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

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

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:

• 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?"

Question 9

A client with anemia has been admitted to the medical-surgical unit.

Which assessment findings are characteristic of iron deficiency

anemia?

You Selected:

• nausea, vomiting, and anorexia

Correct response:

• dyspnea, tachycardia, and pallor

Question 10

The nurse is discontinuing an intravenous catheter on a 10-year-old

client with hemophilia. What would be the most important

intervention for this client?

You Selected:

• Apply firm pressure on the site for 5 minutes after removal.

Correct response:

• Apply firm pressure on the site for 5 minutes after removal.

Question 11

When a client returns from the recovery room postmastectomy, an

initial postoperative assessment is performed by the nurse. What is

the nurse’s priority assessment?

You Selected:

• checking the dressing, drain, and amount of drainage

Correct response:

• assessing the vital signs and oxygen saturation levels

Question 12

A client with an uncomplicated term pregnancy arrives at the laborand-delivery unit in early labor saying that she thinks her water has

broken. What is the nurse’s best action?

You Selected:

• Ask what time this happened and note the color, amount, and

odor of the fluid.

Correct response:

• Ask what time this happened and note the color, amount, and

odor of the fluid.

Question 13

When documenting the care of a client, the nurse is aware of the

need to use abbreviations conscientiously and safely. This includes

You Selected:

• ensuring the abbreviations are understandable to clients who

may seek access to their health records

Correct response:

• limiting abbreviations to those approved for use by the

institution

Question 14

During routine prenatal screening, a nurse tells a client that her

blood sample will be used for alpha fetoprotein (AFP) testing.

Which statement best describes what AFP testing indicates?

You Selected:

• "This screening indicates if your baby's lungs are mature."

Correct response:

• "This test will screen for spina bifida, Down syndrome, or

other genetic defects."

Question 15

A client is recovering from an infected abdominal wound. Which

foods should the nurse encourage the client to eat to support wound

healing and recovery from the infection?

You Selected:

• chicken and orange slices

Correct response:

• chicken and orange slices

Question 16

A nurse suspects that the laboring client may have been physically

abused by her partner. What is the most appropriate intervention by

the nurse?

You Selected:

• Collaborate with the interprofessional team to make a referral

to social services.

Correct response:

• Collaborate with the interprofessional team to make a referral

to social services.

Question 17

A client is newly diagnosed with asthma. While learning to use a

metered dose inhaler (MDI) for delivery of a short-term beta

agonist, the client asks if a spacer is appropriate to use with this

device. What is the nurse’s best response?

You Selected:

• “No, a spacer is not recommended because it can increase the

risk of developing oropharyngeal candidiasis.”

Correct response:

• “Yes, a spacer is recommended because it increases the

amount of medication that is delivered to the lungs.”