HESI EXIT
EXAM 2
High-Yield Qs & Answers with
Feedback
This Exam Description:
High-Yield Qs
Answers with Feedback
Multiple Choices
100% Guaranteed Pass
1
,The nurse knows that which statement by the mother indicates that the mother
understands safety precautions with her four month-old infant and her 4 year-
old child?
A) "I strap the infant car seat on the front seat to face 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 buttocks stuck 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 a bottle in the
kitchen
while I make supper." - CORRECT ANSWER -is D: "I have the four year-old hold and help feed
the four month-old a bottle in the kitchen
Upon completing the admission documents, the nurse learns that the 87 year-
old client does not have an advance directive. What action should the nurse
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 - CORRECT ANSWER -is B: Give
information about advance directives
A nurse administers the influenza vaccine to a client in a clinic. Within 15
minutes after the immunization was given, the client complains of itchy and
watery eyes, 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
C) Monitor for hypotension with shock
2
,D) Administer diphenhydramine as ordered - CORRECT ANSWER -is B:
Administer epinephrine 1:1000 as ordered .
Which of these children at the site of a disaster at a child day care center would
the triage nurse put in the "treat last" category?
A) An infant with intermittent bulging anterior 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 - CORRECT
ANSWER -is B: A toddler with severe deep abrasions over 98% of the body .
When admitting a client to an acute care facility, an identification bracelet is
sent up with the admission form. In the event these do not match, the nurse's
best action is to
A) Change whichever item is incorrect to the correct information
B) Use the bracelet and admission form until a replacement is supplied
C) Notify the admissions office and wait to apply the bracelet
D) Make a corrected identification bracelet for the client - CORRECT ANSWER -is
C: notify the admissions office and wait to apply the bracelet
The nurse is having difficulty reading the health care provider's written order
that was written right before the shift change. What action should be taken?
A) Leave the order for the oncoming staff to follow-up
B) Contact the charge nurse for an interpretation
C) Ask the pharmacy for assistance in the interpretation
D) Call the provider for clarification - CORRECT ANSWER -is D: Call the provider
for clarification
3
, An adult client is found to be unresponsive on morning rounds. After checking
for responsiveness and 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 - CORRECT ANSWER -is D: open the client''s airway
A client has an order for 1000 ml of D5W over an 8 hour period. The nurse
discovers that 800 ml has been 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 - CORRECT ANSWER -is D: Auscultate the lungs
Following change-of-shift report on an orthopedic unit, which client should the
nurse see first?
A) 16 year-old who had an open reduction of a fractured wrist 10 hours ago
B) 20 year-old in skeletal traction for 2 weeks since a motor cycle accident
C) 72 year-old recovering from surgery after a hip replacement 2 hours ago
D) 75 year-old who is in skin traction prior to planned hip pinning surgery. -
CORRECT ANSWER -is C: 72 year-old recovering from surgery after a hip
replacement 2
hours ago
1
A nurse observes a family member administer a rectal suppository by having the
client lie on the left side for the administration. The family member pushed the
4
EXAM 2
High-Yield Qs & Answers with
Feedback
This Exam Description:
High-Yield Qs
Answers with Feedback
Multiple Choices
100% Guaranteed Pass
1
,The nurse knows that which statement by the mother indicates that the mother
understands safety precautions with her four month-old infant and her 4 year-
old child?
A) "I strap the infant car seat on the front seat to face 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 buttocks stuck 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 a bottle in the
kitchen
while I make supper." - CORRECT ANSWER -is D: "I have the four year-old hold and help feed
the four month-old a bottle in the kitchen
Upon completing the admission documents, the nurse learns that the 87 year-
old client does not have an advance directive. What action should the nurse
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 - CORRECT ANSWER -is B: Give
information about advance directives
A nurse administers the influenza vaccine to a client in a clinic. Within 15
minutes after the immunization was given, the client complains of itchy and
watery eyes, 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
C) Monitor for hypotension with shock
2
,D) Administer diphenhydramine as ordered - CORRECT ANSWER -is B:
Administer epinephrine 1:1000 as ordered .
Which of these children at the site of a disaster at a child day care center would
the triage nurse put in the "treat last" category?
A) An infant with intermittent bulging anterior 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 - CORRECT
ANSWER -is B: A toddler with severe deep abrasions over 98% of the body .
When admitting a client to an acute care facility, an identification bracelet is
sent up with the admission form. In the event these do not match, the nurse's
best action is to
A) Change whichever item is incorrect to the correct information
B) Use the bracelet and admission form until a replacement is supplied
C) Notify the admissions office and wait to apply the bracelet
D) Make a corrected identification bracelet for the client - CORRECT ANSWER -is
C: notify the admissions office and wait to apply the bracelet
The nurse is having difficulty reading the health care provider's written order
that was written right before the shift change. What action should be taken?
A) Leave the order for the oncoming staff to follow-up
B) Contact the charge nurse for an interpretation
C) Ask the pharmacy for assistance in the interpretation
D) Call the provider for clarification - CORRECT ANSWER -is D: Call the provider
for clarification
3
, An adult client is found to be unresponsive on morning rounds. After checking
for responsiveness and 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 - CORRECT ANSWER -is D: open the client''s airway
A client has an order for 1000 ml of D5W over an 8 hour period. The nurse
discovers that 800 ml has been 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 - CORRECT ANSWER -is D: Auscultate the lungs
Following change-of-shift report on an orthopedic unit, which client should the
nurse see first?
A) 16 year-old who had an open reduction of a fractured wrist 10 hours ago
B) 20 year-old in skeletal traction for 2 weeks since a motor cycle accident
C) 72 year-old recovering from surgery after a hip replacement 2 hours ago
D) 75 year-old who is in skin traction prior to planned hip pinning surgery. -
CORRECT ANSWER -is C: 72 year-old recovering from surgery after a hip
replacement 2
hours ago
1
A nurse observes a family member administer a rectal suppository by having the
client lie on the left side for the administration. The family member pushed the
4
