EXIT HESI V5 EXAM
with NGN Questions and Verified Rationalized Answers
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This Test Consists Of 160 Questions And Answers
1. An adult woman who has a history of inferior myocardial infarction,
esophageal reflux, and type 1 diabetes mellitus is admitted to the telemetry
unit for sudden onset of dizziness with palpitations and a burning sensation
in her chest. Which intervention should the nurse implement first?
a. Evaluate telemetry cardiac rhythm
b. Administer an oral antacid
c. Assess blood glucose level
d. Review clients last meal choices
: Ans>>a. Evaluate telemetry cardiac rhythm
2. When conducting diet teaching for a client who was diagnosed with a
myocardial infarction, which snack foods should the nurse encourage the
,client to eat? Select all that apply.
a. Chicken bouillon soup and toast
b. Fresh vegetables with mayonnaise dip
c. Fresh Turkey slices and berries
d. Raw unsalted almonds and apples
e. Soda crackers and peanut butter
: Ans>>c. Fresh Turkey slices and berries
d. Raw unsalted almonds and apples
3. A male client who is experiencing musculoskeletal pain is discharged with
instructions to take ibuprofen, on non-steroidal anti-inflammatory drug by
mouth BID. After receiving discharge teaching, the client states he plans to
take the medication twice daily, with breakfast and dinner. How should the
nurse respond?
a. Review the need to limit intake of leafy, green vegetables such as spinach
b. Confirm that the client has an effective plan for when to take the medication
c. Explain the need to take the medication before meals to increase absorption
d. Remind the client to increase fluid intake while taking the medication
: Ans>>b. Confirm that the client has an effective plan for when to take the
medication
4. A client at 28 weeks' gestation is admitted to the obstetrical unit following
her involvement in a motor vehicle collision. After stabilizing the client, the
nurse obtains a fetal monitor reading. What action should the nurse take if
fetal tachycardia is assessed on the monitor?
,a. Recount the heart rate manually to confirm a monitor malfunction
b. Contact the health care provider after initiating oxygen per face mask
c. Explain that there is no indication the fetal heart rate is due to trauma
d. Evaluate the presence of preterm labor by performing a vaginal examina-
tion
: Ans>>b. Contact the health care provider after initiating oxygen per face mask
5. Four hours after the nurse administers interferon alpha subcutaneously into
a client, the client develops a headache, muscle aches and a fever of 101.8
degrees Fahrenheit. What action should the nurse implement?
,a. Administer prescribed PRN dose of acetaminophen for these side effects
b. Explain that an antihistamine may be needed in response to this allergic
reaction
c. Document these findings as an idiosyncratic response to this medication
d. Observed the site where the medication was injected for signs of local
reaction
: Ans>>a. Administer prescribed PRN dose of acetaminophen for these side
effects
6. The nurse is caring for a client with a suspected diagnosis of osteomyelitis.
Which diagnostic test should the nurse prepare the client to expect the health
care provider to prescribe?
a. Radiographs
b. Radionuclide bone scan
c. C reactive protein tests
d. Erythrocytes sedimentation rate
: Ans>>b. Radionuclide bone scan
7. When the nurse attempts to teach self-administration of insulin injections
to a client who is newly diagnosed with type one diabetes mellitus, the client
tells the nurse in a loud voice to leave the room. What action should the nurse
take?
a. Leave the clients room and return later in the day
b. Explain that insulin is a life saving drug for the client
c. Encourage client to implement relaxation techniques
,d. Refer the client to the social worker for support therapy
: Ans>>a. Leave the clients room and return later in the day
8. What is the primary goal when planning nursing care for a client with
degenerative joint disease?
a. Improve stress management skills
b. Achieve satisfactory pain control
c. Obtain adequate rest and sleep
d. Reduce risk for infection
: Ans>> b. Achieve satisfactory pain control
9. The nurse observes an unlicensed assistive personnel (UAP) who is prepar-
ing to provide personal care for a client who requires contact precautions.The
UAP has applied a gown and gloves and secured the tops of the gloves over
the gown sleeves. What action should the nurse take?
a. Remind the UAP to wash hands frequently while in the room
b. Help the UAP reposition the gown sleeve over the glove edges
c. Confirm that the gown is tide securely at the neck and waist
d. Assist the UAP with application of a face mask or face shield
: Ans>>d. Assist UAP with application of a face mask or face shield
,10. While the nurse is conducting an admission assessment of a female client
with bipolar disorder, the client suddenly begins to take off her clothes and
throw them about the room. Which action should the nurse take first?
a. State it is unacceptable to undress during interview
b. Change to less anxiety promoting questions
c. Leave the client's room so she can act out her anxiety
d. Ignore the client's inappropriate behavior
: Ans>>a. State it is unacceptable to undress during interview
11. The nurse is planning care for a client who has a fourth-degree midline
laceration that occurred during vaginal delivery of an 8 pound 10 ounce infant.
Which intervention has the highest priority for this client?
a. Administer prescribed PRN sleep medications
b. Administer prescribed stool softener
c. Encourage use of prescribed analgesic perennial sprays
d. Encourage breastfeeding to promote uterine involution
: Ans>>b. Administer prescribed stool softener
12. An older adult male reporting abdominal pain is admitted to the hospital
from a longterm care facility. It has been seven days since his last bowel
movement, and his abdomen is distended, and he just vomited 150 milliliters
of dark brown emesis. In what order should the nurse implement these inter-
ventions?
a. Elevate the head of bed
b. Complete focus assessment
, c. Offer PRN pain medication
d. Send emesis sample to the lab
: Ans>>a. Elevate the head of bed
c. Offer PRN pain medication
b. Complete focus assessment
d. Send emesis sample to the lab
13. What is the primary purpose for initiating nursing interventions that pro-
mote good nutrition, rest and exercise, and stress reduction for clients diag-
nosed with and HIV infection?
a. Increase ability to carry out activities of daily living
b. Promote a feeling of general well-being
c. Prevent spread of infection to others
d. Improve function of the immune system
: Ans>>d. Improve function of the immune system
14. A nurse who works in the nursery is attending the vaginal delivery of a term
infant. What action should the nurse complete prior to leaving the delivery
room?
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