2023 HESI EXIT V5
exam
1. The nurse is has just admitted a client with severe
depression. From which focus should the nurse identify a priority nursing
diagnosis?
A) Nutrition
B) Elimination
C) Activity
D) Safety
The correct answer is D: Safety
2. While explaining an illness to a 10 year-old, what should the nurse keep in
mind about the cognitive development at this age?
A) They are able to make simple association of ideas
B) They are able to think logically in organizing facts
C) Interpretation of events originate from their own perspective
D) Conclusions are based on previous experiences
The correct answer is B: Think logically in organizing facts
3. The nurse enters the room as a 3 year-old is having a generalized
seizure. Which intervention should the nurse do first?
A) Clear the area of any hazards
B) Place the child on the side
C) Restrain the child
D) Give the prescribed anticonvulsant
The correct answer is B: Place the child on the side
4. The nurse is reviewing a depressed client's history from an earlier
admission. Documentation of anhedonia is noted. The
nurse understands that this finding refers to
A) Reports of difficulty falling and staying asleep
B) Expression of persistent suicidal thoughts
C) Lack of enjoyment in usual pleasures
D) Reduced senses of taste and smell
,The correct answer is C:Lack of enjoyment in usual pleasures
5. A client has just returned to the medical-surgical unit following a
segmental lung resection. After assessing the
client, the first nursing action would be to
A) Administer pain medication
B) Suction excessive tracheobronchial secretions
C) Assist client to turn, deep breathe and cough
,D) Monitor oxygen saturation
The correct answer is B: Suction excessive tracheobronchial secretions
6. While assessing a client in an outpatient facility with a panic disorder,
the nurse completes a thorough health history and physical exam.
Which finding is most significant for this client?
A) Compulsive behavior
B) Sense of impending doom
C) Fear of flying
D) Predictable episodes
The correct answer is B: Sense of impending doom
7. A 16 month-old child has just been admitted to the hospital. As the nurse
assigned to this child enters the hospital room for the first time, the
toddler runs to the mother, clings to her and begins to cry. What would be
the initial action by the nurse? A) Arrange to change client care
assignments
B) Explain that this behavior is expected
C) Discuss the appropriate use of "time-out"
D) Explain that the child needs extra attention
The correct answer is B: Explain that this behavior is expected
8. A 15 year-old client with a lengthy confining illness is at risk for
altered growth and development of which task? A) Loss of control
B) Insecurity
C) Dependence
D) Lack of trust
The correct answer is C: Dependence
9. Which playroom activities should the nurse organize for a small
group of 7 year-old hospitalized children? A) Sports and games with
rules
B) Finger paints and water play
C) "Dress-up" clothes andprops
D) Chess and television programs
, The correct answer is A: Sports and games with rules
10. The nurse is discussing dietary intake with an adolescent who has acne.
The most
exam
1. The nurse is has just admitted a client with severe
depression. From which focus should the nurse identify a priority nursing
diagnosis?
A) Nutrition
B) Elimination
C) Activity
D) Safety
The correct answer is D: Safety
2. While explaining an illness to a 10 year-old, what should the nurse keep in
mind about the cognitive development at this age?
A) They are able to make simple association of ideas
B) They are able to think logically in organizing facts
C) Interpretation of events originate from their own perspective
D) Conclusions are based on previous experiences
The correct answer is B: Think logically in organizing facts
3. The nurse enters the room as a 3 year-old is having a generalized
seizure. Which intervention should the nurse do first?
A) Clear the area of any hazards
B) Place the child on the side
C) Restrain the child
D) Give the prescribed anticonvulsant
The correct answer is B: Place the child on the side
4. The nurse is reviewing a depressed client's history from an earlier
admission. Documentation of anhedonia is noted. The
nurse understands that this finding refers to
A) Reports of difficulty falling and staying asleep
B) Expression of persistent suicidal thoughts
C) Lack of enjoyment in usual pleasures
D) Reduced senses of taste and smell
,The correct answer is C:Lack of enjoyment in usual pleasures
5. A client has just returned to the medical-surgical unit following a
segmental lung resection. After assessing the
client, the first nursing action would be to
A) Administer pain medication
B) Suction excessive tracheobronchial secretions
C) Assist client to turn, deep breathe and cough
,D) Monitor oxygen saturation
The correct answer is B: Suction excessive tracheobronchial secretions
6. While assessing a client in an outpatient facility with a panic disorder,
the nurse completes a thorough health history and physical exam.
Which finding is most significant for this client?
A) Compulsive behavior
B) Sense of impending doom
C) Fear of flying
D) Predictable episodes
The correct answer is B: Sense of impending doom
7. A 16 month-old child has just been admitted to the hospital. As the nurse
assigned to this child enters the hospital room for the first time, the
toddler runs to the mother, clings to her and begins to cry. What would be
the initial action by the nurse? A) Arrange to change client care
assignments
B) Explain that this behavior is expected
C) Discuss the appropriate use of "time-out"
D) Explain that the child needs extra attention
The correct answer is B: Explain that this behavior is expected
8. A 15 year-old client with a lengthy confining illness is at risk for
altered growth and development of which task? A) Loss of control
B) Insecurity
C) Dependence
D) Lack of trust
The correct answer is C: Dependence
9. Which playroom activities should the nurse organize for a small
group of 7 year-old hospitalized children? A) Sports and games with
rules
B) Finger paints and water play
C) "Dress-up" clothes andprops
D) Chess and television programs
, The correct answer is A: Sports and games with rules
10. The nurse is discussing dietary intake with an adolescent who has acne.
The most
