Fortis College NUR 210 HESI RN EXIT Exam Questions and Answers Graded A+ New Update 2022/2023

1.In planning care for a 6 month-old infant, what must the nurse provide to assist in the development of trust? A)Food B)Warmth C)Security D)Comfort 2.A nurse has just received a medication order which is not legible. Which statement best reflects assertive communication? A)"I cannot give this medication as it is written. I have no idea of what you mean." B)"Would you please clarify what you have written so I am sure I am reading it correctly?" C)"I am having difficulty reading your handwriting. It would save me time if you would be more careful." D)"Please print in the future so I do not have to spend extra time attempting to read your writing." 3.What is the most important consideration when teaching parents how to reduce risks in the home? A)Age and knowledge level of the parents B)Proximity to emergency services C)Number of children in the home D)Age of children in the home 4.A 35 year-old client with sickle cell crisis is talking on the telephone but stops as the nurse enters the room to request something for pain. The nurse should A)Administer a placebo B)Encourage increased fluid intake C)Administer the prescribed analgesia D)Recommend relaxation exercises for pain control 5.While caring for a toddler with croup, which initial sign of croup requires the nurse's immediate atten- tion? C) Security B) "Would you please clarify what you have written so I am sure I am reading it correctly?" D) Age of children in the home C) Administer the prescribed anal- gesia A)Respiratory rate of 42 A)Respiratory rate of 42 B)Lethargy for the past hour C)Apical pulse of 54 D)Coughing up copious secretions 6.A client is admitted with low T3 and T4 levels and an elevated TSH level. On initial assessment, the nurse would anticipate which of the following assessment findings? A)Lethargy B)Heat intolerance C)Diarrhea D)Skin eruptions 7.The emergency room nurse admits a child who ex- perienced a seizure at school. The father comments that this is the first occurrence, and denies any family history of epilepsy. What is the best response by the nurse? A)"Do not worry. Epilepsy can be treated with med- ications." B)"The seizure may or may not mean your child has epilepsy." C)"Since this was the first convulsion, it may not happen again." D)"Long term treatment will prevent future seizures." 8.Alcohol and drug abuse impairs judgment and in- creases risk taking behavior. What nursing diagnosis best applies? A)Risk for injury B)Risk for knowledge deficit C)Altered thought process D)Disturbance in self-esteem 9.Which these findings would the nurse more closely associate with anemia in a 10 month-old infant? A)Hemoglobin level of 12 g/dI B)Pale mucosa of the eyelids and lips A)Lethargy B)"The seizure may or may not mean your child has epilepsy." A)Risk for injury B)Pale mucosa of the eyelids and lips C)Hypoactivity D)A heart rate between 140 to 160 10.The nurse is caring for a client in hypertensive crisis in an intensive care unit. The priority assessment in the first hour of care is A)Heart rate B)Pedal pulses C)Lung sounds D)Pupil responses 11.Which of these clients who are all in the terminal stage of cancer is least appropriate to suggest the use of patient controlled analgesia (PCA) with a pump? A)A young adult with a history of Down's syndrome B)A teenager who reads at a 4th grade level C)An elderly client with numerous arthritic nodules on the hands D)A preschooler with intermittent episodes of alert- ness 12.The nurse is about to assess a 6 month-old child with nonorganic failure-to thrive (NOFTT). Upon entering the room, the nurse would expect the baby to be A)Irritable and "colicky" with no attempts to pull to standing B)Alert, laughing and playing with a rattle, sitting with support C)Skin color dusky with poor skin turgor over ab- domen D)Pale, thin arms and legs, uninterested in surround- ings 13.As the nurse is speaking with a group of teens which of these side effects of chemotherapy for cancer would the nurse expect this group to be more inter- ested in during the discussion? A)Mouth sores B)Fatigue D) Pupil respons- es D) A preschool- er with intermittent episodes of alert- ness D) Pale, thin arms and legs, uninter- ested in surround- ings D)Hair loss C)Diarrhea D)Hair loss 14.While caring for a client who was admitted with my- ocardial infarction (MI) 2 days ago, the nurse notes B)Administer ac- etaminophen as today's temperature is 101.1 degrees Fahrenheit (38.5 ordered as this is degreesCelsius). The appropriate nursing interven- tion is to A)Call the health care provider immediately B)Administer acetaminophen as ordered as this is normal at this time C)Send blood, urine and sputum for culture D)Increase the client's fluid intake 15.A client is admitted for first and second degree burns on the face, neck, anterior chest and hands. The nurse's priority should be A)Cover the areas with dry sterile dressings B)Assess for dyspnea or stridor C)Initiate intravenous therapy D)Administer pain medication 16.Which of these clients who call the community health clinic would the nurse ask to come in that day to be seen by the health care provider? A)I started my period and now my urine has turned bright red. B)I am an diabetic and today I have been going to the bathroom every hour. C)I was started on medicine yesterday for a urine infection. Now my lower belly hurts when I go to the bathroom. D)I went to the bathroom and my urine looked very red and it didn't hurt when I went. 17.Which of these parents' comment for a newborn would most likely reveal an initial finding of a sus- pected pyloric stenosis? A)I noticed a little lump a little above the belly button. B)The baby seems hungry all the time. normal at this time B) Assess for dys- pnea or stridor D) I went to the bathroom and my urine looked very red and it didn't hurt when I went. C)Mild vomiting that progressed to vomiting shooting across the room. C)Mild vomiting that progressed to vomiting shoot- ing across the room. D)Irritation and spitting up immediately after feed- ings. 18.The nurse is assessing a child for clinical manifesta- tions of iron deficiency anemia. Which factor would the nurse recognize as cause for the findings? A)Decreased cardiac output B)Tissue hypoxia C)Cerebral edema D)Reduced oxygen saturation 19.The nurse would expect the cystic fibrosis client to receive supplemental pancreatic enzymes along with a diet A)High in carbohydrates and proteins B)Low in carbohydrates and proteins C)High in carbohydrates, low in proteins D)Low in carbohydrates, high in proteins 20.In evaluating the growth of a 12 month-old child, which of these findings would the nurse expect to be present in the infant? A)Increased 10% in height B)2 deciduous teeth C)Tripled the birth weight D)Head chest circumference 21.A Hispanic client in the postpartum period refuses the hospital food because it is "cold." The best initial action by the nurse is to A)1Have the unlicensed assistive personnel (UAP) reheat the food if the client wishes B)Ask the client what foods are acceptable or bad C)Encourage her to eat for healing and strength D)Schedule the dietitian to meet with the client as soon as possible B) Tissue hypoxia A) High in carbo- hydrates and pro- teins C) Tripled the birth weight B) Ask the client what foods are ac- ceptable or bad 22.The father of an 8 month-old infant asks the nurse if his infant's vocalizations are normal for his age. Which of the following would the nurse expect at this age? A)Cooing B)Imitation of sounds C)Throaty sounds D)Laughter 23.The nurse should recognize that physical depen- dence is accompanied by what findings when alcohol consumption is first reduced or ended? A)Seizures B)Withdrawal C)Craving D)Marked tolerance 24.Immediately following an acute battering incident in a violent relationship, the batterer may respond to the partner's injuries by A)Seeking medical help for the victim's injuries B)Minimizing the episode and underestimating the victim's injuries C)Contacting a close friend and asking for help D)Being very remorseful and assisting the victim with medical care 25.A client with pneumococcal pneumonia had been started on antibiotics 16 hours ago.During the nurse's initial evening rounds the nurse notices a foul smell in the room. The client makes all of these statements during their conversation. Which state- ment would alert the nurse to a complication? A)"I have a sharp pain in my chest when I take a breath. "B) "I have been coughing up foul-tasting, brown, thick sputum. B) Imitation of sounds B) Withdrawal B) Minimizing the episode and un- derestimating the victim's injuries "B) "I have been coughing up foul-tasting, brown, thick spu- tum. " C) "I have been sweating all day. "D) "I feel hot off and on." 26.The nurse is performing an assessment on a client in congestive heart failure. Auscultation of the heart is most likely to reveal A)S3 ventricular gallop B)Apical click C)Systolic murmur D)Split S2 27.Which of these observations made by the nurse dur- ing an excretory urogram indicate a complicaton? A)The client complains of a salty taste in the mouth when the dye is injected B)The client's entire body turns a bright red color C)The client states "I have a feeling of getting warm." D)The client gags and complains " I am getting sick." 28.A client is diagnosed with a spontaneous pneumoth- orax necessitating the insertion of a chest tube. What is the best explanation for the nurse to provide this client? A)"The tube will drain fluid from your chest. "B) "The tube will remove excess air from your chest." C) "The tube controls the amount of air that enters your chest. " D) "The tube will seal the hole in your lung." 29.The nurse is reviewing laboratory results on a client with acute renal failure. Which one of the following should be reported immediately? A)Blood urea nitrogen 50 mg/dl B)Hemoglobin of 10.3 mg/dl C)Venous blood pH 7.30 D)Serum potassium 6 mEq/L 30.The nurse is caring for a client undergoing the place- ment of a central venous catheter line. Which of the A)S3 ventricular gallop B)The client's en- tire body turns a bright red color "B) "The tube will remove excess air from your chest." D) Serum potassi- um 6 mEq/L C)Dyspnea following would require the nurse's immediate atten- tion? A)Pallor B)Increased temperature C)Dyspnea D)Involuntary muscle spasms 31.The nurse is performing a physical assessment on a client who just had an endotracheal tube inserted. Which finding would call for immediate action by the nurse? A)Breath sounds can be heard bilaterally B)Mist is visible in the T-Piece C)Pulse oximetry of 88 D)Client is unable to speak 32.A nurse checks a client who is on a volume-cycled ventilator. Which finding indicates that the client may need suctioning?A) Drowsiness B)Complaint of nausea C)Pulse rate of 92 D)Restlessness 33.During the evaluation phase for a client, the nurse should focus on A)All finding of physical and psychosocial stressors of the client and in the family B)The client's status, progress toward goal achieve- ment, and ongoing re-evaluation C)Setting short and long-term goals to insure conti- nuity of care from hospital to home D)Select interventions that are measurable and achievable within selected timeframes 34.The school nurse suspects that a third grade child might have Attention Deficit Hyperactivity Disorder. Prior to referring the child for further evaluation, the nurse should A)Observe the child's behavior on at least 2 occa- sions C)Pulse oximetry of 88 D)Restlessness B)The client's status, progress toward goal achievement, and ongoing re-evalu- ation C)Compile a his- tory of behav- ior patterns and developmental ac- complishments