HESI RN Exit Exam Questions With
Correct Answers || Graded A+
1. A newly admitted adult client has a diagnosis of hepatitis A.
The charge nurse should reinforce to the staff members that the
most significant routine infection control strategy,
in addition to hand washing, to be impleme...
1. A newly admitted adult client has a diagnosis of hepatitis A.
The charge nurse should reinforce to the staff members that the
most significant routine infection control strategy,
in addition to hand washing, to be implemented is which of these?
- ANSWER ✔ D) Have gloves on while handling bedpans with
feces
2. Which of these clients with associated lab reports is a priority
for the nurse to report to the public health department within the
next 24 hours? - ANSWER ✔ An elderly factory worker with a lab
report that is positive for acid-fast bacillus smear
3. A client is diagnosed with methicillin resistant staphylococcus
aureus pneumonia. What type of isolation is most appropriate for
this client? - ANSWER ✔ D) Contact
4. The school nurse is teaching the faculty the most effective
methods to prevent the spread of lice in the school. The
information that would be most important to include
would be which of these statements? - ANSWER ✔ C) Children
are not to share hats, scarves and combs.
5. An older adult resident of a long-term care facility has a 5-year
history of hypertension. The client has a headache and rate the
pain 5 on a pain scale 0 to 10. The client's blood pressure is
currently 142/89. Which interventions should the nurse
,implement? (Select all that apply) - ANSWER ✔ Administer a
daily dose of lisinopril as scheduled.
Provide a PRN dose of acetaminophen for headache
6. An older adult client is admitted to the stroke unit after
recovery from the acute phrase of an ischemic cerebral vascular
accident (CAV). Which interventions should the nurse include in
the plan of care during convalescence and rehabilitation? (Select
all that apply.) - ANSWER ✔ Measure neurological vital signs
every 4 hours
Encourage family participate in the client's care E) Play classical
music in room while client is awake
7. A client is receiving ophthalmic drops preoperatively for a
cataract extraction and asks the nurse why the healthcare
provider has prescribed all these medications. Which information
should the nurse included when responding to this client? (Select
all that apply.) - ANSWER ✔ A) One of the medications is used to
anesthetize the corneal surface
B) Pupillary dilation is necessary to access the eye chamber for
lens removal C) The iris must be paralyzed during surgery to
prevent it from reacting to light
8. The nurse is interacting with a female client who is diagnostic
with postpartum depression. Which findings should the nurse
document as an objective signs of depression? (Select all that
apply) - ANSWER ✔ B) Avoid eyes contact
D) Has a disheveled appearance E) Interacts with felt effect
9. A client who is hospitalized and recently diagnosed with
Addison's disease is now confused and lethargic. Which actions
should the nurse implement? (Select all that apply) - ANSWER ✔
A) Measure capillary glucose level
B) Monitor cardiac telemetry pattern
,E) Initiate fall risk precautions
10. 61-An older client is admitted for repair of a broken hip. To
reduce the risk for infection in the postoperative period, which
nursing care interventions should the nurse include in the client's
plan of care? (Select all that apply) - ANSWER ✔ A) Teach client
to use incentive spirometer q2 hours while awake
B) Remove urinary catheter as soon as possible and encourage
voiding
11. An older adult client admitted to the stroke unit after recovery
from the acute phrase of an ischemic cerebral vascular accident
(CVA). Which intervention should the nurse include in the plan of
care during convalescence and rehabilitation? (Select all that
apply.) - ANSWER ✔ Measure neurological vital signs every 4
hours
D) Encourage family to participate in the client's care E) Play
classical music in room while client is awake
12. To reduce the risk of symptoms exacerbation for a client with
multiple sclerosis (MS), which instructions should the nurse
include in the client's discharge plan? (Select all that apply). -
ANSWER ✔ A) Practice relaxation exercises
C) Space activities to allow for rest periods
D) Avoid persons with infections
13. While assessing a client's chest tube (CT), the nurse
discovers bubbling in the water seal chamber of the chest tube
collection device. The client's vital signs are: blood pressure of
80/40 mmHg, heart rate 120 beats/minutes, respiratory rate 32
breaths/minutes, oxygen saturation 88%. Which interventions
should the nurse implement? (Select all that apply). - ANSWER ✔
A) Provide supplemental oxygen
B) Auscultate bilateral lung fields
, D) Reinforce occlusive CT dressing
14. After an explosion at a factory one of the workers approaches
the nurse and says "I am an unlicensed assistive personnel
(UAP) at the local hospital." Which of these tasks
should the nurse assign to this worker who wants to help during
the care of the wounded workers? - ANSWER ✔ C) Palpate
pulses
15. Which of these clients would the nurse recommend to keep in
the hospital during an internal disaster at the agency? - ANSWER
✔ D) A young adult in the second day of treatment for an
overdose of acetometaphen
16. The mother of a toddler who is being treated for pesticide
poisoning asks: "Why is activated charcoal used? What does it
do?" What is the nurse's best response? - ANSWER ✔ "The
charcoal absorbs the poison and forms a compound that doesn't
hurt your child."
17. The nurse is to administer a new medication to a client.
Which actions are in the best interest of the client? Verify the
order for the medication. Prior to giving the medication
the nurse should say - ANSWER ✔ B) "What is your name? What
allergies do you have?" then check the client's name band and
allergy band As the room is entered say
18. Several clients are admitted to an adult medical unit. The
nurse would ensure airborne precautions for a client with which
medical condition? - ANSWER ✔ B) A positive purified protein
derivative with an abnormal chest x-ray
19. After an unsuccessful resuscitation attempt, the nurse calls
the family of the deceased. The family wish to see the body
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