NURS 2274:
HESI EXIT V1
Q&A
1. Which statement made by a client to the admitting nurse suggests
that the client is
experiencing a manic episode?
A) "I think all children should have their heads shaved."
B) "I have been restricted in thought and harmed."
C) "I have powers to get you whatever you wish, no matter the cost."
D) "I think all of my contacts last week have attempted to poison me."
Review Information: The correct answer is C: "I have powers to get you
whatever you
wish, no matter the cost."
2. A client says, "It's raining outside and it's raining in my heart. Did you
know that St.
Patrick drove the snakes out of Ireland? I've never been to Ireland." The
nurse would
document this behavior as
A) Perseveration
B) Circumstantiality
C) Neologisms
D) Flight of ideas
The correct answer is D: Flight of ideas
3. During the change-of-shift report the assigned nurse notes a Catholic
client is
scheduled to be admitted for the delivery of a ninth child. Which comment
stated angrily
to a colleague by this nurse indicates
an attitude of prejudice?
A) "I wonder who is paying for this trip to the hospital?"
B) "I think she needs to go to the city hospital."
,C) "All those people indulge in large families!"
D) "Doesn't she know there's such a thing as birth control?"
The correct answer is D: "Doesn't she know there''s such a thing as birth
control?"
4. Which of these statements by the nurse reflects the best use of
therapeutic
interaction techniques?
A) ”You look upset. Would you like to talk about it?"
B) ”I’d like to know more about your family. Tell me about them."
C) ”I understand that you lost your partner. I don't think I could go on if
that happened to
,me."
D) ”You look very sad. How long have you been this way?"
The correct answer is A: "You look upset. Would you like to talk about it?"
5. A nurse in the emergency department suspects domestic violence as
the cause of a
client's injuries. What action should the nurse take first?
A) Ask client if there are any old injuries also present
B) Interview the client without the persons who came with the client
C) Gain client's trust by not being hurried during the intake process
D) Photograph the specific injuries in question
The correct answer is B: Interview the client without the persons who came
with the
client
6. Which of these findings would indicate that the nurse-client
relationship has passed
from the orientation phase to the working phase? The client
A) Has revitalized a relationship with her family to help cope with the
death of a daughter
B) Had recognized regressive behavior as a defense mechanism
C) Expresses a desire to be cared for and pampered
D) Recognizes feelings with appropriate expression of feelings
The correct answer is D: Recognizes feelings with appropriate expression of
feelings
7. A client who is thought to be homeless is brought to the emergency
department by
police. The client is unkempt, has difficulty concentrating, is unable to sit
still and speaks
in a loud tone of voice.
Which of these actions is the appropriate nursing intervention for the client
at this time?
A) Allow the client to randomly move about the holding area until a
hospital room is
available
, B) Engage the client in an activity that requires focus and individual effort
C) Isolate the client in a secure room until control is regained by the client
D) Locate a room that has minimal stimulation outside of it for admission
process
The correct answer is D: Locate a room that has minimal stimulation outside
of it for
admission process
8. A 2 day-old child with spina bifida and meningomyocele is in the
intensive care unit
after the initial surgery. As the nurse accompanies the grandparents for a first
visit, which
HESI EXIT V1
Q&A
1. Which statement made by a client to the admitting nurse suggests
that the client is
experiencing a manic episode?
A) "I think all children should have their heads shaved."
B) "I have been restricted in thought and harmed."
C) "I have powers to get you whatever you wish, no matter the cost."
D) "I think all of my contacts last week have attempted to poison me."
Review Information: The correct answer is C: "I have powers to get you
whatever you
wish, no matter the cost."
2. A client says, "It's raining outside and it's raining in my heart. Did you
know that St.
Patrick drove the snakes out of Ireland? I've never been to Ireland." The
nurse would
document this behavior as
A) Perseveration
B) Circumstantiality
C) Neologisms
D) Flight of ideas
The correct answer is D: Flight of ideas
3. During the change-of-shift report the assigned nurse notes a Catholic
client is
scheduled to be admitted for the delivery of a ninth child. Which comment
stated angrily
to a colleague by this nurse indicates
an attitude of prejudice?
A) "I wonder who is paying for this trip to the hospital?"
B) "I think she needs to go to the city hospital."
,C) "All those people indulge in large families!"
D) "Doesn't she know there's such a thing as birth control?"
The correct answer is D: "Doesn't she know there''s such a thing as birth
control?"
4. Which of these statements by the nurse reflects the best use of
therapeutic
interaction techniques?
A) ”You look upset. Would you like to talk about it?"
B) ”I’d like to know more about your family. Tell me about them."
C) ”I understand that you lost your partner. I don't think I could go on if
that happened to
,me."
D) ”You look very sad. How long have you been this way?"
The correct answer is A: "You look upset. Would you like to talk about it?"
5. A nurse in the emergency department suspects domestic violence as
the cause of a
client's injuries. What action should the nurse take first?
A) Ask client if there are any old injuries also present
B) Interview the client without the persons who came with the client
C) Gain client's trust by not being hurried during the intake process
D) Photograph the specific injuries in question
The correct answer is B: Interview the client without the persons who came
with the
client
6. Which of these findings would indicate that the nurse-client
relationship has passed
from the orientation phase to the working phase? The client
A) Has revitalized a relationship with her family to help cope with the
death of a daughter
B) Had recognized regressive behavior as a defense mechanism
C) Expresses a desire to be cared for and pampered
D) Recognizes feelings with appropriate expression of feelings
The correct answer is D: Recognizes feelings with appropriate expression of
feelings
7. A client who is thought to be homeless is brought to the emergency
department by
police. The client is unkempt, has difficulty concentrating, is unable to sit
still and speaks
in a loud tone of voice.
Which of these actions is the appropriate nursing intervention for the client
at this time?
A) Allow the client to randomly move about the holding area until a
hospital room is
available
, B) Engage the client in an activity that requires focus and individual effort
C) Isolate the client in a secure room until control is regained by the client
D) Locate a room that has minimal stimulation outside of it for admission
process
The correct answer is D: Locate a room that has minimal stimulation outside
of it for
admission process
8. A 2 day-old child with spina bifida and meningomyocele is in the
intensive care unit
after the initial surgery. As the nurse accompanies the grandparents for a first
visit, which
