HESI EXIT V5 160 QUESTIONS
AND ANSWERS.
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
thecognitive 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.
Whichintervention 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
lungresection. 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
completesa 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
AND ANSWERS.
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
thecognitive 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.
Whichintervention 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
lungresection. 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
completesa 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
