HESI EXIT 6 ICHS Exam 47 Questions with Verified Answers
2. When gathering for a group therapy session at 1400 hours, a female client
complains to the nurse that a smoking break has not been allowed all day. The
nurse responds that 15 minute breaks were called over the unit intercom after
breakfast and after lunch. The nurse is using what communication technique in
responding to the client?
a) Doubt
b) Observation
c) Confrontation
d) Reflection - CORRECT ANSWER d) Reflection
c) Confrontation
3. The nurse is interviewing a client with schizophrenia. Which client behavior
requires immediate intervention?
a) Lip smacking and frequent eye blinking
b) Shuffling gait and stooped posture
c) Rocks back and forth in the chair
d) Muscle spasms of the back and neck - CORRECT ANSWER d) Muscle spasms of
the back and neck
4. A female client with rheumatoid arthritis (RA) comes to the clinic complaining
of joint pain and swelling. The client has been taking prednisone (Deltasone) and
ibuprofen (Motrin Extra Strength) every day. To assist the client with self-
management of her pain, which information should the nurse obtain?
a) Presence of bruising, weakness, or fatigue
b) Therapeutic exercise included in daily routine.
c) Average amount of protein eaten daily
d) Existence of gastrointestinal discomfort - CORRECT ANSWER b) Therapeutic
exercise included in daily routine.
d) Existence of gastrointestinal discomfort
5. The charge nurse of the Intensive Care Unit is making assignments for the
permanent staff and one RN who was floated from a medical unit. The client with
which condition is the best to assign to the float nurse?
, a) Diabetic ketoacidosis and titrated IV insulin infusion
b) Emphysema extubated 3 hours ago receiving heated mist
c) Subdural hematoma with an intracranial monitoring device
d) Acute coronary syndrome treated with vasopressors - CORRECT ANSWER a)
Diabetic ketoacidosis and titrated IV insulin infusion
b) Emphysema extubated 3 hours ago receiving heated mist
9. A male client with renal cell carcinoma is returned to the unit following a
radical nephrectomy. The nurse notes that his vital signs and urine output are
within normal range, his bandage is dry, and the drain from the incision site is
producing a small amount of serasanguinous drainage. Which intervention should
the nurse implement?
a) Place a pressure bandage at the drainage site
b) Document assessment findings in the electronic medical record
c) Monitor urinary catheter output for a decrease below 30 ml/hr
d) Notify surgeon of color and amount of wound drainage. - CORRECT ANSWER
Notify surgeon of color and amount of wound drainage
b) Document assessment findings in the electronic medical record
13. In evaluating the effectiveness of a postoperative client's intermittent
pneumatic compression devices, which assessment is most important for the
nurse to complete?
a) Evaluate the client's ability to use an incentive spirometer
b) Monitor the amount of drainage from the client's incision
c) Observe both lower extremities for redness and swelling
d) Palpate all peripheral pulse points for volume and strength - CORRECT ANSWER
Monitor the amount of drainage from the client's incision
c) Observe both lower extremities for redness and swelling
17. Sublingual nitroglycerin is administered to a male client with instable angina
who complains of crushing chest pain. Five minutes later the client becomes
nauseated and his blood pressure drops to 60/40. Which intervention should the
nurse implement?
a) Give a PRN antiemetic medication
b) Infuse a rapid IV normal saline bolus
c) Begin external chest compressions
2. When gathering for a group therapy session at 1400 hours, a female client
complains to the nurse that a smoking break has not been allowed all day. The
nurse responds that 15 minute breaks were called over the unit intercom after
breakfast and after lunch. The nurse is using what communication technique in
responding to the client?
a) Doubt
b) Observation
c) Confrontation
d) Reflection - CORRECT ANSWER d) Reflection
c) Confrontation
3. The nurse is interviewing a client with schizophrenia. Which client behavior
requires immediate intervention?
a) Lip smacking and frequent eye blinking
b) Shuffling gait and stooped posture
c) Rocks back and forth in the chair
d) Muscle spasms of the back and neck - CORRECT ANSWER d) Muscle spasms of
the back and neck
4. A female client with rheumatoid arthritis (RA) comes to the clinic complaining
of joint pain and swelling. The client has been taking prednisone (Deltasone) and
ibuprofen (Motrin Extra Strength) every day. To assist the client with self-
management of her pain, which information should the nurse obtain?
a) Presence of bruising, weakness, or fatigue
b) Therapeutic exercise included in daily routine.
c) Average amount of protein eaten daily
d) Existence of gastrointestinal discomfort - CORRECT ANSWER b) Therapeutic
exercise included in daily routine.
d) Existence of gastrointestinal discomfort
5. The charge nurse of the Intensive Care Unit is making assignments for the
permanent staff and one RN who was floated from a medical unit. The client with
which condition is the best to assign to the float nurse?
, a) Diabetic ketoacidosis and titrated IV insulin infusion
b) Emphysema extubated 3 hours ago receiving heated mist
c) Subdural hematoma with an intracranial monitoring device
d) Acute coronary syndrome treated with vasopressors - CORRECT ANSWER a)
Diabetic ketoacidosis and titrated IV insulin infusion
b) Emphysema extubated 3 hours ago receiving heated mist
9. A male client with renal cell carcinoma is returned to the unit following a
radical nephrectomy. The nurse notes that his vital signs and urine output are
within normal range, his bandage is dry, and the drain from the incision site is
producing a small amount of serasanguinous drainage. Which intervention should
the nurse implement?
a) Place a pressure bandage at the drainage site
b) Document assessment findings in the electronic medical record
c) Monitor urinary catheter output for a decrease below 30 ml/hr
d) Notify surgeon of color and amount of wound drainage. - CORRECT ANSWER
Notify surgeon of color and amount of wound drainage
b) Document assessment findings in the electronic medical record
13. In evaluating the effectiveness of a postoperative client's intermittent
pneumatic compression devices, which assessment is most important for the
nurse to complete?
a) Evaluate the client's ability to use an incentive spirometer
b) Monitor the amount of drainage from the client's incision
c) Observe both lower extremities for redness and swelling
d) Palpate all peripheral pulse points for volume and strength - CORRECT ANSWER
Monitor the amount of drainage from the client's incision
c) Observe both lower extremities for redness and swelling
17. Sublingual nitroglycerin is administered to a male client with instable angina
who complains of crushing chest pain. Five minutes later the client becomes
nauseated and his blood pressure drops to 60/40. Which intervention should the
nurse implement?
a) Give a PRN antiemetic medication
b) Infuse a rapid IV normal saline bolus
c) Begin external chest compressions
