions office and wait to apply the bracelet
3. 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
The correct answer is B: Give information about advance directives
4. 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
The correct answer is D: Auscultate the lungs
5. 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
The correct answer is B: A toddler with severe deep abrasions over 98% of the body .
6. 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
The correct answer is D: open the client''s airway
, 7. 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
The correct answer is C: contact precautions
8. 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
The correct answer is B: clean the meatus, begin voiding, then catch urine stream
9. 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
The correct answer is D: Call the provider for clarification
EXPERT VERIFIED ANSWERS (A+ GRADE GUARANTEED)
1. 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
The correct answer is B: Administer epinephrine 1:1000 as ordered .
2. 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
The correct answer is C: notify the admissions office and wait to apply the bracelet
3. 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
The correct answer is B: Give information about advance directives
4. 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
The correct answer is D: Auscultate the lungs
5. 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
The correct answer is B: A toddler with severe deep abrasions over 98% of the body .
6. 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
The correct answer is D: open the client''s airway
, 7. 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
The correct answer is C: contact precautions
8. 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
The correct answer is B: clean the meatus, begin voiding, then catch urine stream
9. 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
The correct answer is D: Call the provider for clarification
