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HESI EXIT EXAM REVISION GUIDE- UPDATED AND VERIFIED STUDY GUIDE FOR GRADE A
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HESI EXIT EXAM REVISION GUIDE- UPDATED AND VERIFIED STUDY GUIDE FOR GRADE A
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1. A nurse is planning care for an adolescent following repair of Meckel diverticulum. Which of thefollowing action should the nurse include in the plan of care?
A. Maintain an NG tube for decompression
B. Initiate long-term antibiotic therapy
C. Administer total parental nutrition
D. Teach the client about ostomy care
2. A nurse is admitting a child who has acute epiglottitis. Which of the following actions should the
nurse take?
A. Check oxygen saturation every four hours
B. Obtain a throat culture
C. Assist the child into supine position
D. Initiate droplet isolation precaution
3. A nurse is reviewing the medical record of a 24-month-old child who has acute lymphocytic leukemia.
Which of the following actions should the nurse take?
A. Initiate bleeding precautions
B. Place the child in knee chest position
C. Obtain a rectal temperature every four hour
D. Play viscous lidocaine to the oral mucosa
4. A nurse is creating a plan of care for an adolescent who has muscular dystrophy. Which of the
following intervention should the nurse include in the plan?
A. Recommend the adolescent use a wheelchair to prevent stress on the lower extremities
B. Avoid influenza and pneumococcal vaccine for 24 months
C. Encourage the adolescent to perform incentive spirometer to maintain lung capacity
D. Initiate a referral for chest physiotherapy every 4 hours
5. A nurse caring for a 3-month-old infant who has heart failure and is receiving Furosemide. Which of
the following findings is the nurse’s priority?
A. Sunken anterior fontanelle
B. Heart rate 162/min
C. Potassium 5.1mEq/L
D. Negative dolls eye reflect
6. A nurse is planning care for an adolescent who has sickle cell anemia. Which of the following
immunization should the nurse include in the plan?
A. pneumococcal conjugate (PCV13)
B. Rotavirus
C. Measles mumps and rubella (MMR)
D. Respiratory syncytial virus (RSV)
7. A nurse is teaching a parent of a 10-month-old infant about home safety. Which of the following
instruction should the nurse include in the teaching? (select all that apply)
A. Remove labels from containers that contain toxic substance
B. Ensure the crate mattress is in the lowest position
C. Place gates at the top and bottom of the stairs
D. Keep toilet lid in the upright position
E. Select a toy chest that has a heavy, hinged lid
8. A nurse is providing teaching to a parent of a child who has HIV. which of the following statements
by the parent indicates an understanding of the teaching?
A. I will ensure that my child is tested for tuberculosis every year.
B. My child will need to repeat his childhood immunizations once he is in remission
C. My child will need to double his medications for the next 6 months
D. The risk of transmission decreases once my child is on Zidovudine for 2 weeks
, 9. A nurse is collecting data from a toddler who weighs 20 kg (44 lb) and has a full thickness burn to
10% of his body. Which of the following findings should the nurse report to the provider?
A. Increased restlessness
B. Urinary output 35mL/hr
C. Bowel sounds 20/min
D. Respiratory rate 25/min
10. A nurse is assessing an client who has Hodgkin’s lymphoma .which of the following finding s should
the nurse expect?
A. Night sweat
B. Flushed skin
C. Decreased body temperature
D. Unexplained weight gain
11. A nurse is providing teaching to the guardians of an infant who require a pavlik harness. Which
instructions should the nurse include?
A. Place the diaper under the straps of the hardness
B. Adjust the harness straps daily
C. Massage lotion into the skin under the harness twice per day
D. Apply baby powder under the harness straps daily
12. A nurse is teaching the parent of a toddler who has phenylketonuria about meal planning. Which of
the following information should the nurse include in the teaching?
A. Avoid foods containing milk products
B. Use aspartame as a sugar substitute
C. Increase the toddler’s protein consumption
D. Limit foods high in iron
13. A nurse is preparing to initiate IV antibiotic therapy for a newly admitted 12-month-old infant.
Which of the following actions should the nurse plan to take?
A. Cover the insertion site with an opaque dressing
B. Use a 24-gauge catheter to start the IV
C. Change the IV site every 3 days
D. Start the IV in the infant’s foot
14. A nurse is assessing an adolescent who has type 1 diabetes mellitus. Which of the following findings
is the nurse's priority
A. HbA1c 11.5%
B. Glycosuria
C. Preprandial deal blood glucose 124 mg/dL
D. Cholesterol 189 mg/dL
15. A nurse is assessing a toddler who is 8 hr. postoperative following a cardiac catheterization
procedure. Which of the following findings should the nurse report to the provider?
A. Bilateral cool extremities
B. Serum glucose 90 mg/dL
C. Blood pressure 102/58 mm Hg
D. Weak pedal pulses distal to the site
16. A nurse is caring for an infant who has patent ductus arteriosus, the nurse should identify that the
defect is at which of the following locations of the heart? Answer: B
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