HESI A2 EXIT EXAM V2 QUESTIONS WITH ANSWERS | 100% CORRECT | VERIFIED 2023/2024

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 emergency room nurse admits a child who experienced a seizure at school. The father comments that this is the first occurrence, and denies any family history of epilepsy. What is the best response by the nurse? A) "Do not worry. Epilepsy can be treated with medications." B) "The seizure may or may not mean your child has epilepsy." C) "Since this was the first convulsion, it may not happen again." D) "Long term treatment will prevent future seizures."  Alcohol and drug abuse impairs judgment and increases risk taking behavior. What nursing diagnosis best applies? A)Risk for injury B)Risk for knowledge deficit C)Altered thought process D)Disturbance in self-esteem  The nurse enters a 2 year-old child's hospital room in order to administer an oral medication. When the child is asked if he is ready to take his medicine, he immediately says, "No!” What would be the most appropriate next action? A)Leave the room and return five minutes later and give the medicine B)Explain to the child that the medicine must be taken now C)Give the medication to the father and ask him to give it D)Mix the medication with ice cream or applesauce  A nurse is doing pre conceptual counseling with a woman who is planning a pregnancy. Which of the following statements suggests that the client understands the connection between alcohol consumption and fetal alcohol syndrome? A)"I understand that a glass of wine with dinner is healthy." B)"Beer is not really hard alcohol, so I guess I can drink some." C)"If I drink, my baby may be harmed before I know I am pregnant." D)"Drinking with meals reduces the effects of alcohol."  The client who is receiving enteral nutrition through a gastrostomy tube has had 4 diarrhea stools in the past 24 hours. The nurse should A)Review the medications the client is receiving B)Increase the formula infusion rate C)Increase the amount of water used to flush the tube D)Attach a rectal bag to protect the skin  A nurse is assigned to a client who is a new admission for the treatment of a frontal lobe brain tumor. Which history offered by the family members would be anticipated by the nurse as associated with the diagnosis and communicated? A)"My partner's breathing rate is usually below 12." B)"I find the mood swings and the change from a calm person to being angry all the time hard to deal with." C)"It seems our sex life is nonexistent over the past 6 months." D)"In the morning and evening I hear complaints that reading is next to impossible from blurred print."  The nurse prepares for a Denver Screening test with a 3 year-old child in the clinic. The mother asks the nurse to explain the purpose of the test. What is the nurse’s best response about the purpose of the Denver? A) It measures a child’s intelligence. B) It assesses a child's development. C) It evaluates psychological responses. D) It helps to determine problems.  The nurse is preparing a 5 year-old for a scheduled tonsillectomy and adenoidectomy. The parents are anxious and concerned about the child's reaction to impending surgery. Which nursing intervention would be best to prepare the child? A) Introduce the child to all staff the day before surgery B) Explain the surgery 1 week prior to the procedure C) Arrange a tour of the operating and recovery rooms D) Encourage the child to bring a favorite toy to the hospital  The nurse, assisting in applying a cast to a client with a broken arm, knows that A)The cast material should be dipped several times into the warm water B)The cast should be covered until it dries C)The wet cast should be handled with the palms of hands D)The casted extremity should be placed on a cloth-covered surface  Based on principles of teaching and learning, what is the best initial approach to pre- op teaching for a client scheduled for coronary artery bypass? A) Touring the coronary intensive unit B) Mailing a video tape to the home C) Assessing the client's learning style D) Administering a written pre-test  A 4 year-old child is recovering from chicken pox (varicella). The parents would like to have the child return to day care as soon as possible. In order to ensure that the illness is no longer communicable, what should the nurse assess for in this child? A)All lesions crusted B)Elevated temperature C)Rhinorrhea and coryza D)Presence of vesicles  The nurse is providing instructions to a new mother on the proper techniques for breast feeding her infant. Which statement by the mother indicates the need for additional instruction? A)"I should position my baby completely facing me with my baby's mouth in front of my nipple." B)"The baby should latch onto the nipple and areola areas." C)"There may be times that I will need to manually express milk." D)I can switch to a bottle if I need to take a break from breast feeding.  The nurse assesses a client who has been re-admitted to the psychiatric in-patient unit for schizophrenia. His symptoms have been managed for several months with fluphenazine (Prolixin). Which should be a focus of the first assessment? A) Stressors in the home B) Medication compliance C) Exposure to hot temperatures D) Alcohol use  The nurse is caring for a 10 month-old infant who is has oxygen via mask. It is important for the nurse to maintain patency of which of these areas? A)Mouth B)Nasal passages C)Back of throat D)Bronchials  The nurse is providing instructions for a client with pneumonia. What is the most important information to convey to the client? A)"Take at least 2 weeks off from work." B)"You will need another chest x-ray in 6 weeks." C)"Take your temperature every day." D)"Complete all of the antibiotic even if your findings decrease."  When counseling a 6 year old who is experiencing enuresis, what must the nurse understand about the pathophysiological basis of this disorder? A)Has no clear etiology B)May be associated with sleep phobia C)Has a definite genetic link D)Is a sign of willful misbehavior  The nurse is discussing negativism with the parents of a 30 monthold child. How should the nurse tell the parents to best respond to this behavior? A)Reprimand the child and give a 15 minute "time out" B)Maintain a permissive attitude for this behavior C)Use patience and a sense of humor to deal with this behavior D)Assert authority over the child through limit setting  The nurse is talking by telephone with a parent of a 4 year-old child who has chickenpox. Which of the following demonstrates appropriate teaching by the nurse? A)Chewable aspirin is the preferred analgesic B)Topical cortisone ointment relieves itching C)Papules, vesicles, and crusts will be present at one time D)The illness is only contagious prior to lesion eruption  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 client is receiving nitroprusside IV for the treatment of acute heart failure with pulmonary edema. What diagnostic lab value should the nurse monitor in relation to this medication? A) Potassium B) Arterial blood gasses C) Blood urea nitrogen D) Thiocyanate  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  A postpartum mother is unwilling to allow the father to participate in the newborn's care, although he is interested in doing so. She states, "I am afraid the baby will be confused about who the mother is. Baby raising is for mothers, not fathers." The nurse's initial intervention should be what focus? A)Discuss with the mother sharing parenting responsibilities B)Set time aside to get the mother to express her feelings and concerns C)Arrange for the parents to attend infant care classes D)Talk with the father and help him accept the wife's decision  A client with emphysema visits the clinic. While teaching about proper nutrition, the nurse should emphasize that the client A) Eat foods high in sodium increases sputum liquefaction B) Use oxygen during meals improves gas exchange C) Perform exercise after respiratory therapy enhances appetite D) Cleanse the mouth of dried secretions reduces risk of infection  Which of these parents’ comment for a newborn would most likely reveal an initial finding of a suspected pyloric stenosis? A)I noticed a little lump a little above the belly button. B)The baby seems hungry all the time. C)Mild vomiting that progressed to vomiting shooting across the room. D)Irritation and spitting up immediately after feedings.  The nurse is assessing a child for clinical manifestations of iron deficiency anemia. Which factor would the nurse recognize as cause for the findings? A) Decreased cardiac output B) Tissue hypoxia C) Cerebral edema D) Reduced oxygen saturation  The nurse would expect the cystic fibrosis client to receive supplemental pancreatic enzymes along with a diet A)High in carbohydrates and proteins B)Low in carbohydrates and proteins C)High in carbohydrates, low in proteins D)Low in carbohydrates, high in proteins  In evaluating the growth of a 12 month-old child, which of these findings would the nurse expect to be present in the infant? A)Increased 10% in height B) 2 deciduous teeth C)Tripled the birth weight D)Head chest circumference  A Hispanic client in the postpartum period refuses the hospital food because it is "cold." The best initial action by the nurse is to A)Have the unlicensed assistive personnel (UAP) reheat the food if the client wishes B)Ask the client what foods are acceptable or bad C)Encourage her to eat for healing and strength D)Schedule the dietitian to meet with the client as soon as possible  The father of an 8 month-old infant asks the nurse if his infant's vocalizations are normal for his age. Which of the following would the nurse expect at this age? A)Cooing B)Imitation of sounds C)Throaty sounds D)Laughter  The nurse should recognize that physical dependence is accompanied by what findings when alcohol consumption is first reduced or ended? A) Seizures