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HESI Exit Exam (Next Generation NCLEX Format) ||Just Out!!!
An older male client, who is a retired chef, is hospitalized with a
diabetic ulcer on his foot. His daughter tells the nurse that her
father has become increasingly obsessed with the way his food
is prepared in the hospital. The nurse's response should be
based on what information?
A. The client probably has an organic brain disease and will
likely have Alzheimer's disease within a few years
B. The family needs a social worker to talk to them about how
to handle their father when he becomes annoying
C. The daughter is under stress and should be encouraged to
think about happier times
D. If the client was compulsive about food when he was
younger, the aging process can magnify this - ANSWER-D. If the
client was compulsive about food when he was younger, the
aging process can magnify this
A client is receiving enoxaparin 30mg subcutaneously twice a
day. In assessing for adverse effects of the medication, which
serum laboratory value is most important for the nurse to
monitor?
A. Glucose
B. Calcium
C. Platelet count
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D. White blood cell count - ANSWER-C. Platelet count
The nurse is caring for a 24-month-old toddler who has sensory
sensitivity, difficulty engaging in social interactions, and has not
yet spoken two-word phrases. Which assessment should the
nurse administer?
A. The modified checklist for autism in toddlers (M-CHAT)
B. Psychology Systems Questionnaire (PHQ-2)
C. Behavioral Style Questionnaire (BSQ)
D. The Ages and Stages Questionnaire (ASQ) - ANSWER-A. The
Modified Checklist for Autism in Toddlers (M-CHAT)
Prior to surgery, written consent must be obtained. Which is the
nurse's legal responsibility with regard to obtaining written
consent?
A. Explain the surgical procedure to the client and ask the client
to sign the consent form
B. Ask the client or a family member to sign the surgical consent
form
C. Determine that the surgical consent form has been signed
and is included in the client's record.
D. Validate the client's understanding of the surgical procedure
to be conducted - ANSWER-C. Determine that the surgical
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consent form has been signed and is included in the client's
record
A client with hyperthyroidism is admitted to the postoperative
unit after a subtotal thyroidectomy. Which of the client's serum
laboratory values requires intervention by the nurse?
A. T3- uptake at 50%
B. Glucose 150 mg/dL
C. Total calcium 5.0 mg/dL
D. Thyroxine 12 mcg/dL - ANSWER-C. Total calcium 5.0 mg/dL
A client in the third trimester of pregnancy reports that she fells
some "lumpy places" in her breasts and that her nipples
sometimes leak a yellowish fluid. She has an appointment with
her healthcare provider in two weeks. What action should the
nurse take?
A. Tell the client to begin nipple stimulation to prepare for
breast feeding.
B. Reschedule the client's prenatal appointment for the
following day
C. Explain that this normal secretion can be assessed at the next
visit
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D. Recommend that the client start wearing a supportive
brassiere - ANSWER-C. Explain that this normal secretion can be
assessed at the next visit
While the nurse is assessing an older client's fall risk, the client
reports living at home alone and never falling. Which action
should the nurse take?
A. Inform the client that falls occur more often in the hospital
than at home
B. Record a minimal risk for falls, documenting the client's
statement
C. Continue to obtain client data needed to complete the fall
risk survey
D. Place the client on a high fall risk protocol because of
advanced age - ANSWER-C. Continue to obtain client data
needed to complete the fall risk survey
The nurse is providing education to a client who experiences
recurrent levels of moderate anxiety to situations and perceived
stress. In addition to information about prescribed medication
and administration, which instruction should the nurse include
in the teaching?
A. Find outlets for more social interaction
B. Practice using muscle relaxation techniques
HESI Exit Exam (Next Generation NCLEX Format) ||Just Out!!!
An older male client, who is a retired chef, is hospitalized with a
diabetic ulcer on his foot. His daughter tells the nurse that her
father has become increasingly obsessed with the way his food
is prepared in the hospital. The nurse's response should be
based on what information?
A. The client probably has an organic brain disease and will
likely have Alzheimer's disease within a few years
B. The family needs a social worker to talk to them about how
to handle their father when he becomes annoying
C. The daughter is under stress and should be encouraged to
think about happier times
D. If the client was compulsive about food when he was
younger, the aging process can magnify this - ANSWER-D. If the
client was compulsive about food when he was younger, the
aging process can magnify this
A client is receiving enoxaparin 30mg subcutaneously twice a
day. In assessing for adverse effects of the medication, which
serum laboratory value is most important for the nurse to
monitor?
A. Glucose
B. Calcium
C. Platelet count
,2|Page
D. White blood cell count - ANSWER-C. Platelet count
The nurse is caring for a 24-month-old toddler who has sensory
sensitivity, difficulty engaging in social interactions, and has not
yet spoken two-word phrases. Which assessment should the
nurse administer?
A. The modified checklist for autism in toddlers (M-CHAT)
B. Psychology Systems Questionnaire (PHQ-2)
C. Behavioral Style Questionnaire (BSQ)
D. The Ages and Stages Questionnaire (ASQ) - ANSWER-A. The
Modified Checklist for Autism in Toddlers (M-CHAT)
Prior to surgery, written consent must be obtained. Which is the
nurse's legal responsibility with regard to obtaining written
consent?
A. Explain the surgical procedure to the client and ask the client
to sign the consent form
B. Ask the client or a family member to sign the surgical consent
form
C. Determine that the surgical consent form has been signed
and is included in the client's record.
D. Validate the client's understanding of the surgical procedure
to be conducted - ANSWER-C. Determine that the surgical
,3|Page
consent form has been signed and is included in the client's
record
A client with hyperthyroidism is admitted to the postoperative
unit after a subtotal thyroidectomy. Which of the client's serum
laboratory values requires intervention by the nurse?
A. T3- uptake at 50%
B. Glucose 150 mg/dL
C. Total calcium 5.0 mg/dL
D. Thyroxine 12 mcg/dL - ANSWER-C. Total calcium 5.0 mg/dL
A client in the third trimester of pregnancy reports that she fells
some "lumpy places" in her breasts and that her nipples
sometimes leak a yellowish fluid. She has an appointment with
her healthcare provider in two weeks. What action should the
nurse take?
A. Tell the client to begin nipple stimulation to prepare for
breast feeding.
B. Reschedule the client's prenatal appointment for the
following day
C. Explain that this normal secretion can be assessed at the next
visit
, 4|Page
D. Recommend that the client start wearing a supportive
brassiere - ANSWER-C. Explain that this normal secretion can be
assessed at the next visit
While the nurse is assessing an older client's fall risk, the client
reports living at home alone and never falling. Which action
should the nurse take?
A. Inform the client that falls occur more often in the hospital
than at home
B. Record a minimal risk for falls, documenting the client's
statement
C. Continue to obtain client data needed to complete the fall
risk survey
D. Place the client on a high fall risk protocol because of
advanced age - ANSWER-C. Continue to obtain client data
needed to complete the fall risk survey
The nurse is providing education to a client who experiences
recurrent levels of moderate anxiety to situations and perceived
stress. In addition to information about prescribed medication
and administration, which instruction should the nurse include
in the teaching?
A. Find outlets for more social interaction
B. Practice using muscle relaxation techniques
