Exam (elaborations)
HESI RN EXIT EXAM V1-V7 (LATEST ) / RN EXIT HESI EXAM V1,V2,V3,V4,V5,V6,V7
- Course
- Institution
HESI RN EXIT EXAM V1-V7 (LATEST ) / RN EXIT HESI EXAM V1,V2,V3,V4,V5,V6,V7
[Show more]
Content preview
HESI RN EXIT EXAM V1-V7 (LATEST 2024-2025) / RN EXITk k k k k k k k k
HESIEXAM V1,V2,V3,V4,V5,V6,V7 k k k
1. Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will
k k k k k k k k k k k k k k
drink plenty of dairy products, such as milk, to help coat and protect his ulcer. What is
k k k k k k k k k k k k k k k k k
thebest follow-up action by the nurse?
k k k k k k k
• Review with the client the need to avoid foods that are rich in milk and cream k k k k k k k k k k k k k k k
2. A male client with hypertension, who received new antihypertensive prescriptions at his
k k k k k k k k k k k
last visit returns to the clinic two weeks later to evaluate his blood pressure (BP). His
k k k k k k k k k k k k k k k k
BPis 158/106 and he admits that he has not been taking the prescribed medication
k k k k k k k k k k k k k k k
because the drugs make him ―feel bad‖. In explaining the need for hypertension control,
k k k k k k k k k k k k k k
the nurseshould stress that an elevated BP places the client at risk for which
k k k k k k k k k k k k k k k
pathophysiological condition?
k k
• Stroke secondary to hemorrhage k k k
3. The nurse observes an unlicensed assistive personnel (UAP) positioning a newly
k k k k k k k k k k
admitted client who has a seizure disorder. The client is supine and the UAP is placing
k k k k k k k k k k k k k k k k
soft pillowsalong the side rails. What action should the nurse implement?
k k k k k k k k k k k k
• Instruct the UAP to obtain soft blankets to secure to the side rails instead k k k k k k k k k k k k k
ofpillows. k k
4. An adolescent with major depressive disorder has been taking duloxetine (Cymbalta)
k k k k k k k k k k
forthe past 12 days. Which assessment finding requires immediate follow-up?
k k k k k k k k k k k
• Describes life without purpose k k k
5. A 60-year-old female client with a positive family history of ovarian cancer has developed
k k k k k k k k k k k k k
an abdominal mass and is being evaluated for possible ovarian cancer. Her Papanicolau
k k k k k k k k k k k k k
(Pap) smear results are negative. What information should the nurse include in the
k k k k k k k k k k k k k
client’steaching plan?
k k k
• Further evaluation involving surgery may be needed k k k k k k
6. A client who recently underwear a tracheostomy is being prepared for discharge to
k k k k k k k k k k k k
khome.Which instructions is most important for the nurse to include in the discharge
k k k k k k k k k k k k k
kplan?
• Teach tracheal suctioning techniques k k k
7. In assessing an adult client with a partial rebreather mask, the nurse notes that the
k k k k k k k k k k k k k k
koxygenreservoir bag does not deflate completely during inspiration and the client’s
k k k k k k k k k k k
krespiratory rate is 14 breaths / minute. What action should the nurse implement?
k k k k k k k k k k k k
• Document the assessment data k k k
• Rational: reservoir bag should not deflate completely during inspiration and the k k k k k k k k k k
client’srespiratory rate is within normal limits.
k k k k k k k
8. During shift report, the central electrocardiogram (EKG) monitoring system
k k k k k k k k
kalarms.Which client alarm should the nurse investigate firs?
k k k k k k k k
, • Respiratory apnea of 30 seconds k k k k
9. During a home visit, the nurse observed an elderly client with diabetes slip and fall.
k k k k k k k k k k k k k k
kWhataction should the nurse take first?
k k k k k k
• Check the client for lacerations or fractures k k k k k k
10. At 0600 while admitting a woman for a schedule repeat cesarean section (C-Section),
k k k k k k k k k k k k
the client tells the nurse that she drank a cup a coffee at 0400 because she wanted to
k k k k k k k k k k k k k k k k k k
avoid getting a headache. Which action should the nurse take first?
k k k k k k k k k k k
• Inform the anesthesia care provider k k k k
11. After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2
k k k k k k k k k k k k k k
heart sounds. To determine if an S3 heart sound is present, what action should the
k k k k k k k k k k k k k k k
nurse takefirst?
k k k
• Listen with the bell at the same location k k k k k k k
12. A 66-year-old woman is retiring and will no longer have a health insurance through
k k k k k k k k k k k k k
her place of employment. Which agency should the client be referred to by the
k k k k k k k k k k k k k k
employee health nurse for health insurance needs?
k k k k k k k
• Medicare
13. A client who is taking an oral dose of a tetracycline complains of gastrointestinal
k k k k k k k k k k k k k
kupset.What snack should the nurse instruct the client to take with the tetracycline?
k k k k k k k k k k k k k
• Toasted wheat bread and jelly k k k k
14. Following a lumbar puncture, a client voices several complaints. What
k k k k k k k k k
kcomplaintindicated to the nurse that the client is experiencing a complication?
k k k k k k k k k k k
• “I have a headache that gets worse when I sit up”
k k k k k k k k k k
• ―I am having pain in my lower back when I move my legs‖
k k k k k k k k k k k k
• ―My throat hurts when I swallow‖
k k k k k
• “I feel sick to my stomach and am going to throw up”
k k k k k k k k k k k
15. An elderly client seems confused and reports the onset of nausea, dysuria, and
k k k k k k k k k k k k
kurgencywith incontinence. Which action should the nurse implement? • Obtain a clean
k k k k k k k k k k k k
kcatchmid-stream specimenk k
16. The nurse is assisting the mother of a child with phenylketonuria (PKU) to select
k k k k k k k k k k k k k
kfoodsthat are in keeping with the child’s dietary restrictions. Which foods are
k k k k k k k k k k k k
kcontraindicated for this child? k k k
• Foods sweetened with aspartame k k k
17. Before preparing a client for the first surgical case of the day, a part-time scrub nurse
k k k k k k k k k k k k k k k
kasks the circulating nurse if a 3 minute surgical hand scrub is adequate preparation
k k k k k k k k k k k k k
kforthis client. Which response should the circulating nurse provide?
k k k k k k k k k
• Direct the nurse to continue the surgical hand scrub for a 5 minute duration
k k k k k k k k k k k k k
18. Which breakfast selection indicates that the client understands the nurse’s
k k k k k k k k k
kinstructionsabout the dietary management of osteoporosis?k k k k k k
, Stuvia.com k- kThe kMarketplace kto kBuy kand kSell kyour kStudy kMaterial
• Bagel with jelly and skim milk
k k k k k
19. The charge nurse of a critical care unit is informed at the beginning of the shift that less than the
k k k k k k k k k k k k k k k k k k k
koptimal number of registered nurses will be working that shift. In planning assignments, which
k k k k k k k k k k k k k
kclientshould receive the most care hours by a registered nurse (RN)?
k k k k k k k k k k k
• An 82-year-old client with Alzheimer’s disease newly-fractures femur who has a Foley
k k k k k k k k k k k
catheter and soft wrist restrains applied
k k k k k k
, 20. A mother brings her 6-year-old child, who has just stepped on a rusty nail, to the
k k k k k k k k k k k k k k k
kpediatrician’s office. Upon inspection, the nurse notes that the nail went through the
k k k k k k k k k k k k
kshoeand pierced the bottom of the child’s foot. Which action should the nurse
k k k k k k k k k k k k k
kimplement first? k
• Cleanse the foot with soap and water and apply an antibiotic ointment • k k k k k k k k k k k k
Provide teaching about the need for a tetanus booster within the next 72 hours.
k k k k k k k k k k k k k
• have the mother check the child's temperature q4h for the next 24 hours
k k k k k k k k k k k k
• transfer the child to the emergency department to receive a gamma k k k k k k k k k k
globulininjection k k
21. The mother of an adolescent tells the clinic nurse, ―My son has athlete’s foot, I have
k k k k k k k k k k k k k k k
kbeenapplying triple antibiotic ointment for two days, but there has been no
k k k k k k k k k k k k
kimprovement.‖ What instruction should the nurse provide? k k k k k k
• Stop using the ointment and encourage complete drying of the feet and
k k k k k k k k k k k
wearingclean socks. k k k
22. A 26-year-old female client is admitted to the hospital for treatment of a simple
k k k k k k k k k k k k k
kgoiter,and levothyroxine sodium (Synthroid) is prescribed. Which symptoms indicate
k k k k k k k k k
kto the nurse that the prescribed dosage is too high for this client? The client
k k k k k k k k k k k k k k
kexperiences
• Bradycardia and constipation k k
• Lethargy and lack of appetite k k k k
• Muscle cramping and dry, flushed skin k k k k k
• Palpitations and shortness of breath k k k k
23. A client with a history of heart failure presents to the clinic with a nausea, vomiting,
k k k k k k k k k k k k k k k
kyellow vision and palpitations. Which finding is most important for the nurse to assess
k k k k k k k k k k k k k
ktothe client?
k k
• Obtain a list of medications taken for cardiac history k k k k k k k k
24. The healthcare provider prescribes an IV solution of isoproterenol (Isuprel) 1 mg in 250
k k k k k k k k k k k k k
kml of D5W at 300 mcg/hour. The nurse should program the infusion pump to deliver
k k k k k k k k k k k k k k
khowmany ml/hour? (Enter numeric value only.)
k k k k k k
• 75
• Rationale: Convert mg to mcg and use the formula D/H x Q. 300 mcg/hour k k k k k k k k k k k k k
/1,000 mcg x 250 ml = 3/1 x 25 = 75 ml/hour
k k k k k k k k k k k k k
25. The pathophysiological mechanism are responsible for ascites related to liver
k k k k k k k k k
kfailure?(Select all that apply) k k k k
• Fluid shifts from intravascular to interstitial area due to decreased serum protein
k k k k k k k k k k k
• Increased hydrostatic pressure in portal circulation increases fluid shifts k k k k k k k k
intoabdomen k k
• Increased circulating aldosterone levels that increase sodium and water retention k k k k k k k k k
26. The nurse is auscultating a client’s heart sounds. Which description should the nurse
k k k k k k k k k k k k
kuse to document this sound? (Please listen to the audio first to select the option that
k k k k k k k k k k k k k k k
kapplies)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Prose1. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
76800 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now