HESI EXIT RN EXAM-756 QA, HESI EXIT RN Exam (Version 1 to Version 7)
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HESI EXIT RN
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HESI EXIT RN
1. Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink plenty of dairy products, such as milk, to help coat and protect his ulcer. What is the best follow-up action by the nurse? a- Remind the client that it is also important to switch to decaffeinated ...
HESI EXIT RN EXAM-756 QA, HESI EXIT RN Exam (Version 1 to Version 7)
1. Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink plenty of dairy products, such
as milk, to help coat and protect his ulcer. What is the best follow-up action by the nurse?
a- Remind the client that it is also important to switch to decaffeinated coffee and tea.
b- Suggest that the client also plan to eat frequent small meals to reduce discomfort
c- Review with the client the need to avoid foods that are rich in milk and cream.
d- Reinforce this teaching by asking the client to list a dairy food that he might select.
2. A male client with hypertension, who received new antihypertensive prescriptions at his last visit returns to the clinic two
weeks later to evaluate his blood pressure (BP). His BP is 158/106 and he admits that he has not been taking the prescribed
medication because the drugs make him “feel bad”. In explaining the need for hypertension control, the nurse should stress
that an elevated BP places the client at risk for which pathophysiological condition?
a- Blindness secondary to cataracts
b- Acute kidney injury due to glomerular damage
c- Stroke secondary to hemorrhage
d- Heart block due to myocardial damage
3. The nurse observes an unlicensed assistive personnel (UAP) positioning a newly admitted client who has a seizure disorder.
The client is supine and the UAP is placing soft pillows along the side rails. What action should the nurse implement?
a- Ensure that the UAP has placed the pillows effectively to protect the client.
b- Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows.
a- Assume responsibility for placing the pillows while the UAP completes another task.
b- Ask the UAP to use some of the pillows to prop the client in a side lying position.
4. An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for the past 12 days. Which assessment
finding requires immediate follow-up?
a- Describes life without purpose
b- Complains of nausea and loss of appetite
c- States is often fatigued and drowsy
d- Exhibits an increase in sweating.
5. A 60-year-old female client with a positive family history of ovarian cancer has developed an abdominal mass and is being
evaluated for possible ovarian cancer. Her Papanicolau (Pap) smear results are negative. What information should the nurse
include in the client’s teaching plan?
a- Further evaluation involving surgery may be needed
b- A pelvic exam is also needed before cancer is ruled out
c- Pap smear evaluation should be continued every six month
d- One additional negative pap smear in six months is needed.
6. A client who recently underwear a tracheostomy is being prepared for discharge to home. Which instructions is most
important for the nurse to include in the discharge plan?
a- Explain how to use communication tools.
b- Teach tracheal suctioning techniques
c- Encourage self-care and independence.
d- Demonstrate how to clean tracheostomy site.
7. In assessing an adult client with a partial rebreather mask, the nurse notes that the oxygen reservoir bag does not deflate
completely during inspiration and the client’s respiratory rate is 14 breaths / minute. What action should the nurse implement?
a- Encourage the client to take deep breaths
b- Remove the mask to deflate the bag
c- Increase the liter flow of oxygen
d- Document the assessment data
8. During a home visit, the nurse observed an elderly client with diabetes slip and fall. What action should the nurse take first?
,a- Give the client 4 ounces of orange juice
b- Call 911 to summon emergency assistance
c- Check the client for lacerations or fractures
d- Asses clients blood sugar level
9. At 0600 while admitting a woman for a schedule repeat cesarean section (C-Section), the client tells the nurse that she drank
a cup a coffee at 0400 because she wanted to avoid getting a headache. Which action should the nurse take first?
a- Ensure preoperative lab results are available
b- Start prescribed IV with lactated Ringer’s
c- Inform the anesthesia care provider
d- Contact the client’s obstetrician.
10. After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 heart sounds. To determine if an S3 heart
sound is present, what action should the nurse take first?
a- Side the stethoscope across the sternum.
b- Move the stethoscope to the mitral site
c- Listen with the bell at the same location
d- Observe the cardiac telemetry monitor
11. A 66-year-old woman is retiring and will no longer have a health insurance through her place of employment. Which agency
should the client be referred to by the employee health nurse for health insurance needs?
a- Woman, Infant, and Children program
b- Medicaid
c- Medicare
d- Consolidated Omnibus Budget Reconciliation Act provision.
12. A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset. What snack should the nurse
instruct the client to take with the tetracycline?
a- Fruit-flavored yogurt.
b- Cheese and crackers.
c- Cold cereal with skim milk.
d- Toasted wheat bread and jelly
13. Following a lumbar puncture, a client voices several complaints. What complaint indicated to the nurse that the client
is experiencing a complication?
a- “I am having pain in my lower back when I move my legs”
b- “My throat hurts when I swallow”
c- “I feel sick to my stomach and am going to throw up”
d- I have a headache that gets worse when I sit up”
14. An elderly client seems confused and reports the onset of nausea, dysuria, and urgency with incontinence. Which action
should the nurse implement?
a- Auscultate for renal bruits
b- Obtain a clean catch mid-stream specimen
c- Use a dipstick to measure for urinary ketone
d- Begin to strain the client’s urine.
15. The nurse is assisting the mother of a child with phenylketonuria (PKU) to select foods that are in keeping with
the child’s dietary restrictions. Which foods are contraindicated for this child?
a- Wheat products
b- Foods sweetened with aspartame.
c- High fat foods
d- High calories foods.
,16. Before preparing a client for the first surgical case of the day, a part-time scrub nurse asks the circulating nurse if a 3-minute
surgical hand scrub is adequate preparation for this client. Which response should the circulating nurse provide?
a- Ask a more experience nurse to perform that scrub since it is the first time of the day
b- Validate the nurse is implementing the OR policy for surgical hand scrub
c- Inform the nurse that hand scrubs should be 3 minutes between cases.
d- Direct the nurse to continue the surgical hand scrub for a 5-minute duration.
17. Which breakfast selection indicates that the client understands the nurse’s instructions about the dietary management of
osteoporosis?
a- Egg whites, toast and coffee.
b- Bran muffin, mixed fruits, and orange juice.
c- Granola and grapefruit juice
d- Bagel with jelly and skim milk.
18. The charge nurse of a critical care unit is informed at the beginning of the shift that less than the optimal number of
registered nurses will be working that shift. In planning assignments, which client should receive the most care hours by a
registered nurse (RN)?
a- A 34-year -old admitted today after an emergency appendendectomy who has a peripheral intravenous catheter and a Foley
catheter.
b- A 48-year-old marathon runner with a central venous catheter who is experiencing nausea and vomiting due to electrolyte
disturbance following a race.
c- A 63-year-old chain smoker admitted with chronic bronchitis who receiving oxygen via nasal cannula and has a saline-locked
peripheral intravenous catheter.
d- An 82-year-old client with Alzheimer’s disease newly-fractures femur who has a Foley catheter and soft wrist restrains
applied
19. Z
a- Cleanse the foot with soap and water and apply an antibiotic ointment
b- Provide teaching about the need for a tetanus booster within the next 72 hours.
c- have the mother check the child's temperature q4h for the next 24 hours
d- transfer the child to the emergency department to receive a gamma globulin injection
20. The mother of an adolescent tells the clinic nurse, “My son has athlete’s foot, I have been applying triple antibiotic
ointment for two days, but there has been no improvement.” What instruction should the nurse provide?
a- Antibiotics take two weeks to become effective against infections such as athlete’s foot.
b- Continue using the ointment for a full week, even after the symptoms disappear.
c- Applying too much ointment can deter its effectiveness. Apply a thin layer to prevent maceration.
d- Stop using the ointment and encourage complete drying of the feet and wearing clean socks.
21. A 26-year-old female client is admitted to the hospital for treatment of a simple goiter, and levothyroxine sodium
(Synthroid) is prescribed. Which symptoms indicate to the nurse that the prescribed dosage is too high for this client? The client
experiences
a- Palpitations and shortness of breath
b- Bradycardia and constipation
c- Lethargy and lack of appetite
d- Muscle cramping and dry, flushed skin
22. A client with a history of heart failure presents to the clinic with a nausea, vomiting, yellow vision and palpitations. Which
finding is most important for the nurse to assess to the client?
a- Determine the client’s level of orientation and cognition
b- Assess distal pulses and signs of peripheral edema
c- Obtain a list of medications taken for cardiac history.
d- Ask the client about exposure to environmental heat.
, 23. The healthcare provider prescribes an IV solution of isoproterenol (Isuprel) 1 mg in 250 ml of D5W at 300 mcg/hour.
The nurse should program the infusion pump to deliver how many ml/hour? (Enter numeric value only.)
a- 75
24. The pathophysiological mechanisms are responsible for ascites related to liver failure? (Select all that apply)
a- Bleeding that results from a decreased production of the body’s clotting factors
b- Fluid shifts from intravascular to interstitial area due to decreased serum protein
c- Increased hydrostatic pressure in portal circulation increases fluid shifts into abdomen
d- Increased circulating aldosterone levels that increase sodium and water retention
e- Decreased absorption of fatty acids in the duodenum leading to abdominal distention.
25. The nurse is auscultating a client’s heart sounds. Which description should the nurse use to document this sound? (Please
listen to the audio first to select the option that applies)
a- S1 S2
b- S1 S2 S3
c- Murmur
d- Pericardial friction rub.
26. The healthcare provider prescribes celtazidime (Fortax) 35 mg every 8 hours IM for an infant. The 500 mg vial is labeled
with the instruction to add 5.3 ml diluent to provide a concentration of 100 mg/ml. How many ml should the nurse
administered for each dose? (Enter numeric value only. If rounding is required, round to the nearest tenth)
a- 0.4
27. The nurse notes that a client has been receiving hydromorphone (Dilaudid) every six hours for four days. What
assessment is most important for the nurse to complete?
a- Auscultate the client's bowel sounds
b- Observe for edema around the ankles
c- Measure the client’s capillary glucose level
d- Count the apical and radial pulses simultaneously
28. A female client is admitted with end stage pulmonary disease is alert, oriented, and complaining of shortness of breath. The
client tells the nurse that she wants “no heroic measures” taken if she stops breathing, and she asks the nurse to document this
in her medical record. What action should the nurse implement?
a- Ask the client to discuss “do not resuscitate” with her healthcare provider
29. A client is receiving a full strength continuous enteral tube feeding at 50 ml/hour and has developed diarrhea. The client
has a new prescription to change the feeding to half strength. What intervention should the nurse implement?
a- Add equal amounts of water and feeding to a feeding bag and infuse at 50ml/hour
b- Continue the full strength feeding after decreasing the rate of infusion to 25 ml/hr.
c- Maintain the present feeding until diarrhea subsides and the begin the next new prescription.
d- Withhold any further feeding until clarifying the prescription with healthcare provides.
30. A female client reports that her hair is becoming coarse and breaking off, that the outer part of her eyebrows have
disappeared, and that her eyes are all puffy. Which follow-up question is best for the nurse to ask?
a- “Is there a history of female baldness in your family?”
b- “Are you under any unusual stress at home or work?”
c- “Do you work with hazardous chemicals?”
d- “Have you noticed any changes in your fingernails?”
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