HESI Exit v2
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1. The nurse knows which statement by the mother in- The correct answer is D:
dicates that the mother understands safety precau- "I have the four year-old
tions with her four month-old infant and her 4year-old hold and help feed the
child? four month-old a bottle in
A) "I strap the infant car seat on the front seat to face the kitchen
backwards." B) "I place my infant in the middle of the
living room floor on a blanket to play with my 4 year
old while I make supper in the kitchen."
C) "My sleeping baby lies so cute in the crib with the
little buttocksstuck up in the air
while the four year old naps on the sofa."
D) "I have the 4 year-old hold and help feed the four
month-old bottle in the kitchen
while I make supper."
2. Upon completing the admission documents, the The correct answer is B:
nurse learns that the 87 year-old client does not have Give information about
an advance directive. What action should the nurse advance directives
take?
A) Record the information on the chart
B) Give information about advance directives
C) Assume that this client wishes a full code
D) Refer this issue to the unit secretary;
3. A nurse administers the influenza vaccine to a client in The correct answer is
a clinic. Within 15 minutes after the immunization was B: Administer epinephrine
given, the client complains of itchy and watery eyes, 1:1000 as ordered .
increased anxiety, and difficulty breathing. The nurse
expects that the first action in the sequence of
care for this client will be to
A) Maintain the airway
B) Administer epinephrine 1:1000 as ordered
, HESI Exit v2
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C) Monitor for hypotension with shock
D) Administer diphenhydramine as ordered
4. Which of these children at the site of a disaster at a The correct answer is B: A
child day care center would thea triage nurse put in toddler with severe deep
the "treat last" category? abrasions over 98% of the
A) An infant with intermittent bulging anterior body .
fontanel between crying episodes
B) A toddler with severe deep abrasions over 98% of
the body
C) A preschooler with 1 lower leg fracture and the
other leg with an upper leg fracture
D) A school-age child with singed eyebrows and hair
on the arms
5. When admitting a client to an acute care facility, an The correct answer is C:
identification bracelet is sent up with the admission notify the admissions of-
form. In the event these do not match, the nurse's best fice and wait to apply the
action is to bracelet
A) Change whichever item is incorrect to the correct
information
B) Use the bracelet and admission form until a re-
placement is supplied
C) Notify the admissions office and wait to apply the
bracelet
D) Make a corrected identification bracelet for the
client
6. The nurse is having difficulty reading the health care The correct answer is D:
provider's writtenorder that was Call the provider for clari-
written right before the shift change. What action fication
should be taken? A) Leave the order for the oncoming
, HESI Exit v2
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staff to follow-up
B) Contact the charge nurse for an interpretation
C) Ask the pharmacy for assistance in the interpreta-
tion
D) Call the provider for clarification
7. An adult client is found to be unresponsive on morn- The correct answer is D:
ing rounds. After Checking for responsiveness and open the client''s airway
calling for help, the next action that should be taken
by the nurse is to:
A) check the carotid pulse
B) deliver 5 abdominal thrusts
C) give 2 rescue breaths
D) open the client's airway
8. A client has an order for 1000 ml of D5W over an 8 The correct answer is D:
hour period. The nurse discovers that 800 ml has been Auscultate the lungs
infused after 4 hours. What is the priority nursing
action?
A) Ask the client if there are any breathing problems
B) Have the client void as much as possible
C) Check the vital signs
D) Auscultate the lungs
9. Following change-of-shift report on an orthopedic The correct answer is C: 72
unit, which client should the nurse year-old recovering from
see first? surgery after hip replace-
A) 16 year-old who had an open reduction of a frac- ment 2 hours ago
tured wrist 10 hours ago
B) 20 year-old in skeletal traction for 2 weeks since a
motorcycle accident
C) 72 year-old recovering from surgery after a hip
, HESI Exit v2
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replacement 2 hours ago
D) 75 year-old who is in skin traction prior to planned
hip pinning surgery.
10. A nurse observes a family member administer a rectal The correct answer is B:
suppository by having the client lie on the left side for That was done correctly.
the administration. The family member pushed the Did you have any prob-
suppository until the finger went up to the second lems with the insertion?
knuckle. After 10 minutes the client
was told by the family member to turn to the right side
and the client did this. What is the
appropriate comment for the nurse to make?
A) Why don't we now have the client turn back to the
left side.
B) That was done correctly. Did you have any problems
with the insertion?
C) Let's check to see if the suppository is far enough.
D) Did you feel any stool in the intestinal tract?
11. A client with a diagnosis of Methicillin resistant The correct answer is C:
Staphylococcus aureus(MRSA) has contact precautions
died. Which type of precautions is the appropriate
type to use when performing post mortem care?
A) airborne precautions
B) droplet precautions
C) contact precautions
D) compromised host precautions
12. The nurse is reviewing with a client how to collect a B) clean the meatus, begin
clean catch urine specimen. Which sequence is appro- voiding, then catch urine
priate teaching? stream
A) Void a little, clean the meatus, then collect speci-
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1. The nurse knows which statement by the mother in- The correct answer is D:
dicates that the mother understands safety precau- "I have the four year-old
tions with her four month-old infant and her 4year-old hold and help feed the
child? four month-old a bottle in
A) "I strap the infant car seat on the front seat to face the kitchen
backwards." B) "I place my infant in the middle of the
living room floor on a blanket to play with my 4 year
old while I make supper in the kitchen."
C) "My sleeping baby lies so cute in the crib with the
little buttocksstuck up in the air
while the four year old naps on the sofa."
D) "I have the 4 year-old hold and help feed the four
month-old bottle in the kitchen
while I make supper."
2. Upon completing the admission documents, the The correct answer is B:
nurse learns that the 87 year-old client does not have Give information about
an advance directive. What action should the nurse advance directives
take?
A) Record the information on the chart
B) Give information about advance directives
C) Assume that this client wishes a full code
D) Refer this issue to the unit secretary;
3. A nurse administers the influenza vaccine to a client in The correct answer is
a clinic. Within 15 minutes after the immunization was B: Administer epinephrine
given, the client complains of itchy and watery eyes, 1:1000 as ordered .
increased anxiety, and difficulty breathing. The nurse
expects that the first action in the sequence of
care for this client will be to
A) Maintain the airway
B) Administer epinephrine 1:1000 as ordered
, HESI Exit v2
Study online at https://quizlet.com/_b9gdjq
C) Monitor for hypotension with shock
D) Administer diphenhydramine as ordered
4. Which of these children at the site of a disaster at a The correct answer is B: A
child day care center would thea triage nurse put in toddler with severe deep
the "treat last" category? abrasions over 98% of the
A) An infant with intermittent bulging anterior body .
fontanel between crying episodes
B) A toddler with severe deep abrasions over 98% of
the body
C) A preschooler with 1 lower leg fracture and the
other leg with an upper leg fracture
D) A school-age child with singed eyebrows and hair
on the arms
5. When admitting a client to an acute care facility, an The correct answer is C:
identification bracelet is sent up with the admission notify the admissions of-
form. In the event these do not match, the nurse's best fice and wait to apply the
action is to bracelet
A) Change whichever item is incorrect to the correct
information
B) Use the bracelet and admission form until a re-
placement is supplied
C) Notify the admissions office and wait to apply the
bracelet
D) Make a corrected identification bracelet for the
client
6. The nurse is having difficulty reading the health care The correct answer is D:
provider's writtenorder that was Call the provider for clari-
written right before the shift change. What action fication
should be taken? A) Leave the order for the oncoming
, HESI Exit v2
Study online at https://quizlet.com/_b9gdjq
staff to follow-up
B) Contact the charge nurse for an interpretation
C) Ask the pharmacy for assistance in the interpreta-
tion
D) Call the provider for clarification
7. An adult client is found to be unresponsive on morn- The correct answer is D:
ing rounds. After Checking for responsiveness and open the client''s airway
calling for help, the next action that should be taken
by the nurse is to:
A) check the carotid pulse
B) deliver 5 abdominal thrusts
C) give 2 rescue breaths
D) open the client's airway
8. A client has an order for 1000 ml of D5W over an 8 The correct answer is D:
hour period. The nurse discovers that 800 ml has been Auscultate the lungs
infused after 4 hours. What is the priority nursing
action?
A) Ask the client if there are any breathing problems
B) Have the client void as much as possible
C) Check the vital signs
D) Auscultate the lungs
9. Following change-of-shift report on an orthopedic The correct answer is C: 72
unit, which client should the nurse year-old recovering from
see first? surgery after hip replace-
A) 16 year-old who had an open reduction of a frac- ment 2 hours ago
tured wrist 10 hours ago
B) 20 year-old in skeletal traction for 2 weeks since a
motorcycle accident
C) 72 year-old recovering from surgery after a hip
, HESI Exit v2
Study online at https://quizlet.com/_b9gdjq
replacement 2 hours ago
D) 75 year-old who is in skin traction prior to planned
hip pinning surgery.
10. A nurse observes a family member administer a rectal The correct answer is B:
suppository by having the client lie on the left side for That was done correctly.
the administration. The family member pushed the Did you have any prob-
suppository until the finger went up to the second lems with the insertion?
knuckle. After 10 minutes the client
was told by the family member to turn to the right side
and the client did this. What is the
appropriate comment for the nurse to make?
A) Why don't we now have the client turn back to the
left side.
B) That was done correctly. Did you have any problems
with the insertion?
C) Let's check to see if the suppository is far enough.
D) Did you feel any stool in the intestinal tract?
11. A client with a diagnosis of Methicillin resistant The correct answer is C:
Staphylococcus aureus(MRSA) has contact precautions
died. Which type of precautions is the appropriate
type to use when performing post mortem care?
A) airborne precautions
B) droplet precautions
C) contact precautions
D) compromised host precautions
12. The nurse is reviewing with a client how to collect a B) clean the meatus, begin
clean catch urine specimen. Which sequence is appro- voiding, then catch urine
priate teaching? stream
A) Void a little, clean the meatus, then collect speci-
