2019 PN Hesi Exit V1Question 1
A school-age client with diabetes is placed on an intermediateacting insulin and regular insulin before breakfast and before dinner. She will receive a snack of milk and cereal at bedtime. What does the nurse tell the client the snack is intended to do?
You Selected...
2019 PN Hesi Exit V1
Question 1
A school-age client with diabetes is placed on an intermediateacting insulin and regular insulin before
breakfast and before dinner. She will receive a snack of milk and cereal at bedtime. What does the nurse tell
the client the snack is intended to do?
You Selected: • Prevent late night hypoglycemia.
Correct response: • Prevent late night hypoglycemia.
Question 2
A well-known public official of a small community is admitted to the emergency department following an
episode of chest pain. Several nurses from the medical unit are aware of the admission and access the
official’s electronic medical record to obtain a status update. What is the best response for the nurse manager
to make to the nurses regarding this situation?
You Selected: • “Assessing the official’s medical record is a breach of confidentiality.”
Correct response: • “Assessing the official’s medical record is a breach of confidentiality.”
Question 3
A four-year-old child is diagnosed as having acute lymphocytic leukemia. The white blood cell (WBC) count,
especially the neutrophil count, is low. What is the most important intervention thenurse should teach the
parents?
You Selected:
• Protect your child from infections because his resistance to infection is decreased
Correct response:
• Protect your child from infections because his resistance to infection is decreased
Question 4
The nurse is caring for a client with influenza. The most effective way to decrease the spread of
microorganisms is:
You Selected:
• placing the client in isolation.
Correct response:
• washing the hands frequently.
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,Question 5
A client with a history of hypertension has been prescribed a new antihypertensive medication and is
reporting dizziness. Which is the best way for the nurse to assess blood pressure?
You Selected:
• in the supine, sitting, and standing positions
Correct response:
• in the supine, sitting, and standing positions
Question 6
A client has a soft wrist-safety device. Which assessment finding should the nurse investigate further?
You Selected:
• cool, pale fingers
Correct response:
• cool, pale fingers
Question 7
A nurse is caring for a female client before surgery. The client states that she is glad that she will not be going
through menopause as a result of her surgery and is only having her uterus removed. The nurse reviews the
consent form and notes that the surgery is for a total abdominal hysterectomy with a salpingo-oophorectomy.
What should the nurse do in this situation?
You Selected:
• Contact the surgeon to explain that the client needs further clarification regarding surgery.
Correct response:
• Contact the surgeon to explain that the client needs further clarification regarding surgery.
Question 8
A young client diagnosed with schizophrenia is talking with the nurse and says, "You know, when I thought
everyone was out to get me, I was staying in my apartment all the time. Now, I would like to get out and do
things again." What is the best initial response by the nurse?
You Selected:
• "What activities did you enjoy in the past?"
Correct response:
• "What activities did you enjoy in the past?"
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,Question 9
A client with anemia has been admitted to the medical-surgical unit. Which assessment findings are
characteristic of iron deficiency anemia?
You Selected:
• nausea, vomiting, and anorexia
Correct response:
• dyspnea, tachycardia, and pallor
Question 10
The nurse is discontinuing an intravenous catheter on a 10-year-old client with hemophilia. What would be
the most important intervention for this client?
You Selected:
• Apply firm pressure on the site for 5 minutes after removal.
Correct response:
• Apply firm pressure on the site for 5 minutes after removal.
Question 11
When a client returns from the recovery room postmastectomy, an initial postoperative assessment is
performed by the nurse. What is the nurse’s priority assessment?
You Selected:
• checking the dressing, drain, and amount of drainage
Correct response:
• assessing the vital signs and oxygen saturation levels
Question 12
A client with an uncomplicated term pregnancy arrives at the labor- and-delivery unit in early labor saying that
she thinks her water has broken. What is the nurse’s best action?
You Selected:
• Ask what time this happened and note the color, amount, and odor of the fluid.
Correct response:
• Ask what time this happened and note the color, amount, and odor of the fluid.
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, Question 13
When documenting the care of a client, the nurse is aware of the need to use abbreviations conscientiously
and safely. This includes:
You Selected:
• ensuring the abbreviations are understandable to clients who may seek access to their health records
Correct response:
• limiting abbreviations to those approved for use by the institution
Question 14
During routine prenatal screening, a nurse tells a client that her blood sample will be used for alpha
fetoprotein (AFP) testing. Which statement best describes what AFP testing indicates?
You Selected:
• "This screening indicates if your baby's lungs are mature."
Correct response:
• "This test will screen for spina bifida, Down syndrome, or
other genetic defects."
Question 15
A client is recovering from an infected abdominal wound. Which foods should the nurse encourage the client
to eat to support wound healing and recovery from the infection?
You Selected:
• chicken and orange slices
Correct response:
• chicken and orange slices
Question 16
A nurse suspects that the laboring client may have been physically
abused by her partner. What is the most appropriate intervention by
the nurse?
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