HESI RN exit exam 2 QUESTIONS LATEST AND COMPREHENSIVE
VERSION QUESTIONS WITH VERIFIED ANSWERS AND RATIONALES
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A client with acute pancreatitis is admitted to the medical unit. During the nurse's admission
interview, which assessment has the highest priority?
A. History of alcohol intake.
B. Time of last meal.
C. Frequency of vomiting.
D. Intensity of pain.
D. Intensity of pain.
The hallmark sign of pancreatitis is severe abdominal pain due to autodigestion of the pancreas
by the enzymes amylase and lipase.
Which intervention should the school nurse implement to decrease the incidence of hepatitis A
in a preschool setting?
A. Promote hygiene by ensuring that children's faces and hair are kept clean.
B. Ensure that all enrolled children have been immunized for Hepatitis A.
C. Put a strip bandage on bleeding injuries to prevent contamination of others.
D. Teach children the correct handwashing technique to use after toileting.
B. Ensure that all enrolled children have been immunized for Hepatitis A.
The CDC recommended immunization schedule for children includes the hepatitis A vaccine
(HAV), so follow-up of enrolled children's immunization status with HAV or human-immune
gamma globulin should be implemented. Preschoolers should be taught the importance of
hygiene practices, such as keeping themselves clean or correct handwashing technique, but
,hepatitis A is transmitted via the fecal-oral route and immunization provides the best universal
protection. Hepatitis A is not transmitted through blood contact.
What does the pathophysiologic theory of free radicals suggest?
Inadequate mitochondrial ATP.
A. Inadequate mitochondrial ATP.
B. Aging is a process of cell damage.
C. Defective chromosomes for protein.
D. Defective integral membrane proteins.
B. Aging is a process of cell damage.
Free radicals are unstable molecules produced by the body during the normal processes of
respiration and metabolism or following exposure to radiation and pollution. These free radicals
are suspected to cause damage to the cells, DNA, and the immune system. Excessive free radical
accumulation in the body is purported to contribute to the physiologic changes of aging and a
variety of diseases, such as arthritis, circulatory diseases, diabetes, and atherosclerosis.
An older adult client begins wearing binaural hearing aids due to presbycusis. Which instruction
should the nurse provide to assist the client in adapting to the new hearing aids?
A. Begin wearing the aids in quiet environments to experiment with adjustments.
B. Wear the hearing aids for an hour a day at first, gradually increasing the time.
C. Keep the volume on low until the conditions with noises are audible.
D. Use one hearing aid until comfortable, then add the second aid.
A. Begin wearing the aids in quiet environments to experiment with adjustments.
,Initially, the use of hearing aids should be restricted to quiet situations in the home. As
adjustments occur, the client should gradually be exposed to conditions with background noise
and the outdoors. Time restriction is not necessary.
When making a home visit to a family with a teething 4-month-old, what information is most
important for the nurse to provide the parents?
A. Though child development is characterized by individual differences, first teeth usually erupt
during the seventh month.
B. Providing cooled teething toys can help decrease the discomfort associated with tooth
eruption.
C. No action is required for the common symptoms associated with teething, which include
drooling, irritability, and poor sleeping.
D. A slight fever is often associated with teething, but a fever lasting several days requires
medical attention.
D. A slight fever is often associated with teething, but a fever lasting several days requires
medical attention.
A slight fever that persists longer than three days is likely to be associated with a pathological
process, not teething, and the parents should seek the attention of their healthcare provider if
it occurs. General guidelines to call the HCP if fever continues for more than 24 hours in a child
younger than 2 years old or more than 3 days in a child older than 2 years of age.
Which assessment is most important for the nurse to implement when performing a
comprehensive assessment for an older adult client?
A. Chronic illnesses.
B. Functional abilities.
C. Immunologic function.
, D. Physical signs of aging.
B. Functional abilities.
The focus of a geriatric assessment is to determine the older client's functional abilities, so
appropriate interventions can be planned and implemented to maintain and enhance
independence.
Which client is at highest risk for chronic kidney disease (CKD) secondary to diabetes mellitus
(DM)?
A. Type 1 DM and a serum hemoglobin-A1c of 3.5%.
B. Type 1 DM and retinopathy and mild vision loss.
C. Type 2 DM and hypertension controlled by metoprolol.
D. Type 2 DM and a history of morbid obesity for 5 years.
B. Type 1 DM and retinopathy and mild vision loss.
Diabetic retinopathy and nephropathy are related to prolonged hyperglycemia and
hypertension which damage the microvasculature of the eyes and kidneys, so a client with Type
1 DM and retinopathy is most likely to develop nephropathy and CKD.
A newborn is brought to the admissions nursery by the nurse and the father of the baby. The
baby weighs 9 pounds 3 ounces and measures 21 inches head to toe. Which description is a
correct assessment of this infant?
A. Above average in weight but average in length.
B. Above average in weight and length.
C. Above average in weight but below average in length.
D. Macrosomia with an average length.
VERSION QUESTIONS WITH VERIFIED ANSWERS AND RATIONALES
GUARANTEED PASS WITH INSTANT PDF DOWNLOAD!!
A client with acute pancreatitis is admitted to the medical unit. During the nurse's admission
interview, which assessment has the highest priority?
A. History of alcohol intake.
B. Time of last meal.
C. Frequency of vomiting.
D. Intensity of pain.
D. Intensity of pain.
The hallmark sign of pancreatitis is severe abdominal pain due to autodigestion of the pancreas
by the enzymes amylase and lipase.
Which intervention should the school nurse implement to decrease the incidence of hepatitis A
in a preschool setting?
A. Promote hygiene by ensuring that children's faces and hair are kept clean.
B. Ensure that all enrolled children have been immunized for Hepatitis A.
C. Put a strip bandage on bleeding injuries to prevent contamination of others.
D. Teach children the correct handwashing technique to use after toileting.
B. Ensure that all enrolled children have been immunized for Hepatitis A.
The CDC recommended immunization schedule for children includes the hepatitis A vaccine
(HAV), so follow-up of enrolled children's immunization status with HAV or human-immune
gamma globulin should be implemented. Preschoolers should be taught the importance of
hygiene practices, such as keeping themselves clean or correct handwashing technique, but
,hepatitis A is transmitted via the fecal-oral route and immunization provides the best universal
protection. Hepatitis A is not transmitted through blood contact.
What does the pathophysiologic theory of free radicals suggest?
Inadequate mitochondrial ATP.
A. Inadequate mitochondrial ATP.
B. Aging is a process of cell damage.
C. Defective chromosomes for protein.
D. Defective integral membrane proteins.
B. Aging is a process of cell damage.
Free radicals are unstable molecules produced by the body during the normal processes of
respiration and metabolism or following exposure to radiation and pollution. These free radicals
are suspected to cause damage to the cells, DNA, and the immune system. Excessive free radical
accumulation in the body is purported to contribute to the physiologic changes of aging and a
variety of diseases, such as arthritis, circulatory diseases, diabetes, and atherosclerosis.
An older adult client begins wearing binaural hearing aids due to presbycusis. Which instruction
should the nurse provide to assist the client in adapting to the new hearing aids?
A. Begin wearing the aids in quiet environments to experiment with adjustments.
B. Wear the hearing aids for an hour a day at first, gradually increasing the time.
C. Keep the volume on low until the conditions with noises are audible.
D. Use one hearing aid until comfortable, then add the second aid.
A. Begin wearing the aids in quiet environments to experiment with adjustments.
,Initially, the use of hearing aids should be restricted to quiet situations in the home. As
adjustments occur, the client should gradually be exposed to conditions with background noise
and the outdoors. Time restriction is not necessary.
When making a home visit to a family with a teething 4-month-old, what information is most
important for the nurse to provide the parents?
A. Though child development is characterized by individual differences, first teeth usually erupt
during the seventh month.
B. Providing cooled teething toys can help decrease the discomfort associated with tooth
eruption.
C. No action is required for the common symptoms associated with teething, which include
drooling, irritability, and poor sleeping.
D. A slight fever is often associated with teething, but a fever lasting several days requires
medical attention.
D. A slight fever is often associated with teething, but a fever lasting several days requires
medical attention.
A slight fever that persists longer than three days is likely to be associated with a pathological
process, not teething, and the parents should seek the attention of their healthcare provider if
it occurs. General guidelines to call the HCP if fever continues for more than 24 hours in a child
younger than 2 years old or more than 3 days in a child older than 2 years of age.
Which assessment is most important for the nurse to implement when performing a
comprehensive assessment for an older adult client?
A. Chronic illnesses.
B. Functional abilities.
C. Immunologic function.
, D. Physical signs of aging.
B. Functional abilities.
The focus of a geriatric assessment is to determine the older client's functional abilities, so
appropriate interventions can be planned and implemented to maintain and enhance
independence.
Which client is at highest risk for chronic kidney disease (CKD) secondary to diabetes mellitus
(DM)?
A. Type 1 DM and a serum hemoglobin-A1c of 3.5%.
B. Type 1 DM and retinopathy and mild vision loss.
C. Type 2 DM and hypertension controlled by metoprolol.
D. Type 2 DM and a history of morbid obesity for 5 years.
B. Type 1 DM and retinopathy and mild vision loss.
Diabetic retinopathy and nephropathy are related to prolonged hyperglycemia and
hypertension which damage the microvasculature of the eyes and kidneys, so a client with Type
1 DM and retinopathy is most likely to develop nephropathy and CKD.
A newborn is brought to the admissions nursery by the nurse and the father of the baby. The
baby weighs 9 pounds 3 ounces and measures 21 inches head to toe. Which description is a
correct assessment of this infant?
A. Above average in weight but average in length.
B. Above average in weight and length.
C. Above average in weight but below average in length.
D. Macrosomia with an average length.
