HESI EXIT V1 QUESTIONS WITH
ANSWERS
Which information is a priority for the RN to reinforce to an older client after
intravenous pylegraphy? - Answer - Measure the urine output for the next
day and immediately notify the health care provider if it should decrease.
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 - Answer - weekly weight
A client has been diagnosed with Zollinger-Ellison syndrome.Which
information is most important for the nurse to reinforce with the client? -
Answer - It is critical to report promptly to your health care provider any
findings of peptic ulcers
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? - Answer - Have the client turn to the left
side
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? - Answer - A cold, pale lower leg
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? - Answer - Fever of 103 degrees Fahrenheit (39.5 degrees
Celsius)
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? - Answer - Until the health care provider has determined that your
ejaculate doesn't contain
A client who is to have antineoplastic chemotherapy tells the nurses of a
fear of being sick all the time and wishes to try acupuncture. Which of these
beliefs stated by the client would be incorrect about acupuncture? - Answer
- The flow of life is believed to flow through major pathways or nerve
clusters in your body.
The nurse is discussing with a group of students the disease Kawasaki. What
statement made by a student about Kawasaki disease is incorrect? - Answer
- Kawasaki disease occurs most often in boys, children younger than age 5
and children of Hispanic descent
,A client has viral pneumonia affecting 2/3 of the right lung. What would be
the best position to teach the client to lie in every other hour during first 12
hours after admission? - Answer - Side-lying on the left with the head
elevated 10 degrees
A client has an indwelling catheter with continuous bladder irrigation after
undergoing a transurethral resection of the prostate (TURP) 12 hours ago.
Which finding at this time should be reported to the health care provider? -
Answer - minimal drainage into the urinary collection bag
A nurse is performing CPR on an adult who went into cardiopulmonary
arrest. Another nurse enters the room in response to the call. After checking
the client's pulse and respirations, what should be the function of the
second nurse? - Answer - Participate with the compressions or breathing
. The nurse assesses a 72 year-old client who was admitted for right sided
congestive heart failure. Which of the following would the nurse anticipate
finding? - Answer - Jugular vein distention
A client with heart failure has a prescription for digoxin. The nurse is aware
that sufficient potassium should be included in the diet because
hypokalemia in combination with this medication? - Answer - Can
predispose to dysrhythmias
A nurse assesses a young adult in the emergency room following a
motor vehicle accident. Which of the following neurological signs is of
most concern? - Answer - Pupils fixed and dilated
A 14 year-old with a history of sickle cell disease is admitted to the hospital
with a diagnosis of vaso-occlusive crisis. Which statements by the client
would be most indicative of the etiology of this crisis - Answer - "I went to
the health care provider last week for a cold and I have gotten worse."
Which these findings would the nurse more closely associate with
anemia in a 10 month-old infant? - Answer - Pale mucosa of the eyelids
and lips
The nurse is caring for a client in hypertensive crisis in an intensive care
unit. The priority assessment in the first hour of care is - Answer - Pupil
responses
Which of these clients who are all in the terminal stage of cancer is least
appropriate to suggest the use of patient controlled analgesia (PCA) with a
pump? - Answer - A preschooler with intermittent episodes of alertness
The nurse is about to assess a 6 month-old child with nonorganic failure-to
thrive (NOFTT). Upon entering the room, the nurse would expect the baby
to be - Answer - Pale, thin arms and legs, uninterested in surroundings
, As the nurse is speaking with a group of teens which of these side effects of
chemotherapy for cancer would the nurse expect this group to be more
interested in during the discussion? - Answer - Hair loss
While caring for a client who was admitted with myocardial infarction (MI) 2
days ago, the nurse notes today's temperature is 101.1 degrees Fahrenheit
(38.5 degrees Celsius). The appropriate nursing intervention is to - Answer -
Administer acetaminophen as ordered as this is normal at this time
. A client is admitted for first and second degree burns on the face, neck,
anterior chest and hands. The nurse's priority should be - Answer - Assess
for dyspnea or stridor
Which of these clients who call the community health clinic would the nurse
ask to come in that day to be seen by the health care provider? - Answer - I
went to the bathroom and my urine looked very red and it didn't hurt when I
went.
A middle aged woman talks to the nurse in the health care provider's office
about uterine fibroids also called leiomyomas or myomas. What statement
by the woman indicates more education is needed? - Answer - Fibroids that
cause no problems still need to be taken out.
An elderly client admitted after a fall begins to seize and loses
consciousness. What action by the nurse is appropriate to do next? - Answer
- Stay with client and observe for airway obstruction
A nurse is providing care to a primigravida whose membranes
spontaneously ruptured (ROM) 4 hours ago. Labor is to be induced. At the
time of the ROM the vital signs were T-99.8 degrees F, P-84, R-20, BP-
130/78, and fetal heart tones (FHT) 148 beats/min. Which assessment
findings taken now may be an early indication that the client is developing
a complication of labor? - Answer - FHT 168 beats/min
A client with pneumococcal pneumonia had been started on antibiotics 16
hours ago. During the nurse's initial evening rounds the nurse notices a foul
smell in the room. The client makes all of these statements during their
conversation. Which statement would alert the nurse to a complication? -
Answer - "I have been coughing up foul-tasting, brown, thick sputum."
The nurse is performing an assessment on a client in congestive heart
failure. Auscultation of the heart is most likely to reveal - Answer - S3
ventricular gallop
Which of these observations made by the nurse during an excretory
urogram indicate a complicaton? - Answer - The client's entire body turns a
bright red color
A client is diagnosed with a spontaneous pneumothorax necessitating the
insertion of a chest tube. What is the best explanation for the nurse to
ANSWERS
Which information is a priority for the RN to reinforce to an older client after
intravenous pylegraphy? - Answer - Measure the urine output for the next
day and immediately notify the health care provider if it should decrease.
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 - Answer - weekly weight
A client has been diagnosed with Zollinger-Ellison syndrome.Which
information is most important for the nurse to reinforce with the client? -
Answer - It is critical to report promptly to your health care provider any
findings of peptic ulcers
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? - Answer - Have the client turn to the left
side
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? - Answer - A cold, pale lower leg
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? - Answer - Fever of 103 degrees Fahrenheit (39.5 degrees
Celsius)
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? - Answer - Until the health care provider has determined that your
ejaculate doesn't contain
A client who is to have antineoplastic chemotherapy tells the nurses of a
fear of being sick all the time and wishes to try acupuncture. Which of these
beliefs stated by the client would be incorrect about acupuncture? - Answer
- The flow of life is believed to flow through major pathways or nerve
clusters in your body.
The nurse is discussing with a group of students the disease Kawasaki. What
statement made by a student about Kawasaki disease is incorrect? - Answer
- Kawasaki disease occurs most often in boys, children younger than age 5
and children of Hispanic descent
,A client has viral pneumonia affecting 2/3 of the right lung. What would be
the best position to teach the client to lie in every other hour during first 12
hours after admission? - Answer - Side-lying on the left with the head
elevated 10 degrees
A client has an indwelling catheter with continuous bladder irrigation after
undergoing a transurethral resection of the prostate (TURP) 12 hours ago.
Which finding at this time should be reported to the health care provider? -
Answer - minimal drainage into the urinary collection bag
A nurse is performing CPR on an adult who went into cardiopulmonary
arrest. Another nurse enters the room in response to the call. After checking
the client's pulse and respirations, what should be the function of the
second nurse? - Answer - Participate with the compressions or breathing
. The nurse assesses a 72 year-old client who was admitted for right sided
congestive heart failure. Which of the following would the nurse anticipate
finding? - Answer - Jugular vein distention
A client with heart failure has a prescription for digoxin. The nurse is aware
that sufficient potassium should be included in the diet because
hypokalemia in combination with this medication? - Answer - Can
predispose to dysrhythmias
A nurse assesses a young adult in the emergency room following a
motor vehicle accident. Which of the following neurological signs is of
most concern? - Answer - Pupils fixed and dilated
A 14 year-old with a history of sickle cell disease is admitted to the hospital
with a diagnosis of vaso-occlusive crisis. Which statements by the client
would be most indicative of the etiology of this crisis - Answer - "I went to
the health care provider last week for a cold and I have gotten worse."
Which these findings would the nurse more closely associate with
anemia in a 10 month-old infant? - Answer - Pale mucosa of the eyelids
and lips
The nurse is caring for a client in hypertensive crisis in an intensive care
unit. The priority assessment in the first hour of care is - Answer - Pupil
responses
Which of these clients who are all in the terminal stage of cancer is least
appropriate to suggest the use of patient controlled analgesia (PCA) with a
pump? - Answer - A preschooler with intermittent episodes of alertness
The nurse is about to assess a 6 month-old child with nonorganic failure-to
thrive (NOFTT). Upon entering the room, the nurse would expect the baby
to be - Answer - Pale, thin arms and legs, uninterested in surroundings
, As the nurse is speaking with a group of teens which of these side effects of
chemotherapy for cancer would the nurse expect this group to be more
interested in during the discussion? - Answer - Hair loss
While caring for a client who was admitted with myocardial infarction (MI) 2
days ago, the nurse notes today's temperature is 101.1 degrees Fahrenheit
(38.5 degrees Celsius). The appropriate nursing intervention is to - Answer -
Administer acetaminophen as ordered as this is normal at this time
. A client is admitted for first and second degree burns on the face, neck,
anterior chest and hands. The nurse's priority should be - Answer - Assess
for dyspnea or stridor
Which of these clients who call the community health clinic would the nurse
ask to come in that day to be seen by the health care provider? - Answer - I
went to the bathroom and my urine looked very red and it didn't hurt when I
went.
A middle aged woman talks to the nurse in the health care provider's office
about uterine fibroids also called leiomyomas or myomas. What statement
by the woman indicates more education is needed? - Answer - Fibroids that
cause no problems still need to be taken out.
An elderly client admitted after a fall begins to seize and loses
consciousness. What action by the nurse is appropriate to do next? - Answer
- Stay with client and observe for airway obstruction
A nurse is providing care to a primigravida whose membranes
spontaneously ruptured (ROM) 4 hours ago. Labor is to be induced. At the
time of the ROM the vital signs were T-99.8 degrees F, P-84, R-20, BP-
130/78, and fetal heart tones (FHT) 148 beats/min. Which assessment
findings taken now may be an early indication that the client is developing
a complication of labor? - Answer - FHT 168 beats/min
A client with pneumococcal pneumonia had been started on antibiotics 16
hours ago. During the nurse's initial evening rounds the nurse notices a foul
smell in the room. The client makes all of these statements during their
conversation. Which statement would alert the nurse to a complication? -
Answer - "I have been coughing up foul-tasting, brown, thick sputum."
The nurse is performing an assessment on a client in congestive heart
failure. Auscultation of the heart is most likely to reveal - Answer - S3
ventricular gallop
Which of these observations made by the nurse during an excretory
urogram indicate a complicaton? - Answer - The client's entire body turns a
bright red color
A client is diagnosed with a spontaneous pneumothorax necessitating the
insertion of a chest tube. What is the best explanation for the nurse to
