Hesi exit 5 - 160 Questions and Answers
A+ guide
Suicide precautions are initiated for a child admitted to the
mental health unit following an intentional narcotic overdose.
After a visitor leaves, the nurse finds a package of cigarettes in
the client's room. Which intervention is most important for the
nurse to implement? - correct answers✅✅Remove cigarettes
for the client's room
A family member of a frail elderly adult asks the nurse about
eligibility requirements for hospice care. What information should
the nurse provide? (Select all that apply.)
A.)A client must be willing to accept palliative care, not curative
care.
B.)The healthcare provider must project that the client has 6
months or less to live.
C.)The client must be diagnosed with clinical depression
D.)The client must be of sound mind - correct answers✅✅A,B
A client with atrial fibrillation receives a new prescription for
dabigatran. What instruction should the nurse include in this
client's teaching plan? - correct answers✅✅Avoid use of
nonsteroidal ant-inflammatory drugs (NSAID).
,Hesi exit 5 - 160 Questions and Answers
A+ guide
An infant who is admitted for surgical repair of a ventricular septal
defect (VSD) is irritable and diaphoretic with jugular vein
distention. Which prescription should the nurse administer first? -
correct answers✅✅Digoxin
The nursing staff on a medical unit includes a registered nurse
(RN), practical nurse (PN), and an unlicensed assistive personnel
(UAP). Which task should the charge nurse assign to the RN? -
correct answers✅✅Supervise a newly hired graduate nurse
during an admission assessment.
While teaching a young male adult to use an inhaler for his newly
diagnosed asthma, the client stares into the distance and appears
to be concentrating on something other than the lesson the nurse
is presenting. What action should the nurse take? - correct
answers✅✅Ask the client what he is thinking about at his time.
After several hours of non-productive coughing, a client presents
to the emergency room complaining of chest tightness and
shortness of breath. History includes end stage chronic
obstructive pulmonary disease (COPD) and diabetes mellitus.
While completing the pulmonary assessment, the nurse hears
wheezing and poor air movement bilaterally. Which actions should
the nurse implement? (Select all that apply.)
A.)Administer PRN nebulizer treatment.
B.)Obtain 12 lead electrocardiogram.
,Hesi exit 5 - 160 Questions and Answers
A+ guide
C.)Monitor continuous oxygen saturation.
D.) Lay the client in the prone position - correct
answers✅✅A,B,C
The nurse caring for a 3-month-old boy one day after a
pylorotomy notices that the infant is restless, is exhibiting facial
grimaces, and is drawing his knees to his chest. What action
should the nurse take? - correct answers✅✅Administer a
prescribed analgesia for pain.
A 4-year-old with acute lymphocytic leukemia (ALL) is receiving a
chemotherapy (CT) protocol that includes methotrexate (Mexate,
Trexal, MIX), an antimetabolite. Which information should the
nurse provide the parents about caring for their child? - correct
answers✅✅Use sunblock or protective clothing when outdoors.
Two days after admission a male client remembers that he is
allergic to eggs, and informs the nurse of the allergy. Which
actions should the nurse implement? SATA
A.) Tell the client that its a mild reaction
B.)Notify the food services department of the allergy.
, Hesi exit 5 - 160 Questions and Answers
A+ guide
C.)Enter the allergy information in the client's record.
D.)Add egg allergy to the client's allergy arm band. - correct
answers✅✅B,C,D
The rapid response team's detects return of spontaneous
circulation (ROSC) after 2 min of continuous chest compressions.
The client has a weak, fast pulse and no respiratory effort, so the
healthcare provider performs a successful oral, intubation. What
action should the nurse implement? - correct
answers✅✅Perform bilateral chest auscultation.
After administering an antipyretic medication. Which intervention
should the nurse implement? - correct
answers✅✅Encouraging liberal fluid intake
A client with hyperthyroidism is being treated with radioactive
iodine (I-131). Which explanation should be included in preparing
this client for this treatment? - correct answers✅✅Describe
radioactive iodine as a tasteless, colorless medication
administered by the healthcare provider
After a colon resection for colon cancer, a male client is moaning
while being transferred to the Postanesthesia Care Unit (PACU).
Which intervention should the nurse implement first? - correct
answers✅✅Determine client's pulse, blood pressure, and
respirations
A+ guide
Suicide precautions are initiated for a child admitted to the
mental health unit following an intentional narcotic overdose.
After a visitor leaves, the nurse finds a package of cigarettes in
the client's room. Which intervention is most important for the
nurse to implement? - correct answers✅✅Remove cigarettes
for the client's room
A family member of a frail elderly adult asks the nurse about
eligibility requirements for hospice care. What information should
the nurse provide? (Select all that apply.)
A.)A client must be willing to accept palliative care, not curative
care.
B.)The healthcare provider must project that the client has 6
months or less to live.
C.)The client must be diagnosed with clinical depression
D.)The client must be of sound mind - correct answers✅✅A,B
A client with atrial fibrillation receives a new prescription for
dabigatran. What instruction should the nurse include in this
client's teaching plan? - correct answers✅✅Avoid use of
nonsteroidal ant-inflammatory drugs (NSAID).
,Hesi exit 5 - 160 Questions and Answers
A+ guide
An infant who is admitted for surgical repair of a ventricular septal
defect (VSD) is irritable and diaphoretic with jugular vein
distention. Which prescription should the nurse administer first? -
correct answers✅✅Digoxin
The nursing staff on a medical unit includes a registered nurse
(RN), practical nurse (PN), and an unlicensed assistive personnel
(UAP). Which task should the charge nurse assign to the RN? -
correct answers✅✅Supervise a newly hired graduate nurse
during an admission assessment.
While teaching a young male adult to use an inhaler for his newly
diagnosed asthma, the client stares into the distance and appears
to be concentrating on something other than the lesson the nurse
is presenting. What action should the nurse take? - correct
answers✅✅Ask the client what he is thinking about at his time.
After several hours of non-productive coughing, a client presents
to the emergency room complaining of chest tightness and
shortness of breath. History includes end stage chronic
obstructive pulmonary disease (COPD) and diabetes mellitus.
While completing the pulmonary assessment, the nurse hears
wheezing and poor air movement bilaterally. Which actions should
the nurse implement? (Select all that apply.)
A.)Administer PRN nebulizer treatment.
B.)Obtain 12 lead electrocardiogram.
,Hesi exit 5 - 160 Questions and Answers
A+ guide
C.)Monitor continuous oxygen saturation.
D.) Lay the client in the prone position - correct
answers✅✅A,B,C
The nurse caring for a 3-month-old boy one day after a
pylorotomy notices that the infant is restless, is exhibiting facial
grimaces, and is drawing his knees to his chest. What action
should the nurse take? - correct answers✅✅Administer a
prescribed analgesia for pain.
A 4-year-old with acute lymphocytic leukemia (ALL) is receiving a
chemotherapy (CT) protocol that includes methotrexate (Mexate,
Trexal, MIX), an antimetabolite. Which information should the
nurse provide the parents about caring for their child? - correct
answers✅✅Use sunblock or protective clothing when outdoors.
Two days after admission a male client remembers that he is
allergic to eggs, and informs the nurse of the allergy. Which
actions should the nurse implement? SATA
A.) Tell the client that its a mild reaction
B.)Notify the food services department of the allergy.
, Hesi exit 5 - 160 Questions and Answers
A+ guide
C.)Enter the allergy information in the client's record.
D.)Add egg allergy to the client's allergy arm band. - correct
answers✅✅B,C,D
The rapid response team's detects return of spontaneous
circulation (ROSC) after 2 min of continuous chest compressions.
The client has a weak, fast pulse and no respiratory effort, so the
healthcare provider performs a successful oral, intubation. What
action should the nurse implement? - correct
answers✅✅Perform bilateral chest auscultation.
After administering an antipyretic medication. Which intervention
should the nurse implement? - correct
answers✅✅Encouraging liberal fluid intake
A client with hyperthyroidism is being treated with radioactive
iodine (I-131). Which explanation should be included in preparing
this client for this treatment? - correct answers✅✅Describe
radioactive iodine as a tasteless, colorless medication
administered by the healthcare provider
After a colon resection for colon cancer, a male client is moaning
while being transferred to the Postanesthesia Care Unit (PACU).
Which intervention should the nurse implement first? - correct
answers✅✅Determine client's pulse, blood pressure, and
respirations
