PN Hesi Exit V1

Question 1

A school-age client with diabetes is placed on an intermediateacting insulin and regular insulin before breakfast and before

dinner. She will receive a snack of milk and cereal at bedtime.

What does the nurse tell the client the snack is intended to do?

You Selected:

• Prevent late night hypoglycemia.

Correct response:

• Prevent late night hypoglycemia.

Question 2

A well-known public official of a small community is admitted to

the emergency department following an episode of chest pain.

Several nurses from the medical unit are aware of the admission and

access the official’s electronic medical record to obtain a status

update. What is the best response for the nurse manager to make to

the nurses regarding this situation?

You Selected:

• “Assessing the official’s medical record is a breach of

confidentiality.”

Correct response:

• “Assessing the official’s medical record is a breach of

confidentiality.”

Question 3

A four-year-old child is diagnosed as having acute lymphocytic

leukemia. The white blood cell (WBC) count, especially the

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neutrophil count, is low. What is the most important intervention the

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nurse should teach the parents?

You Selected:

• Protect your child from infections because his resistance to

infection is decreased

Correct response:

• Protect your child from infections because his resistance to

infection is decreased

Question 4

The nurse is caring for a client with influenza. The most effective

way to decrease the spread of microorganisms is:

You Selected:

• placing the client in isolation.

Correct response:

• washing the hands frequently.

Question 5

A client with a history of hypertension has been prescribed a new

antihypertensive medication and is reporting dizziness. Which is

the best way for the nurse to assess blood pressure?

You Selected:

• in the supine, sitting, and standing positions

Correct response:

• in the supine, sitting, and standing positions

Question 6

A client has a soft wrist-safety device. Which assessment finding

should the nurse investigate further?

You Selected:

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• cool, pale fingers

Correct response:

• cool, pale fingers

Question 7

A nurse is caring for a female client before surgery. The client states

that she is glad that she will not be going through menopause as a

result of her surgery and is only having her uterus removed. The

nurse reviews the consent form and notes that the surgery is for a

total abdominal hysterectomy with a salpingo-oophorectomy. What

should the nurse do in this situation?

You Selected:

• Contact the surgeon to explain that the client needs further

clarification regarding surgery.

Correct response:

• Contact the surgeon to explain that the client needs further

clarification regarding surgery.

Question 8

A young client diagnosed with schizophrenia is talking with the

nurse and says, "You know, when I thought everyone was out to get

me, I was staying in my apartment all the time. Now, I would like to

get out and do things again." What is the best initial response by the

nurse?

You Selected:

• "What activities did you enjoy in the past?"

Correct response:

• "What activities did you enjoy in the past?"

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