Fortis HESI PN Exit V2 (Latest 2025/ 2026 Update) |
Questions & Answers| Grade A| 100% Correct (Verified
Solutions)- Fortis
The nurse is has just admitted a client with severe depression. From which focus should the
nurse identify a priority nursing diagnosis?
A) Nutrition
B) Elimination
C) Activity
D) Safety - D: Safety
While explaining an illness to a 10 year-old, what should the nurse keep in mind about the
cognitive development at this age?
A) They are able to make simple association of ideas
B) They are able to think logically in organizing facts
C) Interpretation of events originate from their own perspective
D) Conclusions are based on previous experiences - B: Think logically in organizing facts
The nurse enters the room as a 3 year-old is having a generalized seizure. Which intervention
should the nurse do first?
A) Clear the area of any hazards
B) Place the child on the side
C) Restrain the child
D) Give the prescribed anticonvulsant - B: Place the child on the side
The nurse is reviewing a depressed client's history from an earlier admission. Documentation of
anhedonia is noted. The nurse understands that this finding refers to
A) Reports of difficulty falling and staying asleep
B) Expression of persistent suicidal thoughts
C) Lack of enjoyment in usual pleasures
,D) Reduced senses of taste and smell - C: Lack of enjoyment in usual pleasures
A client has just returned to the medical-surgical unit following a segmental lung resection.
After assessing the client, the first nursing action would be to
A) Administer pain medication
B) Suction excessive tracheobronchial secretions
C) Assist client to turn, deep breathe and cough
D) Monitor oxygen saturation - B) Suction excessive tracheobronchial secretions
While assessing a client in an outpatient facility with a panic disorder, the nurse completes a
thorough health history and physical exam. Which finding is most significantfor this client?
A) Compulsive behavior
B) Sense of impending doom
C) Fear of flying
D) Predictable episodes - B) Sense of impending doom
A 16 month-old child has just been admitted to the hospital. As the nurse assigned to this child
enters the hospital room for the first time, the toddler runs to the mother, clings
to her and begins to cry. What would be the initial action by the nurse?
A) Arrange to change client care assignments
B) Explain that this behavior is expected
C) Discuss the appropriate use of "time-out"
D) Explain that the child needs extra attention - B) Explain that this behavior is expected
A 15 year-old client with a lengthy confining illness is at risk for altered growth and
development of which task?
A) Loss of control
B) Insecurity
C) Dependence
D) Lack of trust - C) Dependence
,Which playroom activities should the nurse organize for a small group of 7 year-old hospitalized
children?
A) Sports and games with rules
B) Finger paints and water play
C) "Dress-up" clothes and props
D) Chess and television programs - A) Sports and games with rules
The nurse is discussing dietary intake with an adolescent who has acne. The most appropriate
statement for the nurse is
A) "Eat a balanced diet for your age."
B) "Increase your intake of protein and Vitamin A."
C) "Decrease fatty foods from your diet."
D) "Do not use caffeine in any form, including chocolate." - A) "Eat a balanced diet for your
age."
The nurse is assigned to a newly delivered woman with HIV/AIDS. The student asks the nurse
about how it is determined that a person has AIDS other than a positive HIV test. The nurse
responds
A) "The complaints of at least 3 common findings."
B) "The absence of any opportunistic infection."
C) "CD4 lymphocyte count is less than 200."
D) "Developmental delays in children." - C) "CD4 lymphocyte count is less than 200."
The nurse is caring for a child who has just returned from surgery following a tonsillectomy and
adenoidectomy. Which action by the nurse is appropriate?
A) Offer ice cream every 2 hours
B) Place the child in a supine position
C) Allow the child to drink through a straw
D) Observe swallowing patterns - D: Observe swallowing patterns
, A 23 year-old single client is in the 33rd week of her first pregnancy. She tells the nurse that she
has everything ready for the baby and has made plans for the first weeks together at home.
Which normal emotional reaction does the nurse recognize?
A) Acceptance of the pregnancy
B) Focus on fetal development
C) Anticipation of the birth
D) Ambivalence about pregnancy - C: Anticipation of the birth
The nurse is planning care for a client with pneumococcal pneumonia. Which of the following
would be most effective in removing respiratory secretions?
A) Administration of cough suppressants
B) Increasing oral fluid intake to 3000 cc per day
C) Maintaining bed rest with bathroom privileges
D) Performing chest physiotherapy twice a day - B: Increasing oral fluid intake to 3000 cc per
day
15. The nurse in a well-child clinic examines many children on a daily basis. Which of the
following toddlers requires further follow up?
A) A 13 month-old unable to walk
B) A 20 month-old only using 2 and 3 word sentences
C) A 24 month-old who cries during examination
D) A 30 month-old only drinking from a sip cup - D: A 30 month-old only drinking from a sip
cup
Which of the following would be the best strategy for the nurse to use when teaching insulin
injection techniques to a newly diagnosed client with diabetes?
A) Give written pre and post tests
B) Ask questions during practice
C) Allow another diabetic to assist
D) Observe a return demonstration - D: Observe a return demonstration
Questions & Answers| Grade A| 100% Correct (Verified
Solutions)- Fortis
The nurse is has just admitted a client with severe depression. From which focus should the
nurse identify a priority nursing diagnosis?
A) Nutrition
B) Elimination
C) Activity
D) Safety - D: Safety
While explaining an illness to a 10 year-old, what should the nurse keep in mind about the
cognitive development at this age?
A) They are able to make simple association of ideas
B) They are able to think logically in organizing facts
C) Interpretation of events originate from their own perspective
D) Conclusions are based on previous experiences - B: Think logically in organizing facts
The nurse enters the room as a 3 year-old is having a generalized seizure. Which intervention
should the nurse do first?
A) Clear the area of any hazards
B) Place the child on the side
C) Restrain the child
D) Give the prescribed anticonvulsant - B: Place the child on the side
The nurse is reviewing a depressed client's history from an earlier admission. Documentation of
anhedonia is noted. The nurse understands that this finding refers to
A) Reports of difficulty falling and staying asleep
B) Expression of persistent suicidal thoughts
C) Lack of enjoyment in usual pleasures
,D) Reduced senses of taste and smell - C: Lack of enjoyment in usual pleasures
A client has just returned to the medical-surgical unit following a segmental lung resection.
After assessing the client, the first nursing action would be to
A) Administer pain medication
B) Suction excessive tracheobronchial secretions
C) Assist client to turn, deep breathe and cough
D) Monitor oxygen saturation - B) Suction excessive tracheobronchial secretions
While assessing a client in an outpatient facility with a panic disorder, the nurse completes a
thorough health history and physical exam. Which finding is most significantfor this client?
A) Compulsive behavior
B) Sense of impending doom
C) Fear of flying
D) Predictable episodes - B) Sense of impending doom
A 16 month-old child has just been admitted to the hospital. As the nurse assigned to this child
enters the hospital room for the first time, the toddler runs to the mother, clings
to her and begins to cry. What would be the initial action by the nurse?
A) Arrange to change client care assignments
B) Explain that this behavior is expected
C) Discuss the appropriate use of "time-out"
D) Explain that the child needs extra attention - B) Explain that this behavior is expected
A 15 year-old client with a lengthy confining illness is at risk for altered growth and
development of which task?
A) Loss of control
B) Insecurity
C) Dependence
D) Lack of trust - C) Dependence
,Which playroom activities should the nurse organize for a small group of 7 year-old hospitalized
children?
A) Sports and games with rules
B) Finger paints and water play
C) "Dress-up" clothes and props
D) Chess and television programs - A) Sports and games with rules
The nurse is discussing dietary intake with an adolescent who has acne. The most appropriate
statement for the nurse is
A) "Eat a balanced diet for your age."
B) "Increase your intake of protein and Vitamin A."
C) "Decrease fatty foods from your diet."
D) "Do not use caffeine in any form, including chocolate." - A) "Eat a balanced diet for your
age."
The nurse is assigned to a newly delivered woman with HIV/AIDS. The student asks the nurse
about how it is determined that a person has AIDS other than a positive HIV test. The nurse
responds
A) "The complaints of at least 3 common findings."
B) "The absence of any opportunistic infection."
C) "CD4 lymphocyte count is less than 200."
D) "Developmental delays in children." - C) "CD4 lymphocyte count is less than 200."
The nurse is caring for a child who has just returned from surgery following a tonsillectomy and
adenoidectomy. Which action by the nurse is appropriate?
A) Offer ice cream every 2 hours
B) Place the child in a supine position
C) Allow the child to drink through a straw
D) Observe swallowing patterns - D: Observe swallowing patterns
, A 23 year-old single client is in the 33rd week of her first pregnancy. She tells the nurse that she
has everything ready for the baby and has made plans for the first weeks together at home.
Which normal emotional reaction does the nurse recognize?
A) Acceptance of the pregnancy
B) Focus on fetal development
C) Anticipation of the birth
D) Ambivalence about pregnancy - C: Anticipation of the birth
The nurse is planning care for a client with pneumococcal pneumonia. Which of the following
would be most effective in removing respiratory secretions?
A) Administration of cough suppressants
B) Increasing oral fluid intake to 3000 cc per day
C) Maintaining bed rest with bathroom privileges
D) Performing chest physiotherapy twice a day - B: Increasing oral fluid intake to 3000 cc per
day
15. The nurse in a well-child clinic examines many children on a daily basis. Which of the
following toddlers requires further follow up?
A) A 13 month-old unable to walk
B) A 20 month-old only using 2 and 3 word sentences
C) A 24 month-old who cries during examination
D) A 30 month-old only drinking from a sip cup - D: A 30 month-old only drinking from a sip
cup
Which of the following would be the best strategy for the nurse to use when teaching insulin
injection techniques to a newly diagnosed client with diabetes?
A) Give written pre and post tests
B) Ask questions during practice
C) Allow another diabetic to assist
D) Observe a return demonstration - D: Observe a return demonstration
