HESI EXIT Exam V5 Test Bank |
100% Correct Questions &
Answers | Latest Study Guide
1. The nurse is has just admitted a client with severe
depression. From which focus should the nurse identify a priority
nursing diagnosis?
A) Nutrition
B) Elimination
C) Activity
D) Safety
---The correct answer is ---D: Safety
2. While explaining an illness to a 10 year-old, what should the nurse
keep in mind about the cognitive development at this age?
A) They are able to make simple association of ideas
B) They are able to think logically in organizing facts
C) Interpretation of events originate from their own perspective
D) Conclusions are based on previous experiences
---The correct answer is ---B: Think logically in organizing facts
3. The nurse enters the room as a 3 year-old is having a
generalized seizure. Which intervention should the nurse do
first?
A) Clear the area of any hazards
B) Place the child on the side
C) Restrain the child
D) Give the prescribed anticonvulsant
,---The correct answer is ---B: Place the child on the side
4. The nurse is reviewing a depressed client's history from an earlier
admission. Documentation of anhedonia is noted. The
nurse understands that this finding refers to
A) Reports of difficulty falling and staying asleep
B) Expression of persistent suicidal thoughts
C) Lack of enjoyment in usual pleasures
D) Reduced senses of taste and smell
---The correct answer is ---C:Lack of enjoyment in usual
pleasures
5. A client has just returned to the medical-surgical unit following a
segmental lung resection. After assessing the
client, the first nursing action would be to
A) Administer pain medication
B) Suction excessive tracheobronchial secretions
C) Assist client to turn, deep breathe and cough
,D) Monitor oxygen saturation
---The correct answer is ---B: Suction excessive
tracheobronchial secretions
6. While assessing a client in an outpatient facility with a panic
disorder, the nurse completes a thorough health history and
physical exam. Which finding is most significant for this client?
A) Compulsive behavior
B) Sense of impending doom
C) Fear of flying
D) Predictable episodes
---The correct answer is ---B: Sense of impending doom
7. A 16 month-old child has just been admitted to the hospital. As the
nurse assigned to this child enters the hospital room for the first
time, the toddler runs to the mother, clings to her and begins to cry.
What would be the initial action by the nurse? A) Arrange to change
client care assignments
B) Explain that this behavior is expected
C) Discuss the appropriate use of "time-out"
D) Explain that the child needs extra attention
---The correct answer is ---B: Explain that this behavior is
expected
8. A 15 year-old client with a lengthy confining illness is at risk for
altered growth and development of which task? A) Loss of control
B) Insecurity
C) Dependence
D) Lack of trust
---The correct answer is ---C: Dependence
, 9. Which playroom activities should the nurse organize for a
small group of 7 year-old hospitalized children? A) Sports and
games with rules
B) Finger paints and water play
C) "Dress-up" clothes andprops
D) Chess and television programs
---The correct answer is ---A: Sports and games with rules
10. The nurse is discussing dietary intake with an adolescent who has
acne. The most
100% Correct Questions &
Answers | Latest Study Guide
1. The nurse is has just admitted a client with severe
depression. From which focus should the nurse identify a priority
nursing diagnosis?
A) Nutrition
B) Elimination
C) Activity
D) Safety
---The correct answer is ---D: Safety
2. While explaining an illness to a 10 year-old, what should the nurse
keep in mind about the cognitive development at this age?
A) They are able to make simple association of ideas
B) They are able to think logically in organizing facts
C) Interpretation of events originate from their own perspective
D) Conclusions are based on previous experiences
---The correct answer is ---B: Think logically in organizing facts
3. The nurse enters the room as a 3 year-old is having a
generalized seizure. Which intervention should the nurse do
first?
A) Clear the area of any hazards
B) Place the child on the side
C) Restrain the child
D) Give the prescribed anticonvulsant
,---The correct answer is ---B: Place the child on the side
4. The nurse is reviewing a depressed client's history from an earlier
admission. Documentation of anhedonia is noted. The
nurse understands that this finding refers to
A) Reports of difficulty falling and staying asleep
B) Expression of persistent suicidal thoughts
C) Lack of enjoyment in usual pleasures
D) Reduced senses of taste and smell
---The correct answer is ---C:Lack of enjoyment in usual
pleasures
5. A client has just returned to the medical-surgical unit following a
segmental lung resection. After assessing the
client, the first nursing action would be to
A) Administer pain medication
B) Suction excessive tracheobronchial secretions
C) Assist client to turn, deep breathe and cough
,D) Monitor oxygen saturation
---The correct answer is ---B: Suction excessive
tracheobronchial secretions
6. While assessing a client in an outpatient facility with a panic
disorder, the nurse completes a thorough health history and
physical exam. Which finding is most significant for this client?
A) Compulsive behavior
B) Sense of impending doom
C) Fear of flying
D) Predictable episodes
---The correct answer is ---B: Sense of impending doom
7. A 16 month-old child has just been admitted to the hospital. As the
nurse assigned to this child enters the hospital room for the first
time, the toddler runs to the mother, clings to her and begins to cry.
What would be the initial action by the nurse? A) Arrange to change
client care assignments
B) Explain that this behavior is expected
C) Discuss the appropriate use of "time-out"
D) Explain that the child needs extra attention
---The correct answer is ---B: Explain that this behavior is
expected
8. A 15 year-old client with a lengthy confining illness is at risk for
altered growth and development of which task? A) Loss of control
B) Insecurity
C) Dependence
D) Lack of trust
---The correct answer is ---C: Dependence
, 9. Which playroom activities should the nurse organize for a
small group of 7 year-old hospitalized children? A) Sports and
games with rules
B) Finger paints and water play
C) "Dress-up" clothes andprops
D) Chess and television programs
---The correct answer is ---A: Sports and games with rules
10. The nurse is discussing dietary intake with an adolescent who has
acne. The most
