HESI EXIT V2 ACTUAL EXAM UPDATE. COMPLETE QUESTION AND ANSWERS.
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Course
HESI EXIT V2
Institution
HESI EXIT V2
HESI EXIT V2 ACTUAL EXAM UPDATE.
COMPLETE QUESTION AND ANSWERS.
1. The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Which nursing intervention is appropriate for this child?
Ans: Be sure the traction weights touch the end of the bed.
2. The nurse is assessing a ...
HESI EXIT V2 ACTUAL EXAM 2024-2024 UPDATE.
COMPLETE QUESTION AND ANSWERS.
1. The nurse is caring for a pre-adolescent client in skeletal Dunlop traction.
Which nursing intervention is appropriate for this child?
Ans: Be sure the traction weights touch the end of the bed.
2. The nurse is assessing a healthy child at the 2 year check up. Which of the
following should the nurse report immediately to the health care provider?
Ans: Height and weight percentiles vary widely
3. The parents of a 2 year-old child report that he has been holding his breath
whenever he has temper tantrums. What is the best action by the nurse?
Ans: Advise the parents to ignore breath holding because breathing will begin as a reflex
4. The nurse is assessing a client in the emergency room. Which statement suggests
that the problem is acute angina?
Ans: "My pain is deep in my chest behind my sternum."
.
The nurse is assessing the mental status of a client admitted with possible organic brain disorder.
Which of these questions will best assess the function of the client's recent memory?
Ans: "I am going to say the names of three things and I want you to repeat them after me: blue, ball,
pen."
In planning care for a 6 month-old infant, what must the nurse provide to assist in the development of
trust?
Ans: Security
A nurse has just received a medication order which is not legible. Which statement best reflects
assertive communication?
Ans: "Would you please clarify what you have written so I am sure I am reading it correctly?"
What is the most important consideration when teaching parents how to reduce risks in the home?
Ans: Age of children in the home
,A 35 year-old client with sickle cell crisis is talking on the telephone but stops as the nurse enters the
room to request something for pain. The nurse should
Ans: Administer the prescribed analgesia
While caring for a toddler with croup, which initial sign of croup requires the nurse's immediate
attention?
Ans: Respiratory rate of 42
A client is admitted with low T3 and T4 levels and an elevated TSH level. On initial assessment, the
nurse would anticipate which of the following assessment findings?
Ans: Lethargy
The emergency room nurse admits a child who experienced a seizure at school. The father comments
that this is the first occurrence, and denies any family history of epilepsy. What is the best response by
the nurse?
Ans: "The seizure may or may not mean your child has epilepsy."
Alcohol and drug abuse impairs judgment and increases risk taking behavior. What nursing diagnosis
best applies?
Ans: Risk for injury
The nurse is caring for a 10 month-old infant who is has oxygen via mask. It is important for the nurse
to maintain patency of which of these areas?
Ans: Nasal passages
The nurse is providing instructions for a client with pneumonia. What is the most important
information to convey to the client?
Ans: "Complete all of the antibiotic even if your findings decrease."
When counseling a 6 year old who is experiencing enuresis, what must the nurse understand about
the pathophysiological basis of this disorder?
Ans: Has no clear etiology
The nurse is discussing negativism with the parents of a 30 month-old child. How should the nurse tell
the parents to best respond to this behavior?
Ans: Use patience and a sense of humor to deal with this behavior
The nurse is talking by telephone with a parent of a 4 year-old child who has chickenpox. Which of the
following demonstrates appropriate teaching by the nurse?
Ans: Papules, vesicles, and crusts will be present at one time
, The nurse is assigned to a client who has heart failure. During the morning rounds the nurse sees the
client develop sudden anxiety, diaphoresis and dyspnea. The nurse auscultates, crackles bilaterally.
Which nursing intervention should be performed first?
Ans: Place the client in a sitting position with legs dangling
The nurse is caring for a toddler with atopic dermatitis. The nurse should instruct the parents to
Ans: Wrap the child's hand in mittens or socks to prevent scratching
A recovering alcoholic asked the nurse, "Will it be ok for me to just drink at special family gatherings?"
Which initial response by the nurse would be best?
"A recovering person cannot return to drinking without starting the addiction process over."
In taking the history of a pregnant woman, which of the following would the nurse recognize as the
primary contraindication for breast feeding?
Ans: Uses cocaine on weekends
A client is receiving nitroprusside IV for the treatment of acute heart failure with pulmonary edema.
What diagnostic lab value should the nurse monitor in relation to this medication?
Ans: Thiocyanate
A victim of domestic violence tells the batterer she needs a little time away. How would the nurse
expect that the batterer might respond?
Ans: With fear of rejection causing increased rage toward the victim
A postpartum mother is unwilling to allow the father to participate in the newborn's care, although he
is interested in doing so. She states, "I am afraid the baby will be confused about who the mother is.
Baby raising is for mothers, not fathers." The nurse's initial intervention should be what focus?
Ans: Set time aside to get the mother to express her feelings and concerns
A client with emphysema visits the clinic. While teaching about proper nutrition, the nurse should
emphasize that the client
Ans: Use oxygen during meals improves gas exchange
Which of these parents’ comment for a newborn would most likely reveal an initial finding of a
suspected pyloric stenosis?
Ans: Mild vomiting that progressed to vomiting shooting across the room.
The nurse is assessing a child for clinical manifestations of iron deficiency anemia. Which factor would
the nurse recognize as cause for the findings?
Ans: Tissue hypoxia
The nurse would expect the cystic fibrosis client to receive supplemental pancreatic enzymes along
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