HESI Exit V3 Exam with NGN Questions and Answers

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HESI Exit V3 Exam with NGN Questions and Answers (Verified by Expert)

• A 64-year-old client scheduled for surgery with a general anesthetic refuses to

remove a set of dentures before leaving the unit for the operating room. What would be the most appropriate intervention by the nurse?

• Explain to the client that the dentures must come out as they may get lost or broken

in the operating room

• Ask the client if there are second thoughts about having the procedure
• Notify the anesthesia department and the surgeon of the client's refusal
• Ask the client if the preference would be to remove the dentures in the

operating room receiving area ANS: D: Ask the client if the preference would be to remove the dentures in the operating room receiving area

• The nurse has been teaching adult clients about cardiac risks when they visit the

hypertension clinic. Which form of evaluation would best measure learning?

• Performance on written tests
• Responses to verbal questions
• Completion of a mailed survey 1 / 4

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• Reported behavioral changes

ANS: D: Reported behavioral changes

• The nurse is planning care for an 18 month-old child. Which action should be

included in the child's care?

• Hold and cuddle the child frequently
• Encourage the child to feed himself finger food
• Allow the child to walk independently on the nursing unit
• Engage the child in games with other children

ANS: B: Encourage the child to feed himself finger food

• A partner is concerned because the client frequently daydreams about moving to

Arizona to get away from the pollution and crowding in southern California. The nurse explains that

• Such fantasies can gratify unconscious wishes or prepare for anticipated future

events

• Detaching or dissociating in this way postpones painful feelings
• This conversion or transferring of a mental conflict to a physical symptom can lead to

marital conflict

• To isolate the feelings in this way reduces conflict within the client and with others
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ANS: A: Such fantasies can gratify unconscious wishes or prepare for anticipated future events 3 / 4

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• An appropriate goal for a client with anxiety would be to
• Ventilate anxious feelings to the nurse
• Establish contact with reality
• Learn self-help techniques
• Become desensitized to past trauma

ANS: C: Learn self-help techniques

• While the nurse is administering medications to a client, the client states "I do not

want to take that medicine today." Which of the following responses by the nurse would be best?

• "That's OK, its all right to skip your medication now and then."
• "I will have to call your doctor and report this."
• "Is there a reason why you don't want to take your medicine?"
• "Do you understand the consequences of refusing your prescribed treat- ment?"

ANS: C: "Is there a reason why you don't want to take your medicine?"

• While caring for a client, the nurse notes a pulsating mass in the client's peri

umbilical area. Which of the following assessments is appropriate for the nurse to perform?

• Measure the length of the mass
• Auscultate the mass
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