HESI EXIT STUDY GUIDE EXAM
HESI EXIT STUDY GUIDE EXAM QUESTIONS AND ANSWERS GRADED A+
Which action contributes to the transmission of HIV infection?
-sharing eating utensils
-having sexual intercourse
-receiving blood transfusions
-shaking hands
-kissing on the cheeks ANS >> -having sexual intercourse
-receiving blood transfusions
HIV infection spreads through contact with infected body fluids ex.
semen, blood, vag secretions, and breast milk.
Casual interactions such as sharing eating utensils, shaking hands, and
kissing do not result in transmission of HIV infection
,HESI EXIT STUDY GUIDE EXAM
which diagnostic criterion for AIDS will be taught to a client who abused
IV drugs and was diagnosed with HIV several years ago?
-contracting HIV specific antibodies
-Development of an acute retroviral syndrome
-Is capable of transmitting the virus to others
-Has a CD4 and T lymphocyte level of less than 200 cells/ micro ANS >>
Has a CD4 + T Lymphocyte level of >200 cells/micro-L
A female client receives a new prescription for an oral contraceptive.
Which information should the practical nurse (PN) reinforce with the
client?
Sit up for 30 minutes after ingestion.
Drink a glass of water with the medication.
Take the pill at the same time everyday.
Avoid taking the medicine with grapefruit juice. ANS >> Take the pill at
the same time everyday
A client with deep partial-thickness and full-thickness burns of the face
and chest is receiving wound care using the "open method." The plan of
care includes the nursing diagnosis, "Risk for infection related to
impaired tissue integrity." Based on the expected outcome, "Client
remains free of infections," which nursing intervention should the
practical nurse (PN) implement?
,HESI EXIT STUDY GUIDE EXAM
Wear gown, cap, mask, and gloves during direct client care.
Restrict visitors in order to prevent wound contamination.
Use sterile water for debridement in the hydrotherapy tank.
Apply sterile dressings after debridement of burn wounds. ANS >>
Wear gown, cap, mask and gloves during direct client care.
A new father asks the practical nurse (PN) the reason for placing an
ophthalmic ointment in his newborn's eyes. What information should
the PN provide?
Possible exposure to an environmental staphylococcus infection can
infect the newborn's eyes and cause visual deficits.
The newborn is at risk for blindness from a corneal syphilitic infection
acquired from a mother's infected vagina.
Treatment prevents tear duct obstruction with harmful exudate from a
vaginal birth that can lead to dry eyes in the newborn.
State law mandates all newborns receive prophylactic treatment to
prevent gonorrhoeal or chlamydial ophthalmic infection. ANS >> State
law mandates all newborns receive prophylactic treatment to prevent
gonorrhoeal or chlamydial ophthalmic infection.
The practical nurse (PN) is caring for an older client with an infection.
Which finding should the PN anticipate as a delayed response in this
client?
, HESI EXIT STUDY GUIDE EXAM
Fever.
Fatigue.
Malaise.
Confusion. ANS >> Fever
Which finding in a newborn is most important for the practical nurse
(PN) to report?
Clinical jaundice evident on the forehead within 24 hours of birth.
Icterus colour of blanched skin on the thorax at day 3 after birth.
Serum bilirubin concentrations less than 2 mg/dl in cord blood.
Bilirubin level of 4 mg/dl using a transcutaneous bilirubinometer.
Rationale ANS >> Clinical jaundice evident on the forehead within 24
hours of birth
Which client is the best assignment for the practical nurse (PN)?
A client with renal failure and excessive peripheral enema.
A client with fluid overload who needs intravenous (IV) medication.
An older adult client with dehydration who needs assistance with
feeding.
HESI EXIT STUDY GUIDE EXAM QUESTIONS AND ANSWERS GRADED A+
Which action contributes to the transmission of HIV infection?
-sharing eating utensils
-having sexual intercourse
-receiving blood transfusions
-shaking hands
-kissing on the cheeks ANS >> -having sexual intercourse
-receiving blood transfusions
HIV infection spreads through contact with infected body fluids ex.
semen, blood, vag secretions, and breast milk.
Casual interactions such as sharing eating utensils, shaking hands, and
kissing do not result in transmission of HIV infection
,HESI EXIT STUDY GUIDE EXAM
which diagnostic criterion for AIDS will be taught to a client who abused
IV drugs and was diagnosed with HIV several years ago?
-contracting HIV specific antibodies
-Development of an acute retroviral syndrome
-Is capable of transmitting the virus to others
-Has a CD4 and T lymphocyte level of less than 200 cells/ micro ANS >>
Has a CD4 + T Lymphocyte level of >200 cells/micro-L
A female client receives a new prescription for an oral contraceptive.
Which information should the practical nurse (PN) reinforce with the
client?
Sit up for 30 minutes after ingestion.
Drink a glass of water with the medication.
Take the pill at the same time everyday.
Avoid taking the medicine with grapefruit juice. ANS >> Take the pill at
the same time everyday
A client with deep partial-thickness and full-thickness burns of the face
and chest is receiving wound care using the "open method." The plan of
care includes the nursing diagnosis, "Risk for infection related to
impaired tissue integrity." Based on the expected outcome, "Client
remains free of infections," which nursing intervention should the
practical nurse (PN) implement?
,HESI EXIT STUDY GUIDE EXAM
Wear gown, cap, mask, and gloves during direct client care.
Restrict visitors in order to prevent wound contamination.
Use sterile water for debridement in the hydrotherapy tank.
Apply sterile dressings after debridement of burn wounds. ANS >>
Wear gown, cap, mask and gloves during direct client care.
A new father asks the practical nurse (PN) the reason for placing an
ophthalmic ointment in his newborn's eyes. What information should
the PN provide?
Possible exposure to an environmental staphylococcus infection can
infect the newborn's eyes and cause visual deficits.
The newborn is at risk for blindness from a corneal syphilitic infection
acquired from a mother's infected vagina.
Treatment prevents tear duct obstruction with harmful exudate from a
vaginal birth that can lead to dry eyes in the newborn.
State law mandates all newborns receive prophylactic treatment to
prevent gonorrhoeal or chlamydial ophthalmic infection. ANS >> State
law mandates all newborns receive prophylactic treatment to prevent
gonorrhoeal or chlamydial ophthalmic infection.
The practical nurse (PN) is caring for an older client with an infection.
Which finding should the PN anticipate as a delayed response in this
client?
, HESI EXIT STUDY GUIDE EXAM
Fever.
Fatigue.
Malaise.
Confusion. ANS >> Fever
Which finding in a newborn is most important for the practical nurse
(PN) to report?
Clinical jaundice evident on the forehead within 24 hours of birth.
Icterus colour of blanched skin on the thorax at day 3 after birth.
Serum bilirubin concentrations less than 2 mg/dl in cord blood.
Bilirubin level of 4 mg/dl using a transcutaneous bilirubinometer.
Rationale ANS >> Clinical jaundice evident on the forehead within 24
hours of birth
Which client is the best assignment for the practical nurse (PN)?
A client with renal failure and excessive peripheral enema.
A client with fluid overload who needs intravenous (IV) medication.
An older adult client with dehydration who needs assistance with
feeding.
