HESI EXIT EXAM V6
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A parent tells the nurse that their
6 year-old child who normally enjoys
school, has not been doing well since
the grandmother died 2 months ago.
Which statement most accurately de-
scribes thoughts ondeath and dying at
this age?
A
A) Death is personified as the bogeyman
or devil
B) Death is perceived as being irre-
versible
C) The child feels guilty for the grand-
mother's death
D) The child is worried that he, too, might
die
A 67 year-old client with non-insulin de-
pendent diabetes should be instructed to
contact the out-patient clinic immediately
if the following findings are present
B
A) Temperature of 37.5 degrees Celsius
with painful urination
B) An open wound on their heel
C) Insomnia and daytime fatigue
D) Nausea with 2 episodes of vomiting
The nurse admits an elderly Mexi-
can-American migrant worker after an
accident that occurred during work. To fa-
cilitate communication the nurse should
initially
D
A) Request a Spanish interpreter
B) Speak through the family or co-work-
ers
C) Use pictures, letter boards, or moni-
toring
, HESI EXIT EXAM V6
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D) Assess the client's ability to speak
English
In assessing a post partum client, the
nurse palpates a firm fundus and ob-
serves a constant trickle of bright red
blood from the vagina. What is the most
likely cause of these findings?
B
A) Uterine atony
B) Genital lacerations
C) Retained placenta
D) Clotting disorder
The nurse notes an abrupt onset of con-
fusion in an elderly patient. Which of
the following recently-ordered medica-
tions would most likely contribute to this
change?
C
A) Anticoagulant
B) Liquid antacid
C) Antihistamine
D) Cardiac glycoside
The nurse is caring for a client with ac-
tive tuberculosis who has a history of
noncompliance. Which of the following
actions by the nurse would represent ap-
propriate care for this client?
A) Instruct the client to wear a high ef-
ficiency particulate air mask in public
B
places.
B) Ask a family member to supervise
daily compliance
C) Schedule weekly clinic visits for the
client
D) Ask the health care provider to
change the regimen to fewer medica-
tions
, HESI EXIT EXAM V6
Study online at https://quizlet.com/_cl7cvf
The nurse manager identifies that time
spent by staff in charting is excessive,
requiring overtime for completion. The
nurse manager states that "staff will form
a task force to investigate and develop
potential solutions to the problem, and
report on this at the next staff meeting."
C
The nurse manager's leadership style is
best described as
A) Laissez-faire
B) Autocratic
C) Participative
D) Group
A nursing student asks the nurse manag-
er to explain the forces that drive health
care reform. The appropriate response
by the nurse manager should include
A) The escalation of fees with a de-
creased reimbursement percentage A
B) High costs of diagnostic and
end-of-life treatment procedures
C) Increased numbers of elderly and of
the chronically ill of all ages
D) A steep rise in health care provider
fees and in insurance premiums
A client with hepatitis A (HAV) is newly
admitted to the unit. Which action would
be the priority to include in the plan of
care within the initial 24 hours for this
client?
C
A) Wear masks with shields if potential
splash
B) Use disposable utensils and plates for
meals
C) Wear gown and gloves during client
, HESI EXIT EXAM V6
Study online at https://quizlet.com/_cl7cvf
contact
D) Provide soft easily digested food with
frequent snacks
A client has been taking alprazolam
(Xanax) for 3 days. Nursing assessment
should reveal which expected effect of
the drug?
A
A) Tranquilization, numbing of emotions
B) Sedation, analgesia
C) Relief of insomnia and phobias
D) Diminished tachycardia and tremors
associated with anxiety
The nurse observes a staff member car-
ing for a client with a left unilateral mas-
tectomy. The nurse would intervene if
she notices the staff member is
A) Advising client to restrict sodium in-
B
take
B) Taking the blood pressure in the left
arm
C) Elevating her left arm above heart
level
D) Compressing the drainage device
A 70 year-old post-operative client has
elevated serum BUN, Hct, Cl, and Na+.
Creatinine and K+ are within normal lim-
its. The nurse should perform additional
assessments to confirm that an actual
problem is: D
A) Impaired gas exchange
B) Metabolic acidosis
C) Renal insufficiency
D) Fluid volume deficit
The nurse is providing foot care instruc-
tions to a client with arterial insufficiency.
Study online at https://quizlet.com/_cl7cvf
A parent tells the nurse that their
6 year-old child who normally enjoys
school, has not been doing well since
the grandmother died 2 months ago.
Which statement most accurately de-
scribes thoughts ondeath and dying at
this age?
A
A) Death is personified as the bogeyman
or devil
B) Death is perceived as being irre-
versible
C) The child feels guilty for the grand-
mother's death
D) The child is worried that he, too, might
die
A 67 year-old client with non-insulin de-
pendent diabetes should be instructed to
contact the out-patient clinic immediately
if the following findings are present
B
A) Temperature of 37.5 degrees Celsius
with painful urination
B) An open wound on their heel
C) Insomnia and daytime fatigue
D) Nausea with 2 episodes of vomiting
The nurse admits an elderly Mexi-
can-American migrant worker after an
accident that occurred during work. To fa-
cilitate communication the nurse should
initially
D
A) Request a Spanish interpreter
B) Speak through the family or co-work-
ers
C) Use pictures, letter boards, or moni-
toring
, HESI EXIT EXAM V6
Study online at https://quizlet.com/_cl7cvf
D) Assess the client's ability to speak
English
In assessing a post partum client, the
nurse palpates a firm fundus and ob-
serves a constant trickle of bright red
blood from the vagina. What is the most
likely cause of these findings?
B
A) Uterine atony
B) Genital lacerations
C) Retained placenta
D) Clotting disorder
The nurse notes an abrupt onset of con-
fusion in an elderly patient. Which of
the following recently-ordered medica-
tions would most likely contribute to this
change?
C
A) Anticoagulant
B) Liquid antacid
C) Antihistamine
D) Cardiac glycoside
The nurse is caring for a client with ac-
tive tuberculosis who has a history of
noncompliance. Which of the following
actions by the nurse would represent ap-
propriate care for this client?
A) Instruct the client to wear a high ef-
ficiency particulate air mask in public
B
places.
B) Ask a family member to supervise
daily compliance
C) Schedule weekly clinic visits for the
client
D) Ask the health care provider to
change the regimen to fewer medica-
tions
, HESI EXIT EXAM V6
Study online at https://quizlet.com/_cl7cvf
The nurse manager identifies that time
spent by staff in charting is excessive,
requiring overtime for completion. The
nurse manager states that "staff will form
a task force to investigate and develop
potential solutions to the problem, and
report on this at the next staff meeting."
C
The nurse manager's leadership style is
best described as
A) Laissez-faire
B) Autocratic
C) Participative
D) Group
A nursing student asks the nurse manag-
er to explain the forces that drive health
care reform. The appropriate response
by the nurse manager should include
A) The escalation of fees with a de-
creased reimbursement percentage A
B) High costs of diagnostic and
end-of-life treatment procedures
C) Increased numbers of elderly and of
the chronically ill of all ages
D) A steep rise in health care provider
fees and in insurance premiums
A client with hepatitis A (HAV) is newly
admitted to the unit. Which action would
be the priority to include in the plan of
care within the initial 24 hours for this
client?
C
A) Wear masks with shields if potential
splash
B) Use disposable utensils and plates for
meals
C) Wear gown and gloves during client
, HESI EXIT EXAM V6
Study online at https://quizlet.com/_cl7cvf
contact
D) Provide soft easily digested food with
frequent snacks
A client has been taking alprazolam
(Xanax) for 3 days. Nursing assessment
should reveal which expected effect of
the drug?
A
A) Tranquilization, numbing of emotions
B) Sedation, analgesia
C) Relief of insomnia and phobias
D) Diminished tachycardia and tremors
associated with anxiety
The nurse observes a staff member car-
ing for a client with a left unilateral mas-
tectomy. The nurse would intervene if
she notices the staff member is
A) Advising client to restrict sodium in-
B
take
B) Taking the blood pressure in the left
arm
C) Elevating her left arm above heart
level
D) Compressing the drainage device
A 70 year-old post-operative client has
elevated serum BUN, Hct, Cl, and Na+.
Creatinine and K+ are within normal lim-
its. The nurse should perform additional
assessments to confirm that an actual
problem is: D
A) Impaired gas exchange
B) Metabolic acidosis
C) Renal insufficiency
D) Fluid volume deficit
The nurse is providing foot care instruc-
tions to a client with arterial insufficiency.
