HESI EXIT EXAM V6 EXAM TEST HESI EXIT
EXAM V6 QUESTIONS AND ANSWERS (LATEST
UPDATE 2024) GRADED A+
A parent tells the nurse that their 6 year-old child who normally enjoys school, has not been
doing well since the grandmother died 2 months ago. Which statement most accurately
describes thoughts ondeath and dying at this age?
A) Death is personified as the bogeyman or devil
B) Death is perceived as being irreversible
C) The child feels guilty for the grandmother's death
D) The child is worried that he, too, might die - CORRECT ANSWERS A
A 67 year-old client with non-insulin dependent diabetes should be instructed to contact the out-
patient clinic immediately if the following findings are present
A) Temperature of 37.5 degrees Celsius with painful urination
B) An open wound on their heel
C) Insomnia and daytime fatigue
D) Nausea with 2 episodes of vomiting - CORRECT ANSWERS B
The nurse admits an elderly Mexican-American migrant worker after an accident that occurred
during work. To facilitate communication the nurse should initially
A) Request a Spanish interpreter
B) Speak through the family or co-workers
C) Use pictures, letter boards, or monitoring
D) Assess the client's ability to speak English - CORRECT ANSWERS D
In assessing a post partum client, the nurse palpates a firm fundus and observes a constant
trickle of bright red blood from the vagina. What is the most likely cause of these findings?
,A) Uterine atony
B) Genital lacerations
C) Retained placenta
D) Clotting disorder - CORRECT ANSWERS B
The nurse notes an abrupt onset of confusion in an elderly patient. Which of the following
recently-ordered medications would most likely contribute to this change?
A) Anticoagulant
B) Liquid antacid
C) Antihistamine
D) Cardiac glycoside - CORRECT ANSWERS C
The nurse is caring for a client with active tuberculosis who has a history of noncompliance.
Which of the following actions by the nurse would represent appropriate care for this client?
A) Instruct the client to wear a high efficiency particulate air mask in public places.
B) Ask a family member to supervise daily compliance
C) Schedule weekly clinic visits for the client
D) Ask the health care provider to change the regimen to fewer medications - CORRECT
ANSWERS B
The nurse manager identifies that time spent by staff in charting is excessive, requiring overtime
for completion. The nurse manager states that "staff will form a task force to investigate and
develop potential solutions to the problem, and report on this at the next staff meeting." The
nurse manager's leadership style is best described as
A) Laissez-faire
B) Autocratic
C) Participative
D) Group - CORRECT ANSWERS C
,A nursing student asks the nurse manager to explain the forces that drive health care reform.
The appropriate response by the nurse manager should include
A) The escalation of fees with a decreased reimbursement percentage
B) High costs of diagnostic and end-of-life treatment procedures
C) Increased numbers of elderly and of the chronically ill of all ages
D) A steep rise in health care provider fees and in insurance premiums - CORRECT ANSWERS
A
A client with hepatitis A (HAV) is newly admitted to the unit. Which action would be the priority to
include in the plan of care within the initial 24 hours for this client?
A) Wear masks with shields if potential splash
B) Use disposable utensils and plates for meals
C) Wear gown and gloves during client contact
D) Provide soft easily digested food with frequent snacks - CORRECT ANSWERS C
A client has been taking alprazolam (Xanax) for 3 days. Nursing assessment should reveal
which expected effect of the drug?
A) Tranquilization, numbing of emotions
B) Sedation, analgesia
C) Relief of insomnia and phobias
D) Diminished tachycardia and tremors associated with anxiety - CORRECT ANSWERS A
The nurse observes a staff member caring for a client with a left unilateral mastectomy. The
nurse would intervene if she notices the staff member is
A) Advising client to restrict sodium intake
B) Taking the blood pressure in the left arm
C) Elevating her left arm above heart level
, D) Compressing the drainage device - CORRECT ANSWERS B
A 70 year-old post-operative client has elevated serum BUN, Hct, Cl, and Na+. Creatinine and
K+ are within normal limits. The nurse should perform additional assessments to confirm that an
actual problem is:
A) Impaired gas exchange
B) Metabolic acidosis
C) Renal insufficiency
D) Fluid volume deficit - CORRECT ANSWERS D
The nurse is providing foot care instructions to a client with arterial insufficiency. The nurse
would identify the need for additional teaching if the client stated
A) "I can only wear cotton socks."
B) "I cannot go barefoot around my house."
C) "I will trim corns and calluses regularly."
D) "I should ask a family member to inspect my feet daily." - CORRECT ANSWERS C
A woman who delivered 5 days ago and had been diagnosed with preeclampsia calls the
hospital triage nurse hotline to ask for advice. She states " I have had the worst headache for
the past 2 days. It pounds and by the middle of the afternoon everything I look at looks wavy.
Nothing I have taken helps." What should the nurse do next?
A) Advise the client that the swings in her hormones may have that effect. However, suggest for
her to call her health care provider within the next day.
B) Advise the client to have someone bring her to the emergency room as soon as possible
C) Ask the client to stay on the line, get the address and send an ambulance to the home
D) Ask what the client has taken? How often? Ask about other specific complaints. - CORRECT
ANSWERS C
The primary teaching for a client following an extracorporeal shock-wave lithotripsy (ESWL)
procedure is
EXAM V6 QUESTIONS AND ANSWERS (LATEST
UPDATE 2024) GRADED A+
A parent tells the nurse that their 6 year-old child who normally enjoys school, has not been
doing well since the grandmother died 2 months ago. Which statement most accurately
describes thoughts ondeath and dying at this age?
A) Death is personified as the bogeyman or devil
B) Death is perceived as being irreversible
C) The child feels guilty for the grandmother's death
D) The child is worried that he, too, might die - CORRECT ANSWERS A
A 67 year-old client with non-insulin dependent diabetes should be instructed to contact the out-
patient clinic immediately if the following findings are present
A) Temperature of 37.5 degrees Celsius with painful urination
B) An open wound on their heel
C) Insomnia and daytime fatigue
D) Nausea with 2 episodes of vomiting - CORRECT ANSWERS B
The nurse admits an elderly Mexican-American migrant worker after an accident that occurred
during work. To facilitate communication the nurse should initially
A) Request a Spanish interpreter
B) Speak through the family or co-workers
C) Use pictures, letter boards, or monitoring
D) Assess the client's ability to speak English - CORRECT ANSWERS D
In assessing a post partum client, the nurse palpates a firm fundus and observes a constant
trickle of bright red blood from the vagina. What is the most likely cause of these findings?
,A) Uterine atony
B) Genital lacerations
C) Retained placenta
D) Clotting disorder - CORRECT ANSWERS B
The nurse notes an abrupt onset of confusion in an elderly patient. Which of the following
recently-ordered medications would most likely contribute to this change?
A) Anticoagulant
B) Liquid antacid
C) Antihistamine
D) Cardiac glycoside - CORRECT ANSWERS C
The nurse is caring for a client with active tuberculosis who has a history of noncompliance.
Which of the following actions by the nurse would represent appropriate care for this client?
A) Instruct the client to wear a high efficiency particulate air mask in public places.
B) Ask a family member to supervise daily compliance
C) Schedule weekly clinic visits for the client
D) Ask the health care provider to change the regimen to fewer medications - CORRECT
ANSWERS B
The nurse manager identifies that time spent by staff in charting is excessive, requiring overtime
for completion. The nurse manager states that "staff will form a task force to investigate and
develop potential solutions to the problem, and report on this at the next staff meeting." The
nurse manager's leadership style is best described as
A) Laissez-faire
B) Autocratic
C) Participative
D) Group - CORRECT ANSWERS C
,A nursing student asks the nurse manager to explain the forces that drive health care reform.
The appropriate response by the nurse manager should include
A) The escalation of fees with a decreased reimbursement percentage
B) High costs of diagnostic and end-of-life treatment procedures
C) Increased numbers of elderly and of the chronically ill of all ages
D) A steep rise in health care provider fees and in insurance premiums - CORRECT ANSWERS
A
A client with hepatitis A (HAV) is newly admitted to the unit. Which action would be the priority to
include in the plan of care within the initial 24 hours for this client?
A) Wear masks with shields if potential splash
B) Use disposable utensils and plates for meals
C) Wear gown and gloves during client contact
D) Provide soft easily digested food with frequent snacks - CORRECT ANSWERS C
A client has been taking alprazolam (Xanax) for 3 days. Nursing assessment should reveal
which expected effect of the drug?
A) Tranquilization, numbing of emotions
B) Sedation, analgesia
C) Relief of insomnia and phobias
D) Diminished tachycardia and tremors associated with anxiety - CORRECT ANSWERS A
The nurse observes a staff member caring for a client with a left unilateral mastectomy. The
nurse would intervene if she notices the staff member is
A) Advising client to restrict sodium intake
B) Taking the blood pressure in the left arm
C) Elevating her left arm above heart level
, D) Compressing the drainage device - CORRECT ANSWERS B
A 70 year-old post-operative client has elevated serum BUN, Hct, Cl, and Na+. Creatinine and
K+ are within normal limits. The nurse should perform additional assessments to confirm that an
actual problem is:
A) Impaired gas exchange
B) Metabolic acidosis
C) Renal insufficiency
D) Fluid volume deficit - CORRECT ANSWERS D
The nurse is providing foot care instructions to a client with arterial insufficiency. The nurse
would identify the need for additional teaching if the client stated
A) "I can only wear cotton socks."
B) "I cannot go barefoot around my house."
C) "I will trim corns and calluses regularly."
D) "I should ask a family member to inspect my feet daily." - CORRECT ANSWERS C
A woman who delivered 5 days ago and had been diagnosed with preeclampsia calls the
hospital triage nurse hotline to ask for advice. She states " I have had the worst headache for
the past 2 days. It pounds and by the middle of the afternoon everything I look at looks wavy.
Nothing I have taken helps." What should the nurse do next?
A) Advise the client that the swings in her hormones may have that effect. However, suggest for
her to call her health care provider within the next day.
B) Advise the client to have someone bring her to the emergency room as soon as possible
C) Ask the client to stay on the line, get the address and send an ambulance to the home
D) Ask what the client has taken? How often? Ask about other specific complaints. - CORRECT
ANSWERS C
The primary teaching for a client following an extracorporeal shock-wave lithotripsy (ESWL)
procedure is
