MDA 224: HESI
EXIT V2 Q & A
I. A client was admitted to the eating disorder unit with bulimia
nervosa. The nurse
assessing for a history of complications of this disorder expects
A) Respiratory distress, dyspnea
B) Bacterial gastrointestinal infections, over hydration
C) Metabolic acidosis, constricted colon
D) Dental erosion, parotid gland enlargement
The correct answer is D: Dental erosion, parotid gland enlargement
II. A nurse entering the room of a postpartum mother observes the
baby lying at the
edge of the bed while the woman sits in a chair. The mother states," This is
not my baby,
and I do not want it." The
nurse's best response is
A) ”This is a common occurrence after birth, but you will come to accept
the baby."
B) ”Many women have postpartum blues and need some time to love the
baby."
C) ”What a beautiful baby! Her eyes are just like yours."
D) ”You seem upset; tell me what the pregnancy and birth were like for
you."
The correct answer is D: "You seem upset; tell me what the pregnancy and
birth were like
for you."
III. Which of the following times is a depressed client at highest risk for
attempting
suicide?
A) Immediately after admission, during one-to-one observation
, MDA 224: HESI
EXIT V2 Q & A
B) 7 to 14 days after initiation of antidepressant medication and
psychotherapy
C) Following an angry outburst with family
D) When the client is removed from the security room
The correct answer is B: Seven to 14 days after initiation of antidepressant
medication
and psychotherapy
IV. A man diagnosed with epididymitis 2 days ago calls the nurse at a
health clinic to
discuss the problem. What information is most important for the nurse to ask
about at this
time?
A) What are you taking for pain and does it provide total relief?
B) What does the skin on the testicles look and feel like?
C) Do you have any questions about your care?
D) Did you know a consequence of epididymitis is infertility?
The correct answer is B: What does the skin on the testicles look and feel
like?
V. A client has had heart failure. Which intervention is most important
for the nurse to
implement prior to the initial administration of Digoxin to this client?
A) Assess the apical pulse, counting for a full 60 seconds
B) Take a radial pulse, counting for a full 60 seconds
C) Use the pulse reading from the electronic blood pressure device
D) Check for a pulse deficit
The correct answer is A: Assess the apical pulse, counting for a full 60
seconds
VI. A client is admitted with a tentative diagnosis of congestive heart
failure. Which of
the following assessments would the nurse expect to be consistent with
this problem?
, MDA 224: HESI
EXIT V2 Q & A
A) Chest pain
B) Pallor
C) Inspiratory crackles
D) Heart murmur
The correct answer is C: Inspiratory crackles
VII. A nurse is providing care to a 17 year-old client in the post-operative
care unit
(PACU) after an emergency appendectomy. Which finding is an early
indication that the
client is experiencing poor oxygenation?
A) Abnormal breath sounds
B) Cyanosis of the lips
C) Increasing pulse rate
, MDA 224: HESI
EXIT V2 Q & A
D) Pulse oximeter reading of 92%
The correct answer is C: Increasing pulse rate
VIII. Which order can be associated with the prevention of atelectasis and
pneumonia in a
client with amyotrophic lateral sclerosis?
A) Active and passive range of motion exercises twice a day
B) Every 4 hours incentive spirometer
C) Chest physiotherapy twice a day
D) Repositioning every 2 hours around the clock
The correct answer is C: Chest physiotherapy twice a day
IX. A client who was medicated with meperidine hydrochloride
(Demerol) 100 mg and
hydroxyzine hydrochloride (Vistaril Intramuscular) 50 mg IM for pain
related to a
fractured lower right leg 1 hour ago reports that the pain is getting worse.
The nurse
should recognize that the client may be developing which complication?
A) Acute compartment syndrome
B) Thromboemolitic complications
C) Fatty embolism
D) Osteomyelitis
The correct answer is A: Acute compartment syndrome
X. The nurse is assessing an 8 month-old child with atonic cerebral
palsy. Which
statement from the mother supports the presence of this problem?
A) When I put my finger in the left hand the baby doesn’t respond with a
grasp.
B) My baby doesn’t seem to follow when I shake toys in front of the face.
C) When it thundered loudly last night the baby didn’t even jump.
D) When I put the baby in a back lying position that’s how I find the baby.
The correct answer is D: Unable to roll from
EXIT V2 Q & A
I. A client was admitted to the eating disorder unit with bulimia
nervosa. The nurse
assessing for a history of complications of this disorder expects
A) Respiratory distress, dyspnea
B) Bacterial gastrointestinal infections, over hydration
C) Metabolic acidosis, constricted colon
D) Dental erosion, parotid gland enlargement
The correct answer is D: Dental erosion, parotid gland enlargement
II. A nurse entering the room of a postpartum mother observes the
baby lying at the
edge of the bed while the woman sits in a chair. The mother states," This is
not my baby,
and I do not want it." The
nurse's best response is
A) ”This is a common occurrence after birth, but you will come to accept
the baby."
B) ”Many women have postpartum blues and need some time to love the
baby."
C) ”What a beautiful baby! Her eyes are just like yours."
D) ”You seem upset; tell me what the pregnancy and birth were like for
you."
The correct answer is D: "You seem upset; tell me what the pregnancy and
birth were like
for you."
III. Which of the following times is a depressed client at highest risk for
attempting
suicide?
A) Immediately after admission, during one-to-one observation
, MDA 224: HESI
EXIT V2 Q & A
B) 7 to 14 days after initiation of antidepressant medication and
psychotherapy
C) Following an angry outburst with family
D) When the client is removed from the security room
The correct answer is B: Seven to 14 days after initiation of antidepressant
medication
and psychotherapy
IV. A man diagnosed with epididymitis 2 days ago calls the nurse at a
health clinic to
discuss the problem. What information is most important for the nurse to ask
about at this
time?
A) What are you taking for pain and does it provide total relief?
B) What does the skin on the testicles look and feel like?
C) Do you have any questions about your care?
D) Did you know a consequence of epididymitis is infertility?
The correct answer is B: What does the skin on the testicles look and feel
like?
V. A client has had heart failure. Which intervention is most important
for the nurse to
implement prior to the initial administration of Digoxin to this client?
A) Assess the apical pulse, counting for a full 60 seconds
B) Take a radial pulse, counting for a full 60 seconds
C) Use the pulse reading from the electronic blood pressure device
D) Check for a pulse deficit
The correct answer is A: Assess the apical pulse, counting for a full 60
seconds
VI. A client is admitted with a tentative diagnosis of congestive heart
failure. Which of
the following assessments would the nurse expect to be consistent with
this problem?
, MDA 224: HESI
EXIT V2 Q & A
A) Chest pain
B) Pallor
C) Inspiratory crackles
D) Heart murmur
The correct answer is C: Inspiratory crackles
VII. A nurse is providing care to a 17 year-old client in the post-operative
care unit
(PACU) after an emergency appendectomy. Which finding is an early
indication that the
client is experiencing poor oxygenation?
A) Abnormal breath sounds
B) Cyanosis of the lips
C) Increasing pulse rate
, MDA 224: HESI
EXIT V2 Q & A
D) Pulse oximeter reading of 92%
The correct answer is C: Increasing pulse rate
VIII. Which order can be associated with the prevention of atelectasis and
pneumonia in a
client with amyotrophic lateral sclerosis?
A) Active and passive range of motion exercises twice a day
B) Every 4 hours incentive spirometer
C) Chest physiotherapy twice a day
D) Repositioning every 2 hours around the clock
The correct answer is C: Chest physiotherapy twice a day
IX. A client who was medicated with meperidine hydrochloride
(Demerol) 100 mg and
hydroxyzine hydrochloride (Vistaril Intramuscular) 50 mg IM for pain
related to a
fractured lower right leg 1 hour ago reports that the pain is getting worse.
The nurse
should recognize that the client may be developing which complication?
A) Acute compartment syndrome
B) Thromboemolitic complications
C) Fatty embolism
D) Osteomyelitis
The correct answer is A: Acute compartment syndrome
X. The nurse is assessing an 8 month-old child with atonic cerebral
palsy. Which
statement from the mother supports the presence of this problem?
A) When I put my finger in the left hand the baby doesn’t respond with a
grasp.
B) My baby doesn’t seem to follow when I shake toys in front of the face.
C) When it thundered loudly last night the baby didn’t even jump.
D) When I put the baby in a back lying position that’s how I find the baby.
The correct answer is D: Unable to roll from
