HESI EXIT 6 ICHS EXAM QUESTIONS
WITH COMPLETE SOLUTIONS
2. When gathering for a group therapy session at 1400 hours, a female client
| | | | | | | | | | | | | |
complains to the nurse that a smoking break has not been allowed all day. The
| | | | | | | | | | | | | | |
nurse responds that 15 minute breaks were called over the unit intercom after
| | | | | | | | | | | | |
breakfast and after lunch. The nurse is using what communication technique in
| | | | | | | | | | | |
responding to the client? | | |
a) Doubt
|
b) Observation
|
c) Confrontation
|
d) Reflection - CORRECT ANSWER✔✔-d) Reflection
| | | | |
c) Confrontation
|
3. The nurse is interviewing a client with schizophrenia. Which client behavior
| | | | | | | | | | | |
requires immediate intervention?
| |
a) Lip smacking and frequent eye blinking
| | | | | |
b) Shuffling gait and stooped posture
| | | | |
c) Rocks back and forth in the chair
| | | | | | |
d) Muscle spasms of the back and neck - CORRECT ANSWER✔✔-d) Muscle
| | | | | | | | | | | |
spasms of the back and neck
| | | | |
4. A female client with rheumatoid arthritis (RA) comes to the clinic
| | | | | | | | | | | |
complaining of joint pain and swelling. The client has been taking prednisone
| | | | | | | | | | | |
,(Deltasone) and ibuprofen (Motrin Extra Strength) every day. To assist the client
| | | | | | | | | | |
|with self-management of her pain, which information should the nurse obtain?
| | | | | | | | | |
a) Presence of bruising, weakness, or fatigue
| | | | | |
b) Therapeutic exercise included in daily routine.
| | | | | |
c) Average amount of protein eaten daily
| | | | | |
d) Existence of gastrointestinal discomfort - CORRECT ANSWER✔✔-b)
| | | | | | | |
Therapeutic exercise included in daily routine. | | | | |
d) Existence of gastrointestinal discomfort
| | | |
5. The charge nurse of the Intensive Care Unit is making assignments for the
| | | | | | | | | | | | | |
permanent staff and one RN who was floated from a medical unit. The client
| | | | | | | | | | | | | |
with which condition is the best to assign to the float nurse?
| | | | | | | | | | |
a) Diabetic ketoacidosis and titrated IV insulin infusion
| | | | | | |
b) Emphysema extubated 3 hours ago receiving heated mist
| | | | | | | |
c) Subdural hematoma with an intracranial monitoring device
| | | | | | |
d) Acute coronary syndrome treated with vasopressors - CORRECT ANSWER✔✔-
| | | | | | | | |
a) Diabetic ketoacidosis and titrated IV insulin infusion
| | | | | | |
b) Emphysema extubated 3 hours ago receiving heated mist
| | | | | | | |
9. A male client with renal cell carcinoma is returned to the unit following a
| | | | | | | | | | | | | | |
radical nephrectomy. The nurse notes that his vital signs and urine output are
| | | | | | | | | | | | |
within normal range, his bandage is dry, and the drain from the incision site is
| | | | | | | | | | | | | | |
producing a small amount of serasanguinous drainage. Which intervention
| | | | | | | | |
should the nurse implement?
| | |
a) Place a pressure bandage at the drainage site
| | | | | | | |
b) Document assessment findings in the electronic medical record
| | | | | | | |
, c) Monitor urinary catheter output for a decrease below 30 ml/hr
| | | | | | | | | |
d) Notify surgeon of color and amount of wound drainage. - CORRECT
| | | | | | | | | | | |
ANSWER✔✔-Notify surgeon of color and amount of wound drainage | | | | | | | |
b) Document assessment findings in the electronic medical record
| | | | | | | |
13. In evaluating the effectiveness of a postoperative client's intermittent
| | | | | | | | | |
pneumatic compression devices, which assessment is most important for the
| | | | | | | | | |
nurse to complete?
| |
a) Evaluate the client's ability to use an incentive spirometer
| | | | | | | | |
b) Monitor the amount of drainage from the client's incision
| | | | | | | | |
c) Observe both lower extremities for redness and swelling
| | | | | | | |
d) Palpate all peripheral pulse points for volume and strength - CORRECT
| | | | | | | | | | | |
ANSWER✔✔-Monitor the amount of drainage from the client's incision | | | | | | | |
c) Observe both lower extremities for redness and swelling
| | | | | | | |
17. Sublingual nitroglycerin is administered to a male client with instable angina
| | | | | | | | | | |
who complains of crushing chest pain. Five minutes later the client becomes
| | | | | | | | | | | | |
nauseated and his blood pressure drops to 60/40. Which intervention should
| | | | | | | | | | |
the nurse implement?
| |
a) Give a PRN antiemetic medication
| | | | |
b) Infuse a rapid IV normal saline bolus
| | | | | | |
c) Begin external chest compressions
| | | |
d) Administer second dose of nitroglycerin - CORRECT ANSWER✔✔-infuse a
| | | | | | | | | |
rapid IV normal saline bolus
| | | |
WITH COMPLETE SOLUTIONS
2. When gathering for a group therapy session at 1400 hours, a female client
| | | | | | | | | | | | | |
complains to the nurse that a smoking break has not been allowed all day. The
| | | | | | | | | | | | | | |
nurse responds that 15 minute breaks were called over the unit intercom after
| | | | | | | | | | | | |
breakfast and after lunch. The nurse is using what communication technique in
| | | | | | | | | | | |
responding to the client? | | |
a) Doubt
|
b) Observation
|
c) Confrontation
|
d) Reflection - CORRECT ANSWER✔✔-d) Reflection
| | | | |
c) Confrontation
|
3. The nurse is interviewing a client with schizophrenia. Which client behavior
| | | | | | | | | | | |
requires immediate intervention?
| |
a) Lip smacking and frequent eye blinking
| | | | | |
b) Shuffling gait and stooped posture
| | | | |
c) Rocks back and forth in the chair
| | | | | | |
d) Muscle spasms of the back and neck - CORRECT ANSWER✔✔-d) Muscle
| | | | | | | | | | | |
spasms of the back and neck
| | | | |
4. A female client with rheumatoid arthritis (RA) comes to the clinic
| | | | | | | | | | | |
complaining of joint pain and swelling. The client has been taking prednisone
| | | | | | | | | | | |
,(Deltasone) and ibuprofen (Motrin Extra Strength) every day. To assist the client
| | | | | | | | | | |
|with self-management of her pain, which information should the nurse obtain?
| | | | | | | | | |
a) Presence of bruising, weakness, or fatigue
| | | | | |
b) Therapeutic exercise included in daily routine.
| | | | | |
c) Average amount of protein eaten daily
| | | | | |
d) Existence of gastrointestinal discomfort - CORRECT ANSWER✔✔-b)
| | | | | | | |
Therapeutic exercise included in daily routine. | | | | |
d) Existence of gastrointestinal discomfort
| | | |
5. The charge nurse of the Intensive Care Unit is making assignments for the
| | | | | | | | | | | | | |
permanent staff and one RN who was floated from a medical unit. The client
| | | | | | | | | | | | | |
with which condition is the best to assign to the float nurse?
| | | | | | | | | | |
a) Diabetic ketoacidosis and titrated IV insulin infusion
| | | | | | |
b) Emphysema extubated 3 hours ago receiving heated mist
| | | | | | | |
c) Subdural hematoma with an intracranial monitoring device
| | | | | | |
d) Acute coronary syndrome treated with vasopressors - CORRECT ANSWER✔✔-
| | | | | | | | |
a) Diabetic ketoacidosis and titrated IV insulin infusion
| | | | | | |
b) Emphysema extubated 3 hours ago receiving heated mist
| | | | | | | |
9. A male client with renal cell carcinoma is returned to the unit following a
| | | | | | | | | | | | | | |
radical nephrectomy. The nurse notes that his vital signs and urine output are
| | | | | | | | | | | | |
within normal range, his bandage is dry, and the drain from the incision site is
| | | | | | | | | | | | | | |
producing a small amount of serasanguinous drainage. Which intervention
| | | | | | | | |
should the nurse implement?
| | |
a) Place a pressure bandage at the drainage site
| | | | | | | |
b) Document assessment findings in the electronic medical record
| | | | | | | |
, c) Monitor urinary catheter output for a decrease below 30 ml/hr
| | | | | | | | | |
d) Notify surgeon of color and amount of wound drainage. - CORRECT
| | | | | | | | | | | |
ANSWER✔✔-Notify surgeon of color and amount of wound drainage | | | | | | | |
b) Document assessment findings in the electronic medical record
| | | | | | | |
13. In evaluating the effectiveness of a postoperative client's intermittent
| | | | | | | | | |
pneumatic compression devices, which assessment is most important for the
| | | | | | | | | |
nurse to complete?
| |
a) Evaluate the client's ability to use an incentive spirometer
| | | | | | | | |
b) Monitor the amount of drainage from the client's incision
| | | | | | | | |
c) Observe both lower extremities for redness and swelling
| | | | | | | |
d) Palpate all peripheral pulse points for volume and strength - CORRECT
| | | | | | | | | | | |
ANSWER✔✔-Monitor the amount of drainage from the client's incision | | | | | | | |
c) Observe both lower extremities for redness and swelling
| | | | | | | |
17. Sublingual nitroglycerin is administered to a male client with instable angina
| | | | | | | | | | |
who complains of crushing chest pain. Five minutes later the client becomes
| | | | | | | | | | | | |
nauseated and his blood pressure drops to 60/40. Which intervention should
| | | | | | | | | | |
the nurse implement?
| |
a) Give a PRN antiemetic medication
| | | | |
b) Infuse a rapid IV normal saline bolus
| | | | | | |
c) Begin external chest compressions
| | | |
d) Administer second dose of nitroglycerin - CORRECT ANSWER✔✔-infuse a
| | | | | | | | | |
rapid IV normal saline bolus
| | | |
