EXIT HESI 700 + BANK 401 – 500 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

EXIT HESI 700 + BANK 401 – 500
QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
401.KTheKnurseKisKassessingKaKpostpartumKclientKwhoKisK36KhoursKpost-
delivery.KWhichKfindingKshouldKtheKnurseKreportKtoKtheKhealthcareKprovider?



a-KWhiteKbloodKcountKofK19,000Kmm3K



b-KOralKtemperatureKofK100.6KF



c-KFundusKdeviatedKtoKtheKrightKsideK



d-KBreastsKareKfirmKwhenKpalpatedK-KANSWERKb-KOralKtemperatureKofK100.6KF



Rationale:KAKtemperatureKgreaterKthanK100.4KFK(38KC)K(B),KwhichKisKindicativeKofKendometriosisK(infectionK
ofKtheKliningKofKtheKuterus),KshouldKbeKreportedKtoKtheKhealthKcareKprovider.K(AKandKD)KareKfindingsKthatKar
eKwithinKnormalKlimitsKinKtheKpostpartumKperiod.KFundalKdeviationKtoKoneKsideK(C)KisKanKexpectedKfindingKr
elatedKtoKaKfullKbladder,KsoKtheKnurseKshouldKencourageKtheKclientKtoKvoid.



402.KAKnurseKwhoKisKworkingKinKtheKemergencyKdepartmentKtriageKareaKisKpresentedKwithKfourKclientsKatKt
heKsameKtime.KTheKclientKpresentedKwithKwhichKsymptomsKrequiresKtheKmostKimmediateKinterventionKbyKt
heKnurse?



a-KLow-gradeKfever,Kheadache,KandKmalaiseKforKtheKpastK72Khours



b-KUnableKtoKbearKweightKonKtheKleftKfoot,KwithKtheKswellingKandKbruising



c-KChestKdiscomfortKoneKhourKafterKconsumingKaKlarge,KspicyKmeal



d-KOne-inchKbleedingKlacerationKonKtheKchainKofKtheKcryingKfive-Kyear-oldK-KANSWERKc-
KChestKdiscomfortKoneKhourKafterKconsumingKaKlarge,KspicyKmeal

,Rationale:KEmergencyKtriageKinvolvesKquickKassessmentKtoKprioritizeKtheKneedKforKfurtherKevaluationKandKc
are.KThoseKwithKtrauma,KchestKpain,KrespiratoryKdistress,KorKacuteKneurologicalKchangesKareKpriority.KInKthi
sKexample,KwhileKclientsKwithKotherKconditionsKrequireKattention,KtheKclientKwithKchestKdiscomfortKisKatKgre
atestKriskKandKisKaKpriority.



403.KTheKnurseKisKplanningKtoKassessKaKclient'sKoxygenKsaturationKtoKdetermineKifKadditionalKoxygenKisKnee
dedKviaKnasalKcannula.KTheKclientKhasKaKbilateralKbelow-the-
kneeKamputationKandKpedalKpulsesKthatKareKweakKandKthreaty.KWhatKactionKshouldKtheKnurseKtake?



a-KDocumentKthatKanKaccurateKoxygenKsaturationKreadingKcannotKbeKobtained



b-KElevateKtoKclient'sKhandsKforKfiveKminutesKpriorKtoKobtainingKaKreadingKfromKtheKfinger



c-KIncreaseKtheKoxygenKbasedKonKtheKclientsKbreathingKpatternsKandKlungKsounds



d-KPlaceKtheKoximeterKclipKonKtheKearKlobeKtoKobtainKtheKoxygenKsaturationKreadingK-KANSWERKd-
KPlaceKtheKoximeterKclipKonKtheKearKlobeKtoKobtainKtheKoxygenKsaturationKreading




Rationale:KPulseKoximeterKclipsKcanKbeKattachedKtoKtheKearlobeKtoKobtainKanKaccurateKmeasurementKofKox
ygenKsaturation.KOtherKoptionsKwillKnotKprovideKtheKneededKassessment.



404.K345-
KAKyoungKadultKmaleKwhoKisKbeingKseenKatKtheKemployeeKhealthKcareKclinicKforKanKannualKassessmentKtellKt

heKnurseKthatKhisKmotherKwasKdiagnosedKwithKschizophreniaKwhenKsheKwasKhisKageKandKthatKlifeKwithKaKsc
hizophrenicKmotherKwasKdifficultyKindeed.KWhichKresponseKisKbestKforKtheKnurseKtoKprovide?



a-KAskKtheKclientKifKheKisKworriedKaboutKbecomingKschizophrenicKatKtheKageKhisKmotherKwasKdiagnosed.



b-KEncourageKtheKclientKtoKseekKgeneticKcounselingKtoKdetermineKhisKriskKforKmentalKillness.



c-KInformedKtheKclientKthatKhisKmotherKschizophrenicKhasKaffectedKhisKpsychologicalKdevelopment.

,d-KTellKtheKclientKthatKmentalKillnessKhasKaKfamilialKpredisposition,KsoKheKshouldKseeKaKpsychiatrist.K-
KANSWERKa-

KAskKtheKclientKifKheKisKworriedKaboutKbecomingKschizophrenicKatKtheKageKhisKmotherKwasKdiagnosed.




405.KAKclientKonKaKlong-
termKmentalKhealthKunitKrepeatedlyKtakesKownKpulseKregardlessKofKtheKcircumstance.KWhatKactionKshouldK
theKnurseKimplement?



a-KOverlookKtheKclient‟sKbehavior.



b-KDistractKclientKtoKinterfereKwithKtheKritual.K



c-KAskKwhyKtheKclientKchecksKtheKpulse.



d-KHoldKclient‟sKhandKtoKstopKtheKbehavior.K-KANSWERKa-KOverlookKtheKclient‟sKbehavior.



406.KAKclientKisKdischargedKwithKautomatedKperitonealKdialysisK(PD)KtoKbeKusedKnightly...whichKinstructions
KshouldKtheKnurseKinclude?




a-KWashKhandsKbeforeKcleaningKexitKsiteK



b-KKeepKtheKheadKofKtheKbedKflatKatKnight



c-KFeelKforKaKthrillKandKaKdistalKpulseKnightly



d-KDoKnotKgetKupKifKfluidKisKleftKinKtheKabdomenK-KANSWERKa-KWashKhandsKbeforeKcleaningKexitKsiteK



Rationale:KmeticulousKhandKhygieneKisKessentialKwhenKperformingKcareKforKaKperitonealKdialysis,Kinfections
KisKaKcommonKcomplicationKofKperitonealKdialysis.

, 407.KTheKchargeKnurseKobservesKtheKpracticalKnurseK(PN)KapplyKsterileKglovesKinKpreparationKforKperformin
gKaKsterileKdressingKchange.KWhichKactionKbyKtheKPNKrequiresKcorrectionKbyKtheKchargeKnurse?



a-KOpeningKtheKpackage



b-KPickingKupKtheKsecondKglove



c-KPickingKupKtheKfirstKglove



d-KPositioningKofKtheKtableK-KANSWERKb-KPickingKupKtheKsecondKglove



408.KAKmaleKclientKreportsKtoKtheKclinicKnurseKthatKheKhasKbeenKfeelingKwellKandKisKoftenK"dizzy"KhisKbloodK
pressureKisKelevated.KBasedKonKthisKfinding,KthisKclientKisKatKaKgreatestKriskKforKwhichKpathophysiologicalKco
ndition?



a-KPulmonaryKhypertension



b-KLeftKventricularKhypertrophyK



c-KRenalKfailure



d-KStrokeK-KANSWERKd-KStroke



Rationale:KTheKclientKisKsignificantlyKelevated,KandKcombinedKwithKhisKsymptoms,KplacesKtheKclientKatKriskK
ofKstroke...KBKisKaKcompensatoryKchangeKthatKisKcausedKbyKhypertensionKandKisKnotKrelatedKtoKanKacuteKBPK
elevation.KAKisKaKseparateKdiseaseKprocess,KnotKdirectlyKlinkedKtoKarterialKhypertension.KC...KchronicKconditi
onKthatKisKnotKrelatedKtoKanKacuteKBPKelevation.



409.KTheKnurseKasksKtheKparentKtoKstayKduringKtheKexaminationKofKaKmaleKtoddler‟sKgenitalKarea.KWhichKin
terventionKshouldKtheKnurseKimplement?