HESI Exit Exam V5 - Question and Answers

The nurse is has just admitted a client with severe depression. From which focus should the nurse identify a priority nursing diagnosis? 2. While explaining an illness to a 10 year-old, what should the nurse keep in mind about the cognitive development at this age? 3. The nurse enters the room as a 3 year-old is having a generalized seizure. Which intervention should the nurse do first? 4. 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 5. 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 6. 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 significant for this client? 7. 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? 8. A 15 year-old client with a lengthy confining illness is at risk for altered growth and development of which task? 9. Which playroom activities should the nurse organize for a small group of 7 year-old hospitalized children? 10. The nurse is discussing dietary intake with an adolescent who has acne. The most appropriate statement for the nurse is 11. 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 12. 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? 13. A 23 year-old single client is in the 33rd week of her first pregnancy. She tells the nurse that she has everything ready for the baby and has made plans for the first weeks together at home. Which normal emotional reaction does the nurse recognize? 14. The nurse is planning care for a client with pneumococcal pneumonia. Which of the following would be most effective in removing respiratory secretions? 15. The nurse in a well-child clinic examines many children on a daily basis. Which of the following toddlers requires further follow up? 16. Which of the following would be the best strategy for the nurse to use when teaching insulin injection techniques to a newly diagnosed client with diabetes? 17. A client has developed thrombophlebitis of the left leg. Which nursing intervention should be given the highest priority? 18. A nurse from the surgical department is reassigned to the pediatric unit. The charge nurse should recognize that the child at highest risk for cardiac arrest and is the least likely to be assigned to this nurse is which child? 19.