EXIT HESI V1
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1. A client is receiving ophthalmic drops preoperatively for a cataract extrac-
tion and asks the nurse why the healthcare provider has prescribed all these
medications. Which information should the nurse included when responding
to this client? (Select all that apply.): • B Pupillary dilation is necessary to access the eye chamber for
lens removal.
• C The iris must be paralyzed during surgery to prevent it from reacting to light.
E One of the medications is used to anesthetize the corneal surface.
2. An adult client presents to the clinic with large draining ulcers on both lower
legs that are characteristic of Kaposi's sarcoma lesions. The client is accompa-
nied by two family members. Which action should the nurse take?: • C Send family
to the waiting area while the client's history is taken.
3. The nurse is developing a teaching plan for a client with acute gastritis caused
by drinking contaminated water. The nurse should emphasize the need to
report the onset of which problem?: A Bloody mesis
4. The charge nurse in an extended care facility is organizing unit activities for
the day. Which action may be safely delegated to the practical nurse (PN)?: Es-
tablish blood pressure parameters for client monitoring.
5. The school nurse is preparing a teaching pamphlet in response to requests
from parents regarding an outbreak of pinworms at the local preschool. Which
information about the most commonly prescribed medication, mebendazole,
should be included?: A Only children with perianal itching should take the medication.
6. A 3-year-old boy was successfully toilet trained prior to his admission to the
hospital for inuries sustained from a fall. His parents are very concerned that
the child has regressed in his toileting behaviors. Which information should
the nurse provide to the parents?: Children usually resume their toileting behaviors when they leave
the hospital.
7. The healthcare provider prescribes the antibiotic cefdinir 300 mg by mouth
every 12 hours for a client with a postoperative wound infection.
Which foods should the nurse encourage this client to eat?: • B Yogurt or buttermilk.
8. A 10-year-old with acute decompensated heart failure has a 3 pound (1.4 kg)
weight gain in the last 24 hours. Which intervention is most important for the
nurse to implement?: Assess bilateral lung sounds.
, EXIT HESI V1
Study online at https://quizlet.com/_di62s1
9. A client with delusions tells the nurse, "You aren't doing your job. Go get those
people over there and shoot them before they get me." Which statement is the
nurse's best response?: "You seem quite frightened right now."
10. The nurse is caring for a client who receives a prescription for valproic acid
in which the maximum safe dosage is 60 mg/kg/day. How many mg/day is the
maximum safe dosage for a client who weighs 176 pounds? (Enter numerical
value only.): 4800
11. The public health nurse receives funding to initiate a primary prevention pro-
gram in the community. Which program best fits the nurse's proposal?: Vitamin
supplements for high-risk pregnant women.
12. A client is admitted with the diagnosis of Wernicke's syndrome. Which as-
sessment finding should the nurse use in planning the client's care?: Confusion.
13. The nurse is caring for a client after a thoracentesis that drained 50 mL of
clear fluid from the left lung. Which assessment finding should the nurse report
to the healthcare provider immediately?: Mediastinal shift to the right.
14. A client arrives to the emergency department with chest pain after taking
sildenafil. Based on the client's history, which medication should the nurse
withhold?: Nitroglycerin.
15. Six weeks after the birth of a child with Trisomy 21, the parents return to the
prenatal clinic for a follow-up visit. They have spoken with a genetic counselor,
but are still unsure about the risk of having another child with Trisomy 21. The
couple brings literature from the counselor with them, and asks the nurse to
explain it. Which action should the nurse take?: Review the literature and answer any questions
the nurse is able to answer.
16. A client who is one day postpartum tells the nurse that her baby cannot latch
onto the breast. The nurse determines that the client's nipples are inverted.: -
Recommend using a breast shield.
17. While a child is hospitalized with acute glomerulonephritis, the parents ask
why blood pressure readings are taken so often. Which response by the nurse
is most accurate?: Elevated blood pressure must be anticipated and identified quickly.
18. A week after admission to intensive care for a bowel obstruction, a client
is confused to time and place. The nurse frequently attempts to reorient the
Study online at https://quizlet.com/_di62s1
1. A client is receiving ophthalmic drops preoperatively for a cataract extrac-
tion and asks the nurse why the healthcare provider has prescribed all these
medications. Which information should the nurse included when responding
to this client? (Select all that apply.): • B Pupillary dilation is necessary to access the eye chamber for
lens removal.
• C The iris must be paralyzed during surgery to prevent it from reacting to light.
E One of the medications is used to anesthetize the corneal surface.
2. An adult client presents to the clinic with large draining ulcers on both lower
legs that are characteristic of Kaposi's sarcoma lesions. The client is accompa-
nied by two family members. Which action should the nurse take?: • C Send family
to the waiting area while the client's history is taken.
3. The nurse is developing a teaching plan for a client with acute gastritis caused
by drinking contaminated water. The nurse should emphasize the need to
report the onset of which problem?: A Bloody mesis
4. The charge nurse in an extended care facility is organizing unit activities for
the day. Which action may be safely delegated to the practical nurse (PN)?: Es-
tablish blood pressure parameters for client monitoring.
5. The school nurse is preparing a teaching pamphlet in response to requests
from parents regarding an outbreak of pinworms at the local preschool. Which
information about the most commonly prescribed medication, mebendazole,
should be included?: A Only children with perianal itching should take the medication.
6. A 3-year-old boy was successfully toilet trained prior to his admission to the
hospital for inuries sustained from a fall. His parents are very concerned that
the child has regressed in his toileting behaviors. Which information should
the nurse provide to the parents?: Children usually resume their toileting behaviors when they leave
the hospital.
7. The healthcare provider prescribes the antibiotic cefdinir 300 mg by mouth
every 12 hours for a client with a postoperative wound infection.
Which foods should the nurse encourage this client to eat?: • B Yogurt or buttermilk.
8. A 10-year-old with acute decompensated heart failure has a 3 pound (1.4 kg)
weight gain in the last 24 hours. Which intervention is most important for the
nurse to implement?: Assess bilateral lung sounds.
, EXIT HESI V1
Study online at https://quizlet.com/_di62s1
9. A client with delusions tells the nurse, "You aren't doing your job. Go get those
people over there and shoot them before they get me." Which statement is the
nurse's best response?: "You seem quite frightened right now."
10. The nurse is caring for a client who receives a prescription for valproic acid
in which the maximum safe dosage is 60 mg/kg/day. How many mg/day is the
maximum safe dosage for a client who weighs 176 pounds? (Enter numerical
value only.): 4800
11. The public health nurse receives funding to initiate a primary prevention pro-
gram in the community. Which program best fits the nurse's proposal?: Vitamin
supplements for high-risk pregnant women.
12. A client is admitted with the diagnosis of Wernicke's syndrome. Which as-
sessment finding should the nurse use in planning the client's care?: Confusion.
13. The nurse is caring for a client after a thoracentesis that drained 50 mL of
clear fluid from the left lung. Which assessment finding should the nurse report
to the healthcare provider immediately?: Mediastinal shift to the right.
14. A client arrives to the emergency department with chest pain after taking
sildenafil. Based on the client's history, which medication should the nurse
withhold?: Nitroglycerin.
15. Six weeks after the birth of a child with Trisomy 21, the parents return to the
prenatal clinic for a follow-up visit. They have spoken with a genetic counselor,
but are still unsure about the risk of having another child with Trisomy 21. The
couple brings literature from the counselor with them, and asks the nurse to
explain it. Which action should the nurse take?: Review the literature and answer any questions
the nurse is able to answer.
16. A client who is one day postpartum tells the nurse that her baby cannot latch
onto the breast. The nurse determines that the client's nipples are inverted.: -
Recommend using a breast shield.
17. While a child is hospitalized with acute glomerulonephritis, the parents ask
why blood pressure readings are taken so often. Which response by the nurse
is most accurate?: Elevated blood pressure must be anticipated and identified quickly.
18. A week after admission to intensive care for a bowel obstruction, a client
is confused to time and place. The nurse frequently attempts to reorient the
