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 reassigned to work at the Poison Control Center telephone
hotline. In which of these cases of childhood poisoning would the nurse
suggest that parents have the child drink orange juice?
A)An 18 month-old who ate an undetermined amount of crystal drain cleaner
B)A 14 month-old who chewed 2 leaves of a philodendron plant
C)A 20 month-old who is found sitting on the bathroom floor beside an empty
bottle of diazepam (Valium)
D)A 30 month-old who has swallowed a mouthful of charcoal lighter fluid
, Which of these is an example of a variation in the newborn resulting
from the presence of maternal hormones?
A) Engorgement of the breasts
B) Mongolian spots
C) Edema of the scrotum
D) Lanugo
A 2 month-old child has had a cleft lip repair. The selection of which
restraint would require no further action by the charge nurse?
A) Elbow
B) Mummy
C) Jacket
D) Clove hitch
A client treated for depression tells the nurse at the mental health
clinic that he recently purchased a handgun because he is thinking about
suicide. The first nursing action should be to
A) Notify the health care provider immediately
B) Suggest in-patient psychiatric care
C) Respect the client's confidential disclosure
D) Phone the family to warn them of the risk
A client has just been admitted with portal hypertension. Which nursing
diagnosis would be a priority in planning care?
,A) Altered nutrition: less than body
requirements B) Potential complication
hemorrhage
C) Ineffective individual coping
D) Fluid volume excess
While planning care for a 2 year-old hospitalized child, which situation
would the nurse expect to most likely affect the behavior?
A) Strange bed and
surroundings B) Separation
from parents
C) Presence of other toddlers
, HESI A2 EXIT V2 QUESTIONS & ANSWERS
LATEST UPDATE 2021/2022 DOWNLOAD
A+
D) Unfamiliar toys and games
Which of the following should the nurse teach the client to avoid
when taking chlorpromazine HCL (Thorazine)?
A) Direct sunlight
B) Foods containing tyramine
C) Foods fermented with yeast
D) Canned citrus fruit drinks
The initial response by the nurse to a delusional client who refuses to eat
because of a belief that the food is poisoned is
A) "You think that someone wants to poison you?"
B) "Why do you think the food is poisoned?"
C) "These feelings are a symptom of your illness."
D) "You’re safe here. I won’t let anyone poison you."
The nurse is caring for a client with cirrhosis of the liver with ascites.
When instructing nursing assistants in the care of the client, the nurse should
HESI A2 EXIT V2 160 QUESTIONS &
ANSWERS LATEST UPDATE 2021/2022
DOWNLOAD A+
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 reassigned to work at the Poison Control Center telephone
hotline. In which of these cases of childhood poisoning would the nurse
suggest that parents have the child drink orange juice?
A)An 18 month-old who ate an undetermined amount of crystal drain cleaner
B)A 14 month-old who chewed 2 leaves of a philodendron plant
C)A 20 month-old who is found sitting on the bathroom floor beside an empty
bottle of diazepam (Valium)
D)A 30 month-old who has swallowed a mouthful of charcoal lighter fluid
, Which of these is an example of a variation in the newborn resulting
from the presence of maternal hormones?
A) Engorgement of the breasts
B) Mongolian spots
C) Edema of the scrotum
D) Lanugo
A 2 month-old child has had a cleft lip repair. The selection of which
restraint would require no further action by the charge nurse?
A) Elbow
B) Mummy
C) Jacket
D) Clove hitch
A client treated for depression tells the nurse at the mental health
clinic that he recently purchased a handgun because he is thinking about
suicide. The first nursing action should be to
A) Notify the health care provider immediately
B) Suggest in-patient psychiatric care
C) Respect the client's confidential disclosure
D) Phone the family to warn them of the risk
A client has just been admitted with portal hypertension. Which nursing
diagnosis would be a priority in planning care?
,A) Altered nutrition: less than body
requirements B) Potential complication
hemorrhage
C) Ineffective individual coping
D) Fluid volume excess
While planning care for a 2 year-old hospitalized child, which situation
would the nurse expect to most likely affect the behavior?
A) Strange bed and
surroundings B) Separation
from parents
C) Presence of other toddlers
, HESI A2 EXIT V2 QUESTIONS & ANSWERS
LATEST UPDATE 2021/2022 DOWNLOAD
A+
D) Unfamiliar toys and games
Which of the following should the nurse teach the client to avoid
when taking chlorpromazine HCL (Thorazine)?
A) Direct sunlight
B) Foods containing tyramine
C) Foods fermented with yeast
D) Canned citrus fruit drinks
The initial response by the nurse to a delusional client who refuses to eat
because of a belief that the food is poisoned is
A) "You think that someone wants to poison you?"
B) "Why do you think the food is poisoned?"
C) "These feelings are a symptom of your illness."
D) "You’re safe here. I won’t let anyone poison you."
The nurse is caring for a client with cirrhosis of the liver with ascites.
When instructing nursing assistants in the care of the client, the nurse should
HESI A2 EXIT V2 160 QUESTIONS &
ANSWERS LATEST UPDATE 2021/2022
DOWNLOAD A+
