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HESI VERSION 2(V2) EXIT EXAM WITH 100% CORRECT ANSWERS Latest 2024
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HESI VERSION 2(V2) EXIT EXAM WITH 100% CORRECT ANSWERS Latest 2024
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lOMoAR cPSD| 30878495HESI VERSION
2(V2) EXIT EXAM
WITH 100%
CORRECT
ANSWERS
HESI EXIT Exam
V2 Latest 2023
GRADED A
, HESI EXIT Exam V2 Latest
2023
The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Which
nursing intervention is appropriate for this child?
Make certain the child is maintained in correct body alignment.
Be sure the traction weights touch the end of the bed.
Adjust the head and foot of the bed for the child's comfort
Release the traction for 15-20 minutes every 6 hours PRN.
The nurse is assessing a healthy child at the 2 year check up. Which of the following
should the nurse report immediately to the health care provider?
Height and weight percentiles vary widely
Growth pattern appears to have slowed
Recumbent and standing height are different
Short term weight changes are uneven
The parents of a 2 year-old child report that he has been holding his breath wheneverhe
has temper tantrums. What is the best action by the nurse?
Teach the parents how to perform cardiopulmonary resuscitation
Recommend that the parents give in when he holds his breath to prevent anoxia Advise
the parents to ignore breath holding because breathing will begin as a reflexInstruct
the parents on how to reason with the child about possible harmful effects
The nurse is assessing a client in the emergency room. Which statement suggests that
the problem is acute angina?
"My pain is deep in my chest behind my sternum."
"When I sit up the pain gets worse."
"As I take a deep breath the pain gets worse."
"The pain is right here in my stomach area."
.
The nurse is assessing the mental status of a client admitted with possible organic brain
disorder. Which of these questions will best assess the function of the client's recent
,memory?
"Name the year." "What season is this?" (pause for answer after each question)
"Subtract 7 from 100 and then subtract 7 from that." (pause for answer) "Now
continue to subtract 7 from the new number."
"I am going to say the names of three things and I want you to repeat them after me:
blue, ball, pen."
"What is this on my wrist?" (point to your watch) Then ask, "What is the purpose of
it?"
In planning care for a 6 month-old infant, what must the nurse provide to assist in the
development of trust?
Food
Warmth C)
Security
D) Comfort
A nurse has just received a medication order which is not legible. Which statement
best reflects assertive communication?
A) "I cannot give this medication as it is written. I have no idea of what you mean."B)
"Would you please clarify what you have written so I am sure I am reading it
correctly?"
"I am having difficulty reading your handwriting. It would save me time if you would be
more careful."
"Please print in the future so I do not have to spend extra time attempting to read your
writing."
What is the most important consideration when teaching parents how to reduce risks in
the home?
Age and knowledge level of the parents
Proximity to emergency services
Number of children in the home D)
Age of children in the home
, A 35 year-old client with sickle cell crisis is talking on the telephone but stops as
the nurse enters the room to request something for pain. The nurse should
Administer a placebo
Encourage increased fluid intake C)
Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control
While caring for a toddler with croup, which initial sign of croup requires the
nurse's immediate attention?
Respiratory rate of 42
Lethargy for the past hour
Apical pulse of 54
Coughing up copious secretions
A client is admitted with low T3 and T4 levels and an elevated TSH level. On initial
assessment, the nurse would anticipate which of the following assessment findings?A)
Lethargy
Heat intolerance
Diarrhea
Skin eruptions
The emergency room nurse admits a child who experienced a seizure at school. The
father comments that this is the first occurrence, and denies any family history of
epilepsy. What is the best response by the nurse?
A) "Do not worry. Epilepsy can be treated with medications." B)
"The seizure may or may not mean your child has epilepsy."
"Since this was the first convulsion, it may not happen again."
"Long term treatment will prevent future seizures."
Alcohol and drug abuse impairs judgment and increases risk taking behavior. What
nursing diagnosis best applies?
Risk for injury
Risk for knowledge deficit
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