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HESI EXIT V5 2025) Actual Exam Questions and Answers A+ Graded.pdf, Exams of Medicine

HESI EXIT V5 2025) Actual Exam Questions and Answers A+ Graded.pdf

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2024/2025

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HESI EXIT V5 2025) Actual Exam Questions
and Answers A+ Graded
1. The .nurse .is .has .just .admitted .a .client .with .severe .depression. .From .which
.focus .should .the .nurse .identify .a .priority .nursing .diagnosis?
A) Nutrition
B) Elimination
C) Activity
D) Safety
The .correct .answer .is .D: .Safety
2. While .explaining .an .illness .to .a .10 .year-old, .what .should .the .nurse .keep .in .mind
.about .the .cognitive .development .at .this .age?
A) They .are .able .to .make .simple .association .of .ideas
B) They .are .able .to .think .logically .in .organizing .facts
C) Interpretation .of .events .originate . from .their .own .perspective
D) Conclusions .are .based .on .previous .experiences
The .correct . answer .is .B: .Think . logically .in .organizing .facts
3. The .nurse .enters .the .room .as .a .3 .year-old .is .having .a .generalized .seizure.
.Which .intervention .should .the .nurse .do .first?
A) Clear .the .area .of .any .hazards
B) Place .the .child .on .the .side
C) Restrain .the .child
D) Give .the .prescribed .anticonvulsant
The .correct .answer .is .B: .Place .the .child .on .the .side
4. The .nurse .is .reviewing .a .depressed .client's .history .from .an .earlier .admission.
.Documentation .of .anhedonia .is .noted. .The .nurse .understands .that .this .finding .refers
.to
A) Reports .of .difficulty .falling .and .staying .asleep
B) Expression .of .persistent .suicidal .thoughts
C) Lack .of .enjoyment .in . usual .pleasures
D) Reduced .senses .of .taste .and .smell
The .correct . answer .is .C: .Lack .of .enjoyment .in .usual .pleasures
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HESI EXIT V5 2025) Actual Exam Questions

and Answers A+ Graded

  1. The .nurse .is .has .just .admitted .a .client .with .severe .depression. .From .which .focus .should .the .nurse .identify .a .priority .nursing .diagnosis? A) Nutrition B) Elimination C) Activity D) Safety The .correct .answer .is .D: .Safety
  2. While .explaining .an .illness .to .a. 10 .year-old, .what .should .the .nurse .keep .in .mind .about .the .cognitive .development .at .this .age? A) They .are .able .to .make .simple .association .of .ideas B) They .are .able .to .think .logically .in .organizing .facts C) Interpretation .of .events .originate .from .their .own .perspective D) Conclusions .are .based .on .previous .experiences The .correct .answer .is .B: .Think .logically .in .organizing .facts
  3. The .nurse .enters .the .room .as .a. 3 .year-old .is .having .a .generalized .seizure. .Which .intervention .should .the .nurse .do .first? A) Clear .the .area .of .any .hazards B) Place .the .child .on .the .side C) Restrain .the .child D) Give .the .prescribed .anticonvulsant The .correct .answer .is .B: .Place .the .child .on .the .side
  4. The .nurse .is .reviewing .a .depressed .client's .history .from .an .earlier .admission. .Documentation .of .anhedonia .is .noted. .The .nurse .understands .that .this .finding .refers .to A) Reports .of .difficulty .falling .and .staying .asleep B) Expression .of .persistent .suicidal .thoughts C) Lack .of .enjoyment .in .usual .pleasures D) Reduced .senses .of .taste .and .smell The .correct .answer .is .C: .Lack .of .enjoyment .in .usual .pleasures
  1. A .client .has .just .returned .to .the .medical-surgical .unit .following .a .segmental .lung .resection. .After .assessing .the .client, .the .first .nursing .action .would .be .to A) Administer .pain .medication B) Suction .excessive .tracheobronchial .secretions C) Assist .client .to .turn, .deep .breathe .and .cough

appropriate .statement .for .the .nurse .is A) "Eat .a .balanced .diet .for .your .age." B) "Increase .your .intake .of .protein .and .Vitamin .A." C) "Decrease .fatty .foods .from .your .diet." D) "Do .not .use .caffeine .in .any .form, .including .chocolate." .The .correct .answer .is .A: ."Eat .a .balanced .diet .for .your .age."

  1. The .nurse .is .assigned .to .a .newly .delivered .woman .with .HIV/AIDS. .The .student .asks .the .nurse .about .how .it .is .determined .that .a .person .has .AIDS .other .than .a .positive .HIV .test. .The .nurse .responds A) "The .complaints .of .at .least. 3 .common .findings." B) "The .absence .of .any .opportunistic .infection." C) "CD4 .lymphocyte .count .is .less .than .200." D) "Developmental .delays .in .children." The .correct .answer .is .C: ."CD4 .lymphocyte .count .is .less .than .200."
  2. The .nurse .is .caring .for .a .child .who .has .just .returned .from .surgery .following .a .tonsillectomy .and .adenoidectomy. .Which .action .by .the .nurse .is .appropriate? A) Offer .ice .cream .every. 2 .hours B) Place .the .child .in .a .supine .position C) Allow .the .child .to .drink .through .a .straw D) Observe .swallowing .patterns The .correct .answer .is .D: .Observe .swallowing .patterns
  3. A. 23 .year-old .single .client .is .in .the .33rd .week .of .her .first .pregnancy. .She .tells .the .nurse .that .she .has .everything .ready .for .the .baby .and .has .made .plans .for .the .first .weeks .together .at .home. .Which .normal .emotional .reaction .does .the .nurse .recognize? A) Acceptance .of .the .pregnancy B) Focus .on .fetal .development C) Anticipation .of .the .birth D) Ambivalence .about .pregnancy The .correct .answer .is .C: .Anticipation .of .the .birth
  4. The .nurse .is .planning .care .for .a .client .with .pneumococcal .pneumonia. .Which .of .the .following .would .be .most .effective .in .removing .respiratory .secretions? A) Administration .of .cough .suppressants B) Increasing .oral .fluid .intake .to. 3000 .cc .per .day C) Maintaining .bed .rest .with .bathroom .privileges D) Performing .chest .physiotherapy .twice .a .day

The .correct .answer .is .B: .Increasing .oral .fluid .intake .to. 3000 .cc .per .day

  1. The .nurse .in .a .well-child .clinic .examines .many .children .on .a .daily .basis. .Which .of .the .following .toddlers .requires .further .follow .up? A) A. 13 .month-old .unable .to .walk B) A. 20 .month-old .only .using. 2 .and. 3 .word .sentences C) A. 24 .month-old .who .cries .during .examination D) A. 30 .month-old .only .drinking .from .a .sip .cup The .correct .answer .is .D: .A. 30 .month-old .only .drinking .from .a .sip .cup
  2. Which .of .the .following .would .be .the .best .strategy .for .the .nurse .to .use .when .teaching .insulin .injection .techniques .to .a .newly .diagnosed .client .with .diabetes? A) Give .written .pre .and .post .tests B) Ask .questions .during .practice C) Allow .another .diabetic .to .assist D) Observe .a .return .demonstration The .correct .answer .is .D: .Observe .a .return .demonstration
  3. A .client .has .developed .thrombophlebitis .of .the .left .leg. .Which .nursing .intervention .should .be .given .the .highest .priority? A) Elevate .leg .on. 2 .pillows B) Apply .support .stockings C) Apply .warm .compresses D) Maintain .complete .bed .rest The .correct .answer .is .A: .Elevate .leg .on. 2 .pillows
  4. A .nurse .from .the .surgical .department .is .reassigned .to .the .pediatric .unit. .The .charge .nurse .should .recognize .that .the .child .at .highest .risk .for .cardiac .arrest .and .is .the .least .likely .to .be .assigned .to this .nurse .is .which .child? A) Congenital .cardiac .defects B) An .acute .febrile .illness C) Prolonged .hypoxemia D) Severe .multiple .trauma The .correct .answer .is .C: .Prolonged .hypoxemia
  5. A .home .health .nurse .is .at .the .home .of .a .client .with .diabetes .and .arthritis. .The .client .has .difficulty .drawing .up .insulin. .It .would .be .most .appropriate .for .the .nurse .to .refer .the
  1. The .nurse .is .caring .for .a .woman. 2 .hours .after .a .vaginal .delivery. .Documentation .indicates .that .the .membranes .were .ruptured .for. 36 .hours .prior .to .delivery. .What .is .the .priority .nursing .diagnoses .at .this .time? A) Altered .tissue .perfusion B) Risk .for .fluid .volume .deficit C) High .risk .for .hemorrhage D) Risk .for .infection The .correct .answer .is .D: .Risk .for .infection
  2. The .parents .of .a .newborn .male .with .hypospadias .want .their .child .circumcised. .The .best .response .by .the .nurse .is .to .inform .them .that A) Circumcision .is .delayed .so .the .foreskin .can .be .used .for .the .surgical .repair B) This .procedure .is .contraindicated .because .of .the .permanent .defect C) There .is .no .medical .indication .for .performing .a .circumcision .on .any .child D) The .procedure .should .be .performed .as .soon .as .the .infant .is .stable The .correct .answer .is .A: .Circumcision .is .delayed .so .the .foreskin .can .be .used .for .the .surgical .repair
  3. The .nurse .is .caring .for .a .client .in .the .late .stages .of .Amyotrophic .Lateral .Sclerosis .(A.L.S.). .Which .finding .would .the .nurse .expect? A) Confusion B) Loss .of .half .of .visual .field C) Shallow .respirations D) Tonic-clonic .seizures The .correct .answer .is .C: .Shallow .respirations
  4. A .client .complained .of .nausea, .a .metallic .taste .in .her .mouth, .and .fine .hand .tremors . 2 .hours .after .her .first .dose .of .lithium .carbonate .(Lithane). .What .is .the .nurse‟s .best .explanation .of .these .findings? A) These .side .effects .are .common .and .should .subside .in .a .few .days B) The .client .is .probably .having .an .allergic .reaction .and .should .discontinue .the .drug C) Taking .the .lithium .on .an .empty .stomach .should .decrease .these .symptoms D) Decreasing .dietary .intake .of .sodium .and .fluids .should .minimize .the .side .effects .The .correct .answer .is .A: .These .side .effects .are .common .and .should .subside .in .a .few .days
  5. A. 57 .year-old .male .client .has .a .hemoglobin .of. 10 .mg/dl .and .a .hematocrit .of .32%. .What .would .be .the .most .appropriate .follow-up .by .the .home .care .nurse?

A) Ask .the .client .if .he .has .noticed .any .bleeding .or .dark .stools B) Tell .the .client .to .call. 911 .and .go .to .the .emergency .department .immediately C) Schedule .a .repeat .Hemoglobin .and .Hematocrit .in. 1 .month D) Tell .the .client .to .schedule .an .appointment .with .a .hematologist The .correct .answer .is .A: .Ask .the .client .if .he .has .noticed .any .bleeding .or .dark .stools

  1. A .client .is .scheduled .for .a .percutaneous .transluminal .coronary .angioplasty .(PTCA). .The .nurse .knows .that .a .PTCA .is .the A) Surgical .repair .of .a .diseased .coronary .artery B) Placement .of .an .automatic .internal .cardiac .defibrillator C) Procedure .that .compresses .plaque .against .the .wall .of .the .diseased .coronary .artery .to .improve .blood .flow D) Non-invasive .radiographic .examination .of .the .heart The .correct .answer .is .C: .Procedure .that .compresses .plaque .against .the .wall .of .the .diseased .coronary .artery .to .improve .blood .flow
  2. For .a. 6 .year-old .child .hospitalized .with .moderate .edema .and .mild .hypertension .associated .with .acute .glomerulonephritis .(AGN), .which .one .of .the .following .nursing .interventions .would .be .appropriate? A) Institute .seizure .precautions B) Weigh .the .child .twice .per .shift C) Encourage .the .child .to .eat .protein-rich .foods D) Relieve .boredom .through .physical .activity The .correct .answer .is .A: .Institute .seizure .precautions
  3. Following .mitral .valve .replacement .surgery .a .client .develops .PVC‟s. .The .health .care .provider .orders .a .bolus .of .Lidocaine .followed .by .a .continuous .Lidocaine .infusion .at .a. rate .of. 2 .mgm/minute. .The .IV .solution .contains. 2 .grams .of .Lidocaine .in. 500 .cc‟s .of. D5W. .The infusion .pump .delivers. 60 .micro .drops/cc. .What .rate .would .deliver. 4 .mgm .of .Lidocaine/ .minute? A) 60 .microdrops/minute B) 20 .microdrops/minute C) 30 .microdrops/minute D) 40 .microdrops/minute The .correct .answer .is .A:. 60 .microdrops/minute . 2 .gm=2000 .mgm 2000 .mgm/500 .cc .=. 4 .mgm/x .cc .2000x .=. 2000

family .that .neighbors .have .bugged .her .home .in .order .to .hear .all .of .her .business. .She .remains .aloof .from .other .clients, .paces .the .floor .and .believes .that .the .hospital .is .a .house .of .torture. .Nursing .interventions .for .the .client .should .appropriately .focus .on .efforts .to A) Convince .the .client .that .the .hospital .staff .is .trying .to .help B) Help .the .client .to .enter .into .group .recreational .activities C) Provide .interactions .to .help .the .client .learn .to .trust .staff D) Arrange .the .environment .to .limit .the .client‟s .contact .with .other .clients The .correct .answer .is .C: .Provide .interactions .to .help .the .client .learn .to .trust .staff

  1. The .nurse .is .assessing .an .infant .with .developmental .dysplasia .of .the .hip. .Which .finding .would .the .nurse .anticipate? A) Unequal .leg .length B) Limited .adduction C) Diminished .femoral .pulses D) Symmetrical .gluteal .folds The .correct .answer .is .A: .Unequal .leg .length
  2. A .nurse .is .caring .for .a. 2 .year-old .child .after .corrective .surgery .for .Tetralogy .of .Fallot. .The .mother .reports .that .the .child .has .suddenly .begun .seizing. .The .nurse .recognizes .this .problem .is .probably .due .to A) A .cerebral .vascular .accident B) Postoperative .meningitis C) Medication .reaction D) Metabolic .alkalosis The .correct .answer .is .A: .A .cerebral .vascular .accident
  3. Following .a .diagnosis .of .acute .glomerulonephritis .(AGN) .in .their. 6 .year-old .child, .the .parents .remark: .“We .just .don‟t .know .how .he .caught .the .disease!” .The .nurse's .response .is .based .on .an .understanding .that A) AGN .is .a .streptococcal .infection .that .involves .the .kidney .tubules B) The .disease .is .easily .transmissible .in .schools .and .camps C) The .illness .is .usually .associated .with .chronic .respiratory .infections D) It .is .not ."caught" .but .is .a .response .to .a .previous .B-hemolytic .strep .infection The .correct .answer .is .D: .It .is .not ."caught" .but .is .a .response .to .a .previous .B-hemolytic .strep .infection
  4. A .couple .asks .the .nurse .about .risks .of .several .birth .control .methods. .What .is .he .most .appropriate .response .by .the .nurse? A) Norplant .is .safe .and .may .be .removed .easily B) Oral .contraceptives .should .not .be .used .by .smokers

C) Depo-Provera .is .convenient .with .few .side .effects D) The .IUD .gives .protection .from .pregnancy .and .infection The .correct .answer .is .B: .Oral .contraceptives .should .not .be .used .by .smokers

  1. A .client .experiences .postpartum .hemorrhage .eight .hours .after .the .birth .of .twins. .Following .administration .of .IV .fluids .and. 500 .ml .of .whole .blood, .her .hemoglobin .and .hematocrit .are .within .normal .limits. .She .asks .the .nurse .whether .she .should .continue .to .breast .feed .the .infants. .Which .of .the .following .is .based .on .sound .rationale? A) "Nursing .will .help .contract .the .uterus .and .reduce .your .risk .of .bleeding." B) "Breastfeeding .twins .will .take .too .much .energy .after .the .hemorrhage." C) "The .blood .transfusion .may .increase .the .risks .to .you .and .the .babies." D) "Lactation .should .be .delayed .until .the ."real .milk" .is .secreted." The .correct .answer .is .A: ."Nursing .will .help .contract .the .uterus .and .reduce .your .risk .of .bleeding."
  2. The .nurse .is .caring .for .a .post-surgical .client .at .risk .for .developing .deep .vein .thrombosis. .Which .intervention .is .an .effective .preventive .measure? A) Place .pillows .under .the .knees B) Use .elastic .stockings .continuously C) Encourage .range .of .motion .and .ambulation D) Massage .the .legs .twice .daily The .correct .answer .is .C: .Encourage .range .of .motion .and .ambulation
  3. The .nurse .is .caring .for .a. 20 .lbs .(9 .kg). 6 .month-old .with .a. 3 .day .history .of .diarrhea, .occasional .vomiting .and .fever. .Peripheral .intravenous .therapy .has .been .initiated, .with .5% .dextrose .in .0.33% normal .saline .with. 20 .mEq .of .potassium .per .liter .infusing .at. 35 .ml/hr. .Which .finding .should .be .reported .to .the .health .care .provider .immediately? A) 3 .episodes .of .vomiting .in. 1 .hour B) Periodic .crying .and .irritability C) Vigorous .sucking .on .a .pacifier D) No .measurable .voiding .in. 4 .hours The .correct .answer .is .D: .No .measurable .voiding .in. 4 .hours
  4. Which .response .by .the .nurse .would .best .assist .the .chemically .impaired .client .to .deal .with .issues .of .guilt? A) "Addiction .usually .causes .people .to .feel .guilty. .Don‟t .worry, .it .is .a .typical .response .due .to .your .drinking .behavior." B) "What .have .you .done .that .you .feel .most .guilty .about .and .what .steps .can .you .begin .to .take .to .help .you .lessen .this .guilt?"

D) Low .self-esteem The .correct .answer .is .D: .Low .self-esteem

  1. Which .statement .by .the .client .with .chronic .obstructive .lung .disease .indicates .an .understanding .of .the .major .reason .for .the .use .of .occasional .pursed-lip .breathing A) "This .action .of .my .lips .helps .to .keep .my .airway .open." B) "I .can .expel .more .when .I .pucker .up .my .lips .to .breathe .out." C) "My .mouth .doesn't .get .as .dry .when .I .breathe .with .pursed .lips." D) "By .prolonging .breathing .out .with .pursed .lips .the .little .areas .in .my .lungs .don't .collapse." The .correct .answer .is .D: ."By .prolonging .breathing .out .with .pursed .lips .my .little .areas .in .my .lungs .don''t .collapse."
  2. During .the .admission .assessment .on .a .client .with .chronic .bilateral .glaucoma, .which .statement .by .the .client .would .the .nurse .anticipate .since .it .is .associated .with .this .problem? A) "I .have .constant .blurred .vision." B) "I .can't .see .on .my .left .side." C) "I .have .to .turn .my .head .to .see .my .room." D) "I .have .specks .floating .in .my .eyes." The .correct .answer .is .C: ."I .have .to .turn .my .head .to .see .my .room."
  3. A. 19 .year-old .client .is .paralyzed .in .a .car .accident. .Which .statement .used .by .the .client .would .indicate .to .the .nurse .that .the .client .was .using .the .mechanism .of ."suppression"? A) "I .don't .remember .anything .about .what .happened .to .me." B) "I'd .rather .not .talk .about .it .right .now." C) "It's .all .the .other .guy's .fault! .He .was .going .too .fast." D) "My .mother .is .heartbroken .about .this." The .correct .answer .is .A: ."I .don''t .remember .anything .about .what .happened .to .me."
  4. While .caring .for .the .client .during .the .first .hour .after .delivery, .the .nurse .determines .that .the .uterus .is .boggy .and .there .is .vaginal .bleeding. .What .should .be .the .nurse's .first .action? A) Check .vital .signs B) Massage .the .fundus C) Offer .a .bedpan D) Check .for .perineal .lacerations The .correct .answer .is .B: .Massage .the .fundus
  1. An .infant .weighed. 7 .pounds. 8 .ounces .at .birth. .If .growth .occurs .at .a .normal .rate, .what .would .be .the .expected .weight .at. 6 .months .of .age? A) Double .the .birth .weight B) Triple .the .birth .weight C) Gain. 6 .ounces .each .week D) Add. 2 .pounds .each .month The .correct .answer .is .A: .Double .the .birth .weight
  2. On .admission .to .the .psychiatric .unit, .the .client .is .trembling .and .appears .fearful. .The .nurse‟s .initial .response .should .be .to A) Give .the .client .orientation .materials .and .review .the .unit .rules .and .regulations B) Introduce .him/herself .and .accompany .the .client .to .the .client‟s .room C) Take .the .client .to .the .day .room .and .introduce .her .to .the .other .clients D) Ask .the .nursing .assistant .to .get .the .client‟s .vital .signs .and .complete .the .admission .search The .correct .answer .is .B: .Introduce .him/herself .and .accompany .the .client .to .the .client‟s .room
  3. A .client .with .asthma .has .low .pitched .wheezes .present .on .the .final .half .of .exhalation. .One .hour .later .the .client .has .high .pitched .wheezes .extending .throughout .exhalation. .This .change .in .assessment .indicates .to .the .nurse .that .the .client A) Has .increased .airway .obstruction B) Has .improved .airway .obstruction C) Needs .to .be .suctioned D) Exhibits .hyperventilation The .correct .answer .is .A: .Has .increased .airway .obstruction
  4. A .client .asks .the .nurse .about .including .her. 2 .and. 12 .year-old .sons .in .the .care .of .their .newborn .sister. .Which .of .the .following .is .an .appropriate .initial .statement .by .the .nurse? A) "Focus .on .your .sons' .needs .during .the .first .days .at .home." B) "Tell .each .child .what .he .can .do .to .help .with .the .baby." C) "Suggest .that .your .husband .spend .more .time .with .the .boys." D) "Ask .the .children .what .they .would .like .to .do .for .the .newborn." The .correct .answer .is .A: ."Focus .on .your .sons'' .needs .during .the .first .days .at .home."
  5. A. 16 .year-old .client .is .admitted .to .a .psychiatric .unit .with .a .diagnosis .of .attempted

B) Place .the .client .into .the .bed .and .administer .the .ordered .PRN .analgesic C) Check .the .client .for .bladder .distention .and .the .client's .urinary .catheter .for .kinks D) Turn .the .television .off .and .then .assist .client .to .use .relaxation .techniques The .correct .answer .is .C: .Check .the .client .for .bladder .distention .and .the .client''s .urinary .catheter .for .kinks

  1. The .nurse .is .performing .a .physical .assessment .on .a .client .with .insulin .dependent .diabetes .mellitus. .Which .client .complaint .calls .for .immediate .nursing .action? A) Diaphoresis .and .shakiness B) Reduced .lower .leg .sensation C) Intense .thirst .and .hunger D) Painful .hematoma .on .thigh The .correct .answer .is .A: .Diaphoresis .and .shakiness
  2. The .nurse .is .teaching .a .client .about .the .healthy .use .of .ego .defense .mechanisms. .An .appropriate .goal .for .this .client .would .be A) Reduce .fear .and .protect .self-esteem B) Minimize .anxiety .and .delay .apprehension C) Avoid .conflict .and .leave .unpleasant .situations D) Increase .independence .and .communicate .more .often The .correct .answer .is .A: .Reduce .fear .and .protect .self-esteem

64 .In .reviewing .the .assessment .data .of .a .client .suspected .of .having .diabetes .insipidus, .the .nurse .expects .which .of .the .following .after .a .water .deprivation .test? A) Increased .edema .and .weight .gain B) Unchanged .urine .specific .gravity C) Rapid .protein .excretion D) Decreased .blood .potassium The .correct .answer .is .B: .Unchanged .urine .specific .gravity

  1. The .nurse .is .evaluating .the .growth .and .development .of .a .toddler .with .AIDS. .The .nurse .would .anticipate .finding .that .the .child .has A) Achieved .developmental .milestones .at .an .erratic .rate B) Delay .in .musculoskeletal .development C) Displayed .difficulty .with .speech .development D) Delay .in .achievement .of .most .developmental .milestones The .correct .answer .is .D: .Delayed .in .achieving .all .developmental .milestones
  1. A .client .was .admitted .with .a .diagnosis .of .pneumonia. .When .auscultating .the .client's .breath .sounds, .the .nurse .hears .inspiratory .crackles .in .the .right .base. .Temperature .is .102.3 .degrees .Fahrenheit .orally. .What .finding .would .the .nurse .expect? A) Flushed .skin B) Bradycardia C) Mental .confusion D) Hypotension The .correct .answer .is .C: .Mental .confusion
  2. Postoperative .orders .for .a .client .undergoing .a .mitral .valve .replacement .include .monitoring .pulmonary .artery .pressure .togetherwith .pulmonary .capillary .wedge .pressure .with .a .pulmonary .artery catheter. .This .action .by .the .nurse .will .assess A) Right .ventricular .pressure B) Left .ventricular .end-diastolic .pressure C) Acid-Base .balance D) Coronary .artery .stability The .correct .answer .is .B: .Left .ventricular .end .diastolic .pressure
  3. The .nurse .is .providing .instructions .for .a .client .with .asthma .who .is .sensitive .to .house .dust-mites. .Which .information .about .prevention .of .asthma .episodes .would .be .the .most .helpful .to .include .during .the .teaching? A) Change .the .pillow .covers .every .month B) Wash .bed .linens .in .warm .water .with .a .cold .rinse C) Wash .and .rinse .the .bed .linens .in .hot .water D) Use .air .filters .in .the .furnace .system The .correct .answer .is .C: .Wash .and .rinse .the .bed .linens .in .hot .water
  4. A .client .is .receiving .oxygen .therapy .via .a .nasal .cannula. .When .providing .nursing .care, .which .of .the .following .interventions .would .be .appropriate? A) Determine .that .adequate .mist .is .supplied B) Inspect .the .nares .and .ears .for .skin .breakdown C) Lubricate .the .tips .of .the .cannula .before .insertion D) Maintain .sterile .technique .when .handling .cannula The .correct .answer .is .B: .Inspect .the .nares .and .ears .for .skin .breakdown
  5. The. nurse. is. caring. for. a. client. with. Parkinson's. disease. .The. client. spends. over . 1 .hour .to .dress .for .scheduled .therapies. .What .is .the .most .appropriate .action .for .the .nurse .to

C) Staff .groups .are .appointed .to .discuss .nursing .practice .and .client .education .issues D) Non-nurse .managers .supervise .nursing .staff .in .groups .of .units The .correct .answer .is .B: .Nursing .departments .share .responsibility .for .client .outcomes

  1. The .nurse .is .teaching .childbirth .preparation .classes. .One .woman .asks .about .her .rights .to .develop .a .birthing .plan. .Which .response .made .by .the .nurse .would .be .best? A) "What .is .your .reason .for .wanting .such .a .plan?" B) "Have .you .talked .with .your .health .care .provider .about .this?" C) "Let .us .discuss .your .rights .as .a .couple." D) "Write .your .ideal .plan .for .the .next .class." The .correct .answer .is .C: ."Let .us .discuss .your .rights .as .a .couple."
  2. A .client .is .admitted .with .the .diagnosis .of .myocardial .infarction .(MI). .Which .of .the .following .lab .values .would .be .consistent .with .this .diagnosis A) Low .serum .albumin B) High .serum .cholesterol C) Abnormally .low .white .blood .cell .count D) Elevated .creatinine .phosphokinase .(CPK .) The .correct .answer .is .D: .Elevated .CPK .(creatinine .phosphokinase)
  3. A .client .tells .the .nurse .he .is .fearful .of .planned .surgery .because .of .evil .thoughts .about. a .family .member. .What .is .the .best .initial .response .by .the .nurse? A) Call .a .chaplain B) Deny .the .feelings C) Cite .recovery .statistics D) Listen .to .the .client The .correct .answer .is .D: .Listen .to .the .client
  4. A. 14 .month-old .had .cleft .palate .surgical .repair .several .days .ago. .The .parents .ask .the .nurse .about .feedings .after .discharge. .Which .lunch .is .the .best .example .of .an .appropriate .meal? A) Hot .dog, .carrot .sticks, .gelatin, .milk B) Soup, .blenderized .soft .foods, .ice .cream, .milk C) Peanut .butter .and .jelly .sandwich, .chips, .pudding, .milk D) Baked .chicken, .applesauce, .cookie, .milk The .correct .answer .is .B: .Soup, .blenderized .soft .foods, .ice .cream, .milk
  5. The .RN .is .planning .care .at .a .team .meeting .for .a. 2 .month-old .child .in .bilateral .leg

casts .for .congenital .clubfoot. .Which .of .these .suggestions .by .the .PN .should .be .considered .the .priority .nursing .goal .following .cast .application? A) Infant .will .experience .minimal .pain B) Muscle .spasms .will .be .relieved C) Mobility .will .be .managed .as .tolerated D) Tissue .perfusion .will .be .maintained The .correct .answer .is .D: .Tissue .perfusion .will .be .maintained

  1. The .nurse .would .expect .which .eating .disorder .to .have .the .greatest .fluctuations .in .potassium? A) Binge .eating .disorder B) Anorexia .nervosa C) Bulemia D) Purge .syndrome The .correct .answer .is .C: .Bulemia
  2. When .planning .the .care .for .a .young .adult .client .diagnosed .with .anorexia .nervosa .which .of .these .concerns .should .the .nurse .determine .to .be .the .priority .for .long .term .mobility? A) Digestive .problems B) Amenorrhea C) Electrolyte .imbalance D) Blood .disorders The .correct .answer .is .B: .Amenorrhea
  3. The .nurse .is .planning .care .for .a .client .with .increased .intracranial .pressure. .The .best .position .for .this .client .is A) Trendelenberg B) Prone C) Semi-Fowlers D) Side-lying .with .head .flat The .correct .answer .is .C: .Semi-Fowlers
  4. While .performing .an .initial .assessment .on .a .newborn .following .a .breech .delivery, .the .nurse .suspects .hip .dislocation. .Which .of .the .following .is .most .suggestive .of .the .abnormality? A) Flexion .of .lower .extremities B) Negative .Ortlani .response