Hesi Exit V1. Latest solutions latest
update graded A (660 QUSTIONS
AND CORRECT ANSWERS)
Question 4
The nurse is caring for a client with influenza. The most effective
way to decrease the spread of microorganisms is:
You Selected:
• placing the client in isolation.
Correct response:
• washing the hands frequently.
Question 5
A client with a history of hypertension has been prescribed a new
antihypertensive medication and is reporting dizziness. Which is
the best way for the nurse to assess blood pressure?
You Selected:
• in the supine, sitting, and standing positions
Correct response:
• in the supine, sitting, and standing positions
Question 6
A client has a soft wrist-safety device. Which assessment finding
should the nurse investigate further?
You Selected:
, • cool, pale fingers
Correct response:
• cool, pale fingers
Question 7
A nurse is caring for a female client before surgery. The client states
that she is glad that she will not be going through menopause as a
result of her surgery and is only having her uterus removed. The
nurse reviews the consent form and notes that the surgery is for a
total abdominal hysterectomy with a salpingo-oophorectomy. What
should the nurse do in this situation?
You Selected:
• Contact the surgeon to explain that the client needs further
clarification regarding surgery.
Correct response:
• Contact the surgeon to explain that the client needs further
clarification regarding surgery.
Question 8
A young client diagnosed with schizophrenia is talking with the
nurse and says, "You know, when I thought everyone was out to get
me, I was staying in my apartment all the time. Now, I would like to
get out and do things again." What is the best initial response by the
nurse?
You Selected:
• "What activities did you enjoy in the past?"
Correct response:
• "What activities did you enjoy in the past?"
,Question 9
A client with anemia has been admitted to the medical-surgical unit.
Which assessment findings are characteristic of iron deficiency
anemia?
You Selected:
• nausea, vomiting, and anorexia
Correct response:
• dyspnea, tachycardia, and pallor
Question 10
The nurse is discontinuing an intravenous catheter on a 10-year-old
client with hemophilia. What would be the most important
intervention for this client?
You Selected:
• Apply firm pressure on the site for 5 minutes after removal.
Correct response:
• Apply firm pressure on the site for 5 minutes after removal.
Question 11
When a client returns from the recovery room postmastectomy, an
initial postoperative assessment is performed by the nurse. What is
the nurse’s priority assessment?
You Selected:
• checking the dressing, drain, and amount of drainage
Correct response:
• assessing the vital signs and oxygen saturation levels
Question 12
, A client with an uncomplicated term pregnancy arrives at the labor-
and-delivery unit in early labor saying that she thinks her water has
broken. What is the nurse’s best action?
You Selected:
• Ask what time this happened and note the color, amount, and
odor of the fluid.
Correct response:
• Ask what time this happened and note the color, amount, and
odor of the fluid.
Question 13
When documenting the care of a client, the nurse is aware of the
need to use abbreviations conscientiously and safely. This includes
You Selected:
• ensuring the abbreviations are understandable to clients who
may seek access to their health records
Correct response:
• limiting abbreviations to those approved for use by the
institution
Question 14
During routine prenatal screening, a nurse tells a client that her
blood sample will be used for alpha fetoprotein (AFP) testing.
Which statement best describes what AFP testing indicates?
You Selected:
• "This screening indicates if your baby's lungs are mature."
Correct response:
• "This test will screen for spina bifida, Down syndrome, or
other genetic defects."