HESI Exit V5 160 Questions and
Answers
1. The nurse is has just admitted a consumer with extreme despair. From which awareness
must the nurse discover a priority nursing diagnosis?
A) Nutrition
B) Elimination
C) Activity
D) Safety - ANS-The correct answer is D: Safety
2. While explaining an illness to a ten year-vintage, what should the nurse preserve in mind
aboutthe cognitive development at this age?
A) They are capable of make easy affiliation of ideas
B) They are able to assume logically in organizing facts
C) Interpretation of occasions originate from their personal perspective D) Conclusions are
primarily based on preceding reviews - ANS-The accurate solution is B: Think logically in
organizing facts
three. The nurse enters the room as a three yr-vintage is having a generalized seizure. Which
intervention need to the nurse do first?
A) Clear the vicinity of any risks
B) Place the child on the aspect
C) Restrain the child
D) Give the prescribed anticonvulsant - ANS-The accurate answer is B: Place the child at the
side
four. The nurse is reviewing a depressed customer's history from an in advance admission.
Documentation of anhedonia is stated. The nurse is familiar with that this finding refers to A)
Reports of issue falling and staying asleep
B) Expression of persistent suicidal mind
C) Lack of entertainment in normal pleasures
D) Reduced senses of flavor and scent - ANS-The correct solution is C: Lack of amusement in
normal pleasures
five. A client has simply lower back to the clinical-surgical unit following a segmental lung
resection. After assessing the client, the first nursing motion would be to
A) Administer ache medicinal drug
B) Suction excessive tracheobronchial secretions
C) Assist customer to show, deep breathe and cough
,D) Monitor oxygen saturation - ANS-The correct answer is B: Suction excessive
tracheobronchial secretions
6. While assessing a purchaser in an outpatient facility with a panic disease, the nurse
completes an intensive fitness records and bodily examination. Which locating is maximum
significantfor this customer? A) Compulsive conduct
B) Sense of drawing close doom
C) Fear of flying
D) Predictable episodes - ANS-The accurate solution is B: Sense of imminent doom
7. A sixteen month-old toddler has simply been admitted to the medical institution. As the nurse
assigned to this baby enters the clinic room for the first time, the infant runs to the mom, clingsto
her and starts to cry. What would be the preliminary movement via the nurse?
A) Arrange to trade client care assignments
B) Explain that this behavior is predicted
C) Discuss the right use of "time-out" D) Explain that the kid desires more interest - ANS-The
correct answer is B: Explain that this conduct is anticipated
8. A 15 yr-antique consumer with a prolonged confining contamination is at risk for altered
growth and improvement of which challenge?
A) Loss of manage
B) Insecurity
C) Dependence D) Lack of agree with - ANS-The accurate answer is C: Dependence
nine. Which playroom activities should the nurse organize for a small group of 7 yr-antique
hospitalized kids?
A) Sports and games with regulations B) Finger paints and water play C) "Dress-up" garments
and props D) Chess and tv applications - ANS-The accurate solution is A: Sports and games
with regulations
10. The nurse is discussing nutritional consumption with a young person who has acne. The
maximum
suitable announcement for the nurse is
A) "Eat a balanced weight-reduction plan in your age."
B) "Increase your consumption of protein and Vitamin A."
C) "Decrease fatty meals from your diet."
D) "Do not use caffeine in any shape, consisting of chocolate." - ANS-The accurate solution is
A: "Eat a balanced food plan for your age."
eleven. The nurse is assigned to a newly delivered female with HIV/AIDS. The pupil asksthe
nurse about how it is determined that someone has AIDS aside from a high-quality HIV test.
The nurse responds
A) "The court cases of at least three not unusual findings."
,B) "The absence of any opportunistic contamination." C) "CD4 lymphocyte rely is much less
than 2 hundred."
D) "Developmental delays in children." - ANS-The correct answer is C: "CD4 lymphocyte rely is
less than two hundred."
12. The nurse is being concerned for a child who has simply back from surgical treatment
following a tonsillectomy and adenoidectomy. Which action by way of the nurse is appropriate?
A) Offer ice cream each 2 hours
B) Place the kid in a supine position
C) Allow the child to drink thru a straw
D) Observe swallowing styles - ANS-The accurate answer is D: Observe swallowing styles
13. A 23 year-antique unmarried client is inside the 33rd week of her first pregnancy. She tells
the nurse that she has the entirety ready for the child and has made plans for the first weeks
together at home. Which regular emotional response does the nurse understand?
A) Acceptance of the being pregnant
B) Focus on fetal improvement C) Anticipation of the beginning
D) Ambivalence approximately pregnancy - ANS-The accurate solution is C: Anticipation of the
beginning
14. The nurse is making plans care for a purchaser with pneumococcal pneumonia. Which of
the subsequent could be most effective in removing breathing secretions?
A) Administration of cough suppressants
B) Increasing oral fluid intake to 3000 cc in keeping with day
C) Maintaining mattress rest with lavatory privileges D) Performing chest physiotherapy two
times a day - ANS-The accurate answer is B: Increasing oral fluid consumption to 3000 cc per
day
15. The nurse in a well-infant clinic examines many youngsters on a every day foundation.
Which ofthe following babies requires in addition observe up?
A) A 13 month-antique unable to walk
B) A 20 month-antique only using 2 and three word sentences
C) A 24 month-antique who cries at some point of exam
D) A 30 month-vintage handiest drinking from a sip cup - ANS-The accurate solution is D: A 30
month-antique handiest drinking from a sip cup
sixteen. Which of the following will be the exceptional approach for the nurse to apply while
teaching insulin injection techniques to a newly recognized consumer with diabetes?
A) Give written pre and post checks
B) Ask questions in the course of exercise
C) Allow any other diabetic to help
D) Observe a return demonstration - ANS-The correct solution is D: Observe a return
demonstration
, 17. A consumer has advanced thrombophlebitis of the left leg. Which nursing intervention must
accept the highest precedence?
A) Elevate leg on 2 pillows
B) Apply support stockings
C) Apply warm compresses
D) Maintain complete mattress rest - ANS-The accurate answer is A: Elevate leg on 2 pillows
18. A nurse from the surgical department is reassigned to the pediatric unit. The fee nurse have
to recognize that the kid at maximum hazard for cardiac arrest and is the least likely to be
assigned to
this nurse is which toddler?
A) Congenital cardiac defects
B) An acute febrile contamination
C) Prolonged hypoxemia
D) Severe more than one trauma - ANS-The correct answer is C: Prolonged hypoxemia
19. A home health nurse is at the house of a patron with diabetes and arthritis. The purchaser
has trouble drawing up insulin. It could be most suitable for the nurse to refer the
client to
A) A social worker from the neighborhood hospital
B) An occupational therapist from the network middle C) A physical therapist from the
rehabilitation business enterprise
D) Another purchaser with diabetes mellitus and takes insulin - ANS-The accurate solution is B:
An occupational therapist from the network middle
20. A priority aim of involuntary hospitalization of the severely mentally unwell client is A)
Re-orientation to reality
B) Elimination of signs
C) Protection from harm to self or others - ANS-The accurate solution is C: Protection from self
harm and damage to others
21. The nurse is being concerned for a purchaser with a long leg forged. During discharge
teaching about suitable sporting activities for the affected extremity, the nurse have to propose
A) Isometric
B) Range of motion
C) Aerobic
D) Isotonic - ANS-The accurate answer is A: Isometric
22. The nurse is coaching mother and father about the treatment plan for a 2 weeks-antique
infant with Tetralogy of Fallot. While looking forward to destiny surgical procedure, the nurse
instructs the parents to right now record
A) Loss of recognition
B) Feeding issues
C) Poor weight advantage
Answers
1. The nurse is has just admitted a consumer with extreme despair. From which awareness
must the nurse discover a priority nursing diagnosis?
A) Nutrition
B) Elimination
C) Activity
D) Safety - ANS-The correct answer is D: Safety
2. While explaining an illness to a ten year-vintage, what should the nurse preserve in mind
aboutthe cognitive development at this age?
A) They are capable of make easy affiliation of ideas
B) They are able to assume logically in organizing facts
C) Interpretation of occasions originate from their personal perspective D) Conclusions are
primarily based on preceding reviews - ANS-The accurate solution is B: Think logically in
organizing facts
three. The nurse enters the room as a three yr-vintage is having a generalized seizure. Which
intervention need to the nurse do first?
A) Clear the vicinity of any risks
B) Place the child on the aspect
C) Restrain the child
D) Give the prescribed anticonvulsant - ANS-The accurate answer is B: Place the child at the
side
four. The nurse is reviewing a depressed customer's history from an in advance admission.
Documentation of anhedonia is stated. The nurse is familiar with that this finding refers to A)
Reports of issue falling and staying asleep
B) Expression of persistent suicidal mind
C) Lack of entertainment in normal pleasures
D) Reduced senses of flavor and scent - ANS-The correct solution is C: Lack of amusement in
normal pleasures
five. A client has simply lower back to the clinical-surgical unit following a segmental lung
resection. After assessing the client, the first nursing motion would be to
A) Administer ache medicinal drug
B) Suction excessive tracheobronchial secretions
C) Assist customer to show, deep breathe and cough
,D) Monitor oxygen saturation - ANS-The correct answer is B: Suction excessive
tracheobronchial secretions
6. While assessing a purchaser in an outpatient facility with a panic disease, the nurse
completes an intensive fitness records and bodily examination. Which locating is maximum
significantfor this customer? A) Compulsive conduct
B) Sense of drawing close doom
C) Fear of flying
D) Predictable episodes - ANS-The accurate solution is B: Sense of imminent doom
7. A sixteen month-old toddler has simply been admitted to the medical institution. As the nurse
assigned to this baby enters the clinic room for the first time, the infant runs to the mom, clingsto
her and starts to cry. What would be the preliminary movement via the nurse?
A) Arrange to trade client care assignments
B) Explain that this behavior is predicted
C) Discuss the right use of "time-out" D) Explain that the kid desires more interest - ANS-The
correct answer is B: Explain that this conduct is anticipated
8. A 15 yr-antique consumer with a prolonged confining contamination is at risk for altered
growth and improvement of which challenge?
A) Loss of manage
B) Insecurity
C) Dependence D) Lack of agree with - ANS-The accurate answer is C: Dependence
nine. Which playroom activities should the nurse organize for a small group of 7 yr-antique
hospitalized kids?
A) Sports and games with regulations B) Finger paints and water play C) "Dress-up" garments
and props D) Chess and tv applications - ANS-The accurate solution is A: Sports and games
with regulations
10. The nurse is discussing nutritional consumption with a young person who has acne. The
maximum
suitable announcement for the nurse is
A) "Eat a balanced weight-reduction plan in your age."
B) "Increase your consumption of protein and Vitamin A."
C) "Decrease fatty meals from your diet."
D) "Do not use caffeine in any shape, consisting of chocolate." - ANS-The accurate solution is
A: "Eat a balanced food plan for your age."
eleven. The nurse is assigned to a newly delivered female with HIV/AIDS. The pupil asksthe
nurse about how it is determined that someone has AIDS aside from a high-quality HIV test.
The nurse responds
A) "The court cases of at least three not unusual findings."
,B) "The absence of any opportunistic contamination." C) "CD4 lymphocyte rely is much less
than 2 hundred."
D) "Developmental delays in children." - ANS-The correct answer is C: "CD4 lymphocyte rely is
less than two hundred."
12. The nurse is being concerned for a child who has simply back from surgical treatment
following a tonsillectomy and adenoidectomy. Which action by way of the nurse is appropriate?
A) Offer ice cream each 2 hours
B) Place the kid in a supine position
C) Allow the child to drink thru a straw
D) Observe swallowing styles - ANS-The accurate answer is D: Observe swallowing styles
13. A 23 year-antique unmarried client is inside the 33rd week of her first pregnancy. She tells
the nurse that she has the entirety ready for the child and has made plans for the first weeks
together at home. Which regular emotional response does the nurse understand?
A) Acceptance of the being pregnant
B) Focus on fetal improvement C) Anticipation of the beginning
D) Ambivalence approximately pregnancy - ANS-The accurate solution is C: Anticipation of the
beginning
14. The nurse is making plans care for a purchaser with pneumococcal pneumonia. Which of
the subsequent could be most effective in removing breathing secretions?
A) Administration of cough suppressants
B) Increasing oral fluid intake to 3000 cc in keeping with day
C) Maintaining mattress rest with lavatory privileges D) Performing chest physiotherapy two
times a day - ANS-The accurate answer is B: Increasing oral fluid consumption to 3000 cc per
day
15. The nurse in a well-infant clinic examines many youngsters on a every day foundation.
Which ofthe following babies requires in addition observe up?
A) A 13 month-antique unable to walk
B) A 20 month-antique only using 2 and three word sentences
C) A 24 month-antique who cries at some point of exam
D) A 30 month-vintage handiest drinking from a sip cup - ANS-The accurate solution is D: A 30
month-antique handiest drinking from a sip cup
sixteen. Which of the following will be the exceptional approach for the nurse to apply while
teaching insulin injection techniques to a newly recognized consumer with diabetes?
A) Give written pre and post checks
B) Ask questions in the course of exercise
C) Allow any other diabetic to help
D) Observe a return demonstration - ANS-The correct solution is D: Observe a return
demonstration
, 17. A consumer has advanced thrombophlebitis of the left leg. Which nursing intervention must
accept the highest precedence?
A) Elevate leg on 2 pillows
B) Apply support stockings
C) Apply warm compresses
D) Maintain complete mattress rest - ANS-The accurate answer is A: Elevate leg on 2 pillows
18. A nurse from the surgical department is reassigned to the pediatric unit. The fee nurse have
to recognize that the kid at maximum hazard for cardiac arrest and is the least likely to be
assigned to
this nurse is which toddler?
A) Congenital cardiac defects
B) An acute febrile contamination
C) Prolonged hypoxemia
D) Severe more than one trauma - ANS-The correct answer is C: Prolonged hypoxemia
19. A home health nurse is at the house of a patron with diabetes and arthritis. The purchaser
has trouble drawing up insulin. It could be most suitable for the nurse to refer the
client to
A) A social worker from the neighborhood hospital
B) An occupational therapist from the network middle C) A physical therapist from the
rehabilitation business enterprise
D) Another purchaser with diabetes mellitus and takes insulin - ANS-The accurate solution is B:
An occupational therapist from the network middle
20. A priority aim of involuntary hospitalization of the severely mentally unwell client is A)
Re-orientation to reality
B) Elimination of signs
C) Protection from harm to self or others - ANS-The accurate solution is C: Protection from self
harm and damage to others
21. The nurse is being concerned for a purchaser with a long leg forged. During discharge
teaching about suitable sporting activities for the affected extremity, the nurse have to propose
A) Isometric
B) Range of motion
C) Aerobic
D) Isotonic - ANS-The accurate answer is A: Isometric
22. The nurse is coaching mother and father about the treatment plan for a 2 weeks-antique
infant with Tetralogy of Fallot. While looking forward to destiny surgical procedure, the nurse
instructs the parents to right now record
A) Loss of recognition
B) Feeding issues
C) Poor weight advantage
