EXIT HESI (BSN 366- V3) EXAM QUESTIONS WITH
ANSWERS 100% CORRECT
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? - ANSWER 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? - ANSWER
Reported behavioral changes
The nurse is planning care for an 18 month-old child. Which action should be included in
the child's care? - ANSWER 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 - ANSWER Such fantasies can gratify unconscious wishes or prepare for
anticipated future events
An appropriate goal for a client with anxiety would be to - ANSWER 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? - ANSWER "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? -
ANSWER 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? - ANSWER "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? - ANSWER 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? - ANSWER 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)? - ANSWER December 23
When screening children for scoliosis, at what time of development would the nurse
expect early signs to appear? - ANSWER 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? - ANSWER 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? - ANSWER "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? - ANSWER 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? - ANSWER 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? - ANSWER Playing cooperatively
with other preschoolers
The nurse is assessing a 4 month-old infant. Which motor skill would the nurse
anticipate finding? - ANSWER 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? - ANSWER 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? - ANSWER 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? - ANSWER Hematemesis
When caring for a client with total parenteral nutrition (TPN), what is the most important
action on the part of the nurse? - ANSWER Sterile technique for dressing change at IV
site
A 52 year-old client is being transfused with one unit of packed cells. A half hour after
the transfusion was initiated, the client complains of chills and headache. Which action
should the nurse implement first? - ANSWER Stop the transfusion
An adolescent client is hospitalized with menarthrosis from a Hemophilia A bleeding
episode. Which order should be questioned by the nurse? - ANSWER Aspirin for pain
ANSWERS 100% CORRECT
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? - ANSWER 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? - ANSWER
Reported behavioral changes
The nurse is planning care for an 18 month-old child. Which action should be included in
the child's care? - ANSWER 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 - ANSWER Such fantasies can gratify unconscious wishes or prepare for
anticipated future events
An appropriate goal for a client with anxiety would be to - ANSWER 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? - ANSWER "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? -
ANSWER 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? - ANSWER "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? - ANSWER 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? - ANSWER 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)? - ANSWER December 23
When screening children for scoliosis, at what time of development would the nurse
expect early signs to appear? - ANSWER 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? - ANSWER 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? - ANSWER "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? - ANSWER 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? - ANSWER 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? - ANSWER Playing cooperatively
with other preschoolers
The nurse is assessing a 4 month-old infant. Which motor skill would the nurse
anticipate finding? - ANSWER 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? - ANSWER 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? - ANSWER 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? - ANSWER Hematemesis
When caring for a client with total parenteral nutrition (TPN), what is the most important
action on the part of the nurse? - ANSWER Sterile technique for dressing change at IV
site
A 52 year-old client is being transfused with one unit of packed cells. A half hour after
the transfusion was initiated, the client complains of chills and headache. Which action
should the nurse implement first? - ANSWER Stop the transfusion
An adolescent client is hospitalized with menarthrosis from a Hemophilia A bleeding
episode. Which order should be questioned by the nurse? - ANSWER Aspirin for pain
