RN Hesi Exit V1, V2, V3, V4, V5 and V8 COMPLETE EXAMS WITH SOLUTIONS. Which information is a priority for the RN to reinforce to an older client after intravenous 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)...
2019-2020 RN Hesi Exit V1, V2, V3, V4, V5 and V8
COMPLETE EXAMS WITH SOLUTIONS
2019 HESI EXIT V1
1. Which information is a priority for the RN to reinforce to anolder client after
intravenous 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 istiring.
C) During waking hours drink at least 1 8-ounce glass of fluidevery hour for the
next 2
daysD)
notify the health
Measure careurine
the provider if it
output for the next day and immediately
should decrease.
The correct answer is D: Measure the urine output for the next dayand immediately
notify the health care provider if it should decrease.
2. A client has altered renal function and is being treated athome. The nurse
recognizes
that the most accurate indicator of fluid balance during theweekly 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 is
most important for the nurse to reinforce with the client?
A) It is a condition in which one or more tumors called gastrinomasform in the
pancreas
or in the upper part of the small intestine (duodenum)
B) It is critical to report promptly to your health care provider anyfindings of peptic
ulcers
c)Treatment consists of medications to reduce acid and heal anypeptic ulcers and, if
possible, surgery to remove any tumors
D)With the average age at diagnosis at 50 years the pepticulcers may occur at
unusual
areas of the stomach or intestine
The correct answer is B: It is critical to report promptly to yourhealth care provider any
findings of peptic ulcers .
4. A primigravida in the third trimester is hospitalized forpreeclampsia.
The nurse
determines that the client’s blood pressure is increasing. Whichaction should the nurse
take first?
A) Check the protein level in urine
B) Have the client turn to the left side
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, 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 atrialheart rate is 250 and
the
ventricular rate is controlled at 75. Which of the followingfindings 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 assessedfrequently by the
home health
nurse. Which finding suggests that antibiotic therapy is noteffective, 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 recoveryunit at an
outpatient clinic. Which
of these points is most important to be reinforced by the nurse?
A) Until the health care provider has determined that yourejaculate doesn't
contain
sperm, continue to use another form of contraception.
B) This procedure doesn't impede the production of malehormones or the
production of
sperm in the testicles. The sperm can no longer enter your semenand no sperm are in
your ejaculate.
C) After your vasectomy, strenuous activity needs to beavoided for at
least 48 hours. Ifyour work doesn't involve hard physical labor, you can
return toyour job as soon as you
feel up to it. The stitches
generally dissolve in seven to ten days.
D) The health care provider at this clinic recommends rest, ice, anathletic supporter or
over-the-counter pain medication to relieve any discomfort.The correct answer is
A: Until the health care provider has determined that your ejaculate
doesn't contain sperm, continue to use another form ofcontraception.
8. A client who is to have antineoplastic chemotherapy tells thenurses of a fear of
being
sick all the time and wishes to try acupuncture. Which of thesebeliefs stated by the
client
would be incorrect about acupuncture?
A) Some needles go as deep as 3 inches, depending onwhere they're
placed in the body
and what the treatment is for. The needles usually are left in for15 to 30 minutes.
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, B) In traditional Chinese medicine, imbalances in the basicenergetic flow of
life —
known as qi or chi — are thought to cause illness.
* C) The flow of life is believed to flow through major pathwaysor nerve clusters in
your
body.
D) By inserting extremely fine needles into some of the over 400acupuncture points
in
various combinations it is believed that energy flow will rebalanceto allow the body's
natural healing
mechanisms to takeover.
The correct answer is C: The flow of life is believed to flow throughmajor pathways or
nerve clusters in your body.
9. The nurse is discussing with a group of students the diseaseKawasaki.
What statement
made by a student about Kawasaki disease is incorrect?
A)It also called mucocutaneous lymph node syndrome because itaffects the mucous
membranes (inside the mouth, throat and nose), skin and lymphnodes. B)In the second
phase of the disease, findings include peeling of the skin on the hands
and feet with joint and abdominal pain
C) Kawasaki disease occurs most often in boys, children youngerthan age 5 and
children
of Hispanic descent
D) Initially findings are a sudden high fever, usually above 104degrees Fahrenheit,
which
lasts 1 to2 weeks
The correct answer is C: Kawasaki disease occurs most often inboys, children younger
than age 5 and children of Hispanic descent
10. A client has viral pneumonia affecting 2/3 of the rightlung. What
would be the best
position to teach the client to lie in every other hour during first 12hours after admission?
A) Side-lying on the left with the head elevated 10 degrees
B) Side-lying on the left with the head elevated 35 degrees
C) Side-lying on the right wil the head elevated 10 degrees
D) Side-lying on the right with the head elevated 35 degreesThe correct answer
is A: Side-lying on the left with the head elevated 10 degrees
11. A client has an indwelling catheter with continuous bladderirrigation after
undergoing a transurethral resection of the prostate (TURP) 12hours ago.
Which finding
at this time should be reported to the health care provider?
A) Light, pink urine
B) occasional suprapubic cramping
C) minimal drainage into the urinary collection bag
D) complaints of the feeling of pulling on the urinary catheter Thecorrect answer is C:
minimal drainage into the urinary collection bag
12. A nurse is performing CPR on an adult who went into
cardiopulmonary arrest.
Another nurse enters the room in response to the call. Afterchecking the client’s pulse
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, and respirations, what should
be the function of the second nurse?
A) Relieve the nurse performing CPR
B) Go get the code cart
C) Participate with the compressions or breathing
D) Validate the client's advanced directive
The correct answer is C: Participate with the compressions orbreathing
13. The nurse assesses a 72 year-old client who was admittedfor right sided
congestive
heart failure. Which of the following would the nurse anticipatefinding?
A) Decreased urinaryoutput
B) Jugular vein distention
C) Pleural effusion
D) Bibasilar crackles
The correct answer is B: Jugular vein distention
14. A client with heart failure has a prescription for digoxin. Thenurse is aware that
sufficient potassium should be included in the diet becausehypokalemia 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
15. A nurse assesses a young adult in the emergency roomfollowing a
motor vehicle
accident. Which of the following neurological signs is of mostconcern?
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
16. A 14 year-old with a history of sickle cell disease is admittedto the hospital with
a
diagnosis of vaso-occlusive crisis. Which statements by the clientwould be most
indicative of the etiology of this crisis?
A) ”I knew this would happen. I've been eating too much red meatlately."
B) ”I really enjoyed my fishing trip yesterday. I caught 2 fish."
C) ”I have really been working hard practicing with the debateteam at school."
D) ”I went to the health care provider last week for a cold andI have gotten
worse."
The correct answer is D: "I went to the doctor last week for a coldand I have gotten
worse."
17. Which these findings would the nurse more closelyassociate with
anemia in a 10
month-old infant?
A) Hemoglobin level of 12 g/dI
B) Pale mucosa of the eyelids and lips
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