2020 Hesirne - 2019 -2022 PN HESI EXIT EXAM
2022
Version 1 TEST BANK
Health & Wellness (Chamberlain University)
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HESI EXIT EXAM 2022 Version 1 TEST BANK
2019 -2022 PN HESI EXIT EXAM 2022 Version 1 TEST BANK
1. Which information is a priority for the RN to reinforce to an older client
afterintravenous 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 hour for the next 2days
D) Measure the urine output for the next day and immediately notify the health careprovider if it should
decrease.
The correct answer is D: Measure the urine output for the next day and immediatelynotify the health care
provider if it should decrease.
2. A client has altered renal function and is being treated at home. The nurse recognizesthat 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 ismost 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 pancreasor in the upper part of
the small intestine (duodenum)
B) It is critical to report promptly to your health care provider any findings of pepticulcers
c)Treatment consists of medications to reduce acid and heal any peptic ulcers and, ifpossible, surgery to remove
any tumors
D)With the average age at diagnosis at 50 years the peptic ulcers may occur at unusualareas of the stomach
or intestine
The correct answer is B: It is critical to report promptly to your health care provider anyfindings of peptic ulcers .
4. A primigravida in the third trimester is hospitalized for preeclampsia. The nurse
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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 theventricular rate is
controlled at 75. Which of the following findings is cause 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 by the home healthnurse. Which finding
suggests that antibiotic therapy is not effective, and must 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. Whichof these points is most
important to be reinforced by the nurse?
A) Until the health care provider has determined that your ejaculate doesn't containsperm, continue to use
another form of contraception.
B) This procedure doesn't impede the production of male hormones or the production ofsperm in the testicles.
The sperm can no longer enter your semen and no sperm are in your ejaculate.
C) After your vasectomy, strenuous activity needs to be avoided for at least 48 hours. If your work doesn't
involve hard physical labor, you can return to your job as soon as you
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