HESI Exit (366 V2) Exam Questions With
Correct Answers
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? |- |CORRECT |
ANSWER✔✔-"I |have |the |4 |year-old |hold |and |help |feed |the |four |month-old |a |bottle |in |the |
kitchen |while |I |make |supper."
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? |- |CORRECT |ANSWER✔✔-
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 |- |CORRECT |ANSWER✔✔-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? |- |CORRECT |ANSWER✔✔-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 |- |CORRECT |
ANSWER✔✔-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? |- |CORRECT |ANSWER✔✔-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: |- |
CORRECT |ANSWER✔✔-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? |- |CORRECT |
ANSWER✔✔-Auscultate |the |lungs
Following |change-of-shift |report |on |an |orthopedic |unit, |which |client |should |the |nurse |see |
first? |- |CORRECT |ANSWER✔✔-72 |year-old |recovering |from |surgery |after |a |hip |replacement |2 |
hours |ago
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? |- |CORRECT |ANSWER✔✔-That |was |done |correctly. |Did |you |have |any |
problems |with |the |insertion?
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?
|- |CORRECT |ANSWER✔✔-contact |precautions
The |nurse |is |reviewing |with |a |client |how |to |collect |a |clean |catch |urine |specimen. |Which |
sequence |is |appropriate |teaching? |- |CORRECT |ANSWER✔✔-clean |the |meatus, |begin |voiding, |
then |catch |urine |stream
The |provider |orders |Lanoxin |(digoxin) |0.125 |mg |PO |and |furosomide |40 |mg |every |day. |Which |of
|these |foods |would |the |nurse |reinforce |for |the |client |to |eat |at |least |daily? |- |CORRECT |
ANSWER✔✔-watermelon
, A |nurse |is |stuck |in |the |hand |by |an |exposed |needle. |What |immediate |action |should |the |nurse |
take? |- |CORRECT |ANSWER✔✔-Immediately |wash |the |hands |with |vigor
As |the |nurse |observes |the |student |nurse |during |the |administration |of |a |narcotic |analgesic |IM |
injection, |the |nurse |notes |that |the |student |begins |to |give |the |medication |without |first |
aspirating. |What |should |the |nurse |do? |- |CORRECT |ANSWER✔✔-Walk |up |and |whisper |in |the |
student's |ear |"Stop. |Aspirate. |Then |inject."
A |client |with |Guillain |Barre |is |in |a |non |responsive |state, |yet |vital |signs |are |stable |and |breathing
|is |independent. |What |should |the |nurse |document |to |most |accurately |describe |the |client's |
condition? |- |CORRECT |ANSWER✔✔-Glascow |Coma |Scale |8, |respirations |regular
A |client |enters |the |emergency |department |unconscious |via |ambulance |from |the |client's |work |
place. |What |document |should |be |given |priority |to |guide |the |direction |of |care |for |this |client? |- |
CORRECT |ANSWER✔✔-A |notarized |original |of |advance |directives |brought |in |by |the |partner
The |charge |nurse |has |a |health |care |team |that |consists |of |1 |PN, |1 |unlicensed |assistive |
personnel |(UAP) |and |1 |PN |nursing |student. |Which |assignment |should |be |questioned |by |the |
nurse |manager? |- |CORRECT |ANSWER✔✔-An |admission |at |the |change |of |shifts |with |atrial |
fibrillation |and |heart |failure |- |PN
A |mother |brings |her |3 |month-old |into |the |clinic, |complaining |that |the |child |seems |to |be |
spitting |up |all |the |time |and |has |a |lot |of |gas. |The |nurse |expects |to |find |which |of |the |following |
on |the |initial |history |and |physical |assessment? |- |CORRECT |ANSWER✔✔-Restlessness |and |
increased |mucus |production
As |the |nurse |takes |a |history |of |a |3 |year-old |with |neuroblastoma, |what |comments |by |the |
parents |require |follow-up |and |are |consistent |with |the |diagnosis? |- |CORRECT |
ANSWER✔✔-"Clothes |are |becoming |tighter |across |her |abdomen."
A |16 |year-old |enters |the |emergency |department. |The |triage |nurse |identifies |that |this |teenager
|is |legally |married |and |signs |the |consent |form |for |treatment. |What |would |be |the |appropriate |
Correct Answers
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? |- |CORRECT |
ANSWER✔✔-"I |have |the |4 |year-old |hold |and |help |feed |the |four |month-old |a |bottle |in |the |
kitchen |while |I |make |supper."
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? |- |CORRECT |ANSWER✔✔-
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 |- |CORRECT |ANSWER✔✔-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? |- |CORRECT |ANSWER✔✔-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 |- |CORRECT |
ANSWER✔✔-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? |- |CORRECT |ANSWER✔✔-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: |- |
CORRECT |ANSWER✔✔-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? |- |CORRECT |
ANSWER✔✔-Auscultate |the |lungs
Following |change-of-shift |report |on |an |orthopedic |unit, |which |client |should |the |nurse |see |
first? |- |CORRECT |ANSWER✔✔-72 |year-old |recovering |from |surgery |after |a |hip |replacement |2 |
hours |ago
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? |- |CORRECT |ANSWER✔✔-That |was |done |correctly. |Did |you |have |any |
problems |with |the |insertion?
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?
|- |CORRECT |ANSWER✔✔-contact |precautions
The |nurse |is |reviewing |with |a |client |how |to |collect |a |clean |catch |urine |specimen. |Which |
sequence |is |appropriate |teaching? |- |CORRECT |ANSWER✔✔-clean |the |meatus, |begin |voiding, |
then |catch |urine |stream
The |provider |orders |Lanoxin |(digoxin) |0.125 |mg |PO |and |furosomide |40 |mg |every |day. |Which |of
|these |foods |would |the |nurse |reinforce |for |the |client |to |eat |at |least |daily? |- |CORRECT |
ANSWER✔✔-watermelon
, A |nurse |is |stuck |in |the |hand |by |an |exposed |needle. |What |immediate |action |should |the |nurse |
take? |- |CORRECT |ANSWER✔✔-Immediately |wash |the |hands |with |vigor
As |the |nurse |observes |the |student |nurse |during |the |administration |of |a |narcotic |analgesic |IM |
injection, |the |nurse |notes |that |the |student |begins |to |give |the |medication |without |first |
aspirating. |What |should |the |nurse |do? |- |CORRECT |ANSWER✔✔-Walk |up |and |whisper |in |the |
student's |ear |"Stop. |Aspirate. |Then |inject."
A |client |with |Guillain |Barre |is |in |a |non |responsive |state, |yet |vital |signs |are |stable |and |breathing
|is |independent. |What |should |the |nurse |document |to |most |accurately |describe |the |client's |
condition? |- |CORRECT |ANSWER✔✔-Glascow |Coma |Scale |8, |respirations |regular
A |client |enters |the |emergency |department |unconscious |via |ambulance |from |the |client's |work |
place. |What |document |should |be |given |priority |to |guide |the |direction |of |care |for |this |client? |- |
CORRECT |ANSWER✔✔-A |notarized |original |of |advance |directives |brought |in |by |the |partner
The |charge |nurse |has |a |health |care |team |that |consists |of |1 |PN, |1 |unlicensed |assistive |
personnel |(UAP) |and |1 |PN |nursing |student. |Which |assignment |should |be |questioned |by |the |
nurse |manager? |- |CORRECT |ANSWER✔✔-An |admission |at |the |change |of |shifts |with |atrial |
fibrillation |and |heart |failure |- |PN
A |mother |brings |her |3 |month-old |into |the |clinic, |complaining |that |the |child |seems |to |be |
spitting |up |all |the |time |and |has |a |lot |of |gas. |The |nurse |expects |to |find |which |of |the |following |
on |the |initial |history |and |physical |assessment? |- |CORRECT |ANSWER✔✔-Restlessness |and |
increased |mucus |production
As |the |nurse |takes |a |history |of |a |3 |year-old |with |neuroblastoma, |what |comments |by |the |
parents |require |follow-up |and |are |consistent |with |the |diagnosis? |- |CORRECT |
ANSWER✔✔-"Clothes |are |becoming |tighter |across |her |abdomen."
A |16 |year-old |enters |the |emergency |department. |The |triage |nurse |identifies |that |this |teenager
|is |legally |married |and |signs |the |consent |form |for |treatment. |What |would |be |the |appropriate |
