A 2 day-old child with spina bifida and meningomyocele is in the intensive care unit after the initial surgery. As the nurse accompanies the grandparents for a first visit, which response should the nurse anticipate of the grandparents?
A) Depression
B) Anger
C) Frustration
D) Disbelief D: Disb...
HESI RN
COMPREHENSIVE
EXIT EXAM 2024
COMPLETE WITH
ALL THE
ANSWERS ACTUAL
EXAM QUESTIONS
TESTED 2024
VERSION 1(3 SETS
ALL TESTED AND
VERIFIED).
,A 2 day-old child with spina bifida and meningomyocele is in the intensive care unit after the
initial surgery. As the nurse accompanies the grandparents for a first visit, which response should
the nurse anticipate of the grandparents?
A) Depression
B) Anger
C) Frustration
D) Disbelief D: Disbelief
Which statement by the client during the initial assessment in the the emergency department is
most indicative for suspected domestic violence?
A) "I am determined to leave my house in a week."
B) "No one else in the family has been treated like this."
C) "I have only been married for 2 months."
D) "I have tried leaving, but have always gone back." D: "I have tried leaving, but have always gone
back."
A nurse states: "I dislike caring for African-American clients because they are all so hostile." The
nurse's statement is an example of
A) Prejudice
B) Discrimination
C) Stereotyping
D) Racism
C: Stereotyping
Which statement made by a nurse about the goal of total quality management or continuous
quality improvement in a health care setting is correct?
A) "It is to observe reactive service and product problem solving."
,B) Improvement of the processes in a proactive, preventive mode is paramount.
C) A chart audits to finds common errors in practice and outcomes associated with goals. D) A
flow chart to organize daily tasks is critical to the initial stages.
B: Improvement of the processes in a proactive, preventive mode is paramount.
The nurse manager informs the nursing staff at morning report that the clinical nurse specialist
will be conducting a research study on staff attitudes toward client care. All staff are invited to
participate in the study if they wish. This affirms the ethical principle of
A) Anonymity
B) Beneficence
C) Justice
D) Autonomy D: Autonomy
When teaching a client about the side effects of fluoxetine (Prozac), which of the following will be
included?
A) Tachycardia blurred vision, hypotension, anorexia
B) Orthostatic hypotension, vertigo, reactions to tyramine rich foods
C) Diarrhea, dry mouth, weight loss, reduced libido
D) Photosensitivity, seizures, edema, hyperglycemia C: Diarrhea, dry mouth, weight loss, reduced
libido
The nurse is performing an assessment of the motor function in a client with a head injury. The
best technique is
A) A firm touch to the trapezius muscle or arm
B) Pinching any body part
C) Sternal rub
D) Gentle pressure on eye orbit D: Gentle pressure on eye orbit
The nurse is teaching about non steroidal anti-inflammatory drugs to a group of arthritic clients.
To minimize the side effects, the nurse should emphasize which of the following actions?
A) Reporting joint stiffness in the morning
B) Taking the medication 1 hour before or 2 hours after meals
C) Using alcohol in moderation unless driving
D) Continuing to take aspirin for short term relief
B: Taking the medication 1 hour before or 2 hours after meals
A client taking isoniazide (INH) for tuberculosis asks the nurse about side effects of the
medication. The client should be instructed to immediately report which of these?
A) Double vision and visual halos
B) Extremity tingling and numbness
C) Confusion and lightheadedness
D) Sensitivity of sunligh
B: Extremity tingling and numbness
The nurse admits a 2 year-old child who has had a seizure. Which of the following statement by
the child's parent would be important in determining the etiology of the seizure?
A) "He has been taking long naps for a week."
B) "He has had an ear infection for the past 2 days."
C) "He has been eating more red meat lately."
D) "He seems to be going to the bathroom more frequently." B: "He has had an ear infection for
the past 2 days."
A client is receiving Total Parenteral Nutrition (TPN) via Hickman catheter. The catheter
accidentally becomes dislodged from the site. Which action by the nurse should take priority?
A) Check that the catheter tip is intact
B) Apply a pressure dressing to the site
, C) Monitor respiratory status
D) Assess for mental status changes
B: Apply a pressure dressing to the site
An 18 month-old child is on peritoneal dialysis in preparation for a renal transplant in the near
future. When the nurse obtains the child's health history, the mother indicates that the child has
not had the first measles, mumps, rubella (MMR) immunization. The nurse understands
that which of the following is true in regards to giving immunizations to this child? A) Live vaccines
are withheld in children with renal chronic illness
B) The MMR vaccine should be given now, prior to the transplant
C) An inactivated form of the vaccine can be given at any time
D) The risk of vaccine side effects precludes giving the vaccine
B: The MMR vaccine should be given now, prior to the transplant
The nurse is preparing to administer a tube feeding to a post-operative client. To accurately assess
for a gastrostomy tube placement, the priority is to
A) Auscultate the abdomen while instilling 10 cc of air into the tube
B) Place the end of the tube in water to check for air bubbles
C) Retract the tube several inches to check for resistance
D) Measure the length of tubing from nose to epigastrium
The nurse is completing the admission assessment of a 3-year old who is admitted with bacterial
meningitis and hydrocephalus. Which assessment finding is evidence that the child is experiencing
increased intracranial pressure (ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope
B. Sluggish and unequal pupillary responses
A client with acute pancreatitis is admitted with severe, piercing abdominal pain and an elevated serum
amylase. Which additional information is the client most likely to report to the nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly.
A. Abdominal pain decreases when lying supine
A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the hospital. Which
information is most important for the nurse to provide the parents prior to discharge?
A. Instructions about how much fluid the child should drink daily.
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family
A. Instructions about how much fluid the child should drink daily
To auscultate for a carotid bruit, the nurse places the stethoscope at what location. (Select the location
on the image with a red dot).
I placed the red dot on the base of the neck on the right side
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