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RN EXIT HESI EXAM V5 Questions
with Detailed Verified Answers
Question: After placing a 36-week gestation newborn in and isolette and
drying the infant with several blankets, what should the nurse implement
next?
a. Administer the vitamin K injection
b. Remove the wet blankets and linens from the isolette
c. Place erythromycin ophthalmic ointment in both eyes
d. Open the isolate door to assess the infants' vital signs
Answer: c. Place erythromycin ophthalmic ointment in both eyes
Question:A client in the third trimester of pregnancy complaints of frequent
nasal stuffiness and occasional nosebleeds. Her chest circumference has
increased by 5 cm during the pregnancy, and she uses thoracic breathing. Her
diaphragm is elevated, and she has an increased costal angle. Which
intervention should the nurse implement?
A. Ask a nurse with more experience to validate the costal angle finding
B. Ask the health care provider to evaluate the client's respiratory status
C. Examine the client for signs of tissue and anoxia, such as pallor
D. Record the respiratory finding in the client's record as normal
Answer: C. Examine the client for signs of tissue and anoxia, such as pallor
Question:A terminally ill male hospice client who is at home is showing
decreased awareness of his surroundings. His appetite is poor, and he often
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uses oral intake of solids and liquids. For the past several days he has been
unable to get out of bed. Which action should the hospice nurse implement?
A. Ask family to remain nearby, but in another room
B. Encourage family to speak often with the client
C. Teach family how to assist the client to a wheelchair
D. Instruct family to offer client only soft bland foods
Answer: C. Teach family how to assist the client to a wheelchair
Question:A woman was admitted yesterday afternoon with severe abdominal
pain. Her pregnancy tests and ultrasounds were negative, so an exploratory
laparotomy was completed during the night. When coffee ground material is
observed in the drainage from the nasal gastric tube, which intervention
should the nurse implement?
a. Verify correct placement of the nasogastric tube
b. Perform gastroccult test on the nasogastric drainage
c. Listen for evidence of diminished bowel sounds
d. Irrigate the nasogastric tube with water until clear
Answer: a. Verify correct placement of the nasogastric tube
Question:The nurse is reviewing the laboratory values for a client with acute
pancreatitis who reports that the abdominal pain is not as severe as it was on
admission. Which laboratory test should the nurse review to evaluate the
client's clinical recovery?
a. Lipase
b. Creatinine
c. Bilirubin
d. Glucose
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Answer: a. Lipase
Question:While assessing a client who had a laparotomy the previous day, the
nurse notices that 300 mL of dark red fluid has drained from the nasogastric
tube in the last hour. Which action should the nurse take first?
a. Determine the client's vital signs
b. Monitor urinary output hourly
c. Notify the surgeon immediately
d. Assess the client's level of pain
Answer: b. Monitor urinary output hourly
Question:The nurse is reviewing the recommended preventative care for
clients with asthma, chronic bronchitis, and emphysema. Which healthcare
measure is most important for the nurse to recommend to these clients?
a. Ensure supplemental oxygen and respiratory medications are available at all
times
b. Use nasal or cough tissues followed by hand washing at all times
c. Get annual flu and pneumococcal vaccine polyvalent vaccines
d. Avoid large crowded areas during the colder months of the year
Answer: d. Avoid large crowded areas during the colder months of the year
Question:A mother of a one-month-old infant calls the clinic to report that
the back of her infant's head is flat. How should the nurse respond?
a. Position the infant on the stomach occasionally when awake and active
b. Turn the infant on the left side braced against the crib when sleeping
c. Prop the infant in a sitting position with a cushion when not sleeping
d. Place a small pillow under the infants head while lying on the back
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Answer: a. Position the infant on the stomach occasionally when awake and
active
Question:A woman is brought to the labor and delivery unit after delivering a
term infant and the placenta in the hospital parking lot 10 minutes ago. Which
action should the nurse perform first?
a. Inspect the perineum for lacerations
b. Collect specimen for hemoglobin and hematocrit
c. Massage the fundus and give oxytocic agent
d. Place the infant to breast for bonding
Answer: c. Massage the fundus and give oxytocic agent
Question:A client has a new prescription for the maximum recommended
dosage of piperacillin/tazobactam for nosocomial pneumonia. The nurse
should report which laboratory finding to the health care provider before
administering the prescribed dose?
a. Elevated white blood cell count
b. Presence of gram-positive bacteria in the sputum
c. Decrease creatinine clearance
d. Elevated cholesterol and lipoproteins
Answer: b. Presence of gram-positive bacteria in the sputum
Question:A client who is admitted with diabetic ketoacidosis is demonstrating
Kussmaul breathing and has a severe headache along with nausea. Her arterial
blood gases are: ph 7.50; paco2 30 mmhg; HCO3 24 meq/L. Which assessment
finding warrants immediate intervention by the nurse?
a. Muscle stiffness
RN EXIT HESI EXAM V5 Questions
with Detailed Verified Answers
Question: After placing a 36-week gestation newborn in and isolette and
drying the infant with several blankets, what should the nurse implement
next?
a. Administer the vitamin K injection
b. Remove the wet blankets and linens from the isolette
c. Place erythromycin ophthalmic ointment in both eyes
d. Open the isolate door to assess the infants' vital signs
Answer: c. Place erythromycin ophthalmic ointment in both eyes
Question:A client in the third trimester of pregnancy complaints of frequent
nasal stuffiness and occasional nosebleeds. Her chest circumference has
increased by 5 cm during the pregnancy, and she uses thoracic breathing. Her
diaphragm is elevated, and she has an increased costal angle. Which
intervention should the nurse implement?
A. Ask a nurse with more experience to validate the costal angle finding
B. Ask the health care provider to evaluate the client's respiratory status
C. Examine the client for signs of tissue and anoxia, such as pallor
D. Record the respiratory finding in the client's record as normal
Answer: C. Examine the client for signs of tissue and anoxia, such as pallor
Question:A terminally ill male hospice client who is at home is showing
decreased awareness of his surroundings. His appetite is poor, and he often
, Page | 2
uses oral intake of solids and liquids. For the past several days he has been
unable to get out of bed. Which action should the hospice nurse implement?
A. Ask family to remain nearby, but in another room
B. Encourage family to speak often with the client
C. Teach family how to assist the client to a wheelchair
D. Instruct family to offer client only soft bland foods
Answer: C. Teach family how to assist the client to a wheelchair
Question:A woman was admitted yesterday afternoon with severe abdominal
pain. Her pregnancy tests and ultrasounds were negative, so an exploratory
laparotomy was completed during the night. When coffee ground material is
observed in the drainage from the nasal gastric tube, which intervention
should the nurse implement?
a. Verify correct placement of the nasogastric tube
b. Perform gastroccult test on the nasogastric drainage
c. Listen for evidence of diminished bowel sounds
d. Irrigate the nasogastric tube with water until clear
Answer: a. Verify correct placement of the nasogastric tube
Question:The nurse is reviewing the laboratory values for a client with acute
pancreatitis who reports that the abdominal pain is not as severe as it was on
admission. Which laboratory test should the nurse review to evaluate the
client's clinical recovery?
a. Lipase
b. Creatinine
c. Bilirubin
d. Glucose
, Page | 3
Answer: a. Lipase
Question:While assessing a client who had a laparotomy the previous day, the
nurse notices that 300 mL of dark red fluid has drained from the nasogastric
tube in the last hour. Which action should the nurse take first?
a. Determine the client's vital signs
b. Monitor urinary output hourly
c. Notify the surgeon immediately
d. Assess the client's level of pain
Answer: b. Monitor urinary output hourly
Question:The nurse is reviewing the recommended preventative care for
clients with asthma, chronic bronchitis, and emphysema. Which healthcare
measure is most important for the nurse to recommend to these clients?
a. Ensure supplemental oxygen and respiratory medications are available at all
times
b. Use nasal or cough tissues followed by hand washing at all times
c. Get annual flu and pneumococcal vaccine polyvalent vaccines
d. Avoid large crowded areas during the colder months of the year
Answer: d. Avoid large crowded areas during the colder months of the year
Question:A mother of a one-month-old infant calls the clinic to report that
the back of her infant's head is flat. How should the nurse respond?
a. Position the infant on the stomach occasionally when awake and active
b. Turn the infant on the left side braced against the crib when sleeping
c. Prop the infant in a sitting position with a cushion when not sleeping
d. Place a small pillow under the infants head while lying on the back
, Page | 4
Answer: a. Position the infant on the stomach occasionally when awake and
active
Question:A woman is brought to the labor and delivery unit after delivering a
term infant and the placenta in the hospital parking lot 10 minutes ago. Which
action should the nurse perform first?
a. Inspect the perineum for lacerations
b. Collect specimen for hemoglobin and hematocrit
c. Massage the fundus and give oxytocic agent
d. Place the infant to breast for bonding
Answer: c. Massage the fundus and give oxytocic agent
Question:A client has a new prescription for the maximum recommended
dosage of piperacillin/tazobactam for nosocomial pneumonia. The nurse
should report which laboratory finding to the health care provider before
administering the prescribed dose?
a. Elevated white blood cell count
b. Presence of gram-positive bacteria in the sputum
c. Decrease creatinine clearance
d. Elevated cholesterol and lipoproteins
Answer: b. Presence of gram-positive bacteria in the sputum
Question:A client who is admitted with diabetic ketoacidosis is demonstrating
Kussmaul breathing and has a severe headache along with nausea. Her arterial
blood gases are: ph 7.50; paco2 30 mmhg; HCO3 24 meq/L. Which assessment
finding warrants immediate intervention by the nurse?
a. Muscle stiffness
