hesi EXIT EXAM
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1. The nurse knows that which statement by the mother is D: "I have the four
indicates that the mother year-old hold and help
understands safety precautions with her four feed the four month-old
month-old infant and her 4 year-old child? a bottle in the kitchen
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."
2. Upon completing the admission documents, the is B: Give information
nurse learns that the 87 year-old client about advance directives
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
3. A nurse administers the influenza vaccine to a client in is B: Administer epineph-
a clinic. Within 15 minutes after rine 1:1000 as ordered .
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
, hesi EXIT EXAM
Study online at https://quizlet.com/_gsome7
A) Maintain the airway
B) Administer epinephrine 1:1000 as ordered
C) Monitor for hypotension with shock
D) Administer diphenhydramine as ordered
4. Which of these children at the site of a disaster at a is B: A toddler with severe
child day care center would the deep abrasions over 98%
triage nurse put in the "treat last" category? of the body .
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
5. When admitting a client to an acute care facility, an is C: notify the admissions
identification bracelet is sent up office and wait to apply the
with the admission form. In the event these do not bracelet
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 re-
placement is supplied
C) Notify the admissions office and wait to apply the
bracelet
D) Make a corrected identification bracelet for the
client
6. The nurse is having difficulty reading the health care is D: Call the provider for
provider's written order that was clarification
, hesi EXIT EXAM
Study online at https://quizlet.com/_gsome7
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 interpreta-
tion
D) Call the provider for clarification
7. An adult client is found to be unresponsive on morn- is D: open the client''s air-
ing rounds. After checking for way
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
8. A client has an order for 1000 ml of D5W over an 8 is D: Auscultate the lungs
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
9. Following change-of-shift report on an orthopedic is C: 72 year-old recover-
unit, which client should the nurse ing from surgery after a
see first? hip replacement 2
A) 16 year-old who had an open reduction of a frac- hours ago
tured wrist 10 hours ago 1
, hesi EXIT EXAM
Study online at https://quizlet.com/_gsome7
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.
10. A nurse observes a family member administer a rectal is B: That was done cor-
suppository by having the rectly. Did you have any
client lie on the left side for the administration. The problems with the
family member pushed the insertion?
suppository until the finger went up to the second 1
knuckle. After 10 minutes the client
was told by the family member to turn to the right side
and the client did this. What is the
appropriate comment for the nurse to make?
A) Why don't we now have the client turn back to the
left side.
B) That was done correctly. Did you have any problems
with the insertion?
C) Let's check to see if the suppository is in far
enough.
D) Did you feel any stool in the intestinal tract?
11. A client with a diagnosis of Methicillin resistant is C: contact precautions
Staphylococcus aureus (MRSA) has 1
died. Which type of precautions is the appropriate
type to use when performing
postmortem care?
A) airborne precautions
B) droplet precautions
Study online at https://quizlet.com/_gsome7
1. The nurse knows that which statement by the mother is D: "I have the four
indicates that the mother year-old hold and help
understands safety precautions with her four feed the four month-old
month-old infant and her 4 year-old child? a bottle in the kitchen
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."
2. Upon completing the admission documents, the is B: Give information
nurse learns that the 87 year-old client about advance directives
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
3. A nurse administers the influenza vaccine to a client in is B: Administer epineph-
a clinic. Within 15 minutes after rine 1:1000 as ordered .
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
, hesi EXIT EXAM
Study online at https://quizlet.com/_gsome7
A) Maintain the airway
B) Administer epinephrine 1:1000 as ordered
C) Monitor for hypotension with shock
D) Administer diphenhydramine as ordered
4. Which of these children at the site of a disaster at a is B: A toddler with severe
child day care center would the deep abrasions over 98%
triage nurse put in the "treat last" category? of the body .
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
5. When admitting a client to an acute care facility, an is C: notify the admissions
identification bracelet is sent up office and wait to apply the
with the admission form. In the event these do not bracelet
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 re-
placement is supplied
C) Notify the admissions office and wait to apply the
bracelet
D) Make a corrected identification bracelet for the
client
6. The nurse is having difficulty reading the health care is D: Call the provider for
provider's written order that was clarification
, hesi EXIT EXAM
Study online at https://quizlet.com/_gsome7
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 interpreta-
tion
D) Call the provider for clarification
7. An adult client is found to be unresponsive on morn- is D: open the client''s air-
ing rounds. After checking for way
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
8. A client has an order for 1000 ml of D5W over an 8 is D: Auscultate the lungs
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
9. Following change-of-shift report on an orthopedic is C: 72 year-old recover-
unit, which client should the nurse ing from surgery after a
see first? hip replacement 2
A) 16 year-old who had an open reduction of a frac- hours ago
tured wrist 10 hours ago 1
, hesi EXIT EXAM
Study online at https://quizlet.com/_gsome7
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.
10. A nurse observes a family member administer a rectal is B: That was done cor-
suppository by having the rectly. Did you have any
client lie on the left side for the administration. The problems with the
family member pushed the insertion?
suppository until the finger went up to the second 1
knuckle. After 10 minutes the client
was told by the family member to turn to the right side
and the client did this. What is the
appropriate comment for the nurse to make?
A) Why don't we now have the client turn back to the
left side.
B) That was done correctly. Did you have any problems
with the insertion?
C) Let's check to see if the suppository is in far
enough.
D) Did you feel any stool in the intestinal tract?
11. A client with a diagnosis of Methicillin resistant is C: contact precautions
Staphylococcus aureus (MRSA) has 1
died. Which type of precautions is the appropriate
type to use when performing
postmortem care?
A) airborne precautions
B) droplet precautions
