EXIT HESI V5 EXAM QUESTIONS WITH CORRECT
ANSWERS
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 - CORRECT ANSWER✔✔-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 - CORRECT ANSWER✔✔-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 - CORRECT ANSWER✔✔-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 - CORRECT ANSWER✔✔-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 - CORRECT ANSWER✔✔-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 - CORRECT ANSWER✔✔-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 - CORRECT ANSWER✔✔-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 - CORRECT ANSWER✔✔-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 - CORRECT ANSWER✔✔-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." - CORRECT
| | | | | | | | | | |
ANSWER✔✔-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." - CORRECT ANSWER✔✔-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
| | | | | |
ANSWERS
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 - CORRECT ANSWER✔✔-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 - CORRECT ANSWER✔✔-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 - CORRECT ANSWER✔✔-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 - CORRECT ANSWER✔✔-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 - CORRECT ANSWER✔✔-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 - CORRECT ANSWER✔✔-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 - CORRECT ANSWER✔✔-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 - CORRECT ANSWER✔✔-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 - CORRECT ANSWER✔✔-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." - CORRECT
| | | | | | | | | | |
ANSWER✔✔-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." - CORRECT ANSWER✔✔-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
| | | | | |
