Exam (elaborations)
2020 HESI Medical-Surgical LPN/PN Nursing V1
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2020 HESI Medical-Surgical LPN/PN Nursing V1
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NUR HESIRNExitExamV1 .Questions And Correct Answers 20222022 HESI EXIT V1
1. Which information is a priority for the RN to reinforce to an older client
after intravenous pyelography?
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 2 days
D) Measure the urine output for the next day and immediately notify the
health care provider if it should decrease.
- It’s important to drink more fluid afterwards to help flush out the iodine.
2. A client has altered renal function and is being treated at home. The
nurse recognizes that 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
- Daily weight is the best indicater for fluid balance, as opposed to I&O.
3. A client has been diagnosed with Zollinger-Ellison syndrome.Which
information is most important for the nurse to reinforce with the
client?
,NUR HESIRNExitExamV1 .Questions And Correct Answers 2022
A) It is a condition in which one or more tumors called gastrinomas form 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 any findings
of peptic ulcers
C) Treatment consists of medications to reduce acid and heal any peptic
ulcers and, if possible, surgery to remove any tumors
D) With the average age at diagnosis at 50 years the peptic ulcers may occur
at unusual areas of the stomach or intestine
- ZE syndrome is a disease in which tumors cause the stomach to produce too much acid,
resulting in peptic ulcers. Treatment is surgery.
,NUR HESIRNExitExamV1 .Questions And Correct Answers 2022
4. A primigravida in the third trimester is hospitalized for preeclampsia.
The nurse 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
- LION: Left Side, Increase IV, O2, Notify MD (unless PITCON is running, stop that first)
5. The nurse is caring for a client in atrial fibrillation. The atrial heart rate is
250 and the ventricular 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
- A-Fib can cause fluid buildup in the lower extremities. It causes blood to pool up in the atria.
6. The client with infective endocarditis must be assessed frequently by
the home health nurse. 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)
, NUR HESIRNExitExamV1 .Questions And Correct Answers 2022
C) Diffuse macular rash
D) Muscle tenderness
- Pt should not have a high fever at this point if he/she is being given antibiotics.
7. A client who had a vasectomy is in the post recovery unit 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 your
ejaculate doesn't contain sperm, continue to use another form of
contraception.
B) This procedure doesn't impede the production of male hormones or the
production of sperm in the testicles. The sperm can no longer enter your
semen and no sperm are in your ejaculate.
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