HESI Exit V5 Exam 2020 Latest Updated 2024 With Complete Solutions
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 init...
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 - answers-Explain that this behavior
is expected
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
B) Insecurity
C) Dependence
D) Lack of trust - answers-Dependence
,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 - answers-Sports and games with rules
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." - answers-Eat a
balanced diet for your age
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." - answers-CD4 lymphocyte count is less
than 200
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
C) Allow the child to drink through a straw
D) Observe swallowing patterns - answers-Observe swallowing patterns
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 - answers-Safety
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 - answers-They are able to
think logically in organizing facts
Rationale: Think logically in organizing facts
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 - answers-Place the child on the side
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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