HESI Exit (366 V2) Exam Questions &
Answers (Grade A+)
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? -
correct answer ✅"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? -
correct answer ✅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 -
correct answer ✅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? -
correct answer ✅A toddler with severe deep abrasions over 98%
of the body
,HESI Exit (366 V2) Exam Questions &
Answers (Grade A+)
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 -
correct answer ✅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? -
correct answer ✅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: -
correct answer ✅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? -
correct answer ✅Auscultate the lungs
Following change-of-shift report on an orthopedic unit, which client
should the nurse see first? -
,HESI Exit (366 V2) Exam Questions &
Answers (Grade A+)
correct answer ✅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? -
correct answer ✅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? -
correct answer ✅contact precautions
The nurse is reviewing with a client how to collect a clean catch
urine specimen. Which sequence is appropriate teaching? -
correct answer ✅clean the meatus, begin voiding, then catch urine
stream
, HESI Exit (366 V2) Exam Questions &
Answers (Grade A+)
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? -
correct answer ✅watermelon
A nurse is stuck in the hand by an exposed needle. What immediate
action should the nurse take? -
correct answer ✅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? -
correct answer ✅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?
-
correct answer ✅Glascow Coma Scale 8, respirations regular
Answers (Grade A+)
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? -
correct answer ✅"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? -
correct answer ✅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 -
correct answer ✅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? -
correct answer ✅A toddler with severe deep abrasions over 98%
of the body
,HESI Exit (366 V2) Exam Questions &
Answers (Grade A+)
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 -
correct answer ✅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? -
correct answer ✅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: -
correct answer ✅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? -
correct answer ✅Auscultate the lungs
Following change-of-shift report on an orthopedic unit, which client
should the nurse see first? -
,HESI Exit (366 V2) Exam Questions &
Answers (Grade A+)
correct answer ✅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? -
correct answer ✅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? -
correct answer ✅contact precautions
The nurse is reviewing with a client how to collect a clean catch
urine specimen. Which sequence is appropriate teaching? -
correct answer ✅clean the meatus, begin voiding, then catch urine
stream
, HESI Exit (366 V2) Exam Questions &
Answers (Grade A+)
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? -
correct answer ✅watermelon
A nurse is stuck in the hand by an exposed needle. What immediate
action should the nurse take? -
correct answer ✅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? -
correct answer ✅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?
-
correct answer ✅Glascow Coma Scale 8, respirations regular
