HESI EXIT V2
The nurse is caring for a pre-adolescent client in skeletal Dunlop
traction. Which nursing intervention is appropriate for this child?
A) Make certain the child is maintained in correct body alignment.
B) Be sure the traction weights touch the end of the bed.
C)Adjust the head and foot of the bed for the child's comfort
D) Release the traction for 15-20 minutes every 6 hours PRN.
The nurse is assessing a healthy child at the 2 year check up. Which of the
following should the nurse report immediately to the health care provider?
A) Height and weight percentiles vary widely
B) Growth pattern appears to have slowed
C) Recumbent and standing height are different
D) Short term weight changes are uneven
The nurse is assigned to a client who has heart failure. During the
morning rounds the nurse sees the client develop sudden anxiety,
diaphoresis and dyspnea. The nurse auscultates, crackles bilaterally.
Which nursing intervention should be performed first?
A) Take the client's vital signs
B) Place the client in a sitting position with legs dangling
C) Contact the health care provider
D)Administer the PRN anti-anxiety agent
, The nurse is caring for a toddler with atopic dermatitis. The nurse should
instruct the parents to
A) Dress the child warmly to avoid chilling
B) Keep the child away from other children for the duration of the rash
C) Clean the affected areas with tepid water and detergent
D) Wrap the child's hand in mittens or socks to prevent scratching
A recovering alcoholic asked the nurse, "Will it be ok for me to just drink
at special family gatherings?" Which initial response by the nurse would be
best?
A) "A recovering person has to be very careful not to lose control, therefore,
confine your drinking just at family gatherings."
B) "At your next AA meeting discuss the possibility of limited drinking
with your sponsor."
C) "A recovering person needs to get in touch with their feelings. Do you want
a drink?" D) "A recovering person cannot return to drinking without starting
the addiction process over."
In taking the history of a pregnant woman, which of the following would
the nurse recognize as the primary contraindication for breast feeding?
A) Age 40 years
B) Lactose intolerance
C) Family history of breast
cancer D) Uses cocaine on
weekends
, A victim of domestic violence tells the batterer she needs a little time
away. How would the nurse expect that the batterer might respond?
A) With acceptance and views the victim’s comment as an indication that
their marriage is in trouble
B) With fear of rejection causing increased rage toward the victim
C) With a new commitment to seek counseling to assist with their marital
problems
D) With relief, and welcomes the separation as a means to have some personal
time
The parents of a 2 year-old child report that he has been holding his breath
whenever he has temper tantrums. What is the best action by the nurse?
A) Teach the parents how to perform cardiopulmonary resuscitation
B) Recommend that the parents give in when he holds his breath to prevent
anoxia
C) Advise the parents to ignore breath holding because breathing will begin as a
reflex
D) Instruct the parents on how to reason with the child about possible harmful
effects
The nurse is assessing a client in the emergency room. Which statement
suggests that the problem is acute angina?
A) "My pain is deep in my chest behind my sternum."
B) "When I sit up the pain gets worse."
C) "As I take a deep breath the pain gets worse."
, D) "The pain is right here in my stomach area."
.
The nurse is assessing the mental status of a client admitted with possible
organic brain disorder. Which of these questions will best assess the function
of the client's recent
The nurse is caring for a pre-adolescent client in skeletal Dunlop
traction. Which nursing intervention is appropriate for this child?
A) Make certain the child is maintained in correct body alignment.
B) Be sure the traction weights touch the end of the bed.
C)Adjust the head and foot of the bed for the child's comfort
D) Release the traction for 15-20 minutes every 6 hours PRN.
The nurse is assessing a healthy child at the 2 year check up. Which of the
following should the nurse report immediately to the health care provider?
A) Height and weight percentiles vary widely
B) Growth pattern appears to have slowed
C) Recumbent and standing height are different
D) Short term weight changes are uneven
The nurse is assigned to a client who has heart failure. During the
morning rounds the nurse sees the client develop sudden anxiety,
diaphoresis and dyspnea. The nurse auscultates, crackles bilaterally.
Which nursing intervention should be performed first?
A) Take the client's vital signs
B) Place the client in a sitting position with legs dangling
C) Contact the health care provider
D)Administer the PRN anti-anxiety agent
, The nurse is caring for a toddler with atopic dermatitis. The nurse should
instruct the parents to
A) Dress the child warmly to avoid chilling
B) Keep the child away from other children for the duration of the rash
C) Clean the affected areas with tepid water and detergent
D) Wrap the child's hand in mittens or socks to prevent scratching
A recovering alcoholic asked the nurse, "Will it be ok for me to just drink
at special family gatherings?" Which initial response by the nurse would be
best?
A) "A recovering person has to be very careful not to lose control, therefore,
confine your drinking just at family gatherings."
B) "At your next AA meeting discuss the possibility of limited drinking
with your sponsor."
C) "A recovering person needs to get in touch with their feelings. Do you want
a drink?" D) "A recovering person cannot return to drinking without starting
the addiction process over."
In taking the history of a pregnant woman, which of the following would
the nurse recognize as the primary contraindication for breast feeding?
A) Age 40 years
B) Lactose intolerance
C) Family history of breast
cancer D) Uses cocaine on
weekends
, A victim of domestic violence tells the batterer she needs a little time
away. How would the nurse expect that the batterer might respond?
A) With acceptance and views the victim’s comment as an indication that
their marriage is in trouble
B) With fear of rejection causing increased rage toward the victim
C) With a new commitment to seek counseling to assist with their marital
problems
D) With relief, and welcomes the separation as a means to have some personal
time
The parents of a 2 year-old child report that he has been holding his breath
whenever he has temper tantrums. What is the best action by the nurse?
A) Teach the parents how to perform cardiopulmonary resuscitation
B) Recommend that the parents give in when he holds his breath to prevent
anoxia
C) Advise the parents to ignore breath holding because breathing will begin as a
reflex
D) Instruct the parents on how to reason with the child about possible harmful
effects
The nurse is assessing a client in the emergency room. Which statement
suggests that the problem is acute angina?
A) "My pain is deep in my chest behind my sternum."
B) "When I sit up the pain gets worse."
C) "As I take a deep breath the pain gets worse."
, D) "The pain is right here in my stomach area."
.
The nurse is assessing the mental status of a client admitted with possible
organic brain disorder. Which of these questions will best assess the function
of the client's recent
