366 EXIT HESI, Bsn366, HESI
RN EXIT, EXIT HESI 6, HESI 7,
EXIT HESI Comprehensive B
Evolve Practice Questions,
Module 4.
Exam Study Guide – Practice
Questions with Verified
Answers and Rationale.
GRADED A+. Latest 2026/2027
Update
A newly admitted client complains of pain rating a 7 on a scale of 0 to 10. The
client has not been sleeping well lately and is experiencing labored breathing.
List the client's problems in order of priority for the nurse. (Rank in the priority
order from highest to lowest.)
1.
Airway and breathing.
2.
Pain management.
,3.
Definitive therapy.
4.
Sleep and rest. - Answer✔✔-Correct Answer:
1.Airway and breathing. 2.Pain management. 3.Sleep and rest. 4.Definitive
therapy.
Rationale
First-level problems are immediate priorities (airway, breathing, and
circulation). In this scenario, airway and breathing are the first priority,
followed by pain management, Maslow's hierarchy of basic needs for rest and
sleep, and then definitive drug therapies.
Which biological practices are federally regulated for healthcare workers?
(Select all that apply.)
Select all that apply
1.Standard precautions.
2. N-95 tuberculosis standard.
3. Blood-borne pathogen standard.
4. Biological product exposure limit (BPEL).
5. Resource Conservation and Recovery Act (RCRA).
6. As Low as Reasonably Allowable standard (ALARA). - Answer✔✔-3. Blood-
borne pathogen standard.
5. Resource Conservation and Recovery Act (RCRA)
,Basic standards for healthcare workers, as delineated by Occupational Safety
and Health Administration (OSHA), include standard precautions, droplet
precautions using N-95 respiratory particulate masks when caring for a client
who is positive for tuberculosis, and required annual updates for healthcare
workers about blood-borne pathogen transmission, methods of minimizing
exposure, and employee rights. Other options [BPEL and ALARA ] are not
federally regulated.
A client with severe depression tells the nurse, "I do not know why you bother
with me or give me pills. I am never going to get well." What is the most
therapeutic response?
1. "You need to stop thinking negative thoughts. They get in the way of your
recovery."
2. "You are no bother to me or to the staff. We want you to get well and not
feel sad anymore."
3. "I have known many clients with depression who have felt better after
several weeks of treatment."
4. "You are feeling very pessimistic, but that is part of your illness. It should go
away as you recover." - Answer✔✔-3. "I have known many clients with
depression who have felt better after several weeks of treatment."
Stating the observation that others have recovered can give a client hope.
Telling a person to stop negtive thinking is ineffective because the client must
be taught cognitive strategies to stop negative thinking. Stating the person is
"no bother" is arguing with the client's beliefs and attempting to tell him how
to feel, both of which are not therapeutic responses. Bring up pessimistic
feelings interprets the client's feelings and does not provide the same degree
of hope.
, The nurse is caring for a client with a nursing problem of, "Infection, risk for,
related to inadequate primary defenses as evidenced by surgical incision and IV
access." What nursing intervention should the nurse implement?
1. Limit visitors to immediate family to decrease exposure to infection.
2. Maintain "clean" technique in the change of wound dressing and IV site.
3. Assess and document skin condition around the incision and IV site at each
shift.
4. Require the use of a face mask by staff when providing care requiring close
contact. - Answer✔✔-3. Assess and document skin condition around the
incision and IV site at each shift.
Early identification of infection leads to prompt treatment and decreased
nosocomial transmission to others, so the condition of any invasive lines or
breaks in the skin should be assessed and documented during each shift.
A client with ulcerative colitis is scheduled for surgical creation of an ileoanal
reservoir (J pouch). As part of preoperative teaching, what information should
the nurse provide?
1. The transverse loop ostomy is permanent.
2. Easily removable appliances allow independence in self-care.
3. Daily irrigation is started after the J pouch heals.
4. Stool is eventually expelled through the rectum. - Answer✔✔-4. Stool is
eventually expelled through the rectum.
An ileal pouch-anal anastomosis (also known as the J pouch) is a surgically
created ileoanal reservoir in the anal canal that preserves the rectal sphincter
muscle, so that passage of stool through the rectum is the eventual result. To
promote healing of the anastomosed parts of the colon, a temporary loop
RN EXIT, EXIT HESI 6, HESI 7,
EXIT HESI Comprehensive B
Evolve Practice Questions,
Module 4.
Exam Study Guide – Practice
Questions with Verified
Answers and Rationale.
GRADED A+. Latest 2026/2027
Update
A newly admitted client complains of pain rating a 7 on a scale of 0 to 10. The
client has not been sleeping well lately and is experiencing labored breathing.
List the client's problems in order of priority for the nurse. (Rank in the priority
order from highest to lowest.)
1.
Airway and breathing.
2.
Pain management.
,3.
Definitive therapy.
4.
Sleep and rest. - Answer✔✔-Correct Answer:
1.Airway and breathing. 2.Pain management. 3.Sleep and rest. 4.Definitive
therapy.
Rationale
First-level problems are immediate priorities (airway, breathing, and
circulation). In this scenario, airway and breathing are the first priority,
followed by pain management, Maslow's hierarchy of basic needs for rest and
sleep, and then definitive drug therapies.
Which biological practices are federally regulated for healthcare workers?
(Select all that apply.)
Select all that apply
1.Standard precautions.
2. N-95 tuberculosis standard.
3. Blood-borne pathogen standard.
4. Biological product exposure limit (BPEL).
5. Resource Conservation and Recovery Act (RCRA).
6. As Low as Reasonably Allowable standard (ALARA). - Answer✔✔-3. Blood-
borne pathogen standard.
5. Resource Conservation and Recovery Act (RCRA)
,Basic standards for healthcare workers, as delineated by Occupational Safety
and Health Administration (OSHA), include standard precautions, droplet
precautions using N-95 respiratory particulate masks when caring for a client
who is positive for tuberculosis, and required annual updates for healthcare
workers about blood-borne pathogen transmission, methods of minimizing
exposure, and employee rights. Other options [BPEL and ALARA ] are not
federally regulated.
A client with severe depression tells the nurse, "I do not know why you bother
with me or give me pills. I am never going to get well." What is the most
therapeutic response?
1. "You need to stop thinking negative thoughts. They get in the way of your
recovery."
2. "You are no bother to me or to the staff. We want you to get well and not
feel sad anymore."
3. "I have known many clients with depression who have felt better after
several weeks of treatment."
4. "You are feeling very pessimistic, but that is part of your illness. It should go
away as you recover." - Answer✔✔-3. "I have known many clients with
depression who have felt better after several weeks of treatment."
Stating the observation that others have recovered can give a client hope.
Telling a person to stop negtive thinking is ineffective because the client must
be taught cognitive strategies to stop negative thinking. Stating the person is
"no bother" is arguing with the client's beliefs and attempting to tell him how
to feel, both of which are not therapeutic responses. Bring up pessimistic
feelings interprets the client's feelings and does not provide the same degree
of hope.
, The nurse is caring for a client with a nursing problem of, "Infection, risk for,
related to inadequate primary defenses as evidenced by surgical incision and IV
access." What nursing intervention should the nurse implement?
1. Limit visitors to immediate family to decrease exposure to infection.
2. Maintain "clean" technique in the change of wound dressing and IV site.
3. Assess and document skin condition around the incision and IV site at each
shift.
4. Require the use of a face mask by staff when providing care requiring close
contact. - Answer✔✔-3. Assess and document skin condition around the
incision and IV site at each shift.
Early identification of infection leads to prompt treatment and decreased
nosocomial transmission to others, so the condition of any invasive lines or
breaks in the skin should be assessed and documented during each shift.
A client with ulcerative colitis is scheduled for surgical creation of an ileoanal
reservoir (J pouch). As part of preoperative teaching, what information should
the nurse provide?
1. The transverse loop ostomy is permanent.
2. Easily removable appliances allow independence in self-care.
3. Daily irrigation is started after the J pouch heals.
4. Stool is eventually expelled through the rectum. - Answer✔✔-4. Stool is
eventually expelled through the rectum.
An ileal pouch-anal anastomosis (also known as the J pouch) is a surgically
created ileoanal reservoir in the anal canal that preserves the rectal sphincter
muscle, so that passage of stool through the rectum is the eventual result. To
promote healing of the anastomosed parts of the colon, a temporary loop
