HESI Exit (366 V2) PRACTICE QUESTIONS AND
ANSWERS LATEST AND COMPREHENSIVE VERSION
WITH VERIFIED ANSWERS GUARANTEED PASS
WITH INSTANT PDF DOWNLOAD
The nurse knows that which statement by the mother indicates that the mother understands safety
precautions with her four month-old infant and her 4 year-old child?
"I have the 4 year-old hold and help feed the four month-old a bottle in the kitchen while I make
supper."
Upon completing the admission documents, the nurse learns that the 87 year-old client does not have
an advance directive. What action should the nurse take?
Give information about advance directives
A nurse administers the influenza vaccine to a client in a clinic. Within 15 minutes after the
immunization was given, the client complains of itchy and watery eyes, increased anxiety, and
difficulty breathing. The nurse expects that the first action in the sequence of care for this client will
be to
Administer epinephrine 1:1000 as ordered
Which of these children at the site of a disaster at a child day care center would the triage nurse put in
the "treat last" category?
A toddler with severe deep abrasions over 98% of the body
,When admitting a client to an acute care facility, an identification bracelet is sent up with the
admission form. In the event these do not match, the nurse's best action is to
Notify the admissions office and wait to apply the bracelet
The nurse is having difficulty reading the health care provider's written order that was written right
before the shift change. What action should be taken?
Call the provider for clarification
An adult client is found to be unresponsive on morning rounds. After checking for responsiveness and
calling for help, the next action that should be taken by the nurse is to:
open the client's airway
A client has an order for 1000 ml of D5W over an 8 hour period. The nurse discovers that 800 ml has
been infused after 4 hours. What is the priority nursing action?
Auscultate the lungs
Following change-of-shift report on an orthopedic unit, which client should the nurse see first?
72 year-old recovering from surgery after a hip replacement 2 hours ago
A nurse observes a family member administer a rectal suppository by having the client lie on the left
side for the administration. The family member pushed the suppository until the finger went up to the
second knuckle. After 10 minutes the client was told by the family member to turn to the right side
and the client did this. What is the appropriate comment for the nurse to make?
That was done correctly. Did you have any problems with the insertion?
, A client with a diagnosis of Methicillin resistant Staphylococcus aureus (MRSA) has died. Which type
of precautions is the appropriate type to use when performing postmortem care?
contact precautions
The nurse is reviewing with a client how to collect a clean catch urine specimen. Which sequence is
appropriate teaching?
clean the meatus, begin voiding, then catch urine stream
The provider orders Lanoxin (digoxin) 0.125 mg PO and furosomide 40 mg every day. Which of these
foods would the nurse reinforce for the client to eat at least daily?
watermelon
A nurse is stuck in the hand by an exposed needle. What immediate action should the nurse take?
Immediately wash the hands with vigor
As the nurse observes the student nurse during the administration of a narcotic analgesic IM injection,
the nurse notes that the student begins to give the medication without first aspirating. What should
the nurse do?
Walk up and whisper in the student's ear "Stop. Aspirate. Then inject."
A client with Guillain Barre is in a non responsive state, yet vital signs are stable and breathing is
independent. What should the nurse document to most accurately describe the client's condition?
Glascow Coma Scale 8, respirations regular
ANSWERS LATEST AND COMPREHENSIVE VERSION
WITH VERIFIED ANSWERS GUARANTEED PASS
WITH INSTANT PDF DOWNLOAD
The nurse knows that which statement by the mother indicates that the mother understands safety
precautions with her four month-old infant and her 4 year-old child?
"I have the 4 year-old hold and help feed the four month-old a bottle in the kitchen while I make
supper."
Upon completing the admission documents, the nurse learns that the 87 year-old client does not have
an advance directive. What action should the nurse take?
Give information about advance directives
A nurse administers the influenza vaccine to a client in a clinic. Within 15 minutes after the
immunization was given, the client complains of itchy and watery eyes, increased anxiety, and
difficulty breathing. The nurse expects that the first action in the sequence of care for this client will
be to
Administer epinephrine 1:1000 as ordered
Which of these children at the site of a disaster at a child day care center would the triage nurse put in
the "treat last" category?
A toddler with severe deep abrasions over 98% of the body
,When admitting a client to an acute care facility, an identification bracelet is sent up with the
admission form. In the event these do not match, the nurse's best action is to
Notify the admissions office and wait to apply the bracelet
The nurse is having difficulty reading the health care provider's written order that was written right
before the shift change. What action should be taken?
Call the provider for clarification
An adult client is found to be unresponsive on morning rounds. After checking for responsiveness and
calling for help, the next action that should be taken by the nurse is to:
open the client's airway
A client has an order for 1000 ml of D5W over an 8 hour period. The nurse discovers that 800 ml has
been infused after 4 hours. What is the priority nursing action?
Auscultate the lungs
Following change-of-shift report on an orthopedic unit, which client should the nurse see first?
72 year-old recovering from surgery after a hip replacement 2 hours ago
A nurse observes a family member administer a rectal suppository by having the client lie on the left
side for the administration. The family member pushed the suppository until the finger went up to the
second knuckle. After 10 minutes the client was told by the family member to turn to the right side
and the client did this. What is the appropriate comment for the nurse to make?
That was done correctly. Did you have any problems with the insertion?
, A client with a diagnosis of Methicillin resistant Staphylococcus aureus (MRSA) has died. Which type
of precautions is the appropriate type to use when performing postmortem care?
contact precautions
The nurse is reviewing with a client how to collect a clean catch urine specimen. Which sequence is
appropriate teaching?
clean the meatus, begin voiding, then catch urine stream
The provider orders Lanoxin (digoxin) 0.125 mg PO and furosomide 40 mg every day. Which of these
foods would the nurse reinforce for the client to eat at least daily?
watermelon
A nurse is stuck in the hand by an exposed needle. What immediate action should the nurse take?
Immediately wash the hands with vigor
As the nurse observes the student nurse during the administration of a narcotic analgesic IM injection,
the nurse notes that the student begins to give the medication without first aspirating. What should
the nurse do?
Walk up and whisper in the student's ear "Stop. Aspirate. Then inject."
A client with Guillain Barre is in a non responsive state, yet vital signs are stable and breathing is
independent. What should the nurse document to most accurately describe the client's condition?
Glascow Coma Scale 8, respirations regular
