2019 HESI RN EXIT EXAM V1
1. Which information is a priority for the RN to reinforce to an older client after intravenous pylegraphy?
A) Eat a light diet for the rest of the day
B) Rest for the next 24 hours since the preparation and the test is tiring.
C) During waking hours drink at least 1 ...
1 which information is a priority for the rn to reinforce to an older client after intravenous pylegraphy a eat a light diet for the rest of the day b rest for the next 24 hours
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2019 HESI EXIT V1
1. Which information is a priority for the RN to reinforce to an older clientafter
intravenous pylegraphy?
A) Eat a light diet for the rest of the day
B) 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 2 days
D) Measure the urine output for the next day and immediately notify the
health care provider if it should decrease.
The correct answer is D: Measure the urine output for the next day and
immediately notify the health care provider if it should decrease.
2. A client has altered renal function and is being treated at home. The nurse
recognizes that the most accurate indicator of fluid balance during the
weekly visits is:
A) difference in the intake and output
B) changes in the mucous membranes
C) skin turgor
D) weekly weight
The correct answer is D: weekly weight
3. A client has been diagnosed with Zollinger-Ellison syndrome.Which
information is most important for the nurse to reinforce with the client?
A) It is a condition in which one or more tumors called gastrinomas form in
the pancreas or in the upper part of the small intestine (duodenum)
B) It is critical to report promptly to your health care provider any findings of
peptic ulcers
c) Treatment consists of medications to reduce acid and heal any pepticulcers
and, if possible, surgery to remove any tumors
D) With the average age at diagnosis at 50 years the peptic ulcers mayoccur at
unusual areas of the stomach or intestine
The correct answer is B: It is critical to report promptly to your health care
provider any findings of peptic ulcers.
4. A primigravida in the third trimester is hospitalized for preeclampsia.
The nurse determines that the client’s blood pressure is increasing. Which action
should the nurse take first?
A) Check the protein level in urine
B) Have the client turn to the left side
C) Take the temperature
D) Monitor the urine output
The correct answer is B: Have the client turn to the left side
5. The nurse is caring for a client in atrial fibrillation. The atrial heart rate
is 250 and the ventricular rate is controlled at 75. Which of the following
,findings iscause for the most concern?
A) Diminished bowel sounds
B) Loss of appetite
C) A cold, pale lower leg
D) Tachypnea
The correct answer is C: A cold, pale lower leg
6. The client with infective endocarditis must be assessed frequently bythe
home health nurse. Which finding suggests that antibiotic therapy is not
effective, andmust be reported by the nurse immediately to the healthcare
provider?
A) Nausea and vomiting
B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
C) Diffuse macular rash
D) Muscle tenderness
The 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 an
outpatient clinic. Which of these points is most important to be
reinforced by the nurse?
A) Until the health care provider has determined that your ejaculate
doesn't contain sperm, continue to use another form of contraception.
B) This procedure doesn't impede the production of male hormones or the
production of sperm in the testicles. The sperm can no longer enter your
semen and nosperm are in your ejaculate.
C) After your vasectomy, strenuous activity needs to be avoided for atleast 48
hours. If your work doesn't involve hard physical labor, you can return to
your jobas soon as you feel up to it. The stitches generally dissolve in seven to
ten days.
D) The health care provider at this clinic recommends rest, ice, an athletic
supporter or over-the-counter pain medication to relieve any discomfort.
The correct answer is A: Until the health care provider has determined that
your ejaculate doesn'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 being sick all the time and wishes to try acupuncture. Which of these
beliefsstated by the client would be incorrect about acupuncture?
A) Some needles go as deep as 3 inches, depending on where they'replaced
in the body and 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
life — known as qi or chi — are thought to cause illness.
* C) The flow of life is believed to flow through major pathways or nerve
clusters in your body.
D) By inserting extremely fine needles into some of the over 400acupuncture
points in various combinations it is believed that energy flow will rebalance to
, allowthe body's natural healing mechanisms to take over.
The correct answer is C: The flow of life is believed to flow through major
pathways or nerve clusters in your body.
9. The nurse is discussing with a group of students the disease Kawasaki.
What statement made by a student about Kawasaki disease is incorrect?
A)It also called mucocutaneous lymph node syndrome because it affectsthe
mucous membranes (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 hands and feet with joint and abdominal pain
C) Kawasaki disease occurs most often in boys, children younger than age5
and children of Hispanic descent
D) Initially findings are a sudden high fever, usually above 104 degrees
Fahrenheit, which lasts 1 to2 weeks
The correct answer is C: Kawasaki disease occurs most often in boys,children
younger than age 5 and children of Hispanic descent
10. A client has viral pneumonia affecting 2/3 of the right lung. What
would be the best position 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 degrees
B) Side-lying on the left with the head elevated 35 degrees
C) Side-lying on the right wil the head elevated 10 degrees
D) Side-lying on the right with the head elevated 35 degrees
The correct answer is A: Side-lying on the left with the head elevated 10degrees
11. A client has an indwelling catheter with continuous bladder irrigation
after undergoing a transurethral resection of the prostate (TURP) 12 hours
ago. Which finding at this time should be reported to the health care
provider?
A) Light, pink urine
B) occasional suprapubic cramping
C) minimal drainage into the urinary collection bag
D) complaints of the feeling of pulling on the urinary catheter
The correct answer is C: minimal drainage into the urinary collection bag
12. A nurse is performing CPR on an adult who went into cardiopulmonary
arrest. Another nurse enters the room in response to the call. After checking
theclient’s pulse and respirations, what should be the function of the second
nurse?
A) Relieve the nurse performing CPR
B) Go get the code cart
C) Participate with the compressions or breathing
D) Validate the client's advanced directive
The correct answer is C: Participate with the compressions or breathing
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