2020 HESI RN EXIT EXAM V5
1. A parent tells the nurse that their 6 year-old child who normally enjoys school, has not been doing well since the grandmother died 2 months ago. Which statement most accurately describes thoughts on death and dying at this age?
A) Death is personified as the bogeyman...
1 a parent tells the nurse that their 6 year old child who normally enjoys school
has not been doing well since the grandmother died 2 months ago which statement most accurately d
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2020 HESI EXIT V6
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2020 HESI EXIT V6
1. A parent tells the nurse that their 6 year-old child who normally enjoys school,
has notbeen doing well since the grandmother died 2 months ago. Which
statement most accurately describes thoughts on death and dying at this age?
A) Death is personified as the bogeyman or devil
B) Death is perceived as being irreversible
C) The child feels guilty for the grandmother's death
D) The child is worried that he, too, might die
The correct answer is A: Death is personified as the bogeyman or devil
2. A 67 year-old client with non-insulin dependent diabetes should be
instructed tocontact the out-patient clinic immediately if the following
findings are present
A) Temperature of 37.5 degrees Celsius with painful urination
B) An open wound on their heel
C) Insomnia and daytime fatigue
D) Nausea with 2 episodes of vomiting
The correct answer is B: An open wound on their heel
3. The nurse admits an elderly Mexican-American migrant worker after an
accident thatoccurred during work. To facilitate communication the nurse
should initially
A) Request a Spanish interpreter
B) Speak through the family or co-workers
C) Use pictures, letter boards, or monitoring
D) Assess the client's ability to speak English
The correct answer is D: Assess the client’s ability to speak English
4. In assessing a post partum client, the nurse palpates a firm fundus and
observes a constant trickle of bright red blood from the vagina. What is the
most likely cause ofthese findings?
A) Uterine atony
B) Genital lacerations
C) Retained placenta
D) Clotting disorder
The correct answer is B: Genital lacerations
5. The nurse notes an abrupt onset of confusion in an elderly patient. Which
of the following recently-ordered medications would most likely contribute
,to this change?
A) Anticoagulant
B) Liquid antacid
C) Antihistamine
D) Cardiac glycoside
The correct answer is C: Antihistamine
6. The nurse is caring for a client with active tuberculosis who has a history of
noncompliance. Which of the following actions by the nurse would represent
appropriatecare for this client?
A) Instruct the client to wear a high efficiency particulate air mask in public places.
B) Ask a family member to supervise daily compliance
C) Schedule weekly clinic visits for the client
D) Ask the health care provider to change the regimen to fewer
medications
The correct answer is B: Ask a family member to supervise daily
compliance
7. The nurse manager identifies that time spent by staff in charting is excessive,
requiringovertime for completion. The nurse manager states that "staff will form
a task force to investigate and develop potential solutions to the problem, and
report on this at the next staff meeting." The nurse manager's leadership style is
best described as
A) Laissez-faire
B) Autocratic
C) Participative
D) Group
The correct answer is C: Participative
8. A nursing student asks the nurse manager to explain the forces that drive
health carereform. The appropriate response by the nurse manager should
include
A) The escalation of fees with a decreased reimbursement percentage
B) High costs of diagnostic and end-of-life treatment procedures
C) Increased numbers of elderly and of the chronically ill of all ages
D) A steep rise in health care provider fees and in insurance premiums
The correct answer is A: The escalation of fees with a decreased
reimbursementpercentage
9. A client with hepatitis A (HAV) is newly admitted to the unit. Which action
would bethe priority to include in the plan of care within the initial 24 hours for
, this client?
A) Wear masks with shields if potential splash
B) Use disposable utensils and plates for meals
C) Wear gown and gloves during client contact
D) Provide soft easily digested food with frequent snacks
The correct answer is C: Wear gown and gloves during client contact
10. A client has been taking alprazolam (Xanax) for 3 days. Nursing assessment
shouldreveal which expected effect of the drug?
A) Tranquilization, numbing of emotions
B) Sedation, analgesia
C) Relief of insomnia and phobias
D) Diminished tachycardia and tremors associated with
anxietyThe correct answer is A: Tranquilization,
numbing of emotions
11. The nurse observes a staff member caring for a client with a left
unilateralmastectomy. The nurse would intervene if she notices the
staff member is
A) Advising client to restrict sodium intake
B) Taking the blood pressure in the left arm
C) Elevating her left arm above heart level
D) Compressing the drainage device
The correct answer is B: Taking the blood pressure in the left arm
12. A 70 year-old post-operative client has elevated serum BUN, Hct, Cl,
and Na+.Creatinine and K+ are within normal limits. The nurse should
perform additional assessments to confirm that an actual problem is:
A) Impaired gas exchange
B) Metabolic acidosis
C) Renal insufficiency
D) Fluid volume deficit
The correct answer is D: Fluid volume deficit
13. The nurse is providing foot care instructions to a client with arterial
insufficiency. Thenurse would identify the need for additional teaching if the
client stated
A) "I can only wear cotton socks."
B) "I cannot go barefoot around my house."
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