HEALTHY SCI COH 315 HESI PN EXITEXAM
V3 100 QUESTIONS AND ANSWERS BEST
RATED A+
LATEST 2025
1. A client is being discharged home after being treated for heart failure (HF).
What instruction should the nurse include in this client’s discharge teaching
plan?
• Weigh every morning
• Eat a high protein diet
, • Perform range of motion exercises
• Limit fluid intake to 1,500 ml daily
2. A woman just learned that she was infected with Heliobacter pylori. Based
on this finding, which health promotion practice should the nurse suggest?
• Encourage screening for a peptic ulcer
3. A client who recently underwear a tracheostomy is being prepared for
discharge to home. Which instructions is most important for the nurse to
include in the discharge plan?
• Teach tracheal suctioning techniques
4. A child with heart failure is receiving the diuretic furosemide (Lasix) and
has serum potassium level 3.0 mEq/L. Which assessment is most important
for the nurse to obtain?
• Cardiac rhythm and heart rate.
• Daily intake of foods rich in potassium.
, • Hourly urinary output
• Thirst ad skin turgor.
5. The nurse note a depressed female client has been more withdrawn and non-
communicative during the past two weeks. Which intervention is most
important to include in the updated plan of care for this client?
• Encourage the client’s family to visit more often
• Schedule a daily conference with the social worker
• Encourage the client to participate in group activities
• Engage the client in a non-threatening conversation.
• Rationale: Consistent attempts to draw the client into conversations
which focus on non-threatening subjects can be an effective means of
eliciting a response, thereby decreasing isolation behaviors. There is
not sufficient data to support the effectiveness of A as an intervention
for this client. Although B may be indicated, nursing interventions
can also be used to treat this client. C is too threatening to this client.
6. An adult client experiences a gasoline tank fire when riding a motorcycle and
is admitted to the emergency department (ED) with full thickness burns to all
surfaces of both lower extremities. What percentage of body surface area
should the nurse document in the electronic medical record (EMR)?
• 9%
• 18 %
• 36 %
• 45 %
• Rational: according to the rule of nines, the anterior and posterior
surfaces of one lower extremity is designated as 18 %of total body
surface area (TBSA), so both extremities equals 36% TBSA, other
options are incorrect.
, 7. A 56-years-old man shares with the nurse that he is having difficulty making
decision about terminating life support for his wife. What is the best initial
action by the nurse?
V3 100 QUESTIONS AND ANSWERS BEST
RATED A+
LATEST 2025
1. A client is being discharged home after being treated for heart failure (HF).
What instruction should the nurse include in this client’s discharge teaching
plan?
• Weigh every morning
• Eat a high protein diet
, • Perform range of motion exercises
• Limit fluid intake to 1,500 ml daily
2. A woman just learned that she was infected with Heliobacter pylori. Based
on this finding, which health promotion practice should the nurse suggest?
• Encourage screening for a peptic ulcer
3. A client who recently underwear a tracheostomy is being prepared for
discharge to home. Which instructions is most important for the nurse to
include in the discharge plan?
• Teach tracheal suctioning techniques
4. A child with heart failure is receiving the diuretic furosemide (Lasix) and
has serum potassium level 3.0 mEq/L. Which assessment is most important
for the nurse to obtain?
• Cardiac rhythm and heart rate.
• Daily intake of foods rich in potassium.
, • Hourly urinary output
• Thirst ad skin turgor.
5. The nurse note a depressed female client has been more withdrawn and non-
communicative during the past two weeks. Which intervention is most
important to include in the updated plan of care for this client?
• Encourage the client’s family to visit more often
• Schedule a daily conference with the social worker
• Encourage the client to participate in group activities
• Engage the client in a non-threatening conversation.
• Rationale: Consistent attempts to draw the client into conversations
which focus on non-threatening subjects can be an effective means of
eliciting a response, thereby decreasing isolation behaviors. There is
not sufficient data to support the effectiveness of A as an intervention
for this client. Although B may be indicated, nursing interventions
can also be used to treat this client. C is too threatening to this client.
6. An adult client experiences a gasoline tank fire when riding a motorcycle and
is admitted to the emergency department (ED) with full thickness burns to all
surfaces of both lower extremities. What percentage of body surface area
should the nurse document in the electronic medical record (EMR)?
• 9%
• 18 %
• 36 %
• 45 %
• Rational: according to the rule of nines, the anterior and posterior
surfaces of one lower extremity is designated as 18 %of total body
surface area (TBSA), so both extremities equals 36% TBSA, other
options are incorrect.
, 7. A 56-years-old man shares with the nurse that he is having difficulty making
decision about terminating life support for his wife. What is the best initial
action by the nurse?
