1. The nurse is has just admitted a client with severe depression. From which focus should the nurse identify a priority nursing diagnosis?
A) Nutrition
B) Elimination
C) Activity
D) Safety
The correct answer is D: Safety
2. While explaining an illness to a 10 year-old, what should the nu...
2020 hesi rn exit exam v2 with complete solution introduction to humanities 1 the nurse is has just admitted a client with severe depression from which focus should the nurse identify a priority
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2020 HESI RN EXIT EXAM V2 WITH
COMPLETE SOLUTION
Introduction to
Humanities
,2
2020 HESI RN EXIT V3 FULL 160 ANSWERS
1. The nurse is has just admitted a client with severe depression. From which focus should the nurse identify
a priority nursing diagnosis?
A) Nutrition
B) Elimination
C) Activity
D) Safety
The correct answer is D: Safety
2. While explaining an illness to a 10 year-old, what should the nurse keep in mind about the
cognitive development at this age?
A) They are able to make simple association of ideas
B) They are able to think logically in organizing facts
C) Interpretation of events originate from their own perspective D) Conclusions are based on previous
experiences
The correct answer is B: Think logically in organizing facts
3. The nurse enters the room as a 3 year-old is having a generalized seizure. Which intervention should
the nurse do first?
A) Clear the area of any hazards
B) Place the child on the side
C) Restrain the child
D) Give the prescribed anticonvulsant
The correct answer is B: Place the child on the side
4. The nurse is reviewing a depressed client's history from an earlier admission.
Documentation of anhedonia is noted. The nurse understands that this finding refers to
A) Reports of difficulty falling and staying asleep
B) Expression of persistent suicidal thoughts
C) Lack of enjoyment in usual pleasures
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D) Reduced senses of taste and smell
The correct answer is C: Lack of enjoyment in usual pleasures
5. A client has just returned to the medical-surgical unit following a segmental lung resection. After assessing
the client, the first nursing action would be to
A) Administer pain medication
B) Suction excessive tracheobronchial secretions
C) Assist client to turn, deep breathe and cough
D) Monitor oxygen saturation
The correct answer is B: Suction excessive tracheobronchial secretions
6. While assessing a client in an outpatient facility with a panic disorder, the nurse completes a
thorough health history and physical exam. Which finding is most significant for this client?
A) Compulsive behavior
B) Sense of impending doom
C) Fear of flying
D) Predictable episodes
The correct answer is B: Sense of impending doom
7. A 16 month-old child has just been admitted to the hospital. As the nurse assigned to this child enters the
hospital room for the first time, the toddler runs to the mother, clings to her and begins to cry. What would
be the initial action by the nurse?
A) Arrange to change client care assignments
B) Explain that this behavior is expected
C) Discuss the appropriate use of "time-out"
D) Explain that the child needs extra attention
The correct answer is B: Explain that this behavior is expected
8. A 15 year-old client with a lengthy confining illness is at risk for altered growth and development of
which task?
A) Loss of control
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B) Insecurity
C) Dependence
D) Lack of trust
The correct answer is C: Dependence
9. Which playroom activities should the nurse organize for a small group of 7 year-old
hospitalized children? A) Sports and games with rules
B) Finger paints and water play
C) "Dress-up" clothes and props
D) Chess and television programs
The correct answer is A: Sports and games with rules
10. The nurse is discussing dietary intake with an adolescent who has acne. The most
appropriate statement for the nurse is A) "Eat a balanced diet for your age."
B) "Increase your intake of protein and Vitamin A."
C) "Decrease fatty foods from your diet."
D) "Do not use caffeine in any form, including chocolate."
The correct answer is A: "Eat a balanced diet for your
age."
11. The nurse is assigned to a newly delivered woman with HIV/AIDS. The student asks the nurse about how
it is determined that a person has AIDS other than a positive HIV test. The nurse responds
A) "The complaints of at least 3 common findings."
B) "The absence of any opportunistic infection."
C) "CD4 lymphocyte count is less than 200."
D) "Developmental delays in children."
The correct answer is C: "CD4 lymphocyte count is less than 200."
12. The nurse is caring for a child who has just returned from surgery following a tonsillectomy
and adenoidectomy. Which action by the nurse is appropriate?
A) Offer ice cream every 2 hours
B) Place the child in a supine position
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