Exit HESI V1
1. Which conditions are most likely to respond to treatment with antihista-
mines? Select all that apply.
a. Bronchitis
b. Allergic rhinitis
c. Otitis media
d. Contact dermatitis
e. Myocarditis Ans: b. Allergic rhinitis
d. Contact dermatitis
2. A mother runs into the emergency department with a toddler in her arms
and tells the nurse that her child got into some cleaning products. the child
smells of chemicals on the hands, face, and on the front of the child's clothes.
after ensuring the airway is patent, what action should the nurse implement
first?
a. Assess the child for altered sensorium
b. Determine type of chemical exposure
c. Obtain equipment for gastric lavage
d. Call poison control emergency number Ans: b. Determine type of chemical
expo- sure
3. An older client's daughter calls the home health nurse and reports that
her mother has become forgetful and is very confused at night. The daughter
states that her mother's behavior changed suddenly a few days ago and is
now getting worse. Which action should the nurse take? Select all that apply.
a. Ask if the mother is experiencing any pain with urination
b. Encourage increased intake of high protein foods
,c. Instruct the daughter to check her mother's temperature
d. Review the client's current food and medication allergies
e. Determine if the mother has recently experienced a fall Ans: a. Ask if the
mother is experiencing any pain with urination
c. Instruct the daughter to check her mother's temperature
e. Determine if the mother has recently experienced a fall
4. The nurse is assessing a male with a history of Addison's disease. The
client has flu-like symptoms and nausea with vomiting over the past week.
The client's spouse reports that he acted confused and was extremely weak
when he awoke this morning. The client is febrile and has tachycardia. The
health care provider diagnoses acute adrenal insufficiency. Which medication
will most likely be prescribed?
a. Hypertonic saline solution at 100 ml/hr until all edema disappears
b. Hydrocortisone 100 mg IV every six hours until systolic BP reaches 110
mmHg
,c. Potassium chloride 20 mEq IV to infuse over 2 hours until confusion
resolves
d. Regular insulin drip to keep blood glucose around 100 mg/dl (5.55 mmol/L)-
Ans: b. Hydrocortisone 100 mg IV every six hours until systolic BP reaches 110
mmHg
5. A client with a history of mitral valve prolapse is admitted because of fever
and dyspnea on exertion, and is diagnosed with acute infective endocarditis.
During the admission assessment, the nurse observes multiple areas of pe-
techiae on the client's skin. Which intervention should the nurse include in the
client's plan of care? Select all that apply.
a. Monitor cardiac rhythm via telemetry
b. Report changes in pre-existing murmurs
c. Schedule rest periods between activities
d. Maintain record of fluid intake and output
e. Initiate contact transmission precautions Ans: a. Monitor cardiac
rhythm via telemetry
b. Report changes in pre-existing murmurs
e. Initiate contact transmission precautions
6. The nurse is planning an educational session for new parents on ways
to prevent sudden infant death syndrome (SIDS). Which information is most
important to provide parents of newborns and infants?
a. Remove pillows and soft toys from the crib at bedtime
b. Keep a bulb syringe accessible for use for an infant
c. Position the infant in a supine position while sleeping
d. Do not prop bottles for an infant during naps and bedtime Ans: c.
, Position the infant in a supine position while sleeping
7. The healthcare provider prescribes methylergonovine maleate for a post-
partum client with uterine atony. What findings should indicate to the nurse to
withhold the next dose of medication?
a. Hypertension
b. Difficulty locating the uterine fundus
c. Saturation of more than one pad per hour
d. Excessive lochia Ans: a. Hypertension
8. The nurse notes that an older adult client has a moist cough that increases
in severity during and after meals. Based on this finding, which action should
the nurse take?
a. Collect a sputum specimen immediately
b. Request a consultation to confirm dysphasia
c. Offer the client additional clear liquids frequently
1. Which conditions are most likely to respond to treatment with antihista-
mines? Select all that apply.
a. Bronchitis
b. Allergic rhinitis
c. Otitis media
d. Contact dermatitis
e. Myocarditis Ans: b. Allergic rhinitis
d. Contact dermatitis
2. A mother runs into the emergency department with a toddler in her arms
and tells the nurse that her child got into some cleaning products. the child
smells of chemicals on the hands, face, and on the front of the child's clothes.
after ensuring the airway is patent, what action should the nurse implement
first?
a. Assess the child for altered sensorium
b. Determine type of chemical exposure
c. Obtain equipment for gastric lavage
d. Call poison control emergency number Ans: b. Determine type of chemical
expo- sure
3. An older client's daughter calls the home health nurse and reports that
her mother has become forgetful and is very confused at night. The daughter
states that her mother's behavior changed suddenly a few days ago and is
now getting worse. Which action should the nurse take? Select all that apply.
a. Ask if the mother is experiencing any pain with urination
b. Encourage increased intake of high protein foods
,c. Instruct the daughter to check her mother's temperature
d. Review the client's current food and medication allergies
e. Determine if the mother has recently experienced a fall Ans: a. Ask if the
mother is experiencing any pain with urination
c. Instruct the daughter to check her mother's temperature
e. Determine if the mother has recently experienced a fall
4. The nurse is assessing a male with a history of Addison's disease. The
client has flu-like symptoms and nausea with vomiting over the past week.
The client's spouse reports that he acted confused and was extremely weak
when he awoke this morning. The client is febrile and has tachycardia. The
health care provider diagnoses acute adrenal insufficiency. Which medication
will most likely be prescribed?
a. Hypertonic saline solution at 100 ml/hr until all edema disappears
b. Hydrocortisone 100 mg IV every six hours until systolic BP reaches 110
mmHg
,c. Potassium chloride 20 mEq IV to infuse over 2 hours until confusion
resolves
d. Regular insulin drip to keep blood glucose around 100 mg/dl (5.55 mmol/L)-
Ans: b. Hydrocortisone 100 mg IV every six hours until systolic BP reaches 110
mmHg
5. A client with a history of mitral valve prolapse is admitted because of fever
and dyspnea on exertion, and is diagnosed with acute infective endocarditis.
During the admission assessment, the nurse observes multiple areas of pe-
techiae on the client's skin. Which intervention should the nurse include in the
client's plan of care? Select all that apply.
a. Monitor cardiac rhythm via telemetry
b. Report changes in pre-existing murmurs
c. Schedule rest periods between activities
d. Maintain record of fluid intake and output
e. Initiate contact transmission precautions Ans: a. Monitor cardiac
rhythm via telemetry
b. Report changes in pre-existing murmurs
e. Initiate contact transmission precautions
6. The nurse is planning an educational session for new parents on ways
to prevent sudden infant death syndrome (SIDS). Which information is most
important to provide parents of newborns and infants?
a. Remove pillows and soft toys from the crib at bedtime
b. Keep a bulb syringe accessible for use for an infant
c. Position the infant in a supine position while sleeping
d. Do not prop bottles for an infant during naps and bedtime Ans: c.
, Position the infant in a supine position while sleeping
7. The healthcare provider prescribes methylergonovine maleate for a post-
partum client with uterine atony. What findings should indicate to the nurse to
withhold the next dose of medication?
a. Hypertension
b. Difficulty locating the uterine fundus
c. Saturation of more than one pad per hour
d. Excessive lochia Ans: a. Hypertension
8. The nurse notes that an older adult client has a moist cough that increases
in severity during and after meals. Based on this finding, which action should
the nurse take?
a. Collect a sputum specimen immediately
b. Request a consultation to confirm dysphasia
c. Offer the client additional clear liquids frequently
