ALL HESI EXIT Questions and Answers Test
Bank; A+ Rated Guide
Pretest
QuestionA 1
Ac. AW hat Ad ocument As houldbeinguidingthe Ac are Ao f Athisclient?
A) ClientASelfADeterminationAAct
B) Physician'streatment Aorders
C) Advance ADirectives.
D) ClinicalAPathwayprotocols
ReviewA Information:AThecorrectAanswerAis:AC)AAdvanceADirectives.AThisdocumentAspecifiestheclient'sAwishes
QuestionA 2
YouAaretheofAahealthAcareAteamthatconsistsAofAonelicensedpractical/vocationalAnurse,AonenursingA assistantA,Aa n A ursingstud
entAandyourself.AToAwhomisitAappropriateAtoassigncompleteAcareAfor
A) Yourself
B) Thenursingstudent
C) ThelicensedvocationalA nurse
D) Thenursingassistant
Review A Information:AThecorrect AanswerAis:A)AYourself.
WhilethenursemaydelegateAabedbathAforAastableclient,AthiscareshouldbeperformedAbyanARNforAaAnewadmiAssion
.AOnlytasksAthatAdonotArequireAindependentAjudgmentAshouldbedelegated.
3QuestionA 3
AmotherAbringsAherAtheclinic,AcomplainingthatAthechildseemstobeA ThenurseexpectsAtofindAwhichofAthefollowAingonthei
nitialAhistoryandphysicalAassessment?
A) Increasedtemperature Aandlethargy
B) Rashandrestlessness
C) Increasedsleepingandlistlessness
, ALL HESI EXIT Questions and Answers Test
Bank; A+ Rated Guide
D) DiarrheaandpoorAskinturgor
ReviewA Information:AThecorrectAanswerAis:B)ARashandrestlessness.
, ALL HESI EXIT Questions and Answers Test
Bank; A+ Rated Guide
QuestionA 4
AsthenursetakesAahistoryAofAaA3Ayear-oldwithneuroblastoma,Awhatcommentsbytheparents ArequireA follow-
A upandareconsistentA
withthediagnosis?
A) "Thechildhas AbeenlistlessAandhaslostAweight."
B) "HerAu rineisdarkyellowandsmall Ai n Aamounts."
C) "ClothesarebecomingtighterAacrossAherAabdomen."AD+)"AW
enoticemuscleweaknessAandsomeunsteadiness."
Review A Information:AThecorrect AanswerAis:C)A"Clothesarebecomingtighter AacrossAherAabdomen.".
OneofAthemostAcommonAsignsofAneuroblastomaisincreasingabdominal Agirth.ATheparents''AreportAthatAclothiAngisti
ghtAissignificant,AandshouldbefollowedbyadditionalAassessments.
QuestionA 5
AA16Ayear-
oldpresentsAtotheemergencyAdepartment.AThetriagenursefindsAthatAthisteenagerAisAlegallyAmarriedAandsignAedtheconsen
tAformforAtreatment.AWhatwouldbetheappropriateAINITIALAactionAbytheA nurse?
A) Refusetoseetheclient AuntilAaparentAorAlegalAguardiancanbecontacted
B) Withholdtreatment Auntil Atelephoneconsent Ac an Abeobtained Afromthespouse
C) Refer Atheclient Atoacommunitypediatric Ahospital Aemergencyroom
D) AssessandtreatA inthesamemannerA asanyadultA client
Review A Information: AT hecorrect Aa nswer Ai s:D) AA ssessandtreat Ai nthesame Am anner Aa sanyadult Aclient.
MinorsAmayAbecomeknownasAan"emancipatedminor" AthroughAmarriage,Apregnancy,AhighschoolAgraduation,AindA epend
entAlivingorAserviceinthemilitary.ATherefore,Athisclient,AwhoisAmarried,AhasthelegalAcapacityAofAanadult.
QuestionA 6
AnewlyadmittedelderlyclientAisseverelydehydrated.AWhenplanningAcareAforAthisclient,AwhichoneofAtheA followinA gisanappr
opriatetaskforAanAUnlicensedAAssistiveAPersonnelA(UAP)?
, ALL HESI EXIT Questions and Answers Test
Bank; A+ Rated Guide
A) ObtainahistoryofA fluidloss
B) ReportAoutputAofAlessthanA30Aml/hr
C) Monitor Ar esponseto AIVfluids
D) CheckskinturgorAeveryAfourAhours
ReviewA Information:AThecorrectAanswerAis:B)AReportAoutputAofAlessthanA30Aml/hr.
WhendirectingaAUAP,AthenursemustAcommunicateclearlyaboutAeachdelegatedAtaskwithspecificA instructionsAonA wha
tAmustAbereported.ABecausetheARNisresponsiblefor AallAcare-
relateddecisions,onlyA implementationAtasksAshouldbeassignedbecause AtheydonotArequireindependent AjudgmeA nt.
QuestionA 7
Thenurseisassessinga A4 Ayear-
oldforApossiblerheumaticfever. AWhichof Athefollowingwouldthenurse A suspectAisArelated AtothisAdiagnosis?
A) Diagnosisof Ac hickenpox Asixmonthsago
B) ExposuretostrepthroatA indaycarelastA month
C) TreatmentAforAearAinfectiontwomonthsago
D) EpisodeofAfungalAskininfectionlastAweek
Review A Information: AT hecorrect Aa nswer Ai s:B) AE xposuretostrepthroat Ai ndaycarelastAmonth.
EvidencesupportsastrongrelationshipAbetweeninfectionwithAGroupAAstreptococciAandsubsequentArheuA ma
ticAfeverA(usuallyAwithinA2-
6Aweeks).ATherefore,AthehistoryofAplaymatesrecoveringfromstrepAthroatwouldindicatethatAthechilddiaAgnosedwi
thrheumaticfeverAmostAlikelyalsohadstrepthroat. ASometimes,AsuchaninfectionhasnoclinicalAsAymptoms.
QuestionA 8
WhenthenursebecomesAawareAofAfeelingreluctantAtointeractAwithaAmanipulativeAclient,AtheABESTactionAbythenAurseisto
A) Discuss Athefeelingof AreluctancewithanobjectivepeerAorAsupervisor
B) LimitAcontactswiththeclient Atoavoidreinforcingthe Amanipulative Abehavior
C) ConfrontAtheclientAregardingthenegativeAeffectsAofAhis/herRbehaviorAonothers
D) Developabehavior Am odificationplanthatwill Apromotemorefunctional Abehavior
ReviewA Information:AThecorrectAanswerAis:A)ADiscussAthefeelingAofAreluctancewithanobjectivepeer AorRsupervisAor.
Bank; A+ Rated Guide
Pretest
QuestionA 1
Ac. AW hat Ad ocument As houldbeinguidingthe Ac are Ao f Athisclient?
A) ClientASelfADeterminationAAct
B) Physician'streatment Aorders
C) Advance ADirectives.
D) ClinicalAPathwayprotocols
ReviewA Information:AThecorrectAanswerAis:AC)AAdvanceADirectives.AThisdocumentAspecifiestheclient'sAwishes
QuestionA 2
YouAaretheofAahealthAcareAteamthatconsistsAofAonelicensedpractical/vocationalAnurse,AonenursingA assistantA,Aa n A ursingstud
entAandyourself.AToAwhomisitAappropriateAtoassigncompleteAcareAfor
A) Yourself
B) Thenursingstudent
C) ThelicensedvocationalA nurse
D) Thenursingassistant
Review A Information:AThecorrect AanswerAis:A)AYourself.
WhilethenursemaydelegateAabedbathAforAastableclient,AthiscareshouldbeperformedAbyanARNforAaAnewadmiAssion
.AOnlytasksAthatAdonotArequireAindependentAjudgmentAshouldbedelegated.
3QuestionA 3
AmotherAbringsAherAtheclinic,AcomplainingthatAthechildseemstobeA ThenurseexpectsAtofindAwhichofAthefollowAingonthei
nitialAhistoryandphysicalAassessment?
A) Increasedtemperature Aandlethargy
B) Rashandrestlessness
C) Increasedsleepingandlistlessness
, ALL HESI EXIT Questions and Answers Test
Bank; A+ Rated Guide
D) DiarrheaandpoorAskinturgor
ReviewA Information:AThecorrectAanswerAis:B)ARashandrestlessness.
, ALL HESI EXIT Questions and Answers Test
Bank; A+ Rated Guide
QuestionA 4
AsthenursetakesAahistoryAofAaA3Ayear-oldwithneuroblastoma,Awhatcommentsbytheparents ArequireA follow-
A upandareconsistentA
withthediagnosis?
A) "Thechildhas AbeenlistlessAandhaslostAweight."
B) "HerAu rineisdarkyellowandsmall Ai n Aamounts."
C) "ClothesarebecomingtighterAacrossAherAabdomen."AD+)"AW
enoticemuscleweaknessAandsomeunsteadiness."
Review A Information:AThecorrect AanswerAis:C)A"Clothesarebecomingtighter AacrossAherAabdomen.".
OneofAthemostAcommonAsignsofAneuroblastomaisincreasingabdominal Agirth.ATheparents''AreportAthatAclothiAngisti
ghtAissignificant,AandshouldbefollowedbyadditionalAassessments.
QuestionA 5
AA16Ayear-
oldpresentsAtotheemergencyAdepartment.AThetriagenursefindsAthatAthisteenagerAisAlegallyAmarriedAandsignAedtheconsen
tAformforAtreatment.AWhatwouldbetheappropriateAINITIALAactionAbytheA nurse?
A) Refusetoseetheclient AuntilAaparentAorAlegalAguardiancanbecontacted
B) Withholdtreatment Auntil Atelephoneconsent Ac an Abeobtained Afromthespouse
C) Refer Atheclient Atoacommunitypediatric Ahospital Aemergencyroom
D) AssessandtreatA inthesamemannerA asanyadultA client
Review A Information: AT hecorrect Aa nswer Ai s:D) AA ssessandtreat Ai nthesame Am anner Aa sanyadult Aclient.
MinorsAmayAbecomeknownasAan"emancipatedminor" AthroughAmarriage,Apregnancy,AhighschoolAgraduation,AindA epend
entAlivingorAserviceinthemilitary.ATherefore,Athisclient,AwhoisAmarried,AhasthelegalAcapacityAofAanadult.
QuestionA 6
AnewlyadmittedelderlyclientAisseverelydehydrated.AWhenplanningAcareAforAthisclient,AwhichoneofAtheA followinA gisanappr
opriatetaskforAanAUnlicensedAAssistiveAPersonnelA(UAP)?
, ALL HESI EXIT Questions and Answers Test
Bank; A+ Rated Guide
A) ObtainahistoryofA fluidloss
B) ReportAoutputAofAlessthanA30Aml/hr
C) Monitor Ar esponseto AIVfluids
D) CheckskinturgorAeveryAfourAhours
ReviewA Information:AThecorrectAanswerAis:B)AReportAoutputAofAlessthanA30Aml/hr.
WhendirectingaAUAP,AthenursemustAcommunicateclearlyaboutAeachdelegatedAtaskwithspecificA instructionsAonA wha
tAmustAbereported.ABecausetheARNisresponsiblefor AallAcare-
relateddecisions,onlyA implementationAtasksAshouldbeassignedbecause AtheydonotArequireindependent AjudgmeA nt.
QuestionA 7
Thenurseisassessinga A4 Ayear-
oldforApossiblerheumaticfever. AWhichof Athefollowingwouldthenurse A suspectAisArelated AtothisAdiagnosis?
A) Diagnosisof Ac hickenpox Asixmonthsago
B) ExposuretostrepthroatA indaycarelastA month
C) TreatmentAforAearAinfectiontwomonthsago
D) EpisodeofAfungalAskininfectionlastAweek
Review A Information: AT hecorrect Aa nswer Ai s:B) AE xposuretostrepthroat Ai ndaycarelastAmonth.
EvidencesupportsastrongrelationshipAbetweeninfectionwithAGroupAAstreptococciAandsubsequentArheuA ma
ticAfeverA(usuallyAwithinA2-
6Aweeks).ATherefore,AthehistoryofAplaymatesrecoveringfromstrepAthroatwouldindicatethatAthechilddiaAgnosedwi
thrheumaticfeverAmostAlikelyalsohadstrepthroat. ASometimes,AsuchaninfectionhasnoclinicalAsAymptoms.
QuestionA 8
WhenthenursebecomesAawareAofAfeelingreluctantAtointeractAwithaAmanipulativeAclient,AtheABESTactionAbythenAurseisto
A) Discuss Athefeelingof AreluctancewithanobjectivepeerAorAsupervisor
B) LimitAcontactswiththeclient Atoavoidreinforcingthe Amanipulative Abehavior
C) ConfrontAtheclientAregardingthenegativeAeffectsAofAhis/herRbehaviorAonothers
D) Developabehavior Am odificationplanthatwill Apromotemorefunctional Abehavior
ReviewA Information:AThecorrectAanswerAis:A)ADiscussAthefeelingAofAreluctancewithanobjectivepeer AorRsupervisAor.
