2023 HESI RN EXIT V1,v2 &
1. The nurse assesses a 72 year-old client who was admitted for right
sided congestive heart failure. Which of the following would the nurse
anticipate finding 6
A) Decreased urinary output
B) Jugular vein distention
C) Pleural effusion
D) Bibasilar crackles
The c...
2023 HESI RN EXIT V1,v2 &
v3 WITH COMPLETE
SOLUTION(A LEVEL FULL
SOLUTION PACK)
, HESI RN EXIT V1
2023 HESI EXIT V1
1. The nurse assesses a 72 year-old client who was admitted for right
sided congestive heart failure. Which of the following would the nurse
anticipate finding 6
A) Decreased urinary output
B) Jugular vein distention
C) Pleural effusion
D) Bibasilar crackles
The correct answer is B: Jugular vein distention
2. A client with heart failure has a prescription for digoxin. The nurse is
aware that
sufficient potassium should be included in the diet because hypokalemia
in combination
with this medication
A) Can predispose to dysrhythmias
B) May lead to oliguria
C) May cause irritability and anxiety
D) Sometimes alters consciousness
The correct answer is A: Can predispose to dysrhythmias
3. A nurse assesses a young adult in the emergency room following a
motor vehicle
accident. Which of the following neurological signs is of most concern?
A) Flaccid paralysis
B) Pupils fixed and dilated
C) Diminished spinal reflexes
D) Reduced sensory responses
The correct answer is B: Pupils fixed and dilated
4. A 14 year-old with a history of sickle cell disease is admitted to the
hospital with a
diagnosis of vaso-occlusive crisis. Which statements by the client would
be most
indicative of the etiology of this crisis?
A) ”I knew this would happen. I've been eating too much red meat lately."
B) ”I really enjoyed my fishing trip yesterday. I caught 2 fish."
C) ”I have really been working hard practicing with the debate team at
school."
D) ”I went to the health care provider last week for a cold and I have
gotten worse."
The correct answer is D: "I went to the doctor last week for a cold and I
have gotten
Hesi exit v1,v2&v3
, worse."
5. Which these findings would the nurse more closely associate with
anemia in a 10
month-old infant?
A) Hemoglobin level of 12 g/dI
B) Pale mucosa of the eyelids and lips
C) Hypoactivity
D) A heart rate between 140 to 160
Hesi exit v1,v2&v3
, HESI RN EXIT V1
7
The correct answer is B: Pale mucosa of the eyelids and lips
6. The nurse is caring for a client in hypertensive crisis in an intensive
care unit. The
priority assessment in the first hour of care is
A) Heart rate
B) Pedal pulses
C) Lung sounds
D) Pupil responses
The correct answer is D: Pupil responses
7. Which of these clients who are all in the terminal stage of cancer is
least appropriate
to suggest the use of patient controlled analgesia (PCA) with a pump?
A) A young adult with a history of Down's syndrome
B) A teenager who reads at a 4th grade level
C) An elderly client with numerous arthritic nodules on the hands
D) A preschooler with intermittent episodes of alertness
The correct answer is D: A preschooler with intermittent episodes of
alertness
8. The nurse is about to assess a 6 month-old child with nonorganic
failure-to thrive
(NOFTT). Upon entering the room, the nurse would expect the baby to be
A) Irritable and "colicky" with no attempts to pull to standing
B) Alert, laughing and playing with a rattle, sitting with support
C) Skin color dusky with poor skin turgor over abdomen
D) Pale, thin arms and legs, uninterested in surroundings
The correct answer is D: Pale, thin arms and legs, uninterested in
surroundings
9. As the nurse is speaking with a group of teens which of these side
effects of
chemotherapy for cancer would the nurse expect this group to be more
interested in
during the discussion?
A) Mouth sores
B) Fatigue
C) Diarrhea
D) Hair loss
The correct answer is D: Hair loss
10. While caring for a client who was admitted with myocardial infarction
(MI) 2 days
ago, the nurse notes today's temperature is 101.1 degrees Fahrenheit
(38.5 degrees
Celsius). The appropriate
nursing intervention is to
A) Call the health care provider immediately
Hesi exit v1,v2&v3
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