2019 HESI EXIT V1

2019 HESI EXIT V1 1. Which information is a priority for the RN to reinforce to an older clientafter intravenous pylegraphy? 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 hourfor the next 2 days D) Measure the urine output for the next day and immediately notify the health care provider if it should decrease. The correct answer is D: Measure the urine output for the next day and immediately notify the health care provider if it should decrease. 2. A client has altered renal function and is being treated at home. Thenurse 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 The correct answer is D: weekly weight 3. A client has been diagnosed with Zollinger-Ellison syndrome.Which information is most important for the nurse to reinforce with the client? 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 findingsof peptic ulcers c) Treatment consists of medications to reduce acid and heal any pepticulcers and, if possible, surgery to remove any tumors D) With the average age at diagnosis at 50 years the peptic ulcers mayoccur at unusual areas of the stomach or intestine The correct answer is B: It is critical to report promptly to your health care provider any findings of peptic ulcers. 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 The correct answer is B: Have the client turn to the left side 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 iscause for the most concern? A) Diminished bowel sounds B) Loss of appetite C) A cold, pale lower leg D) Tachypnea The correct answer is C: A cold, pale lower leg 6. The client with infective endocarditis must be assessed frequently bythe home health nurse. Which finding suggests that antibiotic therapy is not effective, andmust be reported by the nurse immediately to the healthcare provider? A) Nausea and vomiting B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius) C) Diffuse macular rash D) Muscle tenderness The correct answeris B: Fever of 103 degrees F (39.5 degrees C)