HESI Child Care Exit Practice Exam Version 1 With Answers (160 Solved Questions)

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HESI EXIT EXAM V11.Which information is a priority for the RN to reinforce to an older clientafterintravenous pylegraphy?A)Eat a light diet for the rest of the dayB)Rest for the next 24 hours since the preparation and the test is tiring.C)During waking hours drink at least 1 8-ounce glass of fluid every hourfor the next 2daysD)Measure the urine output for the next day and immediately notify thehealth careprovider if it should decrease.The correct answer is D: Measure the urine output for the next day andimmediatelynotify the health care provider if it should decrease.2.A client has altered renal function and is being treated at home. Thenurse recognizesthat the most accurate indicator of fluid balance during the weekly visitsisA)difference in the intake and outputB)changes in the mucous membranesC)skin turgorD)weekly weightThe correct answer is D: weekly weight3.A client has been diagnosed with Zollinger-Ellison syndrome.Whichinformation ismost important for the nurse to reinforce with the client?A)It is a condition in which one or more tumors called gastrinomas form inthe pancreasor in the upper part of the small intestine (duodenum)B)It is critical to report promptly to your health care provider any findingsof pepticulcersc)Treatment consists of medications to reduce acid and heal any pepticulcers and, ifpossible, surgery to remove any tumorsD)With the average age at diagnosis at 50 years the peptic ulcers mayoccur at unusualareas of the stomach or intestinelOMoARcPSD|13778330

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The correct answer is B: It is critical to report promptly to your health careprovider anyfindings of peptic ulcers .4.A primigravida in the third trimester is hospitalized for preeclampsia.The nursedetermines that theclient’sblood pressure is increasing. Which actionshould the nursetake first?A)Check the protein level in urineB)Have the client turn to the left sideC)Take the temperatureD)Monitor the urine outputThe correct answer is B: Have the client turn to the left side5.The nurse is caring for a client in atrial fibrillation. The atrial heart rateis 250 and theventricular rate is controlled at 75. Which of the following findings iscause for the mostconcern?A)Diminished bowel soundsB)Loss of appetiteC)A cold, pale lower legD)TachypneaThe correct answer is C: A cold, pale lower leg6.The client with infective endocarditis must be assessed frequently bythe home healthnurse. Which finding suggests that antibiotic therapy is not effective, andmust bereported by the nurse immediately to the healthcare provider?A)Nausea and vomitingB)Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)C)Diffuse macular rashD)Muscle tendernessThe correct answer is B: Fever of 103 degrees F (39.5 degrees C)7.A client who had a vasectomy is in the post recovery unit at anoutpatient clinic. Whichof these points is most important to be reinforced by the nurse?A)Until the health care provider has determined that your ejaculatedoesn't containsperm, continue to use another form of contraception.B)This procedure doesn't impede the production of male hormones or theproduction of

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sperm in the testicles. The sperm can no longer enter your semen and nosperm are inyour ejaculate.C)After your vasectomy, strenuous activity needs to be avoided for atleast 48 hours. Ifyour work doesn't involve hard physical labor, you can return to your jobas soon as youfeel up to it. The stitchesgenerally dissolve in seven to ten days.D)The health care provider at this clinic recommends rest, ice, an athleticsupporter orover-the-counter pain medication to relieve any discomfort.The correct answer is A: Until the health care provider has determinedthat your ejaculatedoesn't contain sperm, continue to use another form of contraception.8.A client who is to have antineoplastic chemotherapy tells the nurses ofa fear of beingsick all the time and wishes to try acupuncture. Which of these beliefsstated by the clientwould be incorrect about acupuncture?A)Some needles go as deep as 3 inches, depending on where they'replaced in the bodyand what the treatment is for. The needles usually are left in for 15 to 30minutes.B)In traditional Chinese medicine, imbalances in the basic energetic flowof life4known as qi or chi4are thought to cause illness.C)The flow of life is believed to flow through major pathways or nerveclusters in yourbody.D)By inserting extremely fine needles into some of the over 400acupuncture points invarious combinations it is believed that energy flow will rebalance to allowthe body'snatural healingmechanisms to take over.The correct answer is C: The flow of life is believed to flow through majorpathways ornerve clusters in your body.9.The nurse is discussing with a group of students the disease Kawasaki.What statementmade by a student about Kawasaki disease is incorrect?

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A)It also called mucocutaneous lymph node syndrome because it affectsthe mucousmembranes (inside the mouth, throat and nose), skin and lymph nodes.B)In the second phase of the disease, findings include peeling of the skinon the handsand feet with joint and abdominal painC)Kawasaki disease occurs most often in boys, children younger than age5 and childrenof Hispanic descentD)Initially findings are a sudden high fever, usually above 104 degreesFahrenheit, whichlasts 1 to2 weeksThe correct answer is C: Kawasaki disease occurs most often in boys,children youngerthan age 5 and children of Hispanic descent10.A client has viral pneumonia affecting 2/3 of the right lung. Whatwould be the bestposition to teach the client to lie in every other hour during first 12 hoursafter admission?A)Side-lying on the left with the head elevated 10 degreesB)Side-lying on the left with the head elevated 35 degreesC)Side-lying on the right wil the head elevated 10 degreesD)Side-lying on the right with the head elevated 35 degreesThe correct answer is A: Side-lying on the left with the head elevated 10degrees11.A client has an indwelling catheter with continuous bladder irrigationafterundergoing a transurethral resection of the prostate (TURP) 12 hours ago.Which findingat this time should be reported to the health care provider?A)Light, pink urineB)occasional suprapubic crampingC)minimal drainage into the urinary collection bagD)complaints of the feeling of pulling on the urinary catheterThe correct answer is C:minimal drainage into the urinary collection bag12.A nurse is performing CPR on an adult who went into cardiopulmonaryarrest.Another nurse enters the room in response to the call. After checking theclient’spulseand respirations, what shouldbe the function of the second nurse?

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A)Relieve the nurse performing CPRB)Go get the code cartC)Participate with the compressions or breathingD)Validate the client's advanced directiveThe correct answer is C: Participate with the compressions or breathing13.The nurse assesses a 72 year-old client who was admitted for rightsided congestiveheart failure. Which of the following would the nurse anticipate finding?A)Decreased urinary outputB)JugularveindistentionC)Pleural effusionD)Bibasilar cracklesThecorrectanswerisB:Jugularveindistention14.A client with heart failure has a prescription for digoxin. The nurse isaware thatsufficient potassium should be included in the diet because hypokalemiain combinationwith this medicationA)Can predispose to dysrhythmiasB)May lead to oliguriaC)May cause irritability and anxietyD)Sometimes alters consciousnessThe correct answer is A: Can predispose to dysrhythmias15.A nurse assesses a young adult in the emergency room following amotor vehicleaccident. Which of the following neurological signs is of most concern?A)Flaccid paralysisB)Pupils fixed and dilatedC)Diminished spinal reflexesD)Reduced sensory responsesThe correct answer is B: Pupils fixed and dilated16.A 14 year-old with a history of sickle cell disease is admitted to thehospital with adiagnosis of vaso-occlusive crisis. Which statements by the client wouldbe mostindicative of the etiology of this crisis?A)=Iknew this would happen. I've been eating too much red meat lately."B)=Ireally enjoyed my fishing trip yesterday. I caught 2 fish."C)=Ihave really been working hard practicing with the debate team atschool."

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D)=I went to the health care provider last week for a cold and I havegotten worse."The correct answer is D: "I went to the doctor last week for a cold and Ihave gottenworse."17.Which these findings would the nurse more closely associate withanemia in a 10month-old infant?A)Hemoglobin level of 12 g/dIB)Pale mucosa of the eyelids and lipsC)HypoactivityD)A heart rate between 140 to 160The correct answer is B: Pale mucosa of the eyelids and lips18.The nurse is caring for a client in hypertensive crisis in an intensivecare unit. Thepriority assessment in the first hour of care isA)Heart rateB)Pedal pulsesC)Lung soundsD)Pupil responsesThe correct answer is D: Pupil responses19.Which of these clients who are all in the terminal stage of cancer isleast appropriateto suggest the use of patient controlled analgesia (PCA) with a pump?A)A young adult with a history of Down's syndromeB)A teenager who reads at a 4th grade levelC)An elderly client with numerous arthritic nodules on the handsD)A preschooler with intermittent episodes of alertnessThe correct answer is D: A preschooler with intermittent episodes ofalertness20.The nurse is about to assess a 6 month-old child with nonorganicfailure-to thrive(NOFTT). Upon entering the room, the nurse would expect the baby to beA)Irritable and "colicky" with no attempts to pull to standingB)Alert, laughing and playing with a rattle, sitting with supportC)Skin color dusky with poor skin turgor over abdomenD)Pale, thin arms and legs, uninterested in surroundingsThe correct answer is D: Pale, thin arms and legs, uninterested insurroundings21.As the nurse is speaking with a group of teens which of these sideeffects of

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chemotherapy for cancer would the nurse expect this group to be moreinterested induring the discussion?A)Mouth soresB)FatigueC)DiarrheaD)Hair lossThe correct answer is D: Hair loss22.While caring for a client who was admitted with myocardial infarction(MI) 2 daysago, the nurse notes today's temperature is 101.1 degrees Fahrenheit(38.5 degreesCelsius). The appropriatenursing intervention is toA)Call the health care provider immediatelyB)Administer acetaminophen as ordered as this is normal at this timeC)Send blood, urine and sputum for cultureD)Increase the client's fluid intakeThe correct answer is B: Administer acetaminophen as ordered as this isnormal at thistime23.A client is admitted for first and second degree burns on the face,neck, anterior chestand hands. The nurse's priority should beA)Cover the areas with dry sterile dressingsB)Assess for dyspnea or stridorC)Initiate intravenous therapyD)Administer pain medicationThe correct answer is B: Assess for dyspnea or stridor24.Which of these clients who call the community health clinic would thenurse ask tocome in that day to be seen by the health care provider?A)I started my period and now my urine has turned bright red.B)I am an diabetic and today I have been going to the bathroom everyhour.C)I was started on medicine yesterday for a urine infection. Now mylower belly hurtswhen I go to the bathroom.D)I went to the bathroom and my urine looked very red and itdidn’thurtwhen I went.The correct answer is D: I went to the bathroom and my urine looked veryred and it

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didn’thurt when Iwent.25.A middle aged woman talks to the nurse in the health careprovider’soffice aboututerine fibroids also called leiomyomas or myomas. What statement bythe womanindicates more education is needed?A)I am one out of every 4 women that get fibroids, and of women my age3between the30s or 40s, fibroids occurs more frequently.B)My fibroids are noncancerous tumors that grow slowly.C)My associated problems I have had are pelvic pressure and pain,urinary incontinence,frequent urination or urine retention and constipation.D)Fibroids that cause no problems still need to be taken out.The correct answer is D: Fibroids that cause no problems still need to betaken out.26.An elderly client admitted after a fall begins to seize and losesconsciousness. Whataction by the nurse is appropriate to do next?A)Stay with client and observe for airway obstructionB)Collect pillows and pad the side rails of the bedC)Place an oral airway in the mouth and suctionD)Announce a cardiac arrest, and assist with intubationThe correct answer is A: Stay with client and observe for airwayobstruction27.A nurse is providing care to a primigravida whose membranesspontaneously ruptured(ROM) 4 hours ago. Labor is to be induced. At the time of the ROM thevital signs wereT-99.8 degrees F, P-84, R-20, BP-130/78, and fetal heart tones (FHT) 148beats/min.Which assessment findings taken now may be an early indication that theclient isdeveloping a complication of labor?A)FHT 168 beats/minB)Temperature 100 degrees Fahrenheit.C)Cervical dilation of 4D) BP 138/88The correct answer is A: FHT 168 beats/min28.A client with pneumococcal pneumonia had been started onantibiotics 16 hours ago.

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During thenurse’sinitial evening rounds the nurse notices a foul smell inthe room. Theclient makes all of these statements during their conversation. Whichstatement wouldalert the nurse to a complication?A)"I have a sharp pain in my chest when I take a breath."B)"I have been coughing up foul-tasting, brown, thick sputum."C)"I have been sweating all day."D)"I feel hot off and on."The correct answer is B: "I have been coughing up foul tasting, brown,thick sputum."29.The nurse is performing an assessment on a client in congestive heartfailure.Auscultation of the heart is most likely to revealA)S3 ventricular gallopB)Apical clickC)Systolic murmurD)Split S2The correct answer is A: S3 ventricular gallop30.Which of these observations made by the nurse during an excretoryurogram indicatea complicaton?A)The client complains of a salty taste in the mouth when the dye isinjectedB)Theclient’sentire body turns a bright red colorC)The client states<Ihave a feeling of gettingwarm.=D)The client gags and complains<I am gettingsick.=The correct answer is B: Theclient’sentire body turns a bright red color31.A client is diagnosed with a spontaneous pneumothorax necessitatingthe insertion ofa chest tube. What is the best explanation for the nurse to provide thisclient?A)"The tube will drain fluid from your chest."B)"The tube will remove excess air from your chest."C)"The tube controls the amount of air that enters your chest."D)"The tube will seal the hole in your lung."The correct answer is B: "The tube will remove excess air from yourchest."32.The nurse is reviewing laboratory results on a client with acute renalfailure. Whichone of the following should be reported immediately?A)Blood urea nitrogen 50 mg/dlB)Hemoglobin of 10.3 mg/dlC)Venous blood pH 7.30

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D)Serum potassium 6 mEq/LThe correct answer is D: Serum potassium 6 mEq/L33.The nurse is caring for a client undergoing the placement of a centralvenous catheterline. Which of the following would require the nurse’s immediateattention?A)PallorB)Increased temperatureC)DyspneaD)InvoluntarymusclespasmsThe correct answer is C: Dyspnea34.The nurse is performing a physical assessment on a client who justhad anendotracheal tube inserted. Which finding would call for immediate actionby the nurse?A)Breath sounds can be heard bilaterallyB)Mist is visible in the T-PieceC)Pulse oximetry of 88D)Client is unable to speakThe correct answer is C: Pulse oximetry of 8835.A nurse checks a client who is on a volume-cycled ventilator. Whichfinding indicatesthat the client may need suctioning?A)drowsinessB)complaint of nauseaC)pulse rate of 92D)restlessnessThe correct answer is D: restlessness36.The most effective nursing intervention to prevent atelectasis fromdeveloping in apost operative client is toA)Maintain adequate hydrationB)Assist client to turn, deep breathe, and coughC)Ambulate client within 12 hoursD)Splint incisionThe correct answer is B: Assist client to turn, deep breathe, and cough37.When caring for a client with a post right thoracotomy who hasundergone an upperlobectomy, the nurse focuses on pain management to promoteA)Relaxation and sleepB)Deep breathing and coughingC)Incisional healingD)Range of motion exercisesThe correct answer is B: Deep breathing and coughing

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38.A nurse is to collect a sputum specimen for acid-fast bacillus (AFB)from a client.Which action should the nurse take first?A)Ask client to cough sputum into containerB)Have the client take several deep breathsC)Provide a appropriate specimen containerD)Assist with oral hygieneThe correct answer is D: Assist with oral hygiene39.The nurse is caring for a child immediately after surgical correction ofa ventricularseptal defect. Which of the following nursing assessments should be apriority?A)Blanch nail beds for color and refillB)Assess for post operative arrhythmiasC)Auscultate for pulmonary congestionD)Monitor equality of peripheral pulsesThe correct answer is B: Assess for post operative arrhythmias40.A client has a history of chronic obstructive pulmonary disease(COPD). As the nurseenters the client's room, his oxygen is running at 6 liters per minute, hiscolor is flushedand his respirations are 8 per minute. What should the nurse do first?A)Obtain a 12-lead EKGB)Place client in high Fowler's positionC)Lower the oxygen rateD)Take baseline vital signsThe correct answer is C: Lower the oxygen rate41.A 4 year-old has been hospitalized for 24 hours with skeletal tractionfor treatment ofa fracture of the right femur. The nurse finds that the child is now cryingand the rightfoot is pale with the absence of a pulse. What should the nurse do first?A)Notify the health care providerB)Readjust the tractionC)Administer the ordered prn medicationD)Reassess the foot in fifteen minutesThe correct answer is A: Notify the health care provider42.The nurse is assessing a client 2 hours postoperatively after a femoralpoplitealbypass. The upper leg dressing becomes saturated with blood. Thenurse's first actionshould be toA)Wrap the leg with elastic bandagesB)Apply pressure at the bleeding site

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C)Reinforce the dressing and elevate the legD)Remove the dressings and re-dress the incisionThe correct answer is C: Reinforce the dressing and elevate the leg43.A client is receiving external beam radiation to the mediastinum fortreatment ofbronchial cancer. Which of the following should take priority in planningcare?A)EsophagitisB)LeukopeniaC)FatigueD)Skin irritationReview Information: The correct answer is B: Leukopenia44.A client has a chest tube in place following a left lower lobectomyinserted after a stabwound to the chest. When repositioning the client, the nurse notices 200cc of dark, redfluid flows into the collection chamber of the chest drain. What is themost appropriatenursing action?A)Clamp the chest tubeB)Call the surgeon immediatelyC)Prepare for blood transfusionD)Continue to monitor the rate of drainageThe correct answer is D: Continue to monitor the rate of drainage45.A client has returned from a cardiac catheterization. Which one of thefollowingassessments would indicate the client is experiencing a complication fromthe procedure?A)Increased blood pressureB)Increased heart rateC)Loss of pulse in the extremityD)Decreased urine outputThe correct answer is C: Loss of pulse in the extremity46.A 60 year-old male client had a hernia repair in an outpatient surgeryclinic. He isawake and alert, but has not been able to void since he returned fromsurgery 6 hours ago.He received 1000 mL of IV fluid. Which action would be most likely to helphim void?A)Have him drink several glasses of waterB)Crede’the bladder from the bottom to the topC)Assist him to stand by the side of the bed to voidD)Wait 2 hours and have him try to void againThe correct answer is C: Assist him to stand by the side of the bed to void

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