HESI Exit v2 questions with accurate answers /verified and
updated
1.The nurse knows which statement by the mother indicates that the moth- er 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 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 buttocksstuck 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 bottle in the kitchen
while I make supper.": The correct answer is D: "I have the four year-old hold and help feed the fou
month-old a bottle in the kitchen
2.Upon completing the admission documents, the nurse learns that the 87 year-old client
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;: The correct answer is B: Give informa- tion about
,advance directives
3.A nurse administers the influenza vaccine to a client in a clinic. Within 15 minutes after 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
A) Maintain the airway
B) Administer epinephrine 1:1000 as ordered
C) Monitor for hypotension with shock
D) Administer diphenhydramine as ordered: The correct answer is B: Administer epinephrine
1:1000 as ordered .
4.Which of these children at the site of a disaster at a child day care center would thea
triage nurse put in the "treat last" category?
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: The correct answer is B: A
toddler with severe deep abrasions over 98% of the body .
5.When admitting a client to an acute care facility, an identification bracelet is sent up with
the admission form. In the event these do not 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 replacement is supplied
C) Notify the admissions office and wait to apply the bracelet
D) Make a corrected identification bracelet for the client: The correct answer is C: notify the
admissions office and wait to apply the bracelet
6.The nurse is having difficulty reading the health care provider's writtenorder that was
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 interpretation
D) Call the provider for clarification: The correct answer is D: Call the provider for clarification
7.An adult client is found to be unresponsive on morning rounds. After Checking for
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: The correct answer is D: open the client''s airway
8.A client has an order for 1000 ml of D5W over an 8 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: The correct answer is D: Auscultate the lungs
9.Following change-of-shift report on an orthopedic unit, which client should the nurse
see first?
A) 16 year-old who had an open reduction of a fractured wrist 10 hours ago
B) 20 year-old in skeletal traction for 2 weeks since a motorcycle 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.: The
correct answer is C: 72 year-old recovering from surgery after hip replacement 2 hours ago
10.A nurse observes a family member administer a rectal suppository by having the client
lie on the left side for the administration. The family member pushed the suppository until
the finger went up to the second 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 far enough.
D) Did you feel any stool in the intestinal tract?: The correct answer is B: That was done
updated
1.The nurse knows which statement by the mother indicates that the moth- er 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 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 buttocksstuck 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 bottle in the kitchen
while I make supper.": The correct answer is D: "I have the four year-old hold and help feed the fou
month-old a bottle in the kitchen
2.Upon completing the admission documents, the nurse learns that the 87 year-old client
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;: The correct answer is B: Give informa- tion about
,advance directives
3.A nurse administers the influenza vaccine to a client in a clinic. Within 15 minutes after 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
A) Maintain the airway
B) Administer epinephrine 1:1000 as ordered
C) Monitor for hypotension with shock
D) Administer diphenhydramine as ordered: The correct answer is B: Administer epinephrine
1:1000 as ordered .
4.Which of these children at the site of a disaster at a child day care center would thea
triage nurse put in the "treat last" category?
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: The correct answer is B: A
toddler with severe deep abrasions over 98% of the body .
5.When admitting a client to an acute care facility, an identification bracelet is sent up with
the admission form. In the event these do not 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 replacement is supplied
C) Notify the admissions office and wait to apply the bracelet
D) Make a corrected identification bracelet for the client: The correct answer is C: notify the
admissions office and wait to apply the bracelet
6.The nurse is having difficulty reading the health care provider's writtenorder that was
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 interpretation
D) Call the provider for clarification: The correct answer is D: Call the provider for clarification
7.An adult client is found to be unresponsive on morning rounds. After Checking for
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: The correct answer is D: open the client''s airway
8.A client has an order for 1000 ml of D5W over an 8 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: The correct answer is D: Auscultate the lungs
9.Following change-of-shift report on an orthopedic unit, which client should the nurse
see first?
A) 16 year-old who had an open reduction of a fractured wrist 10 hours ago
B) 20 year-old in skeletal traction for 2 weeks since a motorcycle 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.: The
correct answer is C: 72 year-old recovering from surgery after hip replacement 2 hours ago
10.A nurse observes a family member administer a rectal suppository by having the client
lie on the left side for the administration. The family member pushed the suppository until
the finger went up to the second 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 far enough.
D) Did you feel any stool in the intestinal tract?: The correct answer is B: That was done
