ALL HESI EXIT Questions and Answers Test
Bank; A+ Rated Guide
Pretest
Question 1
Ac. What document shouldbeinguidingthe care of thisclient?
A) Client Self Determination Act
B) Physician'streatment orders
C) Advance Directives.
D) Clinical Pathwayprotocols
Review Information: Thecorrect answer is: C) Advance Directives. Thisdocument specifiestheclient's wishes
Question 2
You aretheof ahealth care teamthatconsists of onelicensedpractical/vocational nurse, onenursing assistant , an
ursingstudent andyourself. To whomisit appropriate toassigncomplete care for
A) Yourself
B) Thenursingstudent
C) Thelicensedvocational nurse
D) Thenursingassistant
Review Information: Thecorrect answer is:A) Yourself.
Whilethenursemaydelegate abedbath for astableclient, thiscareshouldbeperformed byan RNfor a newadmi
ssion. Onlytasks that donot require independent judgment shouldbedelegated.
3Question 3
Amother brings her theclinic, complainingthat thechildseemstobe Thenurseexpects tofind whichof thefollow
ingontheinitial historyandphysical assessment?
A) Increasedtemperature andlethargy
B) Rashandrestlessness
C) Increasedsleepingandlistlessness
, ALL HESI EXIT Questions and Answers Test
Bank; A+ Rated Guide
D) Diarrheaandpoor skinturgor
Review Information: Thecorrect answer is:B) Rashandrestlessness.
, ALL HESI EXIT Questions and Answers Test
Bank; A+ Rated Guide
Question L4
Asthenursetakes Lahistory Lof La L3 Lyear-oldwithneuroblastoma, Lwhatcommentsbytheparents Lrequire L follow-
L upandareconsistent Lwiththediagnosis?
A) "Thechildhas Lbeenlistless Landhaslost Lweight."
B) "Her Lurineisdarkyellowandsmall Lin Lamounts."
C) "Clothesarebecomingtighter Lacross Lher Labdomen."
LD+)" LWenoticemuscleweakness Landsomeunsteadiness."
Review L Information: LThecorrect Lanswer Lis:C) L"Clothesarebecomingtighter Lacross Lher Labdomen.".
Oneof Lthemost Lcommon Lsignsof Lneuroblastomaisincreasingabdominal Lgirth. LTheparents'' Lreport Lthat
Lclothi Lngistight Lissignificant, Landshouldbefollowedbyadditional Lassessments.
Question L5
A L16 Lyear-
oldpresents Ltotheemergency Ldepartment. LThetriagenursefinds Lthat Lthisteenager Lis Llegally Lmarried Landsign
Ledtheconsent Lformfor Ltreatment. LWhatwouldbetheappropriate LINITIAL Laction Lbythe L nurse?
A) Refusetoseetheclient Luntil Laparent Lor Llegal Lguardiancanbecontacted
B) Withholdtreatment Luntil Ltelephoneconsent Lcan Lbeobtained Lfromthespouse
C) Refer Ltheclient Ltoacommunitypediatric Lhospital Lemergencyroom
D) Assessandtreat L inthesamemanner L asanyadult L client
Review L Information: LThecorrect Lanswer Lis:D) LAssessandtreat Linthesame Lmanner Lasanyadult Lclient.
Minors Lmay Lbecomeknownas Lan"emancipatedminor" Lthrough Lmarriage, Lpregnancy, Lhighschool Lgraduation,
Lind L ependent Llivingor Lserviceinthemilitary. LTherefore, Lthisclient, Lwhois Lmarried, Lhasthelegal Lcapacity Lof
Lanadult.
Question L6
Anewlyadmittedelderlyclient Lisseverelydehydrated. LWhenplanning Lcare Lfor Lthisclient, Lwhichoneof Lthe L followin
L gisanappropriatetaskfor Lan LUnlicensed LAssistive LPersonnel L(UAP)?
, ALL HESI EXIT Questions and Answers Test
Bank; A+ Rated Guide
A) Obtainahistoryof L fluidloss
B) Report Loutput Lof Llessthan L30 Lml/hr
C) Monitor Lresponseto LIVfluids
D) Checkskinturgor Levery Lfour Lhours
Review L Information: LThecorrect Lanswer Lis:B) LReport Loutput Lof Llessthan L30 Lml/hr.
Whendirectinga LUAP, Lthenursemust Lcommunicateclearlyabout Leachdelegated Ltaskwithspecific Linstructions
Lon L what Lmust Lbereported. LBecausethe LRNisresponsiblefor Lall Lcare-
relateddecisions,only L implementation Ltasks Lshouldbeassignedbecause Ltheydonot Lrequireindependent
Ljudgme L nt.
Question L7
Thenurseisassessinga L4 Lyear-
oldfor Lpossiblerheumaticfever. LWhichof Lthefollowingwouldthenurse L suspect Lis Lrelated Ltothis Ldiagnosis?
A) Diagnosisof Lchickenpox Lsixmonthsago
B) Exposuretostrepthroat L indaycarelast L month
C) Treatment Lfor Lear Linfectiontwomonthsago
D) Episodeof Lfungal Lskininfectionlast Lweek
Review L Information: LThecorrect Lanswer Lis:B) LExposuretostrepthroat Lindaycarelast Lmonth.
Evidencesupportsastrongrelationship Lbetweeninfectionwith LGroup LAstreptococci Landsubsequent
Lrheu L matic Lfever L(usually Lwithin L2-
6 Lweeks). LTherefore, Lthehistoryof Lplaymatesrecoveringfromstrep Lthroatwouldindicatethat Lthechilddia
Lgnosedwithrheumaticfever Lmost Llikelyalsohadstrepthroat. LSometimes, Lsuchaninfectionhasnoclinical Ls
Lymptoms.
Question L8
Whenthenursebecomes Laware Lof Lfeelingreluctant Ltointeract Lwitha Lmanipulative Lclient, Lthe LBESTaction Lbythen
Lurseisto
A) Discuss Lthefeelingof Lreluctancewithanobjectivepeer Lor Lsupervisor
B) Limit Lcontactswiththeclient Ltoavoidreinforcingthe Lmanipulative Lbehavior
C) Confront Ltheclient Lregardingthenegative Leffects Lof Lhis/herRbehavior Lonothers
D) Developabehavior Lmodificationplanthatwill Lpromotemorefunctional Lbehavior
Review L Information: LThecorrect Lanswer Lis:A) LDiscuss Lthefeeling Lof Lreluctancewithanobjectivepeer
LorRsupervis Lor.
Bank; A+ Rated Guide
Pretest
Question 1
Ac. What document shouldbeinguidingthe care of thisclient?
A) Client Self Determination Act
B) Physician'streatment orders
C) Advance Directives.
D) Clinical Pathwayprotocols
Review Information: Thecorrect answer is: C) Advance Directives. Thisdocument specifiestheclient's wishes
Question 2
You aretheof ahealth care teamthatconsists of onelicensedpractical/vocational nurse, onenursing assistant , an
ursingstudent andyourself. To whomisit appropriate toassigncomplete care for
A) Yourself
B) Thenursingstudent
C) Thelicensedvocational nurse
D) Thenursingassistant
Review Information: Thecorrect answer is:A) Yourself.
Whilethenursemaydelegate abedbath for astableclient, thiscareshouldbeperformed byan RNfor a newadmi
ssion. Onlytasks that donot require independent judgment shouldbedelegated.
3Question 3
Amother brings her theclinic, complainingthat thechildseemstobe Thenurseexpects tofind whichof thefollow
ingontheinitial historyandphysical assessment?
A) Increasedtemperature andlethargy
B) Rashandrestlessness
C) Increasedsleepingandlistlessness
, ALL HESI EXIT Questions and Answers Test
Bank; A+ Rated Guide
D) Diarrheaandpoor skinturgor
Review Information: Thecorrect answer is:B) Rashandrestlessness.
, ALL HESI EXIT Questions and Answers Test
Bank; A+ Rated Guide
Question L4
Asthenursetakes Lahistory Lof La L3 Lyear-oldwithneuroblastoma, Lwhatcommentsbytheparents Lrequire L follow-
L upandareconsistent Lwiththediagnosis?
A) "Thechildhas Lbeenlistless Landhaslost Lweight."
B) "Her Lurineisdarkyellowandsmall Lin Lamounts."
C) "Clothesarebecomingtighter Lacross Lher Labdomen."
LD+)" LWenoticemuscleweakness Landsomeunsteadiness."
Review L Information: LThecorrect Lanswer Lis:C) L"Clothesarebecomingtighter Lacross Lher Labdomen.".
Oneof Lthemost Lcommon Lsignsof Lneuroblastomaisincreasingabdominal Lgirth. LTheparents'' Lreport Lthat
Lclothi Lngistight Lissignificant, Landshouldbefollowedbyadditional Lassessments.
Question L5
A L16 Lyear-
oldpresents Ltotheemergency Ldepartment. LThetriagenursefinds Lthat Lthisteenager Lis Llegally Lmarried Landsign
Ledtheconsent Lformfor Ltreatment. LWhatwouldbetheappropriate LINITIAL Laction Lbythe L nurse?
A) Refusetoseetheclient Luntil Laparent Lor Llegal Lguardiancanbecontacted
B) Withholdtreatment Luntil Ltelephoneconsent Lcan Lbeobtained Lfromthespouse
C) Refer Ltheclient Ltoacommunitypediatric Lhospital Lemergencyroom
D) Assessandtreat L inthesamemanner L asanyadult L client
Review L Information: LThecorrect Lanswer Lis:D) LAssessandtreat Linthesame Lmanner Lasanyadult Lclient.
Minors Lmay Lbecomeknownas Lan"emancipatedminor" Lthrough Lmarriage, Lpregnancy, Lhighschool Lgraduation,
Lind L ependent Llivingor Lserviceinthemilitary. LTherefore, Lthisclient, Lwhois Lmarried, Lhasthelegal Lcapacity Lof
Lanadult.
Question L6
Anewlyadmittedelderlyclient Lisseverelydehydrated. LWhenplanning Lcare Lfor Lthisclient, Lwhichoneof Lthe L followin
L gisanappropriatetaskfor Lan LUnlicensed LAssistive LPersonnel L(UAP)?
, ALL HESI EXIT Questions and Answers Test
Bank; A+ Rated Guide
A) Obtainahistoryof L fluidloss
B) Report Loutput Lof Llessthan L30 Lml/hr
C) Monitor Lresponseto LIVfluids
D) Checkskinturgor Levery Lfour Lhours
Review L Information: LThecorrect Lanswer Lis:B) LReport Loutput Lof Llessthan L30 Lml/hr.
Whendirectinga LUAP, Lthenursemust Lcommunicateclearlyabout Leachdelegated Ltaskwithspecific Linstructions
Lon L what Lmust Lbereported. LBecausethe LRNisresponsiblefor Lall Lcare-
relateddecisions,only L implementation Ltasks Lshouldbeassignedbecause Ltheydonot Lrequireindependent
Ljudgme L nt.
Question L7
Thenurseisassessinga L4 Lyear-
oldfor Lpossiblerheumaticfever. LWhichof Lthefollowingwouldthenurse L suspect Lis Lrelated Ltothis Ldiagnosis?
A) Diagnosisof Lchickenpox Lsixmonthsago
B) Exposuretostrepthroat L indaycarelast L month
C) Treatment Lfor Lear Linfectiontwomonthsago
D) Episodeof Lfungal Lskininfectionlast Lweek
Review L Information: LThecorrect Lanswer Lis:B) LExposuretostrepthroat Lindaycarelast Lmonth.
Evidencesupportsastrongrelationship Lbetweeninfectionwith LGroup LAstreptococci Landsubsequent
Lrheu L matic Lfever L(usually Lwithin L2-
6 Lweeks). LTherefore, Lthehistoryof Lplaymatesrecoveringfromstrep Lthroatwouldindicatethat Lthechilddia
Lgnosedwithrheumaticfever Lmost Llikelyalsohadstrepthroat. LSometimes, Lsuchaninfectionhasnoclinical Ls
Lymptoms.
Question L8
Whenthenursebecomes Laware Lof Lfeelingreluctant Ltointeract Lwitha Lmanipulative Lclient, Lthe LBESTaction Lbythen
Lurseisto
A) Discuss Lthefeelingof Lreluctancewithanobjectivepeer Lor Lsupervisor
B) Limit Lcontactswiththeclient Ltoavoidreinforcingthe Lmanipulative Lbehavior
C) Confront Ltheclient Lregardingthenegative Leffects Lof Lhis/herRbehavior Lonothers
D) Developabehavior Lmodificationplanthatwill Lpromotemorefunctional Lbehavior
Review L Information: LThecorrect Lanswer Lis:A) LDiscuss Lthefeeling Lof Lreluctancewithanobjectivepeer
LorRsupervis Lor.
