HESI exit v2 QUESTIONS WITH ANSWERS 100%
CORRECT LATEST UPDATE 2024/2025
HESI EXIT V2
The nurse is caring for a pre-adolescent client in skeletal Dunlop
traction. Which nursing intervention is appropriate for this child?
A) Make certain the child is maintained in correct body alignment.
B) Be sure the traction weights touch the end of the bed.
C) Adjust the head and foot of the bed for the child's comfort
D) Release the traction for 15-20 minutes every 6 hours PRN.
The nurse is assessing a healthy child at the 2 year check up. Which of
the following should the nurse report immediately to the health care
provider?
A) Height and weight percentiles vary widely
B) Growth pattern appears to have slowed
C) Recumbent and standing height are different
D) Short term weight changes are uneven
The emergency room nurse admits a child who experienced a seizure
at school. The father comments that this is the first occurrence, and
denies any family history of epilepsy. What is the best response by the
,nurse?
A) "Do not worry. Epilepsy can be treated with
medications." B) "The seizure may or may not mean
your child has epilepsy."
C) "Since this was the first convulsion, it may not happen again."
D) "Long term treatment will prevent future seizures."
Alcohol and drug abuse impairs judgment and increases risk taking
behavior. What nursing diagnosis best applies?
A) Risk for injury
B) Risk for knowledge deficit
,C) Altered thought process
D) Disturbance in self-esteem
The nurse enters a 2 year-old child's hospital room in order to
administer an oral medication. When the child is asked if he is ready to
take his medicine, he immediately says, "No!” What would be the most
appropriate next action?
A) Leave the room and return five minutes later and give the medicine
B) Explain to the child that the medicine must be taken now
C) Give the medication to the father and ask him to give it
D) Mix the medication with ice cream or applesauce
A nurse is doing pre conceptual counseling with a woman who is
planning a pregnancy. Which of the following statements suggests that
the client understands the connection between alcohol consumption and
fetal alcohol syndrome?
A) "I understand that a glass of wine with dinner is healthy."
B) "Beer is not really hard alcohol, so I guess I can drink some."
C) "If I drink, my baby may be harmed before I know I am pregnant."
D) "Drinking with meals reduces the effects of alcohol."
The client who is receiving enteral nutrition through a gastrostomy
tube has had 4 diarrhea stools in the past 24 hours. The nurse should
A) Review the medications the client is receiving
B) Increase the formula infusion rate
C) Increase the amount of water used to flush the tube
D) Attach a rectal bag to protect the skin
, A nurse is assigned to a client who is a new admission for the
treatment of a frontal lobe brain tumor. Which history offered by the
family members would be anticipated by the nurse as associated with the
diagnosis and communicated?
A) "My partner's breathing rate is usually below 12."
B) "I find the mood swings and the change from a calm person to being
angry all the time hard to deal with."
C) "It seems our sex life is nonexistent over the past 6 months."
D) "In the morning and evening I hear complaints that reading is next to
impossible fromblurred print."
The nurse prepares for a Denver Screening test with a 3 year-old child in
the clinic.
CORRECT LATEST UPDATE 2024/2025
HESI EXIT V2
The nurse is caring for a pre-adolescent client in skeletal Dunlop
traction. Which nursing intervention is appropriate for this child?
A) Make certain the child is maintained in correct body alignment.
B) Be sure the traction weights touch the end of the bed.
C) Adjust the head and foot of the bed for the child's comfort
D) Release the traction for 15-20 minutes every 6 hours PRN.
The nurse is assessing a healthy child at the 2 year check up. Which of
the following should the nurse report immediately to the health care
provider?
A) Height and weight percentiles vary widely
B) Growth pattern appears to have slowed
C) Recumbent and standing height are different
D) Short term weight changes are uneven
The emergency room nurse admits a child who experienced a seizure
at school. The father comments that this is the first occurrence, and
denies any family history of epilepsy. What is the best response by the
,nurse?
A) "Do not worry. Epilepsy can be treated with
medications." B) "The seizure may or may not mean
your child has epilepsy."
C) "Since this was the first convulsion, it may not happen again."
D) "Long term treatment will prevent future seizures."
Alcohol and drug abuse impairs judgment and increases risk taking
behavior. What nursing diagnosis best applies?
A) Risk for injury
B) Risk for knowledge deficit
,C) Altered thought process
D) Disturbance in self-esteem
The nurse enters a 2 year-old child's hospital room in order to
administer an oral medication. When the child is asked if he is ready to
take his medicine, he immediately says, "No!” What would be the most
appropriate next action?
A) Leave the room and return five minutes later and give the medicine
B) Explain to the child that the medicine must be taken now
C) Give the medication to the father and ask him to give it
D) Mix the medication with ice cream or applesauce
A nurse is doing pre conceptual counseling with a woman who is
planning a pregnancy. Which of the following statements suggests that
the client understands the connection between alcohol consumption and
fetal alcohol syndrome?
A) "I understand that a glass of wine with dinner is healthy."
B) "Beer is not really hard alcohol, so I guess I can drink some."
C) "If I drink, my baby may be harmed before I know I am pregnant."
D) "Drinking with meals reduces the effects of alcohol."
The client who is receiving enteral nutrition through a gastrostomy
tube has had 4 diarrhea stools in the past 24 hours. The nurse should
A) Review the medications the client is receiving
B) Increase the formula infusion rate
C) Increase the amount of water used to flush the tube
D) Attach a rectal bag to protect the skin
, A nurse is assigned to a client who is a new admission for the
treatment of a frontal lobe brain tumor. Which history offered by the
family members would be anticipated by the nurse as associated with the
diagnosis and communicated?
A) "My partner's breathing rate is usually below 12."
B) "I find the mood swings and the change from a calm person to being
angry all the time hard to deal with."
C) "It seems our sex life is nonexistent over the past 6 months."
D) "In the morning and evening I hear complaints that reading is next to
impossible fromblurred print."
The nurse prepares for a Denver Screening test with a 3 year-old child in
the clinic.
