CreatedmBymTestBankStuvia
HESI RN EXIT EXAM|| HESI RN VERION 1, 2 & 3 EXAM
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LL QUSTIONS AND 100% CORRECT ANSWERS WITH R
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ATIONALES|| LATEST UPDATE 2024- m m m
2025 ALREADY GRADED A+|| ASSURED PASS!!
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After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S
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2 heart sounds. To determine if an S3 heart sound is present, what action should t
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he nurse take first
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a. Side the stethoscope across the sternum.
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b. Move the stethoscope to the mitral site
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c. Listen with the bell at the same location
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d. Observe the cardiac telemetry monito m m m m
r Listen with the bell at the same locatio
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n
Rationale: The nurse uses the bell of the stethoscope to hear low-
m m m m m m m m m m m
pitched sounds such as S3 and S4. The nurse listens at the same site using the d
m m m m m m m m m m m m m m m m
iaphragm the diaphragm and bell before moving systematically to the next sites
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.
A 66-year-
m
old woman is retiring and will no longer have a health insurance through her plac
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e of employment. Which agency should the client be referred to bythe employee h
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ealth nurse for health insurance needs?
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a. Woman, Infant, and Children program m m m m
b. Medicaid
c. Medicare
d. Consolidated Omnibus Budget Reconciliation Act provision. m m m m m
,CreatedmBymTestBankStuvia
Medicare
Rationale: Title XVII of the social security Act of 1965 created Medicare Progra
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mto provide medical insurance for person more than 65 years or older, disable or
m m m m m m m m m m m m m m m
with permeant kidney failure, WIC provides supplemental nutrition to meet the n
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eeds of pregnant of breastfeeding woman, infants and children up to age of 6.
m m m m m m m m m m m m m
Medicaid provides financial assistance to pay for medical services for poor olde
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r adults, blind, disable and families with dependent children. COBRA(D) health
m m m m m m m m m m m
benefit provisions is a limited insurance plan for those who has been laid off or
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become unemployed. m
A client who is taking an oral dose of a tetracycline complains of gastrointestinal u
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pset. What snack should the nurse instruct the client to take with the tetracycline?
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a. Fruit-flavored yogurt. m
b. Cheese and crackers. m m
c. Cold cereal with skim milk.
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d. Toasted wheat bread and jell m m m m
yToasted wheat bread and jelly
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Rationale: Dairy products decrease the effect of tetracycline, so the nurse instructs
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the client to eat a snack such as toast, which contains no dairy products and may
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decrease GI symptoms. m m
Following a lumbar puncture, a client voices several complaints. What complain
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t indicated to the nurse that the client is experiencing a complication?
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,CreatedmBymTestBankStuvia
a. "I am having pain in my lower back when I move my legs"
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b. "My throat hurts when I swallow"
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c. "I feel sick to my stomach and am going to throw up"
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d. I have a headache that gets worse when I sit up
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" "I have a headache that gets worse when I sit up
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"
Rationale: A post- m m
lumbar puncture headache, ranging from mild to severe, may occur as a result of l
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eakage of cerebrospinal fluid at the puncture site. This complication is usually ma
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naged by bedrest, analgesic, and hydration.
m m m m m
An elderly client seems confused and reports the onset of nausea, dysuria, and urgen
m m m m m m m m m m m m m
cy with incontinence. Which action should the nurse implement
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a. Auscultate for renal bruits m m m
b. Obtain a clean catch mid-stream specimen
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c. Use a dipstick to measure for urinary ketone
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d. Begin to strain the client's urine.
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Obtain a clean catch mid-stream specimen
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Rationale: This elderly is experiencing symptoms of urinary tract infection. The
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nurse should obtain a clean catch mid-
m m m m m m
stream specimen to determine the causative agent so an anti-
m m m m m m m m m
infective agent can be prescribed. m m m m
The nurse is assisting the mother of a child with phenylketonuria (PKU) to select fo
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ods that are in keeping with the child's dietary restrictions. Which foods are contrai
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ndicated for this child? m m m
, CreatedmBymTestBankStuvia
a. Wheat products m
b. Foods sweetened with aspartame.
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c. High fat foods m m
d. High calories foods.
m m
Foods sweetened with aspartame
m m m
Rationale: Aspartame should not be consumed by a child with PKU because ut i
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s converted to phenylalanine in the body. Additionally, milk and milk products a
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re contraindicated for children with PKU.
m m m m m
Before preparing a client for the first surgical case of the day, a part-
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time scrub nurse asks the circulating nurse if a 3 minute surgical hand scrub is
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adequate preparation for this client. Which response should the circulating nurs
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e provide?
m
a. Ask a more experience nurse to perform that scrub since it is the first time of th
m m m m m m m m m m m m m m m m
e day
m
b. Validate the nurse is implementing the OR policy for surgical hand scrub
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c. Inform the nurse that hand scrubs should be 3 minutes between cases.
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d. Direct the nurse to continue the surgical hand scrub for a 5-
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minute duration. Direct the nurse to continue the surgical hand scrub for a 5 m
m m m m m m m m m m m m m m
inute duration
m
Rationale: The surgical hand scrub should last for 5 to 10 mints, so the nurse shou
m m m m m m m m m m m m m m m
ld be directed to continue the vigorous scrub using a reliable agent for the total dur
m m m m m m m m m m m m m m m
ation of 5 mints. It is not necessary to reassign staff (A). The length of the hand sc
m m m m m m m m m m m m m m m m m
rub and subsequent scrubs during the day require the same process for the same a
m m m m m m m m m m m m m m
mount of time, (B and C)
m m m m m
HESI RN EXIT EXAM|| HESI RN VERION 1, 2 & 3 EXAM
m m m m m m m m m m m m
LL QUSTIONS AND 100% CORRECT ANSWERS WITH R
m m m m m m m
ATIONALES|| LATEST UPDATE 2024- m m m
2025 ALREADY GRADED A+|| ASSURED PASS!!
m m m m m
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S
m m m m m m m m m m m m m m
2 heart sounds. To determine if an S3 heart sound is present, what action should t
m m m m m m m m m m m m m m m
he nurse take first
m m m
a. Side the stethoscope across the sternum.
m m m m m
b. Move the stethoscope to the mitral site
m m m m m m
c. Listen with the bell at the same location
m m m m m m m
d. Observe the cardiac telemetry monito m m m m
r Listen with the bell at the same locatio
m m m m m m m m
n
Rationale: The nurse uses the bell of the stethoscope to hear low-
m m m m m m m m m m m
pitched sounds such as S3 and S4. The nurse listens at the same site using the d
m m m m m m m m m m m m m m m m
iaphragm the diaphragm and bell before moving systematically to the next sites
m m m m m m m m m m m
.
A 66-year-
m
old woman is retiring and will no longer have a health insurance through her plac
m m m m m m m m m m m m m m
e of employment. Which agency should the client be referred to bythe employee h
m m m m m m m m m m m m m m
ealth nurse for health insurance needs?
m m m m m
a. Woman, Infant, and Children program m m m m
b. Medicaid
c. Medicare
d. Consolidated Omnibus Budget Reconciliation Act provision. m m m m m
,CreatedmBymTestBankStuvia
Medicare
Rationale: Title XVII of the social security Act of 1965 created Medicare Progra
m m m m m m m m m m m m
mto provide medical insurance for person more than 65 years or older, disable or
m m m m m m m m m m m m m m m
with permeant kidney failure, WIC provides supplemental nutrition to meet the n
m m m m m m m m m m m
eeds of pregnant of breastfeeding woman, infants and children up to age of 6.
m m m m m m m m m m m m m
Medicaid provides financial assistance to pay for medical services for poor olde
m m m m m m m m m m m
r adults, blind, disable and families with dependent children. COBRA(D) health
m m m m m m m m m m m
benefit provisions is a limited insurance plan for those who has been laid off or
m m m m m m m m m m m m m m m
become unemployed. m
A client who is taking an oral dose of a tetracycline complains of gastrointestinal u
m m m m m m m m m m m m m m
pset. What snack should the nurse instruct the client to take with the tetracycline?
m m m m m m m m m m m m m
a. Fruit-flavored yogurt. m
b. Cheese and crackers. m m
c. Cold cereal with skim milk.
m m m m
d. Toasted wheat bread and jell m m m m
yToasted wheat bread and jelly
m m m m m
Rationale: Dairy products decrease the effect of tetracycline, so the nurse instructs
m m m m m m m m m m m
the client to eat a snack such as toast, which contains no dairy products and may
m m m m m m m m m m m m m m m m m
decrease GI symptoms. m m
Following a lumbar puncture, a client voices several complaints. What complain
m m m m m m m m m m
t indicated to the nurse that the client is experiencing a complication?
m m m m m m m m m m m
,CreatedmBymTestBankStuvia
a. "I am having pain in my lower back when I move my legs"
m m m m m m m m m m m m
b. "My throat hurts when I swallow"
m m m m m
c. "I feel sick to my stomach and am going to throw up"
m m m m m m m m m m m
d. I have a headache that gets worse when I sit up
m m m m m m m m m m
" "I have a headache that gets worse when I sit up
m m m m m m m m m m m
"
Rationale: A post- m m
lumbar puncture headache, ranging from mild to severe, may occur as a result of l
m m m m m m m m m m m m m m
eakage of cerebrospinal fluid at the puncture site. This complication is usually ma
m m m m m m m m m m m m
naged by bedrest, analgesic, and hydration.
m m m m m
An elderly client seems confused and reports the onset of nausea, dysuria, and urgen
m m m m m m m m m m m m m
cy with incontinence. Which action should the nurse implement
m m m m m m m m
a. Auscultate for renal bruits m m m
b. Obtain a clean catch mid-stream specimen
m m m m m
c. Use a dipstick to measure for urinary ketone
m m m m m m m
d. Begin to strain the client's urine.
m m m m m
Obtain a clean catch mid-stream specimen
m m m m m
Rationale: This elderly is experiencing symptoms of urinary tract infection. The
m m m m m m m m m m m
nurse should obtain a clean catch mid-
m m m m m m
stream specimen to determine the causative agent so an anti-
m m m m m m m m m
infective agent can be prescribed. m m m m
The nurse is assisting the mother of a child with phenylketonuria (PKU) to select fo
m m m m m m m m m m m m m m
ods that are in keeping with the child's dietary restrictions. Which foods are contrai
m m m m m m m m m m m m m
ndicated for this child? m m m
, CreatedmBymTestBankStuvia
a. Wheat products m
b. Foods sweetened with aspartame.
m m m
c. High fat foods m m
d. High calories foods.
m m
Foods sweetened with aspartame
m m m
Rationale: Aspartame should not be consumed by a child with PKU because ut i
m m m m m m m m m m m m m
s converted to phenylalanine in the body. Additionally, milk and milk products a
m m m m m m m m m m m m
re contraindicated for children with PKU.
m m m m m
Before preparing a client for the first surgical case of the day, a part-
m m m m m m m m m m m m m
time scrub nurse asks the circulating nurse if a 3 minute surgical hand scrub is
m m m m m m m m m m m m m m m
adequate preparation for this client. Which response should the circulating nurs
m m m m m m m m m m
e provide?
m
a. Ask a more experience nurse to perform that scrub since it is the first time of th
m m m m m m m m m m m m m m m m
e day
m
b. Validate the nurse is implementing the OR policy for surgical hand scrub
m m m m m m m m m m m
c. Inform the nurse that hand scrubs should be 3 minutes between cases.
m m m m m m m m m m m
d. Direct the nurse to continue the surgical hand scrub for a 5-
m m m m m m m m m m m
minute duration. Direct the nurse to continue the surgical hand scrub for a 5 m
m m m m m m m m m m m m m m
inute duration
m
Rationale: The surgical hand scrub should last for 5 to 10 mints, so the nurse shou
m m m m m m m m m m m m m m m
ld be directed to continue the vigorous scrub using a reliable agent for the total dur
m m m m m m m m m m m m m m m
ation of 5 mints. It is not necessary to reassign staff (A). The length of the hand sc
m m m m m m m m m m m m m m m m m
rub and subsequent scrubs during the day require the same process for the same a
m m m m m m m m m m m m m m
mount of time, (B and C)
m m m m m
