Hesi Rn Exit - Version Pn Hesi-Exit exam

• Which information is a priority for the RN to reinforce to an older client after intravenouspylegraphy? • Eat a light diet for the rest of the day • Rest for the next 24 hours since the preparation and the test is tiring. • During waking hours drink at least 1 8-ounce glass of fluid every hour for the next 2days • Measure the urine output for the next day and immediately notify the health care provider if it shoulddecrease. The correct answer is D: 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 • difference in the intake and output • changes in the mucous membranes • skin turgor • weekly weight The correct answer is D: weekly weight • A client has been diagnosed with Zollinger-Ellison syndrome.Which information is most important forthe nurse to reinforce with the client? • It is a condition in which one or more tumors called gastrinomas form in the pancreasor in the upper part ofthe small intestine (duodenum) • It is critical to report promptly to your health care provider any findings of pepticulcers c)Treatment consists of medications to reduce acid and heal any peptic ulcers and, if possible, surgery to removeany tumors D)With the average age at diagnosis at 50 yearsthe peptic ulcers may occur at unusual areas of the stomach orintestine The correct answer is B: It is critical to report promptly to your health care provider anyfindings 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? • Check the protein level in urine • Have the client turn to the left side • Take the temperature • Monitor the urine output The correct answer is B: Have the client turn to the left side • The nurse is caring for a client in atrial fibrillation. The a trial heart rate is 250 and the ventricular rate is controlledat 75. Which of the following findings is cause for the most concern? • Diminished bowelsounds • Loss of appetite • A cold, pale lower leg • Tachypnea The correct answer is C: A cold, pale lower leg • The client with infective endocarditis must be assessed frequently by the home healthnurse. Which finding suggests that antibiotic therapy is not effective, and must be reported by the nurse immediately to the healthcareprovider? • Nausea and vomiting • Fever of 103 degrees Fahrenheit (39.5 degrees Celsius) • Diffuse macular rash • Muscle tenderness The correct answer is B: Fever of 103 degrees F (39.5 degrees C) • 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? • Until the health care provider has determined that your ejaculate doesn't containsperm, continue to useanother form of contraception. • This procedure doesn't impede the production of male hormones or the production of sperm in the testicles.The sperm can no longer enter your semen and no sperm are in your ejaculate. • After your vasectomy, strenuous activity needs to be avoided for at least 48 hours. If your work doesn't involve hard physical labor, you can return to your job assoon as you feel up to it. The stitches generally dissolve in seven to ten days. • The health care provider at this clinic recommends rest, ice, an athletic supporter orover-the-counter painmedication to relieve any discomfort. The correct answer is A: Until the health care provider has determined that your ejaculate doesn't contain sperm,continue to use another form of contraception. • A client who is to have antineoplastic chemotherapy tells the nurses of a fear of being sick all the time andwishes to try acupuncture. Which of these beliefs stated by the clientwould be incorrect about acupuncture? • Some needles go as deep as 3 inches, depending on where they're placed in the bodyand what the treatment isfor. The needles usually are left in for 15 to 30 minutes. • In traditional Chinese medicine, imbalances in the basic energetic flow of life —known as qi or chi — are thought to cause illness. • C) The flow of life is believed to flow through major pathways or nerve clusters in yourbody. D) By inserting extremely fine needles into some of the over 400 acupuncture points invarious combinations itis believed that energy flow will rebalance to allow the body's natural healing mechanismsto take over. The correct answer is C: The flow of life is believed to flow through major pathways ornerve clusters in yourbody. • The nurse is discussing with a group of students the disease Kawasaki. What statementmade by a student aboutKawasaki disease is incorrect? • It also called mucocutaneous lymph node syndrome because it affects the mucousmembranes (inside themouth, throat and nose), skin and lymph nodes. • In the second phase of the disease, findings include peeling of the skin on the handsand feet with joint andabdominal pain • Kawasaki disease occurs most often in boys, children younger than age 5 and childrenof Hispanic descent • Initially findings are a sudden high fever, usually above 104 degrees Fahrenheit, which lasts 1 to2 weeksThe correct answer is C: Kawasaki disease occurs most often in boys, children younger than age 5 and children of Hispanic descent