Hesi Exit Exam 366 Questions With Complete Solutions
. The nurse is obtaining a medication history for a client with a
new prescription for paroxetine (Paxil). The client reports
current use of the MAO inhibitor isocarboxazid (Marplan).
What intervention is most important for the nurse to implement?
Correct Answer Notify the healthcare provider that the client is
currently taking Marplan.
. Translator is working with the nurse who is giving discharge
instructions to a non-English client. When the translator restates
what the nurse is saying it appears that he is saying much more
than what the nurse said. What action should the nurse take?
Correct Answer Ask the translator if there is a reason for the
lengthiness of the translation
. Which strategy is most important for the nurse to use when
assisting a client with myasthenia gravis to devise a daily
routine? Correct Answer Female with a head injury whose
pupils are fixed and dilated.
(arrange in order) = middle age woman bleeding- woman w/
blanket- child crying- mother and father. (Mine didn't have a
middle age woman bleeding, instead it had an old man
wandering and Correct Answer correct order is: wandering old
man, woman w/blanket, man holding baby, and mother &
father)
(Select all that apply) Determining pain level for 3mo old infant
Correct Answer infant will clinch fists, increase pulse,
restlessness, increased respiratory effort
,3. A male Muslim client with pneumonia is scheduled to receive
a dose of an intravenous antibiotic but refuses to allow the nurse
to begin the medication, stating he cannot allow fluids to enter
his body once he is cleansed for prayer. What action should the
nurse implement? Correct Answer Reschedule administration
of the antibiotic until after he completes his prayers
39 to 48 Glucose Correct Answer Notify healthcare provider of
client's status
5.A child is to receive vancomycin (Vancocin) 40 mg/kg IV one
hour before a scheduled procedure. The child weighs 44 pounds.
How many mg of the medication should the nurse administer
Correct Answer Answer: 800 Rationale: First, convert the
child's weight to kg: 44 pounds divided by
2.2pound/kg = 20 kg. Next calculate the mg/kg/dose, 40 mg x
20 kg = 800mg
5yr old burn victim has pot of hot liquid fall on him, what
should nurse tell mother to do first- Correct Answer nurse
should tell mother to remove clothing and place in cool bath
6. While assisting a postpartum client with perineal care, the
nurse notes that her vaginal bleeding spurts rather than trickles
from the vagina. The uterine fundus is firm and the client's vital
signs are pulse 88 beats/minute; respiratory rate, 21
breaths/minute; and blood pressure, 104/68 mmHg. What action
should the nurse take next? Correct Answer Compare current
vital signs with previous vital signs
, A 14-year-old male client arrives at the emergency room in
status epilepticus. He was diagnosed with a seizure disorder in
childhood. What is the most likely cause of his present
condition? Correct Answer Acute withdrawal from
anticonvulsant medication.
A 40-year-old client with type 1 diabetes developed chronic
kidney (CKD) disease 6 months ago. Because of secondary
complications often associated with this illness the nurse plans
to carefully assess for signs of what condition? Correct Answer
Anemia
A 40-year-old client with type 1 diabetes developed chronic
kidney (CKD) disease 6 months ago. Because of secondary
complications often associated with this illness the nurse plans
to carefully assess for signs of what condition? Correct Answer
Anemia
A 6-year old boy was hit with a bat while playing at school. He
has a splinter of wood imbedded in his eye. Which action should
the school nurse take? Correct Answer Have the parent take the
child for emergency help
A 6-year old boy was hit with a bat while playing at school. He
has a splinter of wood imbedded in his eye. Which action should
the school nurse take? Correct Answer Have the parent take the
child for emergency help
A 60 year-old female client takes NPH insulin each morning.
What would necessitate holding this clients usual morning NPH
. The nurse is obtaining a medication history for a client with a
new prescription for paroxetine (Paxil). The client reports
current use of the MAO inhibitor isocarboxazid (Marplan).
What intervention is most important for the nurse to implement?
Correct Answer Notify the healthcare provider that the client is
currently taking Marplan.
. Translator is working with the nurse who is giving discharge
instructions to a non-English client. When the translator restates
what the nurse is saying it appears that he is saying much more
than what the nurse said. What action should the nurse take?
Correct Answer Ask the translator if there is a reason for the
lengthiness of the translation
. Which strategy is most important for the nurse to use when
assisting a client with myasthenia gravis to devise a daily
routine? Correct Answer Female with a head injury whose
pupils are fixed and dilated.
(arrange in order) = middle age woman bleeding- woman w/
blanket- child crying- mother and father. (Mine didn't have a
middle age woman bleeding, instead it had an old man
wandering and Correct Answer correct order is: wandering old
man, woman w/blanket, man holding baby, and mother &
father)
(Select all that apply) Determining pain level for 3mo old infant
Correct Answer infant will clinch fists, increase pulse,
restlessness, increased respiratory effort
,3. A male Muslim client with pneumonia is scheduled to receive
a dose of an intravenous antibiotic but refuses to allow the nurse
to begin the medication, stating he cannot allow fluids to enter
his body once he is cleansed for prayer. What action should the
nurse implement? Correct Answer Reschedule administration
of the antibiotic until after he completes his prayers
39 to 48 Glucose Correct Answer Notify healthcare provider of
client's status
5.A child is to receive vancomycin (Vancocin) 40 mg/kg IV one
hour before a scheduled procedure. The child weighs 44 pounds.
How many mg of the medication should the nurse administer
Correct Answer Answer: 800 Rationale: First, convert the
child's weight to kg: 44 pounds divided by
2.2pound/kg = 20 kg. Next calculate the mg/kg/dose, 40 mg x
20 kg = 800mg
5yr old burn victim has pot of hot liquid fall on him, what
should nurse tell mother to do first- Correct Answer nurse
should tell mother to remove clothing and place in cool bath
6. While assisting a postpartum client with perineal care, the
nurse notes that her vaginal bleeding spurts rather than trickles
from the vagina. The uterine fundus is firm and the client's vital
signs are pulse 88 beats/minute; respiratory rate, 21
breaths/minute; and blood pressure, 104/68 mmHg. What action
should the nurse take next? Correct Answer Compare current
vital signs with previous vital signs
, A 14-year-old male client arrives at the emergency room in
status epilepticus. He was diagnosed with a seizure disorder in
childhood. What is the most likely cause of his present
condition? Correct Answer Acute withdrawal from
anticonvulsant medication.
A 40-year-old client with type 1 diabetes developed chronic
kidney (CKD) disease 6 months ago. Because of secondary
complications often associated with this illness the nurse plans
to carefully assess for signs of what condition? Correct Answer
Anemia
A 40-year-old client with type 1 diabetes developed chronic
kidney (CKD) disease 6 months ago. Because of secondary
complications often associated with this illness the nurse plans
to carefully assess for signs of what condition? Correct Answer
Anemia
A 6-year old boy was hit with a bat while playing at school. He
has a splinter of wood imbedded in his eye. Which action should
the school nurse take? Correct Answer Have the parent take the
child for emergency help
A 6-year old boy was hit with a bat while playing at school. He
has a splinter of wood imbedded in his eye. Which action should
the school nurse take? Correct Answer Have the parent take the
child for emergency help
A 60 year-old female client takes NPH insulin each morning.
What would necessitate holding this clients usual morning NPH
