HESI EXIT V2 - EXAMINATION COMPLETE QUESTIONS AND
DETAILED SOLUTIONS LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: The nurse has admitted a 4 year-old with the diagnosis
of possible rheumatic fever. Which statement by the parent would
cause the nurse to suspect an association with this disease?
A. Our child had chickenpox 6 months ago
B. Strep throat went through all the children at the day care last month
C. Both ears were infected over 3 months ago
D. Last week both feet had a fungal skin infection
Answer:
B) Strep throat went through all the children at the day care last month
Question 2: A nurse assigned to a manipulative client for 5 days
becomes aware of feelings for a reluctance to interact with the
client. The next action by the nurse should be to
A. Discuss the feeling of reluctance with an objective peer or
supervisor
B. Limit contacts with the client to avoid reinforcement of the
manipulative behavior
C. Confront the client about the negative effects of behaviors on other
clients and staff
D. Develop a behavior modification plan that will promote more
functional behavior
Answer:
A) Discuss the feeling of reluctance with an objective peer or supervisor
Question 3: Which client statement s fromthe assessment data is
likely toexplain his noncompliance?
A. "| have problems with diarrhea.”
, B. "l have difficulty falling asleep."
C. "| have dirrinished sexual function.”
D. "loftenfeel jittery.”
Answer:
C. "I have dirinished sexual function"
Question 4: which statement by the mother indicates that
themother understands safety precautions with her four month-old
infant and her 4year-old child?
A. "I strap the infant car seat on the front seat to face backwards"
B. "I place ny infant in the riddle of the living roomfloor on a blanket
toplay with my
C. "My deeping baby lies so cute in the crib with the little buttocks
stuckup in the air
D. "| have the 4 year-old hold and help feed the four month-old a
bottle inthe kitchen
Answer:
D "I have the four year-old hold and help feed thefour month-old
Question 5: B Give information about advance directives e Anurse
adninisters the influenza vaccine toa client ina clinic. Wthin15
ninutes after the immunization was given, the client complains of
itchy and wateryeyes, increased anxiety, and difficulty breathing.
The nurse expects that the first action inthe sequence of care for
this client will be to
A. Maintain the airway
B. Adrrinister epinephrine 1:1000 as ordered
C. Monitor for hypotension with shock
D. Adninister diphenhydrarrine as ordered
Answer:
, B Adninister epinephrine 1:1000 as ordered .
Question 6: Whichof these children at the site of a disaster at a
child day carecenter would the triage nurse put inthe "treat last"
category?
A. Aninfant with intermittent bulging anterior fontanel between
cryingepisodes
B. Atoddler with severe deep abrasions over 987% of the body
C. Apreschooler with 1 lower leg fracture and the other leg with an
upperleg fracture
D. Aschool-age child with singed eyebrows and hair onthe arms
Answer:
B Atoddler with severe deep abrasions over 98% ofthe body .
Question 7: B Atoddler with severe deep abrasions over 98% ofthe
body . e Whenadnitting a client toan acute care facility, an
identificationbracelet is sent up with the adnission form In the
event these do not match, the nurse'sbest action is to
A. Change whichever itemis incorrect to the correct information
B. Use the bracelet and adrrission form until a replacerrent is supplied
C. Notify the adrrissions office and wait to apply the bracelet
D. Makea corrected identification bracelet for the client
Answer:
C: notify the adrissions office and wait to apply thebracelet
Question 8: What action should be taken?
A. Leave the order for the oncorring 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
, Answer:
D Call the provider for clarification
Question 9: D Call the provider for clarification e Anadutt client is
found to be unresponsive on morning rounds. Afterchecking for
responsiveness and calling for help, the next action that should be
takenby the nurse is ta
A. check the carotid pulse
B. deliver 5 abdorinal thrusts
C. give 2 rescue breaths
D. open the client's airway
Answer:
D open the client"s airway
Question 10: What is the priority nursingaction?
A. Ask the client if there are any breathing problems
B. Havethe client voidasmuch as possible
C. Checkthe vital signs
D. Auscultate the lungs
Answer:
D Auscultate the Lungs
Question 11: whenperfonming postmortemcare?
A. airborne precautions
B. droplet precautions
C. contact precautions
D. compromised host precautions
Answer:
C: contact precautions
DETAILED SOLUTIONS LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: The nurse has admitted a 4 year-old with the diagnosis
of possible rheumatic fever. Which statement by the parent would
cause the nurse to suspect an association with this disease?
A. Our child had chickenpox 6 months ago
B. Strep throat went through all the children at the day care last month
C. Both ears were infected over 3 months ago
D. Last week both feet had a fungal skin infection
Answer:
B) Strep throat went through all the children at the day care last month
Question 2: A nurse assigned to a manipulative client for 5 days
becomes aware of feelings for a reluctance to interact with the
client. The next action by the nurse should be to
A. Discuss the feeling of reluctance with an objective peer or
supervisor
B. Limit contacts with the client to avoid reinforcement of the
manipulative behavior
C. Confront the client about the negative effects of behaviors on other
clients and staff
D. Develop a behavior modification plan that will promote more
functional behavior
Answer:
A) Discuss the feeling of reluctance with an objective peer or supervisor
Question 3: Which client statement s fromthe assessment data is
likely toexplain his noncompliance?
A. "| have problems with diarrhea.”
, B. "l have difficulty falling asleep."
C. "| have dirrinished sexual function.”
D. "loftenfeel jittery.”
Answer:
C. "I have dirinished sexual function"
Question 4: which statement by the mother indicates that
themother understands safety precautions with her four month-old
infant and her 4year-old child?
A. "I strap the infant car seat on the front seat to face backwards"
B. "I place ny infant in the riddle of the living roomfloor on a blanket
toplay with my
C. "My deeping baby lies so cute in the crib with the little buttocks
stuckup in the air
D. "| have the 4 year-old hold and help feed the four month-old a
bottle inthe kitchen
Answer:
D "I have the four year-old hold and help feed thefour month-old
Question 5: B Give information about advance directives e Anurse
adninisters the influenza vaccine toa client ina clinic. Wthin15
ninutes after the immunization was given, the client complains of
itchy and wateryeyes, increased anxiety, and difficulty breathing.
The nurse expects that the first action inthe sequence of care for
this client will be to
A. Maintain the airway
B. Adrrinister epinephrine 1:1000 as ordered
C. Monitor for hypotension with shock
D. Adninister diphenhydrarrine as ordered
Answer:
, B Adninister epinephrine 1:1000 as ordered .
Question 6: Whichof these children at the site of a disaster at a
child day carecenter would the triage nurse put inthe "treat last"
category?
A. Aninfant with intermittent bulging anterior fontanel between
cryingepisodes
B. Atoddler with severe deep abrasions over 987% of the body
C. Apreschooler with 1 lower leg fracture and the other leg with an
upperleg fracture
D. Aschool-age child with singed eyebrows and hair onthe arms
Answer:
B Atoddler with severe deep abrasions over 98% ofthe body .
Question 7: B Atoddler with severe deep abrasions over 98% ofthe
body . e Whenadnitting a client toan acute care facility, an
identificationbracelet is sent up with the adnission form In the
event these do not match, the nurse'sbest action is to
A. Change whichever itemis incorrect to the correct information
B. Use the bracelet and adrrission form until a replacerrent is supplied
C. Notify the adrrissions office and wait to apply the bracelet
D. Makea corrected identification bracelet for the client
Answer:
C: notify the adrissions office and wait to apply thebracelet
Question 8: What action should be taken?
A. Leave the order for the oncorring 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
, Answer:
D Call the provider for clarification
Question 9: D Call the provider for clarification e Anadutt client is
found to be unresponsive on morning rounds. Afterchecking for
responsiveness and calling for help, the next action that should be
takenby the nurse is ta
A. check the carotid pulse
B. deliver 5 abdorinal thrusts
C. give 2 rescue breaths
D. open the client's airway
Answer:
D open the client"s airway
Question 10: What is the priority nursingaction?
A. Ask the client if there are any breathing problems
B. Havethe client voidasmuch as possible
C. Checkthe vital signs
D. Auscultate the lungs
Answer:
D Auscultate the Lungs
Question 11: whenperfonming postmortemcare?
A. airborne precautions
B. droplet precautions
C. contact precautions
D. compromised host precautions
Answer:
C: contact precautions
