HESI Comprehensive Exit Exam 1 (And Rationale) Test Bank
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Which approach should the nurse use when preparing a toddler for a procedure?
a. Demonstrate the procedure using a doll.
b. Avoid asking the child to make choices.
c. Plan a teaching session to last about 20 minutes.
d. Show equipment but prevent child from handling it.
A
(Imitation is one of the most distinguishing characteristics of toddler play, so
demonstration of a procedure on a doll enables a non-threatening, dramatic
experience that can help prepare the toddler for the actual procedure. The
primary developmental task in toddlerhood is acquiring a sense of autonomy,
so giving choices whenever
possible to a toddler is recommended, not avoiding asking the toddler to make
a choice. Since the toddler's attention span is short, teaching sessions should
be brief and can be repeated for reinforcement. Showing the equipment before
its use helps relieve anxiety, but the child should be allowed to handle some of
the equipment to prevent frustration and alleviate fear.)
,The nurse is caring for a client who is the daughter of a local politician. When the
nurse approaches a man who is reading the names on the hall doors, he identifies
himself as a reporter for the local newspaper and requests information about the
client's status.
Which standard of nursing practice should the nurse use to respond?
a. Caring.
b. Veracity.
c. Advocacy.
d. Confidentiality.
D
(Confidentiality is the nurse's primary responsibility and is supported by HIPAA,
which mandates that personal information is not disclosed and access to
sensitive client information is limited. Caring involves the nurse's concern
about how the client experiences the world. Veracity is the nurse's duty to tell
the truth and not deceive
others. Advocacy is support of the client's best interests.)
,A male client diagnosed with antisocial personality disorder is morbidly
obese and is placed on a low fat, low calorie diet. At dinner the nurse notes
that he is trying to get other clients on the unit to give him part of their
meals. What intervention should the nurse implement?
a. Remove the client from the table and have him sit alone.
b. Send the client back to his room and do not allow him to eat.
c. Report the behavior to the on-call psychologist immediately.
d. Confront the client about the consequences of the behavior.
D
(The nurse should provide a reality check by helping the client realize that there are
consequences to his behavior. Removing the client from the room or table does not
help the client realize that his behavior is manipulative and harmful to himself
as well as others. This behavior needs to be documented, but does not need
to be reported
immediately.)
The nurse is assessing a client who complains of weight loss, racing heart rate,
and difficulty sleeping. The nurse determines the client has moist skin with fine
hair,
prominent eyes, lid retraction, and a staring expression. These findings are
consistent with which disorder?
a. Grave's disease.
b. Cushing syndrome.
c. Multiple sclerosis.
d. Addison's disease.
A
(This client is exhibiting symptoms associated with hyperthyroidism or Grave's
disease, which is an autoimmune condition affecting the thyroid. Cushing
syndrome, multiple
sclerosis, or Addison's disease are not associated with these symptoms.)
, Which information should the nurse give a client with chronic kidney disease (CKD)?
a. Restrict calcium-rich foods.
b. Obtain monthly B12 injections.
c. Avoid salt substitutes.
d. Increase daily intake of fiber.
C
(A client with CKD should restrict sodium and potassium dietary intake, and salt
substitutes usually contain potassium, so they should avoid using them.
Hypocalcemia is a complication of CKD and calcium supplements are often
needed. Anemia related to CKD is treated with iron, folic acid, and
erythropoietin, not B12 injections. Although
increasing fiber is a common dietary recommendation, it not an essential part
of client teaching for CKD.)
Questions & Answers || Most Recent Exam Actual
Complete Real Exam Questions And Correct Answers
(Verified Answers) Already Graded A+ | Guaranteed
Success!! Newest Exam | Just Released 2026-2027
Which approach should the nurse use when preparing a toddler for a procedure?
a. Demonstrate the procedure using a doll.
b. Avoid asking the child to make choices.
c. Plan a teaching session to last about 20 minutes.
d. Show equipment but prevent child from handling it.
A
(Imitation is one of the most distinguishing characteristics of toddler play, so
demonstration of a procedure on a doll enables a non-threatening, dramatic
experience that can help prepare the toddler for the actual procedure. The
primary developmental task in toddlerhood is acquiring a sense of autonomy,
so giving choices whenever
possible to a toddler is recommended, not avoiding asking the toddler to make
a choice. Since the toddler's attention span is short, teaching sessions should
be brief and can be repeated for reinforcement. Showing the equipment before
its use helps relieve anxiety, but the child should be allowed to handle some of
the equipment to prevent frustration and alleviate fear.)
,The nurse is caring for a client who is the daughter of a local politician. When the
nurse approaches a man who is reading the names on the hall doors, he identifies
himself as a reporter for the local newspaper and requests information about the
client's status.
Which standard of nursing practice should the nurse use to respond?
a. Caring.
b. Veracity.
c. Advocacy.
d. Confidentiality.
D
(Confidentiality is the nurse's primary responsibility and is supported by HIPAA,
which mandates that personal information is not disclosed and access to
sensitive client information is limited. Caring involves the nurse's concern
about how the client experiences the world. Veracity is the nurse's duty to tell
the truth and not deceive
others. Advocacy is support of the client's best interests.)
,A male client diagnosed with antisocial personality disorder is morbidly
obese and is placed on a low fat, low calorie diet. At dinner the nurse notes
that he is trying to get other clients on the unit to give him part of their
meals. What intervention should the nurse implement?
a. Remove the client from the table and have him sit alone.
b. Send the client back to his room and do not allow him to eat.
c. Report the behavior to the on-call psychologist immediately.
d. Confront the client about the consequences of the behavior.
D
(The nurse should provide a reality check by helping the client realize that there are
consequences to his behavior. Removing the client from the room or table does not
help the client realize that his behavior is manipulative and harmful to himself
as well as others. This behavior needs to be documented, but does not need
to be reported
immediately.)
The nurse is assessing a client who complains of weight loss, racing heart rate,
and difficulty sleeping. The nurse determines the client has moist skin with fine
hair,
prominent eyes, lid retraction, and a staring expression. These findings are
consistent with which disorder?
a. Grave's disease.
b. Cushing syndrome.
c. Multiple sclerosis.
d. Addison's disease.
A
(This client is exhibiting symptoms associated with hyperthyroidism or Grave's
disease, which is an autoimmune condition affecting the thyroid. Cushing
syndrome, multiple
sclerosis, or Addison's disease are not associated with these symptoms.)
, Which information should the nurse give a client with chronic kidney disease (CKD)?
a. Restrict calcium-rich foods.
b. Obtain monthly B12 injections.
c. Avoid salt substitutes.
d. Increase daily intake of fiber.
C
(A client with CKD should restrict sodium and potassium dietary intake, and salt
substitutes usually contain potassium, so they should avoid using them.
Hypocalcemia is a complication of CKD and calcium supplements are often
needed. Anemia related to CKD is treated with iron, folic acid, and
erythropoietin, not B12 injections. Although
increasing fiber is a common dietary recommendation, it not an essential part
of client teaching for CKD.)
