Hesi Exit V5 160 Questions And Correct Verified Answers

HESI EXIT V5 160 QUESTIONS AND
CORRECT VERIFIED ANSWERS
1.A2TheA2nurseA2isA2hasA2justA2admittedA2aA2clientA2withA2severeA2depression.A2FromA2whi
chA2focusA2shouldA2theA2nurseA2identifyA2aA2priorityA2nursingA2diagnosis?
A)A2Nutrition
B)A2Elimination
C)A2Activity
D)A2SafetyA2-A2Ans--TheA2correctA2answerA2isA2D:A2Safety

2.A2WhileA2explainingA2anA2illnessA2toA2aA210A2year-
old,A2whatA2shouldA2theA2nurseA2keepA2inA2mindA2abouttheA2cognitiveA2developmentA2atA2t
hisA2age?
A)A2TheyA2areA2ableA2toA2makeA2simpleA2associationA2ofA2ideas
B)A2TheyA2areA2ableA2toA2thinkA2logicallyA2inA2organizingA2facts
C)A2InterpretationA2ofA2eventsA2originateA2fromA2theirA2ownA2perspectiveA2D)A2Conclusion
sA2areA2basedA2onA2previousA2experiencesA2-A2Ans--
TheA2correctA2answerA2isA2B:A2ThinkA2logicallyA2inA2organizingA2facts

3.A2TheA2nurseA2entersA2theA2roomA2asA2aA23A2year-
oldA2isA2havingA2aA2generalizedA2seizure.A2WhichA2interventionA2shouldA2theA2nurseA2doA2f
irst?
A)A2ClearA2theA2areaA2ofA2anyA2hazards
B)A2PlaceA2theA2childA2onA2theA2side
C)A2RestrainA2theA2child
D)A2GiveA2theA2prescribedA2anticonvulsantA2-A2Ans--
TheA2correctA2answerA2isA2B:A2PlaceA2theA2childA2onA2theA2side

4.A2TheA2nurseA2isA2reviewingA2aA2depressedA2client'sA2historyA2fromA2anA2earlierA2admiss
ion.A2DocumentationA2ofA2anhedoniaA2isA2noted.A2TheA2nurseA2understandsA2thatA2thisA2fi
ndingA2refersA2toA2A)A2ReportsA2ofA2difficultyA2fallingA2andA2stayingA2asleep
B)A2ExpressionA2ofA2persistentA2suicidalA2thoughts
C)A2LackA2ofA2enjoymentA2inA2usualA2pleasures
D)A2ReducedA2sensesA2ofA2tasteA2andA2smellA2-A2Ans--
TheA2correctA2answerA2isA2C:A2LackA2ofA2enjoymentA2inA2usualA2pleasures

5.A2AA2clientA2hasA2justA2returnedA2toA2theA2medical-
surgicalA2unitA2followingA2aA2segmentalA2lungA2resection.A2AfterA2assessingA2theA2client,A2
theA2firstA2nursingA2actionA2wouldA2beA2to
A)A2AdministerA2painA2medication
B)A2SuctionA2excessiveA2tracheobronchialA2secretions
C)A2AssistA2clientA2toA2turn,A2deepA2breatheA2andA2cough
D)A2MonitorA2oxygenA2saturationA2-A2Ans--
TheA2correctA2answerA2isA2B:A2SuctionA2excessiveA2tracheobronchialA2secretions

,6.A2WhileA2assessingA2aA2clientA2inA2anA2outpatientA2facilityA2withA2aA2panicA2disorder,A2th
eA2nurseA2completesA2aA2thoroughA2healthA2historyA2andA2physicalA2exam.A2WhichA2findin
gA2isA2mostA2significantforA2thisA2client?A2A)A2CompulsiveA2behavior
B)A2SenseA2ofA2impendingA2doom
C)A2FearA2ofA2flying
D)A2PredictableA2episodesA2-A2Ans--
TheA2correctA2answerA2isA2B:A2SenseA2ofA2impendingA2doom

7.A2AA216A2month-
oldA2childA2hasA2justA2beenA2admittedA2toA2theA2hospital.A2AsA2theA2nurseA2assignedA2toA2t
hisA2childA2entersA2theA2hospitalA2roomA2forA2theA2firstA2time,A2theA2toddlerA2runsA2toA2theA2
mother,A2clingstoA2herA2andA2beginsA2toA2cry.A2WhatA2wouldA2beA2theA2initialA2actionA2byA2
theA2nurse?
A)A2ArrangeA2toA2changeA2clientA2careA2assignments
B)A2ExplainA2thatA2thisA2behaviorA2isA2expected
C)A2DiscussA2theA2appropriateA2useA2ofA2"time-
out"A2D)A2ExplainA2thatA2theA2childA2needsA2extraA2attentionA2-A2Ans--
TheA2correctA2answerA2isA2B:A2ExplainA2thatA2thisA2behaviorA2isA2expected

8.A2AA215A2year-
oldA2clientA2withA2aA2lengthyA2confiningA2illnessA2isA2atA2riskA2forA2alteredA2growthA2andA2d
evelopmentA2ofA2whichA2task?
A)A2LossA2ofA2control
B)A2Insecurity
C)A2DependenceA2D)A2LackA2ofA2trustA2-A2Ans--
TheA2correctA2answerA2isA2C:A2Dependence

9.A2WhichA2playroomA2activitiesA2shouldA2theA2nurseA2organizeA2forA2aA2smallA2groupA2ofA2
7A2year-oldA2hospitalizedA2children?
A)A2SportsA2andA2gamesA2withA2rulesA2B)A2FingerA2paintsA2andA2waterA2playA2C)A2"Dress-
up"A2clothesA2andA2propsA2D)A2ChessA2andA2televisionA2programsA2-A2Ans--
TheA2correctA2answerA2isA2A:A2SportsA2andA2gamesA2withA2rules

10.A2TheA2nurseA2isA2discussingA2dietaryA2intakeA2withA2anA2adolescentA2whoA2hasA2acne.
A2TheA2most
appropriateA2statementA2forA2theA2nurseA2is
A)A2"EatA2aA2balancedA2dietA2forA2yourA2age."
B)A2"IncreaseA2yourA2intakeA2ofA2proteinA2andA2VitaminA2A."
C)A2"DecreaseA2fattyA2foodsA2fromA2yourA2diet."
D)A2"DoA2notA2useA2caffeineA2inA2anyA2form,A2includingA2chocolate."A2-A2Ans--
TheA2correctA2answerA2isA2A:A2"EatA2aA2balancedA2dietA2forA2yourA2age."

11.A2TheA2nurseA2isA2assignedA2toA2aA2newlyA2deliveredA2womanA2withA2HIV/
AIDS.A2TheA2studentA2askstheA2nurseA2aboutA2howA2itA2isA2determinedA2thatA2aA2personA2
hasA2AIDSA2otherA2thanA2aA2positiveA2HIVA2test.A2TheA2nurseA2responds
A)A2"TheA2complaintsA2ofA2atA2leastA23A2commonA2findings."

,B)A2"TheA2absenceA2ofA2anyA2opportunisticA2infection."A2C)A2"CD4A2lymphocyteA2countA2is
A2lessA2thanA2200."
D)A2"DevelopmentalA2delaysA2inA2children."A2-A2Ans--
TheA2correctA2answerA2isA2C:A2"CD4A2lymphocyteA2countA2isA2lessA2thanA2200."

12.A2TheA2nurseA2isA2caringA2forA2aA2childA2whoA2hasA2justA2returnedA2fromA2surgeryA2follo
wingA2aA2tonsillectomyA2andA2adenoidectomy.A2WhichA2actionA2byA2theA2nurseA2isA2appro
priate?
A)A2OfferA2iceA2creamA2everyA22A2hours
B)A2PlaceA2theA2childA2inA2aA2supineA2position
C)A2AllowA2theA2childA2toA2drinkA2throughA2aA2straw
D)A2ObserveA2swallowingA2patternsA2-A2Ans--
TheA2correctA2answerA2isA2D:A2ObserveA2swallowingA2patterns

13.A2AA223A2year-
oldA2singleA2clientA2isA2inA2theA233rdA2weekA2ofA2herA2firstA2pregnancy.A2SheA2tellsA2theA2n
urseA2thatA2sheA2hasA2everythingA2readyA2forA2theA2babyA2andA2hasA2madeA2plansA2forA2th
eA2firstA2weeksA2togetherA2atA2home.A2WhichA2normalA2emotionalA2reactionA2doesA2theA2n
urseA2recognize?
A)A2AcceptanceA2ofA2theA2pregnancy
B)A2FocusA2onA2fetalA2developmentA2C)A2AnticipationA2ofA2theA2birth
D)A2AmbivalenceA2aboutA2pregnancyA2-A2Ans--
TheA2correctA2answerA2isA2C:A2AnticipationA2ofA2theA2birth

14.A2TheA2nurseA2isA2planningA2careA2forA2aA2clientA2withA2pneumococcalA2pneumonia.A2
WhichA2ofA2theA2followingA2wouldA2beA2mostA2effectiveA2inA2removingA2respiratoryA2secreti
ons?
A)A2AdministrationA2ofA2coughA2suppressants
B)A2IncreasingA2oralA2fluidA2intakeA2toA23000A2ccA2perA2day
C)A2MaintainingA2bedA2restA2withA2bathroomA2privilegesA2D)A2PerformingA2chestA2physioth
erapyA2twiceA2aA2dayA2-A2Ans--
TheA2correctA2answerA2isA2B:A2IncreasingA2oralA2fluidA2intakeA2toA23000A2ccA2perA2day

15.A2TheA2nurseA2inA2aA2well-
childA2clinicA2examinesA2manyA2childrenA2onA2aA2dailyA2basis.A2WhichA2oftheA2followingA2t
oddlersA2requiresA2furtherA2followA2up?
A)A2AA213A2month-oldA2unableA2toA2walk
B)A2AA220A2month-oldA2onlyA2usingA22A2andA23A2wordA2sentences
C)A2AA224A2month-oldA2whoA2criesA2duringA2examination
D)A2AA230A2month-oldA2onlyA2drinkingA2fromA2aA2sipA2cupA2-A2Ans--
TheA2correctA2answerA2isA2D:A2AA230A2month-oldA2onlyA2drinkingA2fromA2aA2sipA2cup

16.A2WhichA2ofA2theA2followingA2wouldA2beA2theA2bestA2strategyA2forA2theA2nurseA2toA2useA
2whenA2teachingA2insulinA2injectionA2techniquesA2toA2aA2newlyA2diagnosedA2clientA2withA2d
iabetes?
A)A2GiveA2writtenA2preA2andA2postA2tests

, B)A2AskA2questionsA2duringA2practice
C)A2AllowA2anotherA2diabeticA2toA2assist
D)A2ObserveA2aA2returnA2demonstrationA2-A2Ans--
TheA2correctA2answerA2isA2D:A2ObserveA2aA2returnA2demonstration

17.A2AA2clientA2hasA2developedA2thrombophlebitisA2ofA2theA2leftA2leg.A2WhichA2nursingA2int
erventionA2shouldA2beA2givenA2theA2highestA2priority?
A)A2ElevateA2legA2onA22A2pillows
B)A2ApplyA2supportA2stockings
C)A2ApplyA2warmA2compresses
D)A2MaintainA2completeA2bedA2restA2-A2Ans--
TheA2correctA2answerA2isA2A:A2ElevateA2legA2onA22A2pillows

18.A2AA2nurseA2fromA2theA2surgicalA2departmentA2isA2reassignedA2toA2theA2pediatricA2unit.A
2TheA2chargeA2nurseA2shouldA2recognizeA2thatA2theA2childA2atA2highestA2riskA2forA2cardiacA
2arrestA2andA2isA2theA2leastA2likelyA2toA2beA2assignedA2to
thisA2nurseA2isA2whichA2child?
A)A2CongenitalA2cardiacA2defects
B)A2AnA2acuteA2febrileA2illness
C)A2ProlongedA2hypoxemia
D)A2SevereA2multipleA2traumaA2-A2Ans--
TheA2correctA2answerA2isA2C:A2ProlongedA2hypoxemia

19.A2AA2homeA2healthA2nurseA2isA2atA2theA2homeA2ofA2aA2clientA2withA2diabetesA2andA2arthr
itis.A2TheA2clientA2hasA2difficultyA2drawingA2upA2insulin.A2ItA2wouldA2beA2mostA2appropriateA
2forA2theA2nurseA2toA2referA2the
clientA2to
A)A2AA2socialA2workerA2fromA2theA2localA2hospital
B)A2AnA2occupationalA2therapistA2fromA2theA2communityA2centerA2C)A2AA2physicalA2therapi
stA2fromA2theA2rehabilitationA2agency
D)A2AnotherA2clientA2withA2diabetesA2mellitusA2andA2takesA2insulinA2-A2Ans--
TheA2correctA2answerA2isA2B:A2AnA2occupationalA2therapistA2fromA2theA2communityA2cente
r

20.A2AA2priorityA2goalA2ofA2involuntaryA2hospitalizationA2ofA2theA2severelyA2mentallyA2illA2cli
entA2isA2A)A2Re-orientationA2toA2reality
B)A2EliminationA2ofA2symptoms
C)A2ProtectionA2fromA2harmA2toA2selfA2orA2othersA2-A2Ans--
TheA2correctA2answerA2isA2C:A2ProtectionA2fromA2selfA2harmA2andA2harmA2toA2others

21.A2TheA2nurseA2isA2caringA2forA2aA2clientA2withA2aA2longA2legA2cast.A2DuringA2dischargeA2
teachingA2aboutA2appropriateA2exercisesA2forA2theA2affectedA2extremity,A2theA2nurseA2sho
uldA2recommend
A)A2Isometric
B)A2RangeA2ofA2motion
C)A2Aerobic