HESI EXIT EXAM VOLUME 5 TEST QUESTIONS AND CORRECT SOLVED ANSWERS LATEST UPDATE FINAL EDITED EXAM SCORE GRADE A+ !!

HESI EXIT EXAM VOLUME 5 TEST QUESTIONS AND CORRECT SOLVED ANSWERS LATEST UPDATE FINAL EDITED EXAM SCORE GRADE A+ !! 1. A client comes into the community health center upset and crying stating “I will die of cancer now that I have this disease.” And then the client hands the nurse a paper with one word written on it: "Pheochromocytoma." Which response should the nurse state initially? A) Pheochromocytomas usually aren't cancerous (malignant). But they may be associated with cancerous tumors in other endocrine glands such as the thyroid (medullary carcinoma of the thyroid). B) This problem is diagnosed by blood and urine tests that reveal elevated levels of adrenaline and noradrenaline. C) Computerized tomography (CT) or magnetic resonance imaging (MRI) are used to detect an adrenal tumor. D) You probably have had episodes of sweating, heart pounding and headaches. The correct answer is A: Pheochromocytomas usually aren''t cancerous (malignant). But they may be associated with cancerous tumors in other endocrine glands such as the thyroid (medullary carcinoma of the thyroid). 2. A client with chronic congestive heart failure should be instructed to contact the home health nurse if which finding occurs? A) Weight gain of 2 pounds or more in a 48 hour period B) Urinating 4 to 5 times each day C) A significant decrease in appetite D) Appearance of non-pitting ankle edema The correct answer is A: Weight gain of 2 pounds or more in a 48 hour period 3. The nurse is caring for a client on mechanical ventilation. When performing endotracheal suctioning, the nurse will avoid hypoxia by A) Inserting a fenestrated catheter with a whistle tip without suction B) Completing suction pass in 30 seconds with pressure of 150 mm Hg C) Hyper oxygenating with 100% O2 for 1 to 2 minutes before and after each suction pass D) Minimizing suction pass to 60 seconds while slowly rotating the lubricated catheter The correct answer is C: Hyper oxygenating with 100% O2 for 1-2 minutes before and after each suction pass 4. A female client diagnosed with genital herpes simplex virus 2 (HSV 2) complains of dysuria, dyspareunia, leukorrhea and lesions on the labia and perianal skin. A primary nursing action with the focus of comfort should be to A) Suggest 3 to 4 warm sitz baths per day B) Cleanse the genitalia twice a day with soap and water C) Spray warm water over genitalia after urination D) Apply heat or cold to lesions as desired The correct answer is A: Encourage 3 to 4 warm sitz baths per day 5. Which finding would be the most characteristic of an acute episode of reactive airway disease? A) Auditory gurgling B) Inspiratory laryngeal stridor C) Auditory expiratory wheezing D) Frequent dry coughing The correct answer is C: Wheezing on expiration 6. Which tasks, if delegated by the new charge nurse to a unlicensed assistive personnel (UAP), would require intervention by the nurse manager? A) To help an elderly client to the bathroom. B) To empty a foley catheter bag. C) To bathe a woman with internal radon seeds. D) To feed a 2 year-old with a broken arm. The correct answer is C: To bathe a woman with internal radon seeds. 7. An 82 year-old client is prescribed eye drops for treatment of glaucoma. What assessment is needed before the nurse begins teaching proper administration of themedication? A) Determine third party payment plan for this treatment B) The client‟s manual dexterity C) Proximity to health care services D) Ability to use visual assistive devices The correct answer is B: The client‟s manual dexterity 8. The nurse uses the DRG (Diagnosis Related Group) manual to A) Classify nursing diagnoses from the client's health history B) Identify findings related to a medical diagnosis C) Determine reimbursement for a medical diagnosis D) Implement nursing care based on case management protocol The correct answer is C: Determine reimbursement for a medical diagnosis 9. The community health nurse has been following the care for an adolescent with a history of morbid obesity, asthma, hypertension and is 22 weeks in to a pregnancy. Whichof these lab reports sent to the clinic need to be called to the teens health care provider within the next hour? A) Hemoblobin 11 g/L and calcium 6 mg/dl B) Magnesium 0.8 mEq/L and creatinine 3 mg/dl C) Blood urea nitrogen 28 and glucose 225 mg/dl D) Hematocrit 33% and platelets 200,000 The correct answer is B: Magnesium 0.8 mEq/L and creatinine 3 mg/dl 10. The nurse has identified what appears to be ventricular tachycardia on the cardiac monitor of a client being evaluated for possible myocardial infarction. The first action thenurse would perform is to A) Begin cardiopulmonary resuscitation B) Prepare for immediate defibrillation C) Notify the "Code" team and health care provider D) Assess airway breathing and circulation The correct answer is D: Assess airway breathing and circulation 11. To prevent keratitis in an unconscious client, the nurse should apply moisturizingointment to the A) Finger and toenail quicks B) Eyes C) Perianal area D) External ear canals The correct answer is B: Eyes 12. The nurse is caring for a child with cystic fibrosis. The nurse would anticipate thatthe child would be deficient in which vitamins? A) B, D, and K B) A, D, and K C) A, C, and D D) A, B, and C The correct answer is B: A, D, and K 13. The nurse is teaching a 27 year-old client with asthma about management of their therapeutic regime. Which statement would indicate the need for additional instruction? A) "I should monitor my peak flow every day." B) "I should contact the clinic if I am using my medication more often." C) "I need to limit my exercise, especially activities such as walking and running." D) "I should learn stress reduction and relaxation techniques." The correct answer is C: "I need to limit my exercise, especially activities such as walking and running." 14. While caring for a child with Reye's Syndrome, the nurse should give which actionthe highest priority? A) Monitor intake and output B) Provide good skin care C) Assess level of consciousness D) Assist with range of motion The correct answer is C: Assess level of consciousness 15.A newborn presents with a pronounced cephalic hematoma following a birth in theposterior position. Which nursing diagnosis should guide the plan of care? A) Pain related to periosteal injury B) Impaired mobility related to bleeding C) Parental anxiety related to knowledge deficit D) Injury related to inter cranial hemorrhage The correct answer is C: Parental anxiety related to knowledge deficit 16.A confused client has been placed in physical restraints by order of the health careprovider. Which task could be assigned to an unlicensed assistive personnel (UAP)? A) Assist the client with activities of daily living B) Monitor the clients physical safety C) Evaluate for basic comfort needs D) Document mental status and muscle strength The correct answer is A: Assist with activities of daily living 17.A client is scheduled to have a blood test for cholesterol and triglycerides the nextday. The nurse would tell the client A) "Be sure and eat a fat-free diet until the test." B) "Do not eat or drink anything but water for 12 hours before the blood test." C) "Have the blood drawn within 2 hours of eating breakfast." D) "Stay at the laboratory so 2 blood samples can be drawn an hour apart." The correct answer is B: "Do not eat or drink anything but water for 12 hours before the blood test." 18.A client who is terminally ill has been receiving high doses of an opiod analgesic forthe past month. As death approaches and the client becomes unresponsive to verbal stimuli,what orders would the nurse expect from the health care provider? A) Decrease the analgesic dosage by half B) Discontinue the analgesic C) Continue the same analgesic dosage D) Prescribe a less potent drug The correct answer is C: Continue the same analgesic dosage 19. Which of these clients would the triage nurse request for the health care provider toexamine immediately? A) A 5 month-old infant who has audible wheezing and grunting B) An adolescent who has soot over the face and shirt C) A middle-aged man with second degree burns over the right hand D) A toddler with singed ends of long hair that extends to the waist The correct answer is A: A 5 month-old infant who has audible wheezing and grunting