HESI EXIT V2 Exam Questions with 100% complete and
correct answers |Guaranteed A+ Grade
1. The nurse knows that which statement by the mother indicates that the
mother understands safety precautions with her four month-old infant and her 4
year-old child?
A. "I strap the infant car seat on the front seat to face backwards."
B. "I place my infant in the middle of the living room floor on a blanket to play
with my 4 year old while I make supper in the kitchen."
C. "My sleeping baby lies so cute in the crib with the little buttocks stuck up in
the air while the four year old naps on the sofa."
D. "I have the 4 year-old hold and help feed the four month-old a bottle in the
kitchen while I make supper."
The correct answer is D: "I have the four year-old hold and help feed the four
month-old a bottle in the kitchen
2. Upon completing the admission documents, the nurse learns that the 87
year-old client does not have an advance directive. What action should the nurse
take?
A. Record the information on the chart
B. Give information about advance directives
C. Assume that this client wishes a full code
D. Refer this issue to the unit secretary
The correct answer is B: Give information about advance directives
3. A nurse administers the influenza vaccine to a client in a clinic. Within 15
minutes after the immunization was given, the client complains of itchy and watery
eyes, increased anxiety, and difficulty breathing. The nurse expects that the first
action in the sequence of care for this client will be to
A) Maintain the airway
B) Administer epinephrine 1:1000 as ordered
,HESI EXIT V2 Exam Questions with 100% complete and
correct answers |Guaranteed A+ Grade
C) Monitor for hypotension with shock
D) Administer diphenhydramine as ordered
The correct answer is B: Administer epinephrine 1:1000 as ordered .
4. Which of these children at the site of a disaster at a child day care center
would the triage nurse put in the "treat last" category?
A) An infant with intermittent bulging anterior fontanel between crying
episodes
B) A toddler with severe deep abrasions over 98% of the body
C) A preschooler with 1 lower leg fracture and the other leg with an upper
leg fracture
D) A school-age child with singed eyebrows and hair on the arms
A) The correct answer is B: A toddler with severe deep abrasions over 98%
of the body .
5. When admitting a client to an acute care facility, an identification bracelet is
sent up with the admission form. In the event these do not match, the nurse’s best
action is to
A) Change whichever item is incorrect to the correct information
B) Use the bracelet and admission form until a replacement is supplied
C) Notify the admissions office and wait to apply the bracelet
D) Make a corrected identification bracelet for the client
The correct answer is C: notify the admissions office and wait to apply the bracelet
6. The nurse is having difficulty reading the health care provider's written order
that was written right before the shift change. What action should be taken?
A) Leave the order for the oncoming staff to follow-up
B) Contact the charge nurse for an interpretation
C) Ask the pharmacy for assistance in the interpretation
D) Call the provider for clarification
The correct answer is D: Call the provider for clarification
,HESI EXIT V2 Exam Questions with 100% complete and
correct answers |Guaranteed A+ Grade
7. An adult client is found to be unresponsive on morning rounds. After
checking for responsiveness and calling for help, the next action that should be
taken by the nurse is to:
A) check the carotid pulse
B) deliver 5 abdominal thrusts
C) give 2 rescue breaths
D) open the client's airway
The correct answer is D: open the client''s airway
8. A client has an order for 1000 ml of D5W over an 8 hour period. The nurse
discovers that 800 ml has been infused after 4 hours. What is the priority nursing
action?
A) Ask the client if there are any breathing problems
B) Have the client void as much as possible
C) Check the vital signs
D) Auscultate the lungs
The correct answer is D: Auscultate the lungs
9. Following change-of-shift report on an orthopedic unit, which client should
the nursemsee first?
A) 16 year-old who had an open reduction of a fractured wrist 10 hours ago
B) 20 year-old in skeletal traction for 2 weeks since a motor cycle accident
C) 72 year-old recovering from surgery after a hip replacement 2 hours ago
D) 75 year-old who is in skin traction prior to planned hip pinning surgery.
The correct answer is C: 72 year-old recovering from surgery after a hip
replacement 2 hours ago
, HESI EXIT V2 Exam Questions with 100% complete and
correct answers |Guaranteed A+ Grade
10. A nurse observes a family member administer a rectal suppository by having
the client lie on the left side for the administration. The family member pushed the
suppository until the finger went up to the second knuckle. After 10 minutes the
client was told by the family member to turn to the right side and the client did
this. What is the appropriate comment for the nurse to make?
A) Why don’t we now have the client turn back to the left side.
B) That was done correctly. Did you have any problems with the insertion?
C) Let’s check to see if the suppository is in far enough.
D) Did you feel any stool in the intestinal tract?
The correct answer is B: That was done correctly. Did you have any problems with
the insertion?
11. A client with a diagnosis of Methicillin resistant Staphylococcus aureus
(MRSA) has died. Which type of precautions is the appropriate type to use when
performing postmortem care?
A) airborne precautions
B) droplet precautions
C) contact precautions
D) compromised host precautions
The correct answer is C: contact precautions
12. The nurse is reviewing with a client how to collect a clean catch urine
specimen.Which sequence is appropriate teaching?
A) Void a little, clean the meatus, then collect specimen
B) clean the meatus, begin voiding, then catch urine stream
C) Clean the meatus, then urinate into container
D) Void continuously and catch some of the urine
The correct answer is B: clean the meatus, begin voiding, then catch urine stream
correct answers |Guaranteed A+ Grade
1. The nurse knows that which statement by the mother indicates that the
mother understands safety precautions with her four month-old infant and her 4
year-old child?
A. "I strap the infant car seat on the front seat to face backwards."
B. "I place my infant in the middle of the living room floor on a blanket to play
with my 4 year old while I make supper in the kitchen."
C. "My sleeping baby lies so cute in the crib with the little buttocks stuck up in
the air while the four year old naps on the sofa."
D. "I have the 4 year-old hold and help feed the four month-old a bottle in the
kitchen while I make supper."
The correct answer is D: "I have the four year-old hold and help feed the four
month-old a bottle in the kitchen
2. Upon completing the admission documents, the nurse learns that the 87
year-old client does not have an advance directive. What action should the nurse
take?
A. Record the information on the chart
B. Give information about advance directives
C. Assume that this client wishes a full code
D. Refer this issue to the unit secretary
The correct answer is B: Give information about advance directives
3. A nurse administers the influenza vaccine to a client in a clinic. Within 15
minutes after the immunization was given, the client complains of itchy and watery
eyes, increased anxiety, and difficulty breathing. The nurse expects that the first
action in the sequence of care for this client will be to
A) Maintain the airway
B) Administer epinephrine 1:1000 as ordered
,HESI EXIT V2 Exam Questions with 100% complete and
correct answers |Guaranteed A+ Grade
C) Monitor for hypotension with shock
D) Administer diphenhydramine as ordered
The correct answer is B: Administer epinephrine 1:1000 as ordered .
4. Which of these children at the site of a disaster at a child day care center
would the triage nurse put in the "treat last" category?
A) An infant with intermittent bulging anterior fontanel between crying
episodes
B) A toddler with severe deep abrasions over 98% of the body
C) A preschooler with 1 lower leg fracture and the other leg with an upper
leg fracture
D) A school-age child with singed eyebrows and hair on the arms
A) The correct answer is B: A toddler with severe deep abrasions over 98%
of the body .
5. When admitting a client to an acute care facility, an identification bracelet is
sent up with the admission form. In the event these do not match, the nurse’s best
action is to
A) Change whichever item is incorrect to the correct information
B) Use the bracelet and admission form until a replacement is supplied
C) Notify the admissions office and wait to apply the bracelet
D) Make a corrected identification bracelet for the client
The correct answer is C: notify the admissions office and wait to apply the bracelet
6. The nurse is having difficulty reading the health care provider's written order
that was written right before the shift change. What action should be taken?
A) Leave the order for the oncoming staff to follow-up
B) Contact the charge nurse for an interpretation
C) Ask the pharmacy for assistance in the interpretation
D) Call the provider for clarification
The correct answer is D: Call the provider for clarification
,HESI EXIT V2 Exam Questions with 100% complete and
correct answers |Guaranteed A+ Grade
7. An adult client is found to be unresponsive on morning rounds. After
checking for responsiveness and calling for help, the next action that should be
taken by the nurse is to:
A) check the carotid pulse
B) deliver 5 abdominal thrusts
C) give 2 rescue breaths
D) open the client's airway
The correct answer is D: open the client''s airway
8. A client has an order for 1000 ml of D5W over an 8 hour period. The nurse
discovers that 800 ml has been infused after 4 hours. What is the priority nursing
action?
A) Ask the client if there are any breathing problems
B) Have the client void as much as possible
C) Check the vital signs
D) Auscultate the lungs
The correct answer is D: Auscultate the lungs
9. Following change-of-shift report on an orthopedic unit, which client should
the nursemsee first?
A) 16 year-old who had an open reduction of a fractured wrist 10 hours ago
B) 20 year-old in skeletal traction for 2 weeks since a motor cycle accident
C) 72 year-old recovering from surgery after a hip replacement 2 hours ago
D) 75 year-old who is in skin traction prior to planned hip pinning surgery.
The correct answer is C: 72 year-old recovering from surgery after a hip
replacement 2 hours ago
, HESI EXIT V2 Exam Questions with 100% complete and
correct answers |Guaranteed A+ Grade
10. A nurse observes a family member administer a rectal suppository by having
the client lie on the left side for the administration. The family member pushed the
suppository until the finger went up to the second knuckle. After 10 minutes the
client was told by the family member to turn to the right side and the client did
this. What is the appropriate comment for the nurse to make?
A) Why don’t we now have the client turn back to the left side.
B) That was done correctly. Did you have any problems with the insertion?
C) Let’s check to see if the suppository is in far enough.
D) Did you feel any stool in the intestinal tract?
The correct answer is B: That was done correctly. Did you have any problems with
the insertion?
11. A client with a diagnosis of Methicillin resistant Staphylococcus aureus
(MRSA) has died. Which type of precautions is the appropriate type to use when
performing postmortem care?
A) airborne precautions
B) droplet precautions
C) contact precautions
D) compromised host precautions
The correct answer is C: contact precautions
12. The nurse is reviewing with a client how to collect a clean catch urine
specimen.Which sequence is appropriate teaching?
A) Void a little, clean the meatus, then collect specimen
B) clean the meatus, begin voiding, then catch urine stream
C) Clean the meatus, then urinate into container
D) Void continuously and catch some of the urine
The correct answer is B: clean the meatus, begin voiding, then catch urine stream
