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2023 HESI RN EXIT EXAM V2 WITH COMPLETE SOLUTION UPDATED APRIL

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2023 HESI RN EXIT EXAM V2 WITH COMPLETE SOLUTION UPDATED APRIL 2023 2023 HESI RN EXIT EXAM V2 WITH COMPLETE SOLUTION 1. A couple asks the nurse about risks ofseveral birth control methods. What is he most appropriate response by the nurse? A) Norplant is safe and may be removed easily B) O...

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  • December 8, 2023
  • 46
  • 2023/2024
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2023 HESI RN EXIT
EXAM V2 WITH
COMPLETE SOLUTION
UPDATED APRIL 2023

,2023 HESI RN EXIT EXAM V2 WITH COMPLETE
SOLUTION

,1. A couple asks the nurse about risks of several birth control methods. What is he most appropriate response
by the nurse?

A) Norplant is safe and may be removed easily

B) Oral contraceptives should not be used by smokers

C) Depo-Provera is convenient with few side effects

D) The IUD gives protection from pregnancy and infection

The correct answer is B: Oral contraceptives should not be used by smokers

2. A client experiences postpartum hemorrhage eight hours after the birth of twins. Following administration
of IV fluids and 500 ml of whole blood, her hemoglobin and hematocrit are within normal limits. She asks the
nurse whether she should continue to breast feed the infants. Which of the following is based on sound
rationale?

A) "Nursing will help contract the uterus and reduce your risk of bleeding."

B) "Breastfeeding twins will take too much energy after the hemorrhage."

C) "The blood transfusion may increase the risks to you and the babies."

D) "Lactation should be delayed until the "real milk" is secreted."

The correct answer is A: "Nursing will help contract the uterus and reduce your risk of bleeding."

3. The nurse is caring for a post-surgical client at risk for developing deep vein thrombosis. Which
intervention is an effective preventive measure?

A) Place pillows under the knees

B) Use elastic stockings continuously

C) Encourage range of motion and ambulation

, D) Massage the legs twice daily

The correct answer is C: Encourage range of motion and ambulation

4. The nurse is caring for a 20 lbs (9 kg) 6 month-old with a 3 day history of diarrhea, occasional vomiting and
fever. Peripheral intravenous therapy has been initiated, with 5% dextrose in 0.33% normal saline with 20 mEq
of potassium per liter infusing at 35 ml/hr. Which finding should be reported to the health care provider
immediately?

A) 3 episodes of vomiting in 1 hour

B) Periodic crying and irritability

C) Vigorous sucking on a pacifier

D) No measurable voiding in 4 hours

The correct answer is D: No measurable voiding in 4 hours

5. Which response by the nurse would best assist the chemically impaired client to deal with issues of guilt?

A) "Addiction usually causes people to feel guilty. Don’t worry, it is a typical response due to your
drinking behavior."

B) "What have you done that you feel most guilty about and what steps can you begin to take to help
you lessen this guilt?"

C) "Don’t focus on your guilty feelings. These feelings will only lead you to drinking and taking drugs."

D) "You’ve caused a great deal of pain to your family and close friends, so it will take time to undo all the
things you’ve done."

The correct answer is B: "What have you done that you feel most guilty about and what steps can you begin to
take to help you lessen this guilt?"

6. A client with schizophrenia is receiving Haloperidol (Haldol) 5 mg t.i.d.. The client’s family is alarmed and
calls the clinic when "his eyes rolled upward." The nurse recognizes this as what type of side effect?

A) Oculogyric crisis

B) Tardive dyskinesia

C) Nystagmus

D) Dysphagia

The correct answer is A: Oculogyric crisis



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