EXIT HESI NEWEST EXAM
CURRENTLY TESTING
COMPLETE EXAM QUESTION
WITH DETAILED VERIFIED
ANSWERS(100% CORRECT
ANSWERS)A+ STUDY MATERIAL
The client who is a veteran comes to the emergency department appearing tense, anxious, and having
difficulty concentrating on the questions the nurse is asking during the health history which client
statement is most important for the nurse to document?
a. "I can't forgive myself for leaving my body behind"
b. "I'm having a lot of trouble sleeping most nights"
c. "I worry I will get fired because I call in sick so often"
d. "I can't seem to shake out of these helpless feelings"
d. "I can't seem to shake out of these helpless feelings"
. A male client on the psychiatric unit is making sexual advances towards a female nurse which action
should this nurse implement first?
a. Request an immediate team meeting to discuss the inappropriate behavior
b. Discuss with the client why he is making sexual advances towards the nurse
c. Tell the client in a matter-of-fact manner to stop the sexual advances
d. Document as specifically as possible the client's behavior in the nurses' notes
c. Tell the client in a matter-of-fact manner to stop the sexual advances
. The nurse notes that a client with depression has been more withdrawn and more
noncommunicative during the past two weeks which intervention is most important to include in
the updated plan of care for these clients?
a. Encourage the client to participate in Group activities
b. Schedule a daily conference with the social worker
c. Encourage the client a non-threatening conversation
d. Encourage the client's family to visit more often
,c. Encourage the client a non-threatening conversation
A client is admitted to the mental health unit for feelings of depression secondary 2 or positive HIV
report to provide a safe milieu for this client which action should the nurse take?
a. Take the clients cellular telephone and provide a telephone in the room
b. Ensure that prescribed medications are kept in a safe place in the room
c. Remove soft drinks cans from the nurse's desk and patient's lounge
d. Replace paper trash bags we plastic biohazard bags
c. Remove soft drinks cans from the nurse's desk and patient's lounge
Client who arrives in the emergency department after a motor vehicle accident tells the nurse the car
started to slide, and I just decided to let it go everyone would be better off if I was no longer around.
How should the nurse respond?
a. Ask the client even the MVC was a suicide attempt
b. Determine what is going on in the client life to make him feel depressed
c. Assess the client for other symptoms of depression
d. Report to the health care provider that the client may need an antidepressant
a. Ask the client even the MVC was a suicide attempt
An unlicensed assistive personnel UAP informs the nurse who is giving medication that a female client
is crying the. The Client was just informed that she has a malignant tumor. Which action should the
nurse implement first?
a. Ask other nurse to finish giving medication and attend to the client immediately
b. Tell the client that the nurse will be back to talk to her after medication is given
c. Provide the client with a PRN undo anxiety medication and allow privacy for her to grieve
d. instructor UAP to notify the client spiritual advisor for her needs for counseling
b. Tell the client that the nurse will be back to talk to her after medication is given
. The nurse notices that of male client is particularly delusion one afternoon he begins to pace the
floor and appears to be losing control of himself which intervention is best for the nurse to
implement?
a. Move the client to a quiet place on the unit
b. Encourage the client to use the punching bag
c. Suggest to the client that he take a walk
d. Use firmness and direct client to sit for a while
a. Move the client to a quiet place on the unit
. A mother brings her 2 month or infant to the clinic for the well-baby appointment the nurse obtains
a history and conducts a physical assessment which finding requires the most immediate
intervention?
,a. A positive Ortolani maneuver
b. Bilateral retinal hemorrhages
c. History of poor feeding and vomiting d. Mother describes baby as irritable
b. Bilateral retinal hemorrhages
A Client diagnosed with schizophrenia is prescribed the atypical antipsychotic Clozapine which
intervention should the nurse included in the discharge teaching?
a. Instruct the client to keep a record of daily Clozapine serum blood level
b. Discuss the importance of checking the white blood count weekly
c. Explain the importance of not eating cheese or drinking any wine
d. Encourage the client to take the blood pressure twice a day
b. Discuss the importance of checking the white blood count weekly
Why conducting a mental status exam, the nurse asks the client to interpret the proverb "A stitch in
time saves nine" This exercise provides a measure of which parameter?
a. Abstract thinking
b. Intelligence
c. Reality orientation
d. Level of paranoia
a. Abstract thinking
A woman with an anxiety disorder called her Obstetricians' office and tells the nurse of increase
anxiety since the normal vagina delivery of her son three weeks ago since she's breastfeeding, she
stopped taking her anti-anxiety medications, but thinks she may need to start taking them again
because of her increased anxiety what response is best for the nurse to provide this woman?
a. Encourage her to use stress relieving alternatives such as deep breathing exercises
b. Inform her that some anti-anxiety medications are safe to take while breastfeeding
c. Explain that anxiety is a normal response to the mother of a three-week-old
d. Describe the transmission of drugs to the infant through breast milk
b. Inform her that some anti-anxiety medications are safe to take while breastfeeding
. The nurse is interacting with a client who is diagnosed with postpartum depression which findings
should the nurse document as objective signs of depression?
a. Avoid eye contact
b. Expresses suicidal thoughts
c. Reports feeling sad
d. Interact with a flat affect
e. Have a disheveled appearance
, b. Expresses suicidal thoughts
c. Reports feeling sad
. The nurse is caring for a client with the sexually transmitted infections (STI) gonorrhea. The client eve
a report of having pelvic inflammatory disease (PID) caused by the infection which response should
the nurse provide?
a. Notify that person with STI I reported to local health departments
b. Encourage the client to verbalize emotions about the diagnosis
c. Urge the client to have regular STI's training every two years
d. Clarify that all STI's are transmitted through sexual intercourse
a. Notify that person with STI I reported to local health departments
An adult client who is admitted to the mental health unit for treatment of bipolar disorder has a
slightly slurry speech pattern and an unsteady gait which assessment finding is most important for the
nurse to report to the health care provider?
a. Weight loss of 10 pounds (4.5 kg) in past month
b. Blood alcohol level of 0.09%
c. serum Lithium level of 1.6 mEq/L or mmol/L (SI)
d. Six hours of sleep in the past three days
c. serum Lithium level of 1.6 mEq/L or mmol/L (SI)
The plan of care for a client who was recently diagnosed with breast cancer includes the nursing
problem anxiety related to death secondary to the cancer diagnosis which expected outcome should
the nurse identify for this client?
a. Verbalize feelings when becoming anxious
b. Cries openly when discussing diagnosis
c. Describes acceptance of impending death
d. Uses this coping mechanism effectively
a. Verbalize feelings when becoming anxious
In performing an inspection of a client's fingernails, the nurse observes a suspected abnormality of
the nails shape and characters the client has a history of chronic bronchitis which finding should the
nurse confirm?
a. Anonychia
b. Onycholysis
c. Koilonychias
d. Clubbing
d. Clubbing
CURRENTLY TESTING
COMPLETE EXAM QUESTION
WITH DETAILED VERIFIED
ANSWERS(100% CORRECT
ANSWERS)A+ STUDY MATERIAL
The client who is a veteran comes to the emergency department appearing tense, anxious, and having
difficulty concentrating on the questions the nurse is asking during the health history which client
statement is most important for the nurse to document?
a. "I can't forgive myself for leaving my body behind"
b. "I'm having a lot of trouble sleeping most nights"
c. "I worry I will get fired because I call in sick so often"
d. "I can't seem to shake out of these helpless feelings"
d. "I can't seem to shake out of these helpless feelings"
. A male client on the psychiatric unit is making sexual advances towards a female nurse which action
should this nurse implement first?
a. Request an immediate team meeting to discuss the inappropriate behavior
b. Discuss with the client why he is making sexual advances towards the nurse
c. Tell the client in a matter-of-fact manner to stop the sexual advances
d. Document as specifically as possible the client's behavior in the nurses' notes
c. Tell the client in a matter-of-fact manner to stop the sexual advances
. The nurse notes that a client with depression has been more withdrawn and more
noncommunicative during the past two weeks which intervention is most important to include in
the updated plan of care for these clients?
a. Encourage the client to participate in Group activities
b. Schedule a daily conference with the social worker
c. Encourage the client a non-threatening conversation
d. Encourage the client's family to visit more often
,c. Encourage the client a non-threatening conversation
A client is admitted to the mental health unit for feelings of depression secondary 2 or positive HIV
report to provide a safe milieu for this client which action should the nurse take?
a. Take the clients cellular telephone and provide a telephone in the room
b. Ensure that prescribed medications are kept in a safe place in the room
c. Remove soft drinks cans from the nurse's desk and patient's lounge
d. Replace paper trash bags we plastic biohazard bags
c. Remove soft drinks cans from the nurse's desk and patient's lounge
Client who arrives in the emergency department after a motor vehicle accident tells the nurse the car
started to slide, and I just decided to let it go everyone would be better off if I was no longer around.
How should the nurse respond?
a. Ask the client even the MVC was a suicide attempt
b. Determine what is going on in the client life to make him feel depressed
c. Assess the client for other symptoms of depression
d. Report to the health care provider that the client may need an antidepressant
a. Ask the client even the MVC was a suicide attempt
An unlicensed assistive personnel UAP informs the nurse who is giving medication that a female client
is crying the. The Client was just informed that she has a malignant tumor. Which action should the
nurse implement first?
a. Ask other nurse to finish giving medication and attend to the client immediately
b. Tell the client that the nurse will be back to talk to her after medication is given
c. Provide the client with a PRN undo anxiety medication and allow privacy for her to grieve
d. instructor UAP to notify the client spiritual advisor for her needs for counseling
b. Tell the client that the nurse will be back to talk to her after medication is given
. The nurse notices that of male client is particularly delusion one afternoon he begins to pace the
floor and appears to be losing control of himself which intervention is best for the nurse to
implement?
a. Move the client to a quiet place on the unit
b. Encourage the client to use the punching bag
c. Suggest to the client that he take a walk
d. Use firmness and direct client to sit for a while
a. Move the client to a quiet place on the unit
. A mother brings her 2 month or infant to the clinic for the well-baby appointment the nurse obtains
a history and conducts a physical assessment which finding requires the most immediate
intervention?
,a. A positive Ortolani maneuver
b. Bilateral retinal hemorrhages
c. History of poor feeding and vomiting d. Mother describes baby as irritable
b. Bilateral retinal hemorrhages
A Client diagnosed with schizophrenia is prescribed the atypical antipsychotic Clozapine which
intervention should the nurse included in the discharge teaching?
a. Instruct the client to keep a record of daily Clozapine serum blood level
b. Discuss the importance of checking the white blood count weekly
c. Explain the importance of not eating cheese or drinking any wine
d. Encourage the client to take the blood pressure twice a day
b. Discuss the importance of checking the white blood count weekly
Why conducting a mental status exam, the nurse asks the client to interpret the proverb "A stitch in
time saves nine" This exercise provides a measure of which parameter?
a. Abstract thinking
b. Intelligence
c. Reality orientation
d. Level of paranoia
a. Abstract thinking
A woman with an anxiety disorder called her Obstetricians' office and tells the nurse of increase
anxiety since the normal vagina delivery of her son three weeks ago since she's breastfeeding, she
stopped taking her anti-anxiety medications, but thinks she may need to start taking them again
because of her increased anxiety what response is best for the nurse to provide this woman?
a. Encourage her to use stress relieving alternatives such as deep breathing exercises
b. Inform her that some anti-anxiety medications are safe to take while breastfeeding
c. Explain that anxiety is a normal response to the mother of a three-week-old
d. Describe the transmission of drugs to the infant through breast milk
b. Inform her that some anti-anxiety medications are safe to take while breastfeeding
. The nurse is interacting with a client who is diagnosed with postpartum depression which findings
should the nurse document as objective signs of depression?
a. Avoid eye contact
b. Expresses suicidal thoughts
c. Reports feeling sad
d. Interact with a flat affect
e. Have a disheveled appearance
, b. Expresses suicidal thoughts
c. Reports feeling sad
. The nurse is caring for a client with the sexually transmitted infections (STI) gonorrhea. The client eve
a report of having pelvic inflammatory disease (PID) caused by the infection which response should
the nurse provide?
a. Notify that person with STI I reported to local health departments
b. Encourage the client to verbalize emotions about the diagnosis
c. Urge the client to have regular STI's training every two years
d. Clarify that all STI's are transmitted through sexual intercourse
a. Notify that person with STI I reported to local health departments
An adult client who is admitted to the mental health unit for treatment of bipolar disorder has a
slightly slurry speech pattern and an unsteady gait which assessment finding is most important for the
nurse to report to the health care provider?
a. Weight loss of 10 pounds (4.5 kg) in past month
b. Blood alcohol level of 0.09%
c. serum Lithium level of 1.6 mEq/L or mmol/L (SI)
d. Six hours of sleep in the past three days
c. serum Lithium level of 1.6 mEq/L or mmol/L (SI)
The plan of care for a client who was recently diagnosed with breast cancer includes the nursing
problem anxiety related to death secondary to the cancer diagnosis which expected outcome should
the nurse identify for this client?
a. Verbalize feelings when becoming anxious
b. Cries openly when discussing diagnosis
c. Describes acceptance of impending death
d. Uses this coping mechanism effectively
a. Verbalize feelings when becoming anxious
In performing an inspection of a client's fingernails, the nurse observes a suspected abnormality of
the nails shape and characters the client has a history of chronic bronchitis which finding should the
nurse confirm?
a. Anonychia
b. Onycholysis
c. Koilonychias
d. Clubbing
d. Clubbing
