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HESI EXIT EXAM 2021
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HESI EXIT EXAM 2021Replace a. with a and u. with u
1.
A nurse is reviewing the laboratory results of a client who has rheumatoid
arthritis. Which of the following findings should the nurse report to the
provider? A. WBC count 8,000/mm3.
B. Platelets 150,000/mm3.
C. Aspartate aminotransferase 10
units/L.
rythrocyte sedimentation rate 75
D. E mm/hr
2. A nurse is caring for a client who has generalized petechiae and ecchymoses. The
nurse should expect a prescription for which of the following laboratory tests?
A. Platelet count.
B. Potassium level.
C. Creatine clearance.
D. Prealbumin.
3. A nurse is caring for a client following application of a cast. Which of the following actions
should the nurse take first?
A. Place an ice pack over the cast.
B. P alpate the pulse distal to the
cast.
C. Teach the client to keep the cast clean and
dry.
D. Position the casted extremity on a pillow.
4. A nurse is caring for a client who has vision loss. Which of the following actions
should the nurse take? (Select all that
Keep objects in the client’s room in the apply) A.
same
place.
,5. A nurse is caring for a client who is newly diagnosed with pancreatic cancer and has questions
about the disease. To research the nurse should identify that which of the following
electronic database has the most comprehensive collection of nursing (Unable to read)
articles?
A. MEDLINE
B. C INAHL.
C. ProQuest.
D. Health Source.
6. A nurse in an emergency department is assessing newly admitted client who is
experiencing drooling and hoarseness following a burn injury. Which of the following
should actions should the nurse take first?
A. Obtain a baseline ECG.
B. Obtain a blood specimen for ABG analysis.
C. Insert an 18-gauge IV catheter.
D. A dminister 100% humidified oxygen.
7. A nurse is planning care for a client who has unilateral paralysis and dysphagia following a
right hemispheric stroke. Which of the following interventions should the nurse
include in the plan?
A. Place food on the left side of the client’s mouth when he is ready to eat.
B. Provide total care in performing the client’s ADLs.
C. Maintain the client on
bed rest.
P lace the client’s left arm on a pillow while he is
sitting. D
.
9.A. nu.rse is ca.ring for a. client who is receiving bra.chythera.py for trea.tment of prosta.te ca.ncer.
Which of the following a.ctions shou.ld the nu.rse ta.ke?
A.. Clea.nse equ.ipment before remova.l from the client’s room.
L imit the client’s visitors to 30 min per da.y.
B.
,C. Disca.rd the client’s linens in a. dou.ble
ba.g.
D. Disca.rd the ra.dioa.ctive sou.rce in a.
bioha.za.rd ba.g
10. A. nu.rse is ca.ring for a. client who ha.s severe preecla.mpsia. a.nd is receiving ma.gnesiu.m
su.lfa.te intra.venou.sly. The nu.rse discontinu.es the ma.gnesiu.m su.lfa.te a.fter the client
displa.ces toxicity. Which of the following a.ctions shou.ld the nu.rse ta.ke?
a. Position the client su.pine
b. Prepa.re a.n IV bolu.s of dextrose 5% in wa.ter
c. A.dminister methylergonovine IM
d. A.dminister ca.lciu.m glu.cona.te IV
11. A. cha.rge nu.rse is tea.ching new sta.ff members a.bou.t fa.ctors tha.t increa.se a. client’s
risk to become violent. Which of the following risk fa.ctors shou.ld the nu.rse inclu.de a.s the
best predictor of fu.tu.re violence?
a. Experiencing delu.sions
b. Ma.le gender
c. Previou.s violent beha.vior
d. A. history of being in prison
12. A. nu.rse is prepa.ring to perform a. sterile dressing cha.nge. Which of the following a.ctions
shou.ld the nu.rse ta.ke when setting u.p the sterile field? a..
Pla.ce the ca.p from the solu.tion sterile side u.p on clea.n b. Open the
su.rfa.ce ou.termost fla.p of the
sterile kit towa.rd the body→ fla.p A.WA.Y from the body's first
c. Pla.ce the sterile dressing within 1.25 cm (0.5in) of the edge of the sterile field → 2.5
cm (1-inch) border a.rou.nd a.ny sterile dra.pe or wra.p tha.t is considered conta.mina.ted.
d. Set u.p the sterile field 5 cm (2 in) below wa.ist level→ it sa.ys BELOW wa.ist level;
shou.ld be A.BOVE wa.ist level
13. A. nu.rse is providing tea.ching to a.n older a.du.lt client a.bou.t methods to promote
nighttime sleep. Which of the following instru.ctions
Ea.t a. light sna.ck before shou.ld the nu.rse inclu.de? a..
bedtime b. Sta.y in bed a.t lea.st 1 hr if u.na.ble to fa.ll a.sleep
c. Ta.ke a. 1 hr na.p du.ring the da.y
d. Perform exercises prior to bedtime
14. A. home hea.lth nu.rse is prepa.ring for a.n initia.l visit with a.n older a.du.lt client who lives
a.lone. Which of the following a.ctions shou.ld the nu.rse ta.ke first?
a. Edu.ca.te the client a.bou.t cu.rrent medica.l dia.gnosis
, b. Refer the client to a. mea.l delivery progra.m
c. Identify environmenta.l ha.za.rds in the home
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