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2016 HESI Exit Exam Version 4, 160 Questions & Answers, older HESI V4, still used on tests
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2016 HESI Exit Exam Version 4, 160 Questions & Answers, older HESI V4, still used on tests
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2016 HESI Exam Version 4 160 Questions & Answers
older HESI V4, still used on
tests
,2016 Hesi Version 4
1. A male client who had a transurethral resection of the
prostate (TURP) today has a continuous bladder
irrigation (CBI). The client requests pain medication
for abdominal pain rated at “9“ on a scale of 1 to 10.
What action should the nurse take first?
A.Administer prescribed PRN analgesic medication.
B.Position him on the left side and slow the irrigation
rate.
C.Palpate his abdomen and check his urinary output. <
D.Assist him to ambulate to help pass flatus.
2. The mental health nurse takes several adolescent
clients to the inpatient schoolroom. The teacher asks
the nurse to stay and help one of the male clients who
has attention-deficit hyperactivity disorder with his
spelling assignment. Which goal is reasonable for this
client to attain during this one-hour class?
A.Completes at least one page of spelling. <
B.Follows directions the first time they are given.
C.Sits quietly with peers and completes assignment.
D.Shares his problems with others in the class.
3. A client is receiving a standardized solution of heparin
25,000-units/250 ml of normal saline. The healthcare
provider prescribes to increase the client’s current
infusion rate of heparin to 700 units/hour. How many
ml/hour should the nurse program the infusion pump?
Enter the numerical value only.
,Using formula, D/H x Q, 700 units/hour 25,000 units x 25o
ml = 7 ml/hour
4. A client is receiving the intravenous adrenergic
agonist dobutamine (Dobutrex). In evaluating the
client’s reaction to the medication, which assessment
finding indicates to the nurse that the medication is
effective?
A.The client denies chest pain or discomfort.
B.The client had 160 ml urine output in 8 hours.
C.The client’s blood pressure is 110/70 mmHg. <
D.The client’s posterior tibial pulses are 1+.
5. A client misses breakfast because of a two-hour hand
washing ritual that is performed daily. What plan is
most therapeutic for the nurse to implement?
A.Meet with the client daily to discuss motivation for
initiating the ritual.
B.Wake the client early so the ritual can be completed
before breakfast. <
C.Set limits on amount of time the client is allowed to
perform the ritual.
D.Socialize with the client during the ritual to
demonstrate acceptance.
6. Which discharge instruction should the nurse provide
a client with heart failure who is taking digoxin
(Lanoxin)?
A.Avoid concurrent use of herbal products. <
B.Take Lanoxin with high-fiber foods.
C.Restrict fluid intake to equal urine output.
, D.Check blood glucose level weekly.
7. The charge nurse in the Intensive Care Unit (ICU)
needs to transfer a client to the medical unit so that a
client from the Emergency Room can be admitted to
ICU. Which client is best to consider?
A.A 38-year-old with a myocardial infarction who is
having multifocal premature ventricular
contractions.
B.A 66-year-old with congestive heart failure who has
2+ pitting edema and is short of breath on exertion.
<
C.A 58-year-old diagnosed with Guillain-Barre
syndrome who is having difficulty breathing.
D.An 80-year-old with a bleeding peptic ulcer who
has a Hgb of 7 g/dl and coffee ground drainage
from NG.
8. The nurse stops to render aid at the scene of a motor
vehicle collision and finds a child about 6 months of
age strapped into a car seat in the back seat of the car.
After calming the infant with a pacifier, what action
should the nurse take?
A. Remove the infant from the car seat while
stabilizing the neck.
B. Assess the infant’s ability to move arms and legs.
C. Determine if pupils constrict when exposed to light.
D. Lift the car seat out of the car with the infant
strapped in it. <
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