HESI EXIT V2 2021 QUESTIONS AND ANSWERS NEW

2019 HESI EXIT V21. The nurse knows that which statement by the mother indicates that themotherunderstands safety precautions with her four month-old infant and her 4 year-old child?A) "I strap the infant car seat on the front seat to face backwards."B) "I place my infant in the middle of the living room floor on a blanket to play with my4 year old while I make supper in the kitchen."C) "My sleeping baby lies so cute in the crib with the little buttocks stuck up in the airwhile the four year old naps on the sofa."D) "I have the 4 year-old hold and help feed the four month-old a bottle inthe kitchenwhile I make supper."The correct answer is D: "I have the four year-old hold and help feed the four month-olda bottle in the kitchen2. Upon completing the admission documents, the nurse learns that the 87 year-old clientdoes not have an advance directive. What action should the nurse take?A) Record the information on the chartB) Give information about advance directivesC) Assume that this client wishes a full codeD) Refer this issue to the unit secretaryThe correct answer is B: Give information about advance directives3. A nurse administers the influenza vaccine to a client in a clinic. Within 15 minutes afterthe immunization was given, the client complains of itchy and watery eyes, increasedanxiety, and difficulty breathing. The nurse expects that the first action in the sequence ofcare for this client will be toA) Maintain the airwayB) Administer epinephrine 1:1000 as orderedC) Monitor for hypotension with shockD) Administer diphenhydramine as orderedThe correct answer is B: Administer epinephrine 1:1000 as ordered .4. Which of these children at the site of a disaster at a child day care center would thetriage nurse put in the "treat last" category?A) An infant with intermittent bulging anterior fontanel between crying episodes