EXIT HESI V5 Questions & Correct Answers/ Graded A+

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 : D: Safety 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 : B: Think logically in organizing facts 2 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 : B: Place the child on the side 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 : C: Lack of enjoyment in usual pleasures 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 3 A) Administer pain medication B) Suction excessive tracheobronchial secretions C) Assist client to turn, deep breathe and cough D) Monitor oxygen saturation : B) Suction excessive tracheobronchial secretions 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 significantfor this client? A) Compulsive behavior B) Sense of impending doom C) Fear of flying D) Predictable episodes : B) Sense of impending doom 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 4 C) Discuss the appropriate use of "time-out" D) Explain that the child needs extra attention : B) Explain that this behavior is expected