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2021 HESI EXIT EXAM WITH ANSWERS.
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2021 HESI EXIT EXAM WITH ANSWERS. 2021 HESI EXIT EXAM WITH ANSWERS. 2021 HESI EXIT EXAM WITH ANSWERS.
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2021HESIEXIT
1.Thenur
seiscar
ingf
orapre-
adol
escentc
li
enti
nsk
ele
tal
Dun
lop
t
ract
ion
.Which
n
u r
si
ngint
erv
enti
onisa
pprop
ria
tefort
hischi
ld
?
A)Makecer
tai
nthechi
ldisma i
nta
inedi
nc orr
ectbodyal
ign
me nt
.
B)Besur
ethetr
acti
onwe i
ghtstouc
htheen dofthebed.
C)Adj
ustth
eh ea
da ndfootofthebedforthec h
ild
'scomfor
t
D)Rel
easethet
ract
ionfor15-20minute
se very6hoursPRN.Thecor
rec
tan
swe
r
i
sA:Ma kecer
tai
nthechil
disma int
ain
edi ncorr
ectbodyali
gnmen
t.
2.Th enurs
eisas
sessi
ngahea
lth
ychil
datt
he2ye
arc
heckup.
Whi
choft
he
f
ollowin
g
s
h ouldth
en ur
ser
epor
timme
diat
elyt
othehe
alt
hca
rep
rov
ide
r?
A)Heig
htandwe ightperce
nti
lesv ar
ywidely
B)Gr
owt hpatt
erna ppe
arstohav eslowed
C)Re
c u
mb entands t
andi
nghei
gh taredif
fer
entD)Sh
ortt
erm
wei
ghtchang
e sareuneven
Thecorr
ectanswe ri
sA: Hei
ghta ndwe i
ghtper
cent
il
esvar
ywi
del
y
3.Thep
are
ntsofa2year
-ol
dchil
dre
portt
hatheha
sbeenhol
di
ngh
is
b
reat
hwheneve
r
h
eh a
stempert
ant
rums
.Wh ati
sthebes
tact
ionbyt
hen
urse
?
A)Teachth eparen
t showtoperformc a
rdi
opul
monaryresuscit
a t
ion
B)Recomme ndthatthepar
entsg i
vei
nwh enhehol
d shisbreathtop r
eve
ntanox
ia
C)Advisethep a
rentstoig
noreb re
athholdi
ngbeca
u sebreath
ingwi l
lbegi
nasa
re
fle
x
D)Ins
tructtheparentsonhowt oreasonwit
hthechi
lda boutposs i
bl
e
har
mf ulef
fects
ThecorrectanswerisC:Advis
et heparent
stoi
gnoreb r
eathholding
becausebreathi
ng
wil
lbeginasar ef
lex
4.Thenur
seisa
sse
ssi
ngac
li
enti
nth
eeme
rge
ncyr
oom.
Whi
chs
tat
eme
nt
s
u g
gest
sthat
,t
hep
rob
lemi
sac
utea
ngi
na?
A)"Mypaini
sdeepinmyc hestbehi
ndmys t
ern
um.
B)"WhenIsi
tupthepaingetsworse
."
C)"AsIt
akeadee
pb re
a t
hthepainge
tswors
e."
D)"Thepa
ini
sri
ghthereinmystomachar
ea.
"
Thecorr
ecta
nswerisA:"Myp ai
nisdeepi
nmyc he
stb
ehi
ndmys
ter
num.
"
.
5.Thenu
rseisass
ess
ingt
hementa
lstat
usofacl
i
enta
dmit
tedwi
thpos
sib
le
or
gani
cbrai
n
di
sor
der
.Wh i
choft
hesequ
est
ion
swill
bestas
ses
sthef
unc
ti
onofthecl
i
ent'
s
r
ece
ntme
mor
y?
A)" Na meth eyear.
""Wh a
tseasoni st
his?"(paus
ef orans
we rafte
re a
ch
question)
B)" Su bt
ract7f r
om1 00a n
dthe nsubtr
ac t7fr
omt hat.
"(pa
us eforanswer)
"Now
conti
n uetos ubtr
act7fromthen ewn umb er
."
C)" Iamg oingt osaythename softhreething
sa ndIwantyoutor epeatt
hema
fte
r
me :
blue
, ball
,pen .
"
D)" Wh atisthisonmywr ist
?"(pointt
oy ourwatch)Thenask,"Wh a
tisthe
purpos eof
i
t?"
Thec orrec
ta nswerisC:"Iamg oingtosayt h
en a
me softhreethingsandI
wanty outo
repeatthema f
terme:blue,ba
ll
,p e
n .
"
6.I
np l
anni
ngca r
efora6mont
h-ol
din
fan
t,wh
atmu
stt
hen
urs
epr
ovi
det
oas
sis
t
i
nthe
de
v e
lopmentoftr
ust?
A)Food
B)Wa rmth
C)Se c
u r
it
y
D)Co mfort
Thecorr
ectansweri
sC:Sec
uri
ty
7
.An u
rseh
asju
str
ece
ive
dame
dic
ati
onor
derwh
ichi
snotl
egi
bl
e.Wh
ich
s
tat
ementbe
st
, ref
lectsasse r
ti
vecommu ni
cati
on?
A)"I cannotg i
vethi
sme d
icat
ionasitiswri
tt
en.Ihavenoideaofwhatyoume an.
"
B)"Wou l
dy oup l
eas
eclar
ifywhatyouh a
vewri
tt
e nsoI a
ms ureIamreadi
n git
cor
rec t
ly
?"
C)"I amh avingdif
fi
cul
tyreadi
ngyourh a
ndwri
ti
ng.Itwouldsavemeti
mei fyou
would
bemor eca ref
ul.
"
D)" Pleasep r
inti
nthef
u t
uresoIdon othav
etos pe
n dextr
ati
mea t
tempti
n gto
rea
dy our
wri
ti
n g."
Thec orr
ecta nsweri
sB)"Wou l
dyoup l
easecl
ari
fywh aty
ouh avewr
it
tensoI am
sur
eI
am
rea
din gi
tc orr
ectl
y?"
8.Whati
sthemos ti
mp or
tantc onsi
der
ati
onwh
ent
eac
hin
gpa
ren
tsh
owt
o
re
duceri
sksin
th
ehome ?
A)Agea ndknowled
geleveloft h
ep ar
ent
s
B)Proxi
mi t
ytoeme r
genc
ys ervices
C)Numb erofchi
ldr
enintheh ome
D)Ag eofchil
dre
ninthehome
1
0.Thecorrectan s
we risD:Ageofc hil
drenintheh ome9.A35year-
oldcl
ie
ntwi
th
s
ick
lecel
lc r
isi
sist al
kingont h
etel
e phoneb utst
op sasthe
nurs
ee nterstheroomt orequestsome thi
ngforp ai
n.Then
urseshoul
d
A)Ad ministerap l
acebo
B)E ncourageinc r
easedflui
dintake
C)Ad ministertheprescri
bedana l
gesia
D)Re comme ndrelaxat
ionexer
c i
sesf orpai
nc ontr
ol
Thecorrectan s
we risC:Admini
s te
rt h
ep res
cribedanal
ges
ia
10.Whileca r
ingforatod dl
erwi
thc roup,whichini
ti
alsi
gnofcroupre
quir
es
thenur
s e'
s
immediatea t
tenti
on?
A)Respirat
oryrateof4 2
B)Lethargyforthep as
th our
C)Apicalpulseof5 4
D)Coug hi
ngu pc opi
ouss ecr
eti
on s
Thecorrectan s
we risA:Respi
ratoryrateof30
1
1.Acli
enti
sa dmi
tt
edwit
hlowT3andT4l
eve
lsandanele
vat
edTSHle
vel
.On
i
ni
ti
al
a
ssess
me nt
,th
en u
rsewoul
dant
ic
ipa
tewhi
choft
hefol
lowi
ngass
essment
, fi
ndi
ngs?
A)Let
hargy
B)Heati
ntol
era
nce
C)Di
arrhe
a
D)Ski
ne r
upt
ions
Thecorr
ectans
weri
sA:
Let
har
gy
12.Th eemergencyroomn urs eadmitsac hi
ldwhoe xperi
encedaseiz
ureatschool
.
The
fa
therc omme nt
sth a
tthi
si sth efi
rstoccur
rence,a
n ddeniesanyfa
milyhi
stor
yof
epi
leps y
.Wh ati
stheb es
tre spon s
eb ythenurse?
A)"Don otworry
.E pi
lep
syc a nb etr
eatedwithmedicati
ons."
B)"Th esei
zurema yorma yn otme anyourchil
dhase pi
lepsy.
"
C)"Sincethi
swa sthefir
stc onv ul
si
on,i
tma ynotha ppenagain.
"
D)"Lon gter
mt r
eatmentwillp reve
ntfutur
es ei
zur
es .
"
Thec orre
ctanswerisB:"Th es ei
zurema yormayn otme anyourch
il
dh as
epi
leps y
."
13.Al
coh olandd r
ugabuseimpai
rsj
udgmentan
dinc
rea
sesr
is
kta
kin
gbe
hav
ior
.
What
nur
singd i
agnosisbestappl
i
es?
A)Ris
kf orin
jury
B)Ris
kfork nowledgedefi
ci
tC)Al
ter
edthou
ghtpr
oce
ssD)
Di
stur
b a
n ceinself
-est
eem
Thecorr
e ctanswerisA:Ri
skfori
nju
ry
1
4.Th
enu
rsei
sca
rin
gfora1
0mon
th-
ol
din
fan
twh
oish
asox
yge
nvi
a
ma
sk.
Iti
simp
ort
antf
ort
hen
urs
etoma
int
ainp
ate
ncyofwh
ichoft
hes
e
a
rea
s?
A)Mouth
B)Nasalpas
sages
C)Backofthr
oat
D)Br
on c
hial
s
Thecorr
ectanswe
risB:
Nas
alp
ass
age
s
15.Th enurseisprov
idi
ngins
truc
ti
onsforacli
e n
twithpne
u moni
a.
Wha ti
sthemos t
i
mp ort
anti
nformati
ontocon
veytothecl
i
ent?A)"Takeat
l
east2we eksofff
romwork.
"
B)"Youwil
l needanot
herches
tx-r
ayin6we eks
."C)"Takeyour
te
mp e
rat
ureeveryday.
"
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