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A+ Hesi Exit Exam Questions and Answers (verified )
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A+ Hesi Exit Exam Questions andAnswers (verified )
A client is receiving a continuous half strength tube feeding at 50ml/hour. To prepare
enough of the solution for eight hours, how many ml of full strength feeding will the
nurse need? (Enter numeric value only.) - ANS-200ml . 25 ml of full strength feeding
mixed with 25ml of water provided 50ml of half strength. 25ml × 8 hours= 200ml
An elderly male client is experiencing urinary incontinence. What is the best initial
nursing action? - ANS-Apply an external condom catheter
3. A male Muslim client with pneumonia is scheduled to receive a dose of an
intravenous antibiotic but refuses to allow the nurse to begin the medication, stating he
cannot allow fluids to enter his body once he is cleansed for prayer. What action should
the nurse implement? - ANS-Reschedule administration of the antibiotic until after he
completes his prayers
UAP using a hand sanitzers that is alcohol for 2 minutes - ANS-tell that hand sanitizer
use is less > 2min
5.A child is to receive vancomycin (Vancocin) 40 mg/kg IV one hour before a scheduled
procedure. The child weighs 44 pounds. How many mg of the medication should the
nurse administer - ANS-Answer: 800 Rationale: First, convert the child's weight to kg:
44 pounds divided by
2.2pound/kg = 20 kg. Next calculate the mg/kg/dose, 40 mg x 20 kg = 800mg
6. While assisting a postpartum client with perineal care, the nurse notes that her
vaginal bleeding spurts rather than trickles from the vagina. The uterine fundus is firm
and the client's vital signs are pulse 88 beats/minute; respiratory rate, 21
breaths/minute; and blood pressure, 104/68 mmHg. What action should the nurse take
next? - ANS-Compare current vital signs with previous vital signs
A 6-year old boy was hit with a bat while playing at school. He has a splinter of wood
imbedded in his eye. Which action should the school nurse take? - ANS-Have the
parent take the child for emergency help
Within four weeks of childbirth, a client is admitted to the hospital for disorganized
,speech bizarre behavior, and strange thoughts about her infant being possessed by
demons. The nurse identifies a nursing diagnosis of "Altered thought processes,
secondary to" what condition? - ANS-Postpartum psychosis
The nurse identifies a priority diagnosis of, "Altered comfort related to menstrual
cramps" for a 25-year-old female client. Which self-care activity should the nurse
emphasize in the client's teaching plan? - ANS-Regular aerobic exercise.
Psych/Alcohol/Tylenol overdose antidote - ANS-Give Mucomyst
Medical Surgical/Laxative abuses - ANS-Patient -taking Milk of Magnesium
Spiritual/Documentation - ANS-Native American - Allow pt's family to stay in the room
Leadership- Interpreter informed consent - ANS-Pt should sign the consent
Geriatrics/Emergency Rib fractures fall - ANS-Pulmonary embolism
A client diagnosed with major depression is being allowed a weekend pass from the
psychiatric unit. Which instruction should the nurse provide to the client's family? -
ANS-Involve the client in usual at home activities
Upon assessment, the nurse discovers that a postpartum client has persistent red
lochia.
Which of the following does this assessment finding suggest to the nurse? -
ANS-Coagulation disorders
The healthcare provider performs peritoneal dialysis on a client, after which 2 liters of
fluid is drained. What action should the nurse complete first? - ANS-Assess vital signs.
After administering a medication through a nasogastric tube connected to suction, what
action should the nurse take first? - ANS-Clamp the tube
The nurse is caring for four clients: Client A 94% o2 saturation, Client B, hemoglobin of
8.;
Client C, potassium level of 3.8 and Client D appendectomy who has a white blood
cell count of 15,000. What
should the nurse implement? - ANS-Determine if Client B has two units of packed cells
available in the blood bank.
, Triage question with a train wreck The psychiatric nurse is called to a train derailment
that was likely caused by a terrorist bomb. In triaging those in need of immediate care,
what is the priority ranking for these cases?
(arrange these cases in order or priority with the top item requiring the most immediate
care and the bottom item requiring the least priority care) - ANS-A mother and father
have just arrived on the .
A crying child being held by another passenger. A woman sitting on the ground with a
blanket.
A middle-aged man who is wandering around
(arrange in order) = middle age woman bleeding- woman w/ blanket- child crying
mother and father. (Mine didn't have a middle age woman bleeding, instead it had an
old man wandering and - ANS-correct order is: wandering old man, woman w/blanket,
man holding baby, and mother & father)
The nurse in the emergency department is using the simple triage and rapid transport
(START) system to assess victims of a hurricane. Which statement correctly describes a
yellow disaster tag? - ANS-A yellow disaster tag means critical injuries and require
immediate intervention.
What makes a baby frontal bulge or rises - ANS-crying
Which of the following is a nursing intervention for a 3-year-old client who is going in for
sugery in 8 hours
that has an order for fluid restriction? - ANS-Do not allow the child to drink fluids
The ear, where do u pull to give a ear drop - ANS-it a picture so look it up online (KNOW
CHILD & ADULT) (pull the pinnae top side of ear; u can look at a picture to see exactly
where pinnae is) (Mine had a picture of ear and put it on the lobule of the pinnae it is the
ear lobe). The eye picture asked to find the macula or the fovea centralis (there are 2
prominent spots on the eye - choose the DARK spot to the left not the spot where the
light is)
Know your serum levels? - ANS-K- 3.5-5.1,
Na - 135-145,
Ca 9-11,
BUN - 10-20
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