Exit Hesi (BSN 366- V3) Exam
Questions & Answers21
A 64 year-old client scheduled for surgery with a general anesthetic refuses to remove a set of
dentures prior to leaving the unit for the operating room. What would be the most appropriate
intervention by the nurse? - ANSWERS-Ask the client if the preference would be to remove the
dentures in the operating room receiving area
The nurse has been teaching adult clients about cardiac risks when they visit the hypertension
clinic. Which form of evaluation would best measure learning? - ANSWERS-Reported behavioral
changes
The nurse is planning care for an 18 month-old child. Which action should be included in the
child's care? - ANSWERS-Encourage the child to feed himself finger food
A partner is concerned because the client frequently daydreams about moving to Arizona to get
away from the pollution and crowding in southern California. The nurse explains that -
ANSWERS-Such fantasies can gratify unconscious wishes or prepare for anticipated future
events
An appropriate goal for a client with anxiety would be to - ANSWERS-Learn self-help techniques
While the nurse is administering medications to a client, the client states "I do not want to take
that medicine today." Which of the following responses by the nurse would be best? -
ANSWERS-"Is there a reason why you don't want to take your medicine?"
While caring for a client, the nurse notes a pulsating mass in the client's periumbilical area.
Which of the following assessments is appropriate for the nurse to perform? - ANSWERS-
Auscultate the mass
,A client is admitted to the hospital with a history of confusion. The client has difficulty
remembering recent events and becomes disoriented when away from home. Which statement
would provide the best reality orientation for this client? - ANSWERS-"Good morning. You're in
the hospital. I am your nurse Elaine Jones."
The nurse is teaching the parents of a 3 month-old infant about nutrition. What is the main
source of fluids for an infant until about 12 months of age? - ANSWERS-Formula or breast milk
The family of a 6 year-old with a fractured femur asks the nurse if the child's height will be
affected by the injury. Which statement is true concerning long bone fractures in children? -
ANSWERS-Epiphyseal fractures often interrupt a child's normal growth pattern
The nurse is assessing a client who states her last menstrual period was March 16, and she has
missed one period. She reports episodes of nausea and vomiting. Pregnancy is confirmed by a
urine test. What will the nurse calculate as the estimated date of delivery (EDD)? - ANSWERS-
December 23
When screening children for scoliosis, at what time of development would the nurse expect
early signs to appear? - ANSWERS-During the preadolescent growth spurt
A client with congestive heart failure is newly admitted to home health care. The nurse
discovers that the client has not been following the prescribed diet. What would be the most
appropriate nursing action? - ANSWERS-Discuss diet with the client to learn the reasons for not
following the diet
A client states, "People think I'm no good, you know what I mean?" Which of these responses
would be most therapeutic? - ANSWERS-"I'm not sure what you mean. Tell me a bit more about
that."
, A client being treated for hypertension returns to the community clinic for follow up. The client
says, "I know these pills are important, but I just can't take these water pills anymore. I drive a
truck for a living, and I can't be stopping every 20 minutes to go to the bathroom." Which of
these is the best nursing diagnosis? - ANSWERS-Noncompliance related to medication side
effects
When teaching effective stress management techniques to a client 1 hour before surgery, which
of the following should the nurse recommend? - ANSWERS-Deep breathing
When observing 4 year-old children playing in the hospital playroom, what activity would the
nurse expect to see the children participating in? - ANSWERS-Playing cooperatively with other
preschoolers
The nurse is assessing a 4 month-old infant. Which motor skill would the nurse anticipate
finding? - ANSWERS-Hold a rattle
When teaching a 10 year-old child about their impending heart surgery, which form of
explanation meets the developmental needs of this age child? - ANSWERS-Explain the surgery
using a model of the heart
The parents of a child who has suddenly been hospitalized for an acute illness state that they
should have taken the child to the pediatrician earlier. Which approach by the nurse is best
when dealing with the parents' comments? - ANSWERS-Accept their feelings without judgment
When caring for a client who is receiving a thrombolytic agent to open a clot occluded coronary
artery after a myocardial infarction, which finding would be of greatest concern to the nurse? -
ANSWERS-Hematemesis
When caring for a client with total parenteral nutrition (TPN), what is the most important action
on the part of the nurse? - ANSWERS-Sterile technique for dressing change at IV site
Questions & Answers21
A 64 year-old client scheduled for surgery with a general anesthetic refuses to remove a set of
dentures prior to leaving the unit for the operating room. What would be the most appropriate
intervention by the nurse? - ANSWERS-Ask the client if the preference would be to remove the
dentures in the operating room receiving area
The nurse has been teaching adult clients about cardiac risks when they visit the hypertension
clinic. Which form of evaluation would best measure learning? - ANSWERS-Reported behavioral
changes
The nurse is planning care for an 18 month-old child. Which action should be included in the
child's care? - ANSWERS-Encourage the child to feed himself finger food
A partner is concerned because the client frequently daydreams about moving to Arizona to get
away from the pollution and crowding in southern California. The nurse explains that -
ANSWERS-Such fantasies can gratify unconscious wishes or prepare for anticipated future
events
An appropriate goal for a client with anxiety would be to - ANSWERS-Learn self-help techniques
While the nurse is administering medications to a client, the client states "I do not want to take
that medicine today." Which of the following responses by the nurse would be best? -
ANSWERS-"Is there a reason why you don't want to take your medicine?"
While caring for a client, the nurse notes a pulsating mass in the client's periumbilical area.
Which of the following assessments is appropriate for the nurse to perform? - ANSWERS-
Auscultate the mass
,A client is admitted to the hospital with a history of confusion. The client has difficulty
remembering recent events and becomes disoriented when away from home. Which statement
would provide the best reality orientation for this client? - ANSWERS-"Good morning. You're in
the hospital. I am your nurse Elaine Jones."
The nurse is teaching the parents of a 3 month-old infant about nutrition. What is the main
source of fluids for an infant until about 12 months of age? - ANSWERS-Formula or breast milk
The family of a 6 year-old with a fractured femur asks the nurse if the child's height will be
affected by the injury. Which statement is true concerning long bone fractures in children? -
ANSWERS-Epiphyseal fractures often interrupt a child's normal growth pattern
The nurse is assessing a client who states her last menstrual period was March 16, and she has
missed one period. She reports episodes of nausea and vomiting. Pregnancy is confirmed by a
urine test. What will the nurse calculate as the estimated date of delivery (EDD)? - ANSWERS-
December 23
When screening children for scoliosis, at what time of development would the nurse expect
early signs to appear? - ANSWERS-During the preadolescent growth spurt
A client with congestive heart failure is newly admitted to home health care. The nurse
discovers that the client has not been following the prescribed diet. What would be the most
appropriate nursing action? - ANSWERS-Discuss diet with the client to learn the reasons for not
following the diet
A client states, "People think I'm no good, you know what I mean?" Which of these responses
would be most therapeutic? - ANSWERS-"I'm not sure what you mean. Tell me a bit more about
that."
, A client being treated for hypertension returns to the community clinic for follow up. The client
says, "I know these pills are important, but I just can't take these water pills anymore. I drive a
truck for a living, and I can't be stopping every 20 minutes to go to the bathroom." Which of
these is the best nursing diagnosis? - ANSWERS-Noncompliance related to medication side
effects
When teaching effective stress management techniques to a client 1 hour before surgery, which
of the following should the nurse recommend? - ANSWERS-Deep breathing
When observing 4 year-old children playing in the hospital playroom, what activity would the
nurse expect to see the children participating in? - ANSWERS-Playing cooperatively with other
preschoolers
The nurse is assessing a 4 month-old infant. Which motor skill would the nurse anticipate
finding? - ANSWERS-Hold a rattle
When teaching a 10 year-old child about their impending heart surgery, which form of
explanation meets the developmental needs of this age child? - ANSWERS-Explain the surgery
using a model of the heart
The parents of a child who has suddenly been hospitalized for an acute illness state that they
should have taken the child to the pediatrician earlier. Which approach by the nurse is best
when dealing with the parents' comments? - ANSWERS-Accept their feelings without judgment
When caring for a client who is receiving a thrombolytic agent to open a clot occluded coronary
artery after a myocardial infarction, which finding would be of greatest concern to the nurse? -
ANSWERS-Hematemesis
When caring for a client with total parenteral nutrition (TPN), what is the most important action
on the part of the nurse? - ANSWERS-Sterile technique for dressing change at IV site
