Exam (elaborations)
HESI EXIT RN EXAM VERSION 1 TO VERSION 7 (2024/2025)
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HESI EXIT RN EXAM VERSION 1 TO VERSION 7 (2024/2025)
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1|PageHESI EXIT RN EXAM VERSION 1 TO VERSION 7 (2024/2025)
A 66-year-old woman is retiring and will no longer have a health insurance
through her place of employment. Which agency should the client be referred to by
the employee health nurse for health insurance needs?
a. Woman, Infant, and Children program
b. Medicaid
c. Medicare
d. Consolidated Omnibus Budget Reconciliation Act provision.
Medicare
Rationale: Title XVII of the social security Act of 1965 created Medicare Program
to provide medical insurance for person more than 65 years or older, disable or
with permeant kidney failure, WIC provides supplemental nutrition to meet the
needs of pregnant of breastfeeding woman, infants and children up to age of 6.
Medicaid provides financial assistance to pay for medical services for poor older
adults, blind, disable and families with dependent children. COBRA(D) health
benefit provisions is a limited insurance plan for those who has been laid off or
become unemployed.
A client who is taking an oral dose of a tetracycline complains of gastrointestinal
upset. What snack should the nurse instruct the client to take with the tetracycline?
a. Fruit-flavored yogurt.
b. Cheese and crackers.
,2|Page
c. Cold cereal with skim milk.
d. Toasted wheat bread and jelly
Toasted wheat bread and jelly
Rationale: Dairy products decrease the effect of tetracycline, so the nurse instructs
the client to eat a snack such as toast, which contains no dairy products and may
decrease GI symptoms.
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2
heart sounds. To determine if an S3 heart sound is present, what action should the
nurse take first
a. Side the stethoscope across the sternum.
b. Move the stethoscope to the mitral site
c. Listen with the bell at the same location
d. Observe the cardiac telemetry monitor
Listen with the bell at the same location
Rationale: The nurse uses the bell of the stethoscope to hear low-pitched sounds
such as S3 and S4. The nurse listens at the same site using the diaphragm the
diaphragm and bell before moving systematically to the next sites.
Following a lumbar puncture, a client voices several complaints. What complaint
indicated to the nurse that the client is experiencing a complication?
,3|Page
a. "I am having pain in my lower back when I move my legs"
b. "My throat hurts when I swallow"
c. "I feel sick to my stomach and am going to throw up"
d. I have a headache that gets worse when I sit up"
"I have a headache that gets worse when I sit up"
Rationale: A post-lumbar puncture headache, ranging from mild to severe, may
occur as a result of leakage of cerebrospinal fluid at the puncture site. This
complication is usually managed by bedrest, analgesic, and hydration.
An elderly client seems confused and reports the onset of nausea, dysuria, and
urgency with incontinence. Which action should the nurse implement
a. Auscultate for renal bruits
b. Obtain a clean catch mid-stream specimen
c. Use a dipstick to measure for urinary ketone
d. Begin to strain the client's urine.
Obtain a clean catch mid-stream specimen
Rationale: This elderly is experiencing symptoms of urinary tract infection. The
nurse should obtain a clean catch mid-stream specimen to determine the causative
agent so an anti-infective agent can be prescribed.
The nurse is assisting the mother of a child with phenylketonuria (PKU) to select
foods that are in keeping with the child's dietary restrictions. Which foods are
contraindicated for this child?
, 4|Page
a. Wheat products
b. Foods sweetened with aspartame.
c. High fat foods
d. High calories foods.
Foods sweetened with aspartame
Rationale: Aspartame should not be consumed by a child with PKU because ut is
converted to phenylalanine in the body. Additionally, milk and milk products are
contraindicated for children with PKU.
Before preparing a client for the first surgical case of the day, a part-time scrub
nurse asks the circulating nurse if a 3 minute surgical hand scrub is adequate
preparation for this client. Which response should the circulating nurse provide?
a. Ask a more experience nurse to perform that scrub since it is the first time of the
day
b. Validate the nurse is implementing the OR policy for surgical hand scrub
c. Inform the nurse that hand scrubs should be 3 minutes between cases.
d. Direct the nurse to continue the surgical hand scrub for a 5-minute duration.
Direct the nurse to continue the surgical hand scrub for a 5 minute duration
Rationale: The surgical hand scrub should last for 5 to 10 mints, so the nurse
should be directed to continue the vigorous scrub using a reliable agent for the total
duration of 5 mints. It is not necessary to reassign staff (A). The length of the hand
scrub and subsequent scrubs during the day require the same process for the same
amount of time, (B and C)
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