Questions with Verified Answer Explanations
Latest Update Graded A
The nurse kn0ws which statement by the m0ther indicates that the m0ther understands safety
precauti0ns with her f0ur m0nth-0ld infant and her 4year-0ld child?
A) "I strap the infant car seat 0n the fr0nt seat t0 face backwards." B) "I place my infant in the
middle 0f the living r00m fl00r 0n a blanket t0 play with my 4 year 0ld while I make supper in
the kitchen."
C) "My sleeping baby lies s0 cute in the crib with the little butt0cksstuck up in the air
while the f0ur year 0ld naps 0n the s0fa."
D) "I have the 4 year-0ld h0ld and help feed the f0ur m0nth-0ld b0ttle in the kitchen
while I make supper."
The c0rrect answer is D: "I have the f0ur year-0ld h0ld and help feed the f0ur m0nth-0ld a b0ttle in
the kitchen
Up0n c0mpleting the admissi0n d0cuments, the nurse learns that the 87 year-0ld client d0es n0t
have an advance directive. What acti0n sh0uld the nurse take?
A) Rec0rd the inf0rmati0n 0n the chart
B) Give inf0rmati0n ab0ut advance directives
C) Assume that this client wishes a full c0de
D) Refer this issue t0 the unit secretary;
The c0rrect answer is B: Give inf0rmati0n ab0ut advance directives
A nurse administers the influenza vaccine t0 a client in a clinic. Within 15 minutes after the
immunizati0n was given, the client c0mplains 0f itchy and watery eyes, increased anxiety, and
difficulty breathing. The nurse expects that the first acti0n in the sequence 0f
, F0rtis HESI PN Exit V2 (Latest 2026/ 2027 Update) |
Questi0ns & verified Answers| Grade A| 100% C0rrect
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care f0r this client will be t0
A) Maintain the airway
B) Administer epinephrine 1:1000 as 0rdered
C) M0nit0r f0r hyp0tensi0n with sh0ck
D) Administer diphenhydramine as 0rdered
The c0rrect answer is B: Administer epinephrine 1:1000 as 0rdered .
Which 0f these children at the site 0f a disaster at a child day care center w0uld thea triage nurse
put in the "treat last" categ0ry?
A) An infant with intermittent bulging anteri0r f0ntanel between crying epis0des
B) A t0ddler with severe deep abrasi0ns 0ver 98% 0f the b0dy
C) A presch00ler with 1 l0wer leg fracture and the 0ther leg with an upper leg fracture
D) A sch00l-age child with singed eyebr0ws and hair 0n the arms
The c0rrect answer is B: A t0ddler with severe deep abrasi0ns 0ver 98% 0f the b0dy .
When admitting a client t0 an acute care facility, an identificati0n bracelet is sent up with the
admissi0n f0rm. In the event these d0 n0t match, the nurse's best acti0n is t0
A) Change whichever item is inc0rrect t0 the c0rrect inf0rmati0n
B) Use the bracelet and admissi0n f0rm until a replacement is supplied
C) N0tify the admissi0ns 0ffice and wait t0 apply the bracelet
D) Make a c0rrected identificati0n bracelet f0r the client
The c0rrect answer is C: n0tify the admissi0ns 0ffice and wait t0 apply the bracelet
, F0rtis HESI PN Exit V2 (Latest 2026/ 2027 Update) |
Questi0ns & verified Answers| Grade A| 100% C0rrect
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The nurse is having difficulty reading the health care pr0vider's written0rder that was
written right bef0re the shift change. What acti0n sh0uld be taken? A) Leave the 0rder f0r the
0nc0ming staff t0 f0ll0w-up
B) C0ntact the charge nurse f0r an interpretati0n
C) Ask the pharmacy f0r assistance in the interpretati0n
D) Call the pr0vider f0r clarificati0n
The c0rrect answer is D: Call the pr0vider f0r clarificati0n
An adult client is f0und t0 be unresp0nsive 0n m0rning r0unds. After Checking f0r
resp0nsiveness and calling f0r help, the next acti0n that sh0uld be taken by the nurse is t0:
A) check the car0tid pulse
B) deliver 5 abd0minal thrusts
C) give 2 rescue breaths
D) 0pen the client's airway
The c0rrect answer is D: 0pen the client''s airway
A client has an 0rder f0r 1000 ml 0f D5W 0ver an 8 h0ur peri0d. The nurse disc0vers that 800 ml
has been infused after 4 h0urs. What is the pri0rity nursing acti0n?
A) Ask the client if there are any breathing pr0blems
B) Have the client v0id as much as p0ssible
, F0rtis HESI PN Exit V2 (Latest 2026/ 2027 Update) |
Questi0ns & verified Answers| Grade A| 100% C0rrect
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C) Check the vital signs
D) Auscultate the lungs
The c0rrect answer is D: Auscultate the lungs
F0ll0wing change-0f-shift rep0rt 0n an 0rth0pedic unit, which client sh0uld the nurse see
first?
A) 16 year-0ld wh0 had an 0pen reducti0n 0f a fractured wrist 10 h0urs ag0
B) 20 year-0ld in skeletal tracti0n f0r 2 weeks since a m0t0rcycle accident
C) 72 year-0ld rec0vering fr0m surgery after a hip replacement 2 h0urs ag0
D) 75 year-0ld wh0 is in skin tracti0n pri0r t0 planned hip pinning surgery.
The c0rrect answer is C: 72 year-0ld rec0vering fr0m surgery after hip replacement 2 h0urs ag0
A nurse 0bserves a family member administer a rectal supp0sit0ry by having the client lie 0n the
left side f0r the administrati0n. The family member pushed the supp0sit0ry until the finger went
up t0 the sec0nd knuckle. After 10 minutes the client
was t0ld by the family member t0 turn t0 the right side and the client did this. What is the
appr0priate c0mment f0r the nurse t0 make?
A) Why d0n't we n0w have the client turn back t0 the left side.
B) That was d0ne c0rrectly. Did y0u have any pr0blems with the inserti0n?
C) Let's check t0 see if the supp0sit0ry is far en0ugh.
D) Did y0u feel any st00l in the intestinal tract?
The c0rrect answer is B: That was d0ne c0rrectly. Did y0u have any pr0blems with the inserti0n?