HESI EXIT EXAM
Terms in this set (160)
The nurse knows that which is D: "I have the four year-old hold and help feed the
statement by the mother four month-old
indicates that the mother a bottle in the kitchen
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."
,Upon completing the is B: Give information about advance directives
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
A nurse administers the is B: Administer epinephrine 1:1000 as ordered .
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
,Which of these children at is B: A toddler with severe deep abrasions over 98% of
the site of a disaster at a the body .
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
, When admitting a client to is C: notify the admissions office and wait to apply the
an acute care facility, an bracelet
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
The nurse is having difficulty is D: Call the provider for clarification
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
Terms in this set (160)
The nurse knows that which is D: "I have the four year-old hold and help feed the
statement by the mother four month-old
indicates that the mother a bottle in the kitchen
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."
,Upon completing the is B: Give information about advance directives
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
A nurse administers the is B: Administer epinephrine 1:1000 as ordered .
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
,Which of these children at is B: A toddler with severe deep abrasions over 98% of
the site of a disaster at a the body .
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
, When admitting a client to is C: notify the admissions office and wait to apply the
an acute care facility, an bracelet
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
The nurse is having difficulty is D: Call the provider for clarification
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
