hesi EXIT EXAM
A 10 year-old client is recovering from a splenectomy following a traumatic injury.
The clients laboratory results show a hemoglobin of 9 g/dL and a hematocrit of 28
percent. The best approach for the nurse to use is to
A) Limit milk and milk products
B) Encourage bed activities and games
C) Plan nursing care around lengthy rest periods
D) Promote a diet rich in iron - ANSWER-is C: Plan nursing care around lengthy rest periods
6
A 14 month-old child ingested half a bottle of aspirin tablets. Which of the following
would the nurse expect to see in the child?
A) Hypothermia
B) Edema
C) Dyspnea
D) Epistaxis - ANSWER-is D: Epistaxis
12
A 15 year-old client has been placed in a Milwaukee Brace. Which statement from the
adolescent indicates the need for additional teaching?
A) "I will only have to wear this for 6 months."
B) "I should inspect my skin daily."
C) "The brace will be worn day and night."
D) "I can take it off when I shower." - ANSWER-is A: "I will only have to wear this for 6 months."
3
A 16 year-old enters the emergency department. The triage nurse identifies that this
teenager is legally married and signs the consent form for treatment. What would be the
appropriate action by the nurse?
A) Ask the teenager to wait until a parent or legal guardian can be contacted
B) Withhold treatment until telephone consent can be obtained from the partner
C) Refer the teenager to a community pediatric hospital emergency department
,hesi EXIT EXAM
D) Proceed with the triage process in the same manner as any adult client - ANSWER-is D: Proceed with
the triage process in the same manner as any adult
client
2
A 2 year-old child is brought to the emergency department at 2:00 in the afternoon.
The mother states: "My child has not had a wet diaper all day." The nurse finds the child
is pale with a heart rate of
13 What assessment data should the nurse obtain next?
A) Status of the eyes and the tongue
B) Description of play activity
C) History of fluid intake
D) Dietary patterns - ANSWER-is A: Status of skin turgor
A 2 year-old child is brought to the health care provider's office with a chief
complaint of mild diarrhea for 2 days. Nutritional counseling by the nurse should include
which statement?
A) Place the child on clear liquids and gelatin for 24 hours
B) Continue with the regular diet and include oral rehydration fluids
C) Give bananas, apples, rice and toast as tolerated
D) Place NPO for 24 hours, then rehydrate with milk and water - ANSWER-is B: Continue with the regular
diet and include oral rehydration
fluids
7
A 3 year-old child diagnosed as having celiac disease attends a day care center. Which
of the following would be an appropriate snack?
A) Cheese crackers
B) Peanut butter sandwich
C) Potato chips
D) Vanilla cookies - ANSWER-is C: Potato chips
9
,hesi EXIT EXAM
A 3 year-old child is brought to the clinic by his grandmother to be seen for
"scratching his bottom and wetting the bed at night." Based on these complaints, the
nurse would initially assess for which problem?
A) Allergies
B) Scabies
C) Regression
D) Pinworms - ANSWER-is D: Pinworms
4
A 42 year-old male client refuses to take propranolol hydrochloride (Inderal) as
prescribed. Which client statement s from the assessment data is likely to explain his
noncompliance?
A) "I have problems with diarrhea."
B) "I have difficulty falling asleep."
C) "I have diminished sexual function."
D) "I often feel jittery." - ANSWER-is C: "I have diminished sexual function."
2
A 6 year-old child is seen for the first time in the clinic. Upon assessment, the nurse
finds that the child has deformities of the joints, limbs, and fingers, thinned upper lip, and
small teeth with faulty enamel. The mother states: "My child seems to have problems in
learning to count and recognizing basic colors." Based on this data, the nurse suspects
that the child is most likely showing the effects of which problem?
A) Congenital abnormalities
B) Chronic toxoplasmosis
C) Fetal alcohol syndrome
D) Lead poisoning - ANSWER-is C: Fetal alcohol syndrome
6
A 7 month pregnant woman is admitted with complaints of painless vaginal bleeding
over several hours. The nurse should prepare the client for an immediate
, hesi EXIT EXAM
A) Non stress test
B) Abdominal ultrasound
C) Pelvic exam
D) X-ray of abdomen - ANSWER-is B: Abdominal ultrasound
11
A 72 year-old client with osteomyelitis requires a 6 week course of intravenous
antibiotics. In planning for home care, what is the most important action by the nurse?
A) Investigating the client's insurance coverage for home IV antibiotic therapy
B) Determining if there are adequate hand washing facilities in the home
C) Assessing the client's ability to participate in self care and/or the reliability of a
caregiver
D) Selecting the appropriate venous access device - ANSWER-is C: Assessing the client''s ability to
participate in self care and/or the
reliability of a caregiver
4
A child is injured on the school playground and appears to have a fractured leg. The
first action the school nurse should take is
A) Call for emergency transport to the hospital
B) Immobilize the limb and joints above and below the injury
C) Assess the child and the extent of the injury
D) Apply cold compresses to the injured area - ANSWER-is C: Assess the child and the extent of the injury
4
A client diagnosed with hepatitis C discusses his health history with the admitting
nurse. The nurse should recognize which statement by the client as the most important?
A) I got back from Central America a few weeks ago.
B) I had the best raw oysters last week.
C) I have many different sex partners.
D) I had a blood transfusion 15 years ago. - ANSWER-is D: I had a blood transfusion
8
A 10 year-old client is recovering from a splenectomy following a traumatic injury.
The clients laboratory results show a hemoglobin of 9 g/dL and a hematocrit of 28
percent. The best approach for the nurse to use is to
A) Limit milk and milk products
B) Encourage bed activities and games
C) Plan nursing care around lengthy rest periods
D) Promote a diet rich in iron - ANSWER-is C: Plan nursing care around lengthy rest periods
6
A 14 month-old child ingested half a bottle of aspirin tablets. Which of the following
would the nurse expect to see in the child?
A) Hypothermia
B) Edema
C) Dyspnea
D) Epistaxis - ANSWER-is D: Epistaxis
12
A 15 year-old client has been placed in a Milwaukee Brace. Which statement from the
adolescent indicates the need for additional teaching?
A) "I will only have to wear this for 6 months."
B) "I should inspect my skin daily."
C) "The brace will be worn day and night."
D) "I can take it off when I shower." - ANSWER-is A: "I will only have to wear this for 6 months."
3
A 16 year-old enters the emergency department. The triage nurse identifies that this
teenager is legally married and signs the consent form for treatment. What would be the
appropriate action by the nurse?
A) Ask the teenager to wait until a parent or legal guardian can be contacted
B) Withhold treatment until telephone consent can be obtained from the partner
C) Refer the teenager to a community pediatric hospital emergency department
,hesi EXIT EXAM
D) Proceed with the triage process in the same manner as any adult client - ANSWER-is D: Proceed with
the triage process in the same manner as any adult
client
2
A 2 year-old child is brought to the emergency department at 2:00 in the afternoon.
The mother states: "My child has not had a wet diaper all day." The nurse finds the child
is pale with a heart rate of
13 What assessment data should the nurse obtain next?
A) Status of the eyes and the tongue
B) Description of play activity
C) History of fluid intake
D) Dietary patterns - ANSWER-is A: Status of skin turgor
A 2 year-old child is brought to the health care provider's office with a chief
complaint of mild diarrhea for 2 days. Nutritional counseling by the nurse should include
which statement?
A) Place the child on clear liquids and gelatin for 24 hours
B) Continue with the regular diet and include oral rehydration fluids
C) Give bananas, apples, rice and toast as tolerated
D) Place NPO for 24 hours, then rehydrate with milk and water - ANSWER-is B: Continue with the regular
diet and include oral rehydration
fluids
7
A 3 year-old child diagnosed as having celiac disease attends a day care center. Which
of the following would be an appropriate snack?
A) Cheese crackers
B) Peanut butter sandwich
C) Potato chips
D) Vanilla cookies - ANSWER-is C: Potato chips
9
,hesi EXIT EXAM
A 3 year-old child is brought to the clinic by his grandmother to be seen for
"scratching his bottom and wetting the bed at night." Based on these complaints, the
nurse would initially assess for which problem?
A) Allergies
B) Scabies
C) Regression
D) Pinworms - ANSWER-is D: Pinworms
4
A 42 year-old male client refuses to take propranolol hydrochloride (Inderal) as
prescribed. Which client statement s from the assessment data is likely to explain his
noncompliance?
A) "I have problems with diarrhea."
B) "I have difficulty falling asleep."
C) "I have diminished sexual function."
D) "I often feel jittery." - ANSWER-is C: "I have diminished sexual function."
2
A 6 year-old child is seen for the first time in the clinic. Upon assessment, the nurse
finds that the child has deformities of the joints, limbs, and fingers, thinned upper lip, and
small teeth with faulty enamel. The mother states: "My child seems to have problems in
learning to count and recognizing basic colors." Based on this data, the nurse suspects
that the child is most likely showing the effects of which problem?
A) Congenital abnormalities
B) Chronic toxoplasmosis
C) Fetal alcohol syndrome
D) Lead poisoning - ANSWER-is C: Fetal alcohol syndrome
6
A 7 month pregnant woman is admitted with complaints of painless vaginal bleeding
over several hours. The nurse should prepare the client for an immediate
, hesi EXIT EXAM
A) Non stress test
B) Abdominal ultrasound
C) Pelvic exam
D) X-ray of abdomen - ANSWER-is B: Abdominal ultrasound
11
A 72 year-old client with osteomyelitis requires a 6 week course of intravenous
antibiotics. In planning for home care, what is the most important action by the nurse?
A) Investigating the client's insurance coverage for home IV antibiotic therapy
B) Determining if there are adequate hand washing facilities in the home
C) Assessing the client's ability to participate in self care and/or the reliability of a
caregiver
D) Selecting the appropriate venous access device - ANSWER-is C: Assessing the client''s ability to
participate in self care and/or the
reliability of a caregiver
4
A child is injured on the school playground and appears to have a fractured leg. The
first action the school nurse should take is
A) Call for emergency transport to the hospital
B) Immobilize the limb and joints above and below the injury
C) Assess the child and the extent of the injury
D) Apply cold compresses to the injured area - ANSWER-is C: Assess the child and the extent of the injury
4
A client diagnosed with hepatitis C discusses his health history with the admitting
nurse. The nurse should recognize which statement by the client as the most important?
A) I got back from Central America a few weeks ago.
B) I had the best raw oysters last week.
C) I have many different sex partners.
D) I had a blood transfusion 15 years ago. - ANSWER-is D: I had a blood transfusion
8
