HESI Exit Exam Test Bank 2024 NEWEST 2024 ACTUAL
EXAM 500 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
,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." - ANSWER..>>is D: "I have the four year-old
hold and help feed the four month-old
a bottle in the kitchen
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 - ANSWER..>>is B: Give
information about advance directives
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
C) Monitor for hypotension with shock
D) Administer diphenhydramine as ordered - ANSWER..>>is B:
Administer epinephrine 1:1000 as ordered .
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
- ANSWER..>>is B: A toddler with severe deep abrasions over 98%
of the body .
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 -
ANSWER..>>is C: notify the admissions office and wait to apply
the bracelet
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 - ANSWER..>>is D: Call the
provider for clarification
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 - ANSWER..>>is D: open the client''s
airway
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?
EXAM 500 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
,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." - ANSWER..>>is D: "I have the four year-old
hold and help feed the four month-old
a bottle in the kitchen
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 - ANSWER..>>is B: Give
information about advance directives
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
C) Monitor for hypotension with shock
D) Administer diphenhydramine as ordered - ANSWER..>>is B:
Administer epinephrine 1:1000 as ordered .
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
- ANSWER..>>is B: A toddler with severe deep abrasions over 98%
of the body .
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 -
ANSWER..>>is C: notify the admissions office and wait to apply
the bracelet
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 - ANSWER..>>is D: Call the
provider for clarification
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 - ANSWER..>>is D: open the client''s
airway
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?
