2019 PN HESI EXIT V1
Question 1
A school-age client with diabetes is placed on an intermediate-
acting insulin and regular insulin before breakfast and before
dinner. She will receive a snack of milk and cereal at bedtime.
What does the nurse tell the client the snack is intended to do?
You Selected:
• Prevent late night hypoglycemia.
Correct response:
• Prevent late night hypoglycemia.
Question 2
A well-known public official of a small community is admitted to
the emergency department following an episode of chest pain.
Several nurses from the medical unit are aware of the admission and
access the official’s electronic medical record to obtain a status
update. What is the best response for the nurse manager to make to
the nurses regarding this situation?
You Selected:
• “Assessing the official’s medical record is a breach of
confidentiality.”
Correct response:
• “Assessing the official’s medical record is a breach of
confidentiality.”
Question 3
A four-year-old child is diagnosed as having acute lymphocytic
,leukemia. The white blood cell (WBC) count, especially the
neutrophil count, is low. What is the most important intervention the
,nurse should teach the parents?
You Selected:
• Protect your child from infections because his resistance
to infection is decreased
Correct response:
• Protect your child from infections because his resistance
to infection is decreased
Question 4
The nurse is caring for a client with influenza. The most effective
way to decrease the spread of microorganisms is:
You Selected:
• placing the client in isolation.
Correct response:
• washing the hands frequently.
Question 5
A client with a history of hypertension has been prescribed a new
antihypertensive medication and is reporting dizziness. Which is
the best way for the nurse to assess blood pressure?
You Selected:
• in the supine, sitting, and standing positions
Correct response:
• in the supine, sitting, and standing positions
Question 6
A client has a soft wrist-safety device. Which assessment finding
should the nurse investigate further?
You Selected:
, • cool, pale fingers
Correct response:
• cool, pale fingers
Question 7
A nurse is caring for a female client before surgery. The client
states that she is glad that she will not be going through menopause
as a result of her surgery and is only having her uterus removed.
The nurse reviews the consent form and notes that the surgery is for
a total abdominal hysterectomy with a salpingo-oophorectomy.
What should the nurse do in this situation?
You Selected:
• Contact the surgeon to explain that the client needs
further clarification regarding surgery.
Correct response:
• Contact the surgeon to explain that the client needs
further clarification regarding surgery.
Question 8
A young client diagnosed with schizophrenia is talking with the
nurse and says, "You know, when I thought everyone was out to get
me, I was staying in my apartment all the time. Now, I would like
to get out and do things again." What is the best initial response by
the nurse?
You Selected:
• "What activities did you enjoy in the past?"
Correct response:
• "What activities did you enjoy in the past?"
Question 1
A school-age client with diabetes is placed on an intermediate-
acting insulin and regular insulin before breakfast and before
dinner. She will receive a snack of milk and cereal at bedtime.
What does the nurse tell the client the snack is intended to do?
You Selected:
• Prevent late night hypoglycemia.
Correct response:
• Prevent late night hypoglycemia.
Question 2
A well-known public official of a small community is admitted to
the emergency department following an episode of chest pain.
Several nurses from the medical unit are aware of the admission and
access the official’s electronic medical record to obtain a status
update. What is the best response for the nurse manager to make to
the nurses regarding this situation?
You Selected:
• “Assessing the official’s medical record is a breach of
confidentiality.”
Correct response:
• “Assessing the official’s medical record is a breach of
confidentiality.”
Question 3
A four-year-old child is diagnosed as having acute lymphocytic
,leukemia. The white blood cell (WBC) count, especially the
neutrophil count, is low. What is the most important intervention the
,nurse should teach the parents?
You Selected:
• Protect your child from infections because his resistance
to infection is decreased
Correct response:
• Protect your child from infections because his resistance
to infection is decreased
Question 4
The nurse is caring for a client with influenza. The most effective
way to decrease the spread of microorganisms is:
You Selected:
• placing the client in isolation.
Correct response:
• washing the hands frequently.
Question 5
A client with a history of hypertension has been prescribed a new
antihypertensive medication and is reporting dizziness. Which is
the best way for the nurse to assess blood pressure?
You Selected:
• in the supine, sitting, and standing positions
Correct response:
• in the supine, sitting, and standing positions
Question 6
A client has a soft wrist-safety device. Which assessment finding
should the nurse investigate further?
You Selected:
, • cool, pale fingers
Correct response:
• cool, pale fingers
Question 7
A nurse is caring for a female client before surgery. The client
states that she is glad that she will not be going through menopause
as a result of her surgery and is only having her uterus removed.
The nurse reviews the consent form and notes that the surgery is for
a total abdominal hysterectomy with a salpingo-oophorectomy.
What should the nurse do in this situation?
You Selected:
• Contact the surgeon to explain that the client needs
further clarification regarding surgery.
Correct response:
• Contact the surgeon to explain that the client needs
further clarification regarding surgery.
Question 8
A young client diagnosed with schizophrenia is talking with the
nurse and says, "You know, when I thought everyone was out to get
me, I was staying in my apartment all the time. Now, I would like
to get out and do things again." What is the best initial response by
the nurse?
You Selected:
• "What activities did you enjoy in the past?"
Correct response:
• "What activities did you enjoy in the past?"
