Hesi V2 EXIT EXAM 2024 QUESTIONS AND C
ORRECT ANSWERS LATEST 2024-2025
The nurse knows that which statement by the mother indicates that the mother
understands 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 my
4-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 air while 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
in the kitchen while I make supper." - correct-answer-"I have the four year-old
hold and help feed the four month-old a bottle in the kitchen
Upon completing the admission documents, the nurse learns that the 87-year-old
client does not have an advance directive. What action should the nurse take? A)
Record the information on the chart B) Give information about advance directives
C) Assume that this client wishes a full code D) Refer this issue to the unit
secretary - correct-answer-Give information about advance directives
A nurse administers the influenza vaccine to a client in a clinic. Within 15 minutes
after the immunization was given, the client complains of itchy and watery eyes,
increased anxiety, and difficulty breathing. The nurse expects that the first action
in the sequence of care for this client will be to A) Maintain the airway B)
Administer epinephrine 1:1000 as ordered C) Monitor for hypotension with shock
D) Administer diphenhydramine as ordered - correct-answer-Administer
epinephrine 1:1000 as ordered .
Which of these children at the site of a disaster at a child day care center would
the triage nurse put in the "treat last" category? A) An infant with intermittent
bulging anterior fontanel between crying episodes B) A toddler with severe deep
,abrasions over 98% of the body C) A preschooler with 1 lower leg fracture and the
other leg with an upper leg fracture D) A school-age child with singed eyebrows
and hair on the arms - correct-answer-A toddler with severe deep abrasions over
98% of the body .
When admitting a client to an acute care facility, an identification bracelet is sent
up with the admission form. In the event these do not match, the nurse's best
action is to A) Change whichever item is incorrect to the correct information B)
Use the bracelet and admission form until a replacement is supplied C) Notify the
admissions office and wait to apply the bracelet D) Make a corrected identification
bracelet for the client - correct-answer-notify the admissions office and wait to
apply the bracelet
The nurse is having difficulty reading the health care provider's written order that
was written right before the shift change. What action should be taken? A) Leave
the order for the oncoming staff to follow-up B) Contact the charge nurse for an
interpretation C) Ask the pharmacy for assistance in the interpretation D) Call the
provider for clarification - correct-answer-Call the provider for clarification
An adult client is found to be unresponsive on morning rounds. After checking for
responsiveness and calling for help, the next action that should be taken by the
nurse is to: A) check the carotid pulse B) deliver 5 abdominal thrusts C) give 2
rescue breaths D) open the client's airway - correct-answer-open the client''s
airway
A client has an order for 1000 ml of D5W over an 8 hour period. The nurse
discovers that 800 ml has been infused after 4 hours. What is the priority nursing
action? A) Ask the client if there are any breathing problems B) Have the client
void as much as possible C) Check the vital signs D) Auscultate the lungs - correct-
answer-Auscultate the lungs
,Following change-of-shift report on an orthopedic unit, which client should the
nurse see first? A) 16 year-old who had an open reduction of a fractured wrist 10
hours ago B) 20 year-old in skeletal traction for 2 weeks since a motor cycle
accident C) 72 year-old recovering from surgery after a hip replacement 2 hours
ago D) 75 year-old who is in skin traction prior to planned hip pinning surgery. -
correct-answer-72 year-old recovering from surgery after a hip replacement 2
hours ago
A nurse observes a family member administer a rectal suppository by having the
client lie on the left side for the administration. The family member pushed the
suppository until the finger went up to the second knuckle. After 10 minutes the
client was told by the family member to turn to the right side and the client did
this. What is the appropriate comment for the nurse to make? A) Why don't we
now have the client turn back to the left side. B) That was done correctly. Did you
have any problems with the insertion? C) Let's check to see if the suppository is in
far enough. D) Did you feel any stool in the intestinal tract? - correct-answer-That
was done correctly. Did you have any problems with the insertion?
A client with a diagnosis of Methicillin resistant Staphylococcus aureus (MRSA) has
died. Which type of precautions is the appropriate type to use when performing
postmortem care? A) airborne precautions B) droplet precautions C) contact
precautions D) compromised host precautions - correct-answer-contact
precautions
The nurse is reviewing with a client how to collect a clean catch urine specimen.
Which sequence is appropriate teaching? A) Void a little, clean the meatus, then
collect specimen B) clean the meatus, begin voiding, then catch urine stream C)
Clean the meatus, then urinate into container D) Void continuously and catch
some of the urine - correct-answer-clean the meatus, begin voiding, then catch
urine stream
, The provider orders Lanoxin (digoxin) 0.125 mg PO and furosomide 40 mg every
day. Which of these foods would the nurse reinforce for the client to eat at least
daily? A) spaghetti B) watermelon C) chicken D) tomatoes - correct-answer-
watermelon
A nurse is stuck in the hand by an exposed needle. What immediate action should
the nurse take? A) Look up the policy on needle sticks B) Contact employee health
services C) Immediately wash the hands with vigor D) Notify the supervisor and
risk management - correct-answer-Immediately wash the hands with vigor
As the nurse observes the student nurse during the administration of a narcotic
analgesic IM injection, the nurse notes that the student begins to give the
medication without first aspirating. What should the nurse do? A) Ask the student:
"What did you forget to do?" B) Stop. Tell me why aspiration is needed. C) Loudly
state: "You forgot to aspirate." D) Walk up and whisper in the student's ear "Stop.
Aspirate. Then inject." - correct-answer-Walk up and whisper in the student's ear
"Stop. Aspirate. Then inject."
A client with Guillain Barre is in a non responsive state, yet vital signs are stable
and breathing is independent. What should the nurse document to most
accurately describe the client's condition? A) Comatose, breathing unlabored B)
Glascow Coma Scale 8, respirations regular C) Appears to be sleeping, vital signs
stable D) Glascow Coma Scale 13, no ventilator required - correct-answer-Glascow
Coma Scale 8, respirations regular
A client enters the emergency department unconscious via ambulance from the
client's work place. What document should be given priority to guide the direction
of care for this client? A) The statement of client rights and the client self
determination act B) Orders written by the health care provider C) A notarized
original of advance directives brought in by the partner D) The clinical pathway
ORRECT ANSWERS LATEST 2024-2025
The nurse knows that which statement by the mother indicates that the mother
understands 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 my
4-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 air while 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
in the kitchen while I make supper." - correct-answer-"I have the four year-old
hold and help feed the four month-old a bottle in the kitchen
Upon completing the admission documents, the nurse learns that the 87-year-old
client does not have an advance directive. What action should the nurse take? A)
Record the information on the chart B) Give information about advance directives
C) Assume that this client wishes a full code D) Refer this issue to the unit
secretary - correct-answer-Give information about advance directives
A nurse administers the influenza vaccine to a client in a clinic. Within 15 minutes
after the immunization was given, the client complains of itchy and watery eyes,
increased anxiety, and difficulty breathing. The nurse expects that the first action
in the sequence of care for this client will be to A) Maintain the airway B)
Administer epinephrine 1:1000 as ordered C) Monitor for hypotension with shock
D) Administer diphenhydramine as ordered - correct-answer-Administer
epinephrine 1:1000 as ordered .
Which of these children at the site of a disaster at a child day care center would
the triage nurse put in the "treat last" category? A) An infant with intermittent
bulging anterior fontanel between crying episodes B) A toddler with severe deep
,abrasions over 98% of the body C) A preschooler with 1 lower leg fracture and the
other leg with an upper leg fracture D) A school-age child with singed eyebrows
and hair on the arms - correct-answer-A toddler with severe deep abrasions over
98% of the body .
When admitting a client to an acute care facility, an identification bracelet is sent
up with the admission form. In the event these do not match, the nurse's best
action is to A) Change whichever item is incorrect to the correct information B)
Use the bracelet and admission form until a replacement is supplied C) Notify the
admissions office and wait to apply the bracelet D) Make a corrected identification
bracelet for the client - correct-answer-notify the admissions office and wait to
apply the bracelet
The nurse is having difficulty reading the health care provider's written order that
was written right before the shift change. What action should be taken? A) Leave
the order for the oncoming staff to follow-up B) Contact the charge nurse for an
interpretation C) Ask the pharmacy for assistance in the interpretation D) Call the
provider for clarification - correct-answer-Call the provider for clarification
An adult client is found to be unresponsive on morning rounds. After checking for
responsiveness and calling for help, the next action that should be taken by the
nurse is to: A) check the carotid pulse B) deliver 5 abdominal thrusts C) give 2
rescue breaths D) open the client's airway - correct-answer-open the client''s
airway
A client has an order for 1000 ml of D5W over an 8 hour period. The nurse
discovers that 800 ml has been infused after 4 hours. What is the priority nursing
action? A) Ask the client if there are any breathing problems B) Have the client
void as much as possible C) Check the vital signs D) Auscultate the lungs - correct-
answer-Auscultate the lungs
,Following change-of-shift report on an orthopedic unit, which client should the
nurse see first? A) 16 year-old who had an open reduction of a fractured wrist 10
hours ago B) 20 year-old in skeletal traction for 2 weeks since a motor cycle
accident C) 72 year-old recovering from surgery after a hip replacement 2 hours
ago D) 75 year-old who is in skin traction prior to planned hip pinning surgery. -
correct-answer-72 year-old recovering from surgery after a hip replacement 2
hours ago
A nurse observes a family member administer a rectal suppository by having the
client lie on the left side for the administration. The family member pushed the
suppository until the finger went up to the second knuckle. After 10 minutes the
client was told by the family member to turn to the right side and the client did
this. What is the appropriate comment for the nurse to make? A) Why don't we
now have the client turn back to the left side. B) That was done correctly. Did you
have any problems with the insertion? C) Let's check to see if the suppository is in
far enough. D) Did you feel any stool in the intestinal tract? - correct-answer-That
was done correctly. Did you have any problems with the insertion?
A client with a diagnosis of Methicillin resistant Staphylococcus aureus (MRSA) has
died. Which type of precautions is the appropriate type to use when performing
postmortem care? A) airborne precautions B) droplet precautions C) contact
precautions D) compromised host precautions - correct-answer-contact
precautions
The nurse is reviewing with a client how to collect a clean catch urine specimen.
Which sequence is appropriate teaching? A) Void a little, clean the meatus, then
collect specimen B) clean the meatus, begin voiding, then catch urine stream C)
Clean the meatus, then urinate into container D) Void continuously and catch
some of the urine - correct-answer-clean the meatus, begin voiding, then catch
urine stream
, The provider orders Lanoxin (digoxin) 0.125 mg PO and furosomide 40 mg every
day. Which of these foods would the nurse reinforce for the client to eat at least
daily? A) spaghetti B) watermelon C) chicken D) tomatoes - correct-answer-
watermelon
A nurse is stuck in the hand by an exposed needle. What immediate action should
the nurse take? A) Look up the policy on needle sticks B) Contact employee health
services C) Immediately wash the hands with vigor D) Notify the supervisor and
risk management - correct-answer-Immediately wash the hands with vigor
As the nurse observes the student nurse during the administration of a narcotic
analgesic IM injection, the nurse notes that the student begins to give the
medication without first aspirating. What should the nurse do? A) Ask the student:
"What did you forget to do?" B) Stop. Tell me why aspiration is needed. C) Loudly
state: "You forgot to aspirate." D) Walk up and whisper in the student's ear "Stop.
Aspirate. Then inject." - correct-answer-Walk up and whisper in the student's ear
"Stop. Aspirate. Then inject."
A client with Guillain Barre is in a non responsive state, yet vital signs are stable
and breathing is independent. What should the nurse document to most
accurately describe the client's condition? A) Comatose, breathing unlabored B)
Glascow Coma Scale 8, respirations regular C) Appears to be sleeping, vital signs
stable D) Glascow Coma Scale 13, no ventilator required - correct-answer-Glascow
Coma Scale 8, respirations regular
A client enters the emergency department unconscious via ambulance from the
client's work place. What document should be given priority to guide the direction
of care for this client? A) The statement of client rights and the client self
determination act B) Orders written by the health care provider C) A notarized
original of advance directives brought in by the partner D) The clinical pathway
