ALL HESI EXIT Questions and Answers Test
g g g g g g g
Bank; A+ Rated Guide (2022) g g g g
Pretest
Questiong 1
Agc.gWhatgdocumentgshouldgbegingguidinggthegcaregofgthisgclient?
A) ClientgSelfgDeterminationgAct
B) Physician'sgtreatmentgorders
C) Advance g Directives.
D) ClinicalgPathwaygprotocols
Reviewg Information:gThegcorrectganswergis:gC)gAdvancegDirectives.gThisgdocumentgspecifiesgthegclient'sgwishe
s
Questiong 2
Yougaregthegofgaghealthgcaregteamgthatgconsistsgofgoneglicensedgpractical/vocationalgnurse,gonegnursinggassistan
tg,gagnursinggstudentgandgyourself.gTogwhomgisgitgappropriategtogassigngcompletegcaregfor
A) Yourself
B) Thegnursinggstudent
C) Theglicensedgvocationalgnurse
D) Thegnursinggassistant
Reviewg Information:g Theg correctg answerg is:A)g Yourself.
Whilegthegnursegmaygdelegategagbedgbathgforgagstablegclient,gthisgcaregshouldgbegperformedgbygangRNgforgagnewg
admission.gOnlygtasksgthatgdognotgrequiregindependentgjudgmentgshouldgbegdelegated.
3Question g 3
Agmothergbringsghergthegclinic,gcomplaininggthatgthegchildgseemsgtogbeg Thegnursegexpectsgtogfindgwhichgofgtheg
followinggongtheginitialghistorygandgphysicalgassessment?
A) Increased g temperature g andg lethargy
B) Rashgandgrestlessness
C) Increasedgsleepinggandglistlessness
D) Diarrheagandgpoorgskingturgor
Reviewg Information:gThegcorrectganswergis:B)gRashgandgrestlessness.
, ALL HESI EXIT Questions and Answers Test
g g g g g g g
Bank; A+ Rated Guide (2022)g g g g
Questiong 4
Asgthegnursegtakesgaghistorygofgag3gyear-
oldgwithgneuroblastoma,gwhatgcommentsgbygthegparentsgrequiregfollow-
upgandgaregconsistentgwithgthegdiagnosis?
A) "Thegchildghasgbeenglistlessgandghasglostgweight."
B) "Hergurinegisgdarkgyellowgandgsmallgingamounts."
C) "Clothesgaregbecominggtightergacrossghergabdomen."gD+
)g"Wegnoticegmusclegweaknessgandgsomegunsteadiness."
Reviewg Information:gThegcorrectganswergis:C)g"Clothesgaregbecominggtightergacrossghergabdomen.".
Onegofgthegmostgcommongsignsgofgneuroblastomagisgincreasinggabdominalggirth.gThegparents''greportgthatgclot
hinggisgtightgisgsignificant,gandgshouldgbegfollowedgbygadditionalgassessments.
Questiong 5
Ag16gyear-
oldgpresentsgtogthegemergencygdepartment.gThegtriagegnursegfindsgthatgthisgteenagergisglegallygmarriedgandg
signedgthegconsentgformgforgtreatment.gWhatgwouldgbegthegappropriategINITIALgactiongbygthegnurse?
A) Refusegtogseegthegclientguntilgagparentgorglegalgguardiangcangbegcontacted
B) Withholdgtreatmentguntilgtelephonegconsentgcangbegobtainedgfromgthegspouse
C) Refergthegclientgtogagcommunitygpediatricghospitalgemergencygroom
D) Assessgandgtreatgingthegsamegmannergasganygadultgclient
Reviewg Information:gThegcorrectganswergis:D)gAssessgandgtreatgingthegsamegmannergasganygadultgclient.
Minorsg mayg becomeg knowng asg ang "emancipatedg minor"g throughg marriage,g pregnancy,g highg schoolg graduation,g
independentglivinggorgservicegingthegmilitary.gTherefore,gthisgclient,gwhogisgmarried,ghasgtheglegalgcapacitygofga
ngadult.
Questiong 6
Agnewlygadmittedgelderlygclientgisgseverelygdehydrated.gWhengplanninggcaregforgthisgclient,gwhichgonegofgthegfol
lowinggisgangappropriategtaskgforgangUnlicensedgAssistivegPersonnelg(UAP)?
, ALL HESI EXIT Questions and Answers Test
g g g g g g g
Bank; A+ Rated Guide (2022)g g g g
A) Obtaingaghistorygofgfluidgloss
B) Reportgoutputgofglessgthang30gml/hr
C) MonitorgresponsegtogIVgfluids
D) Checkgskingturgorgeverygfourghours
Reviewg Information:gThegcorrectg answergis:B)g Reportg outputgofglessg thang30g ml/hr.
WhengdirectinggagUAP,gthegnursegmustgcommunicategclearlygaboutgeachgdelegatedgtaskgwithgspecificginstruct
ionsgongwhatgmustgbegreported.gBecausegthegRNgisgresponsiblegforgallgcare-
relatedgdecisions,onlygimplementationgtasksgshouldgbegassignedgbecausegtheygdognotgrequiregindependentgju
dgment.
Questiong 7
Thegnursegisgassessinggag4gyear-
oldgforgpossiblegrheumaticgfever.gWhichgofgthegfollowinggwouldgthegnursegsuspectgisgrelatedgtogthisgdiagnosis?
A) Diagnosisgofgchickenpoxgsixgmonthsgago
B) Exposuregtogstrepgthroatgingdaycareglastgmonth
C) Treatmentgforgearginfectiongtwogmonthsgago
D) Episodegofgfungalgskinginfectionglastgweek
Reviewg Information:gThegcorrectganswergis:B)gExposuregtogstrepgthroatgingdaycareglastgmonth.
EvidencegsupportsgagstronggrelationshipgbetweenginfectiongwithgGroupgAgstreptococcigandgsubsequentgr
heumaticgfeverg(usuallygwithing2-
6gweeks).gTherefore,gtheghistorygofgplaymatesgrecoveringgfromgstrepgthroatgwouldgindicategthatgthegchil
dgdiagnosedgwithgrheumaticgfevergmostglikelygalsoghadgstrepgthroat.gSometimes,gsuchganginfectionghasgn
ogclinicalgsymptoms.
Questiong 8
Whengthegnursegbecomesgawaregofgfeelinggreluctantgtoginteractgwithgagmanipulativegclient,gthegBESTgactiongb
ygthegnursegisgto
A) Discussgthegfeelinggofgreluctancegwithgangobjectivegpeergorgsupervisor
B) Limitgcontactsgwithgthegclientgtogavoidgreinforcinggthegmanipulativegbehavior
C) Confrontgthegclientgregardinggthegnegativegeffectsgofghis/hergbehaviorgongothers
D) Developgagbehaviorgmodificationgplangthatgwillgpromotegmoregfunctionalgbehavior
Reviewg Information:gThegcorrectganswergis:A)gDiscussgthegfeelinggofgreluctancegwithgangobjectivegpeergorgsupe
rvisor.
Thegnursegwhogisgexperiencinggstressgingthegtherapeuticgrelationshipgcanggaingobjectivitygthroughgsupervision
.gThegnursegmustgattemptgtogdiscovergattitudesgandgfeelingsgingthegselfgthatginfluencegthegnurse-
gclientgrelationship.
, ALL HESI EXIT Questions and Answers Test
g g g g g g g
Bank; A+ Rated Guide (2022) g g g g
Questiong 9
Agclientgisgbeinggtreatedgforgparanoidgschizophrenia.gWhengthegclientgbecamegloudgandgboisterous,gthegnurs
egimmediatelygplacedghimgingseclusiongasgagprecautionarygmeasure.gThegclientgwillinglygcomplied.gThegnurse
'sgaction
A) Maygresultgingchargesgofgunlawfulgseclusiongandgrestraint
B) Leavesgthegnursegvulnerablegforgchargesgofgassaultgandgbattery
C) Wasgappropriategingviewgofgthegclient'sghistorygofgviolence
D) Wasgnecessarygtogmaintaingthegtherapeuticgmilieugofgthegunit
Reviewg Information:gThegcorrectganswergis:A)gMaygresultgingchargesgofgunlawfulgseclusiongandgrestraint.gSecl
usiongshouldgonlygbegusedgwhengtheregisgangimmediategthreatgofgviolencegorgthreateninggbehavior.
Questiong 10
AgclientghasgbeengadmittedgtogthegCoronarygCaregUnitgwithgagMyocardialgInfarction.gWhichgofgthegfollowinggnursi
nggdiagnosisgshouldghavegPRIORITY?
A) Paingrelatedgtogischemia
B) Riskg forg alteredg elimination:g constipation
C) Riskgforgcomplication:gdysrhythmias
D) Anxiety
Reviewg Information:gThegcorrectganswergis:A)gPaingrelatedgtogischemia.
Paingisgrelatedgtogischemia,gandgreliefgofgpaingwillgdecreasegmyocardialgoxygengdemands,greducegbloodgpr
essuregandgheartgrategandgrelieveganxiety.gPaingalsogstimulatesgthegsympatheticgnervousgsystemgandgincre
asedgpreload,gfurthergincreasinggmyocardialgdemands.
Questiong 11
ThegnursegmanagergwhogisgresponsiblegforghiringgprofessionalgnursinggstaffgisgrequiredgtogcomplygwithgthegAmeri
cansgwithgDisabilitiesgAct.gThegprovisionsgofgtheglawgrequiregthegnursegmanagergto
A) Maintaing ang environmentg freeg fromg hazards
B) Provideg reasonableg accommodationsg forg disabledg individuals
C) Makegallgnecessarygaccommodationsgforgdisabledgindividuals
g g g g g g g
Bank; A+ Rated Guide (2022) g g g g
Pretest
Questiong 1
Agc.gWhatgdocumentgshouldgbegingguidinggthegcaregofgthisgclient?
A) ClientgSelfgDeterminationgAct
B) Physician'sgtreatmentgorders
C) Advance g Directives.
D) ClinicalgPathwaygprotocols
Reviewg Information:gThegcorrectganswergis:gC)gAdvancegDirectives.gThisgdocumentgspecifiesgthegclient'sgwishe
s
Questiong 2
Yougaregthegofgaghealthgcaregteamgthatgconsistsgofgoneglicensedgpractical/vocationalgnurse,gonegnursinggassistan
tg,gagnursinggstudentgandgyourself.gTogwhomgisgitgappropriategtogassigngcompletegcaregfor
A) Yourself
B) Thegnursinggstudent
C) Theglicensedgvocationalgnurse
D) Thegnursinggassistant
Reviewg Information:g Theg correctg answerg is:A)g Yourself.
Whilegthegnursegmaygdelegategagbedgbathgforgagstablegclient,gthisgcaregshouldgbegperformedgbygangRNgforgagnewg
admission.gOnlygtasksgthatgdognotgrequiregindependentgjudgmentgshouldgbegdelegated.
3Question g 3
Agmothergbringsghergthegclinic,gcomplaininggthatgthegchildgseemsgtogbeg Thegnursegexpectsgtogfindgwhichgofgtheg
followinggongtheginitialghistorygandgphysicalgassessment?
A) Increased g temperature g andg lethargy
B) Rashgandgrestlessness
C) Increasedgsleepinggandglistlessness
D) Diarrheagandgpoorgskingturgor
Reviewg Information:gThegcorrectganswergis:B)gRashgandgrestlessness.
, ALL HESI EXIT Questions and Answers Test
g g g g g g g
Bank; A+ Rated Guide (2022)g g g g
Questiong 4
Asgthegnursegtakesgaghistorygofgag3gyear-
oldgwithgneuroblastoma,gwhatgcommentsgbygthegparentsgrequiregfollow-
upgandgaregconsistentgwithgthegdiagnosis?
A) "Thegchildghasgbeenglistlessgandghasglostgweight."
B) "Hergurinegisgdarkgyellowgandgsmallgingamounts."
C) "Clothesgaregbecominggtightergacrossghergabdomen."gD+
)g"Wegnoticegmusclegweaknessgandgsomegunsteadiness."
Reviewg Information:gThegcorrectganswergis:C)g"Clothesgaregbecominggtightergacrossghergabdomen.".
Onegofgthegmostgcommongsignsgofgneuroblastomagisgincreasinggabdominalggirth.gThegparents''greportgthatgclot
hinggisgtightgisgsignificant,gandgshouldgbegfollowedgbygadditionalgassessments.
Questiong 5
Ag16gyear-
oldgpresentsgtogthegemergencygdepartment.gThegtriagegnursegfindsgthatgthisgteenagergisglegallygmarriedgandg
signedgthegconsentgformgforgtreatment.gWhatgwouldgbegthegappropriategINITIALgactiongbygthegnurse?
A) Refusegtogseegthegclientguntilgagparentgorglegalgguardiangcangbegcontacted
B) Withholdgtreatmentguntilgtelephonegconsentgcangbegobtainedgfromgthegspouse
C) Refergthegclientgtogagcommunitygpediatricghospitalgemergencygroom
D) Assessgandgtreatgingthegsamegmannergasganygadultgclient
Reviewg Information:gThegcorrectganswergis:D)gAssessgandgtreatgingthegsamegmannergasganygadultgclient.
Minorsg mayg becomeg knowng asg ang "emancipatedg minor"g throughg marriage,g pregnancy,g highg schoolg graduation,g
independentglivinggorgservicegingthegmilitary.gTherefore,gthisgclient,gwhogisgmarried,ghasgtheglegalgcapacitygofga
ngadult.
Questiong 6
Agnewlygadmittedgelderlygclientgisgseverelygdehydrated.gWhengplanninggcaregforgthisgclient,gwhichgonegofgthegfol
lowinggisgangappropriategtaskgforgangUnlicensedgAssistivegPersonnelg(UAP)?
, ALL HESI EXIT Questions and Answers Test
g g g g g g g
Bank; A+ Rated Guide (2022)g g g g
A) Obtaingaghistorygofgfluidgloss
B) Reportgoutputgofglessgthang30gml/hr
C) MonitorgresponsegtogIVgfluids
D) Checkgskingturgorgeverygfourghours
Reviewg Information:gThegcorrectg answergis:B)g Reportg outputgofglessg thang30g ml/hr.
WhengdirectinggagUAP,gthegnursegmustgcommunicategclearlygaboutgeachgdelegatedgtaskgwithgspecificginstruct
ionsgongwhatgmustgbegreported.gBecausegthegRNgisgresponsiblegforgallgcare-
relatedgdecisions,onlygimplementationgtasksgshouldgbegassignedgbecausegtheygdognotgrequiregindependentgju
dgment.
Questiong 7
Thegnursegisgassessinggag4gyear-
oldgforgpossiblegrheumaticgfever.gWhichgofgthegfollowinggwouldgthegnursegsuspectgisgrelatedgtogthisgdiagnosis?
A) Diagnosisgofgchickenpoxgsixgmonthsgago
B) Exposuregtogstrepgthroatgingdaycareglastgmonth
C) Treatmentgforgearginfectiongtwogmonthsgago
D) Episodegofgfungalgskinginfectionglastgweek
Reviewg Information:gThegcorrectganswergis:B)gExposuregtogstrepgthroatgingdaycareglastgmonth.
EvidencegsupportsgagstronggrelationshipgbetweenginfectiongwithgGroupgAgstreptococcigandgsubsequentgr
heumaticgfeverg(usuallygwithing2-
6gweeks).gTherefore,gtheghistorygofgplaymatesgrecoveringgfromgstrepgthroatgwouldgindicategthatgthegchil
dgdiagnosedgwithgrheumaticgfevergmostglikelygalsoghadgstrepgthroat.gSometimes,gsuchganginfectionghasgn
ogclinicalgsymptoms.
Questiong 8
Whengthegnursegbecomesgawaregofgfeelinggreluctantgtoginteractgwithgagmanipulativegclient,gthegBESTgactiongb
ygthegnursegisgto
A) Discussgthegfeelinggofgreluctancegwithgangobjectivegpeergorgsupervisor
B) Limitgcontactsgwithgthegclientgtogavoidgreinforcinggthegmanipulativegbehavior
C) Confrontgthegclientgregardinggthegnegativegeffectsgofghis/hergbehaviorgongothers
D) Developgagbehaviorgmodificationgplangthatgwillgpromotegmoregfunctionalgbehavior
Reviewg Information:gThegcorrectganswergis:A)gDiscussgthegfeelinggofgreluctancegwithgangobjectivegpeergorgsupe
rvisor.
Thegnursegwhogisgexperiencinggstressgingthegtherapeuticgrelationshipgcanggaingobjectivitygthroughgsupervision
.gThegnursegmustgattemptgtogdiscovergattitudesgandgfeelingsgingthegselfgthatginfluencegthegnurse-
gclientgrelationship.
, ALL HESI EXIT Questions and Answers Test
g g g g g g g
Bank; A+ Rated Guide (2022) g g g g
Questiong 9
Agclientgisgbeinggtreatedgforgparanoidgschizophrenia.gWhengthegclientgbecamegloudgandgboisterous,gthegnurs
egimmediatelygplacedghimgingseclusiongasgagprecautionarygmeasure.gThegclientgwillinglygcomplied.gThegnurse
'sgaction
A) Maygresultgingchargesgofgunlawfulgseclusiongandgrestraint
B) Leavesgthegnursegvulnerablegforgchargesgofgassaultgandgbattery
C) Wasgappropriategingviewgofgthegclient'sghistorygofgviolence
D) Wasgnecessarygtogmaintaingthegtherapeuticgmilieugofgthegunit
Reviewg Information:gThegcorrectganswergis:A)gMaygresultgingchargesgofgunlawfulgseclusiongandgrestraint.gSecl
usiongshouldgonlygbegusedgwhengtheregisgangimmediategthreatgofgviolencegorgthreateninggbehavior.
Questiong 10
AgclientghasgbeengadmittedgtogthegCoronarygCaregUnitgwithgagMyocardialgInfarction.gWhichgofgthegfollowinggnursi
nggdiagnosisgshouldghavegPRIORITY?
A) Paingrelatedgtogischemia
B) Riskg forg alteredg elimination:g constipation
C) Riskgforgcomplication:gdysrhythmias
D) Anxiety
Reviewg Information:gThegcorrectganswergis:A)gPaingrelatedgtogischemia.
Paingisgrelatedgtogischemia,gandgreliefgofgpaingwillgdecreasegmyocardialgoxygengdemands,greducegbloodgpr
essuregandgheartgrategandgrelieveganxiety.gPaingalsogstimulatesgthegsympatheticgnervousgsystemgandgincre
asedgpreload,gfurthergincreasinggmyocardialgdemands.
Questiong 11
ThegnursegmanagergwhogisgresponsiblegforghiringgprofessionalgnursinggstaffgisgrequiredgtogcomplygwithgthegAmeri
cansgwithgDisabilitiesgAct.gThegprovisionsgofgtheglawgrequiregthegnursegmanagergto
A) Maintaing ang environmentg freeg fromg hazards
B) Provideg reasonableg accommodationsg forg disabledg individuals
C) Makegallgnecessarygaccommodationsgforgdisabledgindividuals
