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HESI RN Exit Exam 1. The nurse is completing the admission assessment of a 3-year old who is admitted with bacterial meningitis and hydrocephalus. Which assessment finding is evidence that the child is experiencing increased intracranial pressure (ICP)?$10.99
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HESI RN Exit Exam 1. The nurse is completing the admission assessment of a 3-year old who is admitted with bacterial meningitis and hydrocephalus. Which assessment finding is evidence that the child is experiencing increased intracranial pressure (ICP)?
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Course
Hesi exit
Institution
Hesi Exit
HESI RN Exit Exam
1. The nurse is completing the admission assessment of a 3-year old who
is admitted with bacterial meningitis and hydrocephalus. Which assessment
finding is evidence that the child is experiencing increased intracranial pressure (ICP)?
1. The nurse is completing the admission assessment of a 3-year old who
is admitted with bacterial meningitis and hydrocephalus. Which assessment finding i
evidence that the child is experiencing increased intracranial pres- sure (ICP
ANSW
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope: B. Sluggish and unequal pupillaryresponses
2. A client with acute pancreatitis is admitted with severe, piercing abdominal pain and an
elevated serum amylase. Which additional information is the client most likely to report to the
nurse
ANSW
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly.: A. Abdominal paindecreases
when lying supine
3. A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the
hospital. Which information is most important for the nurse to provide the parents prior to
discharge
ANSW
A. Instructions about how much fluid the child should drink daily.
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family: A. Instructions about how much fluid
the child should drink daily
4. To auscultate for a carotid bruit, the nurse places the stethoscope at what location. (Select
the location on the image with a red dot).: I placed the red doton the base of the neck on the
right side
5. After receiving report on an inpatient acute care unit, which client shouldthe nurse
assess first
ANSW
A. The client with an obstruction of the large intestine who is experiencingabdominal
distention
, HESI RN Exit Exam
B. The client who had surgery yesterday and is experiencing a paralytic ileuswith absent
bowel sounds
C. The client with a small bowel obstruction who has a nasogastric tube thatis draining
greenish fluid
D. The client with a bowel obstruction due to a volvulus who is experiencing abdominal
rigidity: D. The client with a bowel obstruction due to a volvulus who isexperiencing
abdominal rigidity
, HESI RN Exit Exam
6. A teenager presents to the emergency department with palpitations after vaping at a party.
The client is anxious, fearful, and hyperventilating. The nurseanticipates the client developing
which acid base imbalance
ANSW
A. Respiratory acidosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory alkalosis: D. Respiratory alkalosis
7. A client with dyspnea is being admitted to the medical unit. To best prepare for the client's
arrival, the nurse should ensure that the client's bed is in which position
ANSW
A. Supine
B. supine; feet elevated higher than head
C. supine; head elevated higher than feet
D. Fowlers: Fowlers
8. The nurse is taking the blood pressure measurement of a client with Parkin-son's disease.
Which information in the client's admission assessment is relevant to the nurse's plan for
taking the blood pressure reading
ANSW (Select allthe apply)
A. Frequent syncope
B. Occasional nocturia
C. Flat affect
D. Blurred vision
E. Frequent drooling: A. Frequent syncope
C. Flat affect
D. Blurred vision
9. While caring for a client's postoperative dressing, the nurse observes pu- rulent drainage
at the wound. Before reporting this finding to the healthcare provider, the nurse should
review which of the client's laboratory values
ANSW
A. Serum albumin
B. Culture for sensitive organisms
C. Serum blood glucose level
, HESI RN Exit Exam
D. Creatinine level: B. Culture for sensitive organisms
10. A preschool-aged boy is admitted to the pediatric unit following successfulresuscitation
from a near-drowning incident. While providing care to the child,the nurse begins talking with
his preadolescent brother who rescued the child from the swimming pool and initiated
resuscitation. The nurse notices the older boy becomes withdrawn when asked about what
happened. Which action should the nurse take
ANSW
A. Develop a water safety teaching plan for the family
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