HESI EXIT EXAM V2 | QUESTIONS AND VERIFIED ANSWERS (2023/ 2024 Newly Updated)

HESI EXIT EXAM V2 | QUESTIONS AND

VERIFIED ANSWERS (2023/ 2024 Newly

Updated)

Q: Which intervention should the nurse include in the plan of care for a child with tetanus?

A. Encourage coughing and deep breathing

B. Minimize the amount of stimuli in the room

C. Reposition from side to side every hour

D. Open window shades to provide natural light

Answer:

B. Minimize the amount of stimuli in the room

Q: An adolescent who was diagnosed with diabetes mellitus Type 1 at the age of 9, is admitted

to the hospital in diabetic ketoacidosis. Which occurrence is the most likely cause of the

ketoacidosis?

A. Ate an extra peanut butter sandwich before gym class

B. incorrectly administered too much insulin

C. Had a cold and ear infection for the past two days

D. Skipped eating lunch

Answer:

C. Had a cold and ear infection for the past two days

Q: A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs of

impending death. After notifying the family of the client's status, what priority action should the

nurse implement?

A. The impending signs of death should be documented

B. The client's status should be conveyed to the chaplain

C. The client's need for pain medication should be determined

D. The nurse manager should be updated on the client's status

Answer:

C. The client's need for pain medication should be determined

Q: Which self care measure is most important for the nurse to include in the plan of care of a

client recently diagnosed with type 2 diabetes mellitus?

A. Self-injection techniques

B. Blood glucose monitoring

C. Diabetic diet meal planning

D. A realistic exercise plan

Answer:

B. Blood glucose monitoring

Q: A client who gave birth 48 hours ago has decided to bottle feed the infant. During the

assessment, the nurse observes that both breasts are swollen, warm, and tender on palpation.

Which instruction should the nurse provide?

A. Apply ice to the breasts for comfort

B. Wear a loose-fitting bra during the day to prevent nipple irritation

C. Run warm water over breasts

D. Express small amounts of milk from the breasts to relieve pressure

Answer:

A. Apply ice to the breasts for comfort

Q: The nurse is preparing a client who had a below-the-knee (BKA) amputation for discharge

to home. Which recommendations should the nurse provide this client? (Select all that apply)

A. Avoid range of motion exercises

B. Use a residual limb shrinker

C. Apply alcohol to the stump after bathing

D. Inspect skin for redness

E. Wash the stump with soap and water

Answer:

B. Use a residual limb shrinker

D. Inspect skin for redness

E. Wash the stump with soap and water

Q: A toddler presenting with a history of intermittent skin rashes, hives, abdominal pain, and

vomiting that occurs after ingesting of milk products arrives to the clinic accompanied by the

parents. Which type of testing should the nurse provide education to the toddler's family about?

A. Serum immunoglobulin E (IgE)

B. Intradermal test

C. Atopy patch test

D. Placebo-controlled food challenge

Answer:

A. Serum immunoglobulin E (IgE)

Q: A client who is scheduled for a bronchoscopy in the morning is anxious and asking the nurse

numerous questions about the procedure. In preparing the client for the procedure, which

intervention has the highest priority?

A. Allow client to gargle with warm salt water

B. Administer a sedative to alleviate anxiety

C. Instruct client to write down the questions

D. Deny client's request for a midnight snack

Answer:

C. Instruct client to write down the questions

Q: The nurse assesses a client one hour after starting a transfusion of packed red blood cells and

determines that there are no indications of a transfusion reaction. What instruction should the

nurse provide the unlicensed assistive personnel (UAP) who is working with the nurse?

A. Notify the nurse when the transfusion has finished, so further client assessment can be done

B. Continue to measure the client's vital signs every thirty minutes until the transfusion is

complete

C. Monitor the client carefully for the next three hours and report the onset of a reaction

immediately

D. Since a reaction did not occur, the priority is to maintain client comfort during the transfusion

Answer:

B. Continue to measure the client's vital signs every thirty minutes until the transfusion is

complete

Q: The healthcare provider prescribes a sepsis protocol for a client with multi-organ failure

caused by a ruptured appendix. Which intervention is most important for the nurse to include in

the plan of care?

A. Assess warmth of extremities

B. Keep head of bed raised 45 degrees

C. Monitor blood glucose level

D. Maintain strict intake and output

Answer:

D. Maintain strict intake and output

Q: A client presses the call bell and requests pain medication for a severe headache. To assess

the quality of the client's pain, which approach should the nurse use?

A. Ask the client to describe the pain

B. Observe body language and movement

C. Identify effective pain relief measures

D. Provide a numeric pain scale

Answer:

A. Ask the client to describe the pain

Q: A client presents to the labor and delivery unit with a report of leaking fluid that is greenishbrown vaginal discharge. Which action should the nurse take first?

A. Start an intravenous infusion

B. Administer oxygen via facemask

C. Perform a vaginal exam

D. Begin continuous fetal monitoring

Answer:

D. Begin continuous fetal monitoring

Q: A client asks the nurse for information about how to reduce risk factors for benign prostatic

hyperplasia (BPH). Which information should the nurse provide?

A. Consume a high protein diet

B. Increase physical activity

C. Take vitamin supplements