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Examen

HESI RN EXIT EXAM QUESTIONS WITH COMPLETE AND ACCURATE ANSWERS.

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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 88️️ D) Client is unable to speak 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) Restlessness️️ 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 achievement, and ongoing re-evaluation️️ C) Setting short and long-term goals to ensure continuity of care from hospital to home D) Select interventions that are measurable and achievable within selected timeframes 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 occasions B) Consult with the teacher about how to control impulsivity C) Compile a history of behavior patterns and developmental accomplishments️️ D) Compare the child's behavior with classic signs and symptoms Which of the actions suggested to the RN by the PN during a planning conference for a 10 month-old infant admitted 2 hours ago with bacterial meningitis would be acceptable to add to the plan of care? A) Measure head circumference️️ B) Place in airborne isolation C) Provide passive range of motion D) Provide an over-the-crib protective top A client is admitted with a diagnosis of hepatitis B. In reviewing the initial laboratory results, the nurse would expect to find elevation in which of the following values? A) Blood urea nitrogen B) Acid phosphatase C) Bilirubin️️ D) Sedimentation Rate The nurse is discussing nutritional requirements with the parents of an 18 month-old child. Which of these statements about milk consumption is correct? A) May drink as much milk as desired B) Can have milk mixed with other foods C) Will benefit from fat-free cow's milk D) Should be limited to 3-4 cups of milk daily-️️ The nurse is talking with a client. The client abruptly says to the nurse, "The moon is full. Astronauts walk on the moon. Walking is a good health habit." The client's behavior most likely indicates A) Neologisms B) Dissociation C) Flight of ideas️️ D) Word salad A mother asks about expected motor skills for a 3 year-old child. Which of the following would the nurse emphasize as normal at this age? A) Jumping rope B) Tying shoelaces C) Riding a tricycle️️ D) Playing hopscotch A home health nurse is caring for a client with a pressure sore that is red, with serous drainage, is 2 inches in diameter with loss of subcutaneous tissue. The appropriate dressing for this wound is A) A transparent film dressing B) Wet dressing with debridement granules C) Wet to dry with hydrogen peroxide D) Moist saline dressing️️ The nurse enters a 2 year-old child's hospital room in order to administer an oral medication. When the child is asked if he is ready to take his medicine, he immediately says, "No!" What would be the most appropriate next action? A) Leave the room and return five minutes later and give the medicine️️ B) Explain to the child that the medicine must be taken now C) Give the medication to the father and ask him to give it D) Mix the medication with ice cream or applesauce A nurse is doing pre conceptual counseling with a woman who is planning a pregnancy. Which of the following statements suggests that the client understands the connection between alcohol consumption and fetal alcohol syndrome? A) "I understand that a glass of wine with dinner is healthy.” B) "Beer is not really hard alcohol, so I guess I can drink some.” C) "If I drink, my baby may be harmed before I know I am pregnant.” ️️ D) "Drinking with meals reduces the effects of alcohol” A client has returned from a cardiac catheterization. Which one of the following assessments would indicate the client is experiencing a complication from the procedure? A) Increased blood pressure B) Increased heart rate C) Loss of pulse in the extremity️️ D) Decreased urine output A 60 year-old male client had a hernia repair in an outpatient surgery clinic. He is awake and alert, but has not been able to void since he returned from surgery 6 hours ago. He received 1000 mL of IV fluid. Which action would be most likely to help him void? A) Have him drink several glasses of water B) Crede' the bladder from the bottom to the top C) Assist him to stand by the side of the bed to void️️ D) Wait 2 hours and have him try to void again The nurse is caring for a client who requires a mechanical ventilator for breathing. The high pressure alarm goes off on the ventilator. What is the first action the nurse should perform? A) Disconnect the client from the ventilator and use a manual resuscitation bag B) Perform a quick assessment of the client's condition️️ C) Call the respiratory therapist for help D) Press the alarm re-set button on the ventilator

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HESI RN EXIT EXAM
QUESTIONS WITH COMPLETE
AND ACCURATE ANSWERS.
A+ GRADED

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

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."

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✔️✔️

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

While caring for a toddler with croup, which initial sign of croup requires the
nurse's immediate attention?
A) Respiratory rate of 42✔️✔️
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions

,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

The emergency room nurse admits a child who experienced 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 medications."
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."

Alcohol and drug abuse impairs judgment and increases 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

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✔️✔️
C) Hypoactivity
D) A heart rate between 140 to 160

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✔️✔️

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 alertness✔️✔️

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 abdomen
D) Pale, thin arms and legs, uninterested in surroundings✔️✔️-

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
interested in during the discussion?
A) Mouth sores
B) Fatigue
C) Diarrhea
D) Hair loss✔️✔️

While caring for a client who was admitted with myocardial infarction (MI) 2 days
ago, the nurse notes today's temperature is 101.1 degrees Fahrenheit (38.5
degrees Celsius). The appropriate nursing intervention 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

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

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. ✔️✔️

Which of these parents' comment for a newborn would most likely reveal an
initial finding of a suspected pyloric stenosis?
A) I noticed a little lump a little above the belly button.
B) The baby seems hungry all the time.
C) Mild vomiting that progressed to vomiting shooting across the room ✔️✔️
D) Irritation and spitting up immediately after feedings

The nurse is assessing a child for clinical manifestations 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

Información del documento

Subido en
18 de agosto de 2024
Número de páginas
25
Escrito en
2024/2025
Tipo
Examen
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