CreatedlBylTestBankStuvia
HESI RN EXIT EXAM|| HESI RN VERION 1, 2 & 3 EXAMLL
l l l l l l l l l l l l l
QUSTIONS AND 100% CORRECT ANSWERS WITH RATI l l l l l l
ONALES|| LATEST UPDATE 2024- l l l
2025 ALREADY GRADED A+|| ASSURED PASS!!
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After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2heart
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sounds. To determine if an S3 heart sound is present, what action should thenurse take
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first
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 monitorL l l l l l
isten with the bell at the same location
l l l l l l l
Rationale: The nurse uses the bell of the stethoscope to hear low-
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pitched soundssuch as S3 and S4. The nurse listens at the same site using the diaphra
l l l l l l l l l l l l l l l l
gm the diaphragm and bell before moving systematically to the next sites.
l l l l l l l l l l l
A 66-year-
l
old woman is retiring and will no longer have a health insurance through her place of em
l l l l l l l l l l l l l l l l
ployment. Which agency should the client be referred to bythe employee health nurse fo
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r health insurance needs?
l l l
a. Woman, Infant, and Children program l l l l
b. Medicaid
c. Medicare
d. Consolidated Omnibus Budget Reconciliation Act provision. l l l l l
,CreatedlBylTestBankStuvia
Medicare
Rationale: Title XVII of the social security Act of 1965 created Medicare Programto pr
l l l l l l l l l l l l l l
ovide medical insurance for person more than 65 years or older, disable or with permea
l l l l l l l l l l l l l l
nt kidney failure, WIC provides supplemental nutrition to meet the needs of pregnant o
l l l l l l l l l l l l l
f breastfeeding woman, infants and children up to age of 6.
l l l l l l l l l l
Medicaid provides financial assistance to pay for medical services for poor olderadul
l l l l l l l l l l l l
ts, blind, disable and families with dependent children. COBRA(D) health benefit pr
l l l l l l l l l l l
ovisions is a limited insurance plan for those who has been laid off or become unempl
l l l l l l l l l l l l l l l
oyed.
A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset.
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What snack should the nurse instruct the client to take with the tetracycline?
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a. Fruit-flavored yogurt. l
b. Cheese and crackers. l l
c. Cold cereal with skim milk. l l l l
d. Toasted wheat bread and jellyT l l l l l
oasted wheat bread and jelly
l l l l
Rationale: Dairy products decrease the effect of tetracycline, so the nurse instructsthe c
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lient to eat a snack such as toast, which contains no dairy products and may decrease GI
l l l l l l l l l l l l l l l l l
symptoms.
Following a lumbar puncture, a client voices several complaints. What complaintindi
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cated to the nurse that the client is experiencing a complication?
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,CreatedlBylTestBankStuvia
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" l l l l l
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""I h
l l l l l l l l l l l l
ave a headache that gets worse when I sit up"
l l l l l l l l l
Rationale: A post- l l
lumbar puncture headache, ranging from mild to severe, mayoccur as a result of leakag
l l l l l l l l l l l l l l
e of cerebrospinal fluid at the puncture site. This complication is usually managed by be
l l l l l l l l l l l l l l
drest, analgesic, and hydration.
l l l
An elderly client seems confused and reports the onset of nausea, dysuria, andurgency wit
l l l l l l l l l l l l l l
h incontinence. Which action should the nurse implement
l l l l l l l
a. Auscultate for renal bruits l l l
b. Obtain a clean catch mid-stream specimen l l l l l
c. Use a dipstick to measure for urinary ketone
l l l l l l l
d. Begin to strain the client's urine. l l l l l
Obtain a clean catch mid-stream specimen
l l l l l
Rationale: This elderly is experiencing symptoms of urinary tract infection. The nurse
l l l l l l l l l l l l
should obtain a clean catch mid- l l l l l
stream specimen to determine the causativeagent so an anti-
l l l l l l l l l
infective agent can be prescribed. l l l l
The nurse is assisting the mother of a child with phenylketonuria (PKU) to selectfoods tha
l l l l l l l l l l l l l l l
t are in keeping with the child's dietary restrictions. Which foods are contraindicated for t
l l l l l l l l l l l l l l
his child?
l
, CreatedlBylTestBankStuvia
a. Wheat products l
b. Foods sweetened with aspartame. l l l
c. High fat foods l l
d. High calories foods. l l
Foods sweetened with aspartame
l l l
Rationale: Aspartame should not be consumed by a child with PKU because ut isconv
l l l l l l l l l l l l l l
erted to phenylalanine in the body. Additionally, milk and milk products arecontrain
l l l l l l l l l l l l
dicated for children with PKU. l l l l
Before preparing a client for the first surgical case of the day, a part-
l l l l l l l l l l l l l
time scrub nurse asks the circulating nurse if a 3 minute surgical hand scrub is adequa
l l l l l l l l l l l l l l l
te preparation for this client. Which response should the circulating nurse provide?
l l l l l l l l l l l
a. Ask a more experience nurse to perform that scrub since it is the first time of theday
l l l l l l l l l l l l l l l l l
b. Validate the nurse is implementing the OR policy for surgical hand scrub
l l l l l l l l l l l
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 minute
l l l l l l l l l l l l l l l
duration
Rationale: The surgical hand scrub should last for 5 to 10 mints, so the nurse should be di
l l l l l l l l l l l l l l l l l
rected to continue the vigorous scrub using a reliable agent for the totalduration of 5 mint
l l l l l l l l l l l l l l l l
s. It is not necessary to reassign staff (A). The length of the hand scrub and subsequent sc
l l l l l l l l l l l l l l l l l
rubs during the day require the same process for the same amount of time, (B and C)
l l l l l l l l l l l l l l l l
HESI RN EXIT EXAM|| HESI RN VERION 1, 2 & 3 EXAMLL
l l l l l l l l l l l l l
QUSTIONS AND 100% CORRECT ANSWERS WITH RATI l l l l l l
ONALES|| LATEST UPDATE 2024- l l l
2025 ALREADY GRADED A+|| ASSURED PASS!!
l l l l l
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2heart
l l l l l l l l l l l l l l l l
sounds. To determine if an S3 heart sound is present, what action should thenurse take
l l l l l l l l l l l l l l l l
first
a. Side the stethoscope across the sternum.
l l l l l
b. Move the stethoscope to the mitral site
l l l l l l
c. Listen with the bell at the same location
l l l l l l l
d. Observe the cardiac telemetry monitorL l l l l l
isten with the bell at the same location
l l l l l l l
Rationale: The nurse uses the bell of the stethoscope to hear low-
l l l l l l l l l l l
pitched soundssuch as S3 and S4. The nurse listens at the same site using the diaphra
l l l l l l l l l l l l l l l l
gm the diaphragm and bell before moving systematically to the next sites.
l l l l l l l l l l l
A 66-year-
l
old woman is retiring and will no longer have a health insurance through her place of em
l l l l l l l l l l l l l l l l
ployment. Which agency should the client be referred to bythe employee health nurse fo
l l l l l l l l l l l l l l
r health insurance needs?
l l l
a. Woman, Infant, and Children program l l l l
b. Medicaid
c. Medicare
d. Consolidated Omnibus Budget Reconciliation Act provision. l l l l l
,CreatedlBylTestBankStuvia
Medicare
Rationale: Title XVII of the social security Act of 1965 created Medicare Programto pr
l l l l l l l l l l l l l l
ovide medical insurance for person more than 65 years or older, disable or with permea
l l l l l l l l l l l l l l
nt kidney failure, WIC provides supplemental nutrition to meet the needs of pregnant o
l l l l l l l l l l l l l
f breastfeeding woman, infants and children up to age of 6.
l l l l l l l l l l
Medicaid provides financial assistance to pay for medical services for poor olderadul
l l l l l l l l l l l l
ts, blind, disable and families with dependent children. COBRA(D) health benefit pr
l l l l l l l l l l l
ovisions is a limited insurance plan for those who has been laid off or become unempl
l l l l l l l l l l l l l l l
oyed.
A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset.
l l l l l l l l l l l l l l l
What snack should the nurse instruct the client to take with the tetracycline?
l l l l l l l l l l l l
a. Fruit-flavored yogurt. l
b. Cheese and crackers. l l
c. Cold cereal with skim milk. l l l l
d. Toasted wheat bread and jellyT l l l l l
oasted wheat bread and jelly
l l l l
Rationale: Dairy products decrease the effect of tetracycline, so the nurse instructsthe c
l l l l l l l l l l l l l
lient to eat a snack such as toast, which contains no dairy products and may decrease GI
l l l l l l l l l l l l l l l l l
symptoms.
Following a lumbar puncture, a client voices several complaints. What complaintindi
l l l l l l l l l l l
cated to the nurse that the client is experiencing a complication?
l l l l l l l l l l
,CreatedlBylTestBankStuvia
a. "I am having pain in my lower back when I move my legs"
l l l l l l l l l l l l
b. "My throat hurts when I swallow" l l l l l
c. "I feel sick to my stomach and am going to throw up"
l l l l l l l l l l l
d. I have a headache that gets worse when I sit up""I h
l l l l l l l l l l l l
ave a headache that gets worse when I sit up"
l l l l l l l l l
Rationale: A post- l l
lumbar puncture headache, ranging from mild to severe, mayoccur as a result of leakag
l l l l l l l l l l l l l l
e of cerebrospinal fluid at the puncture site. This complication is usually managed by be
l l l l l l l l l l l l l l
drest, analgesic, and hydration.
l l l
An elderly client seems confused and reports the onset of nausea, dysuria, andurgency wit
l l l l l l l l l l l l l l
h incontinence. Which action should the nurse implement
l l l l l l l
a. Auscultate for renal bruits l l l
b. Obtain a clean catch mid-stream specimen l l l l l
c. Use a dipstick to measure for urinary ketone
l l l l l l l
d. Begin to strain the client's urine. l l l l l
Obtain a clean catch mid-stream specimen
l l l l l
Rationale: This elderly is experiencing symptoms of urinary tract infection. The nurse
l l l l l l l l l l l l
should obtain a clean catch mid- l l l l l
stream specimen to determine the causativeagent so an anti-
l l l l l l l l l
infective agent can be prescribed. l l l l
The nurse is assisting the mother of a child with phenylketonuria (PKU) to selectfoods tha
l l l l l l l l l l l l l l l
t are in keeping with the child's dietary restrictions. Which foods are contraindicated for t
l l l l l l l l l l l l l l
his child?
l
, CreatedlBylTestBankStuvia
a. Wheat products l
b. Foods sweetened with aspartame. l l l
c. High fat foods l l
d. High calories foods. l l
Foods sweetened with aspartame
l l l
Rationale: Aspartame should not be consumed by a child with PKU because ut isconv
l l l l l l l l l l l l l l
erted to phenylalanine in the body. Additionally, milk and milk products arecontrain
l l l l l l l l l l l l
dicated for children with PKU. l l l l
Before preparing a client for the first surgical case of the day, a part-
l l l l l l l l l l l l l
time scrub nurse asks the circulating nurse if a 3 minute surgical hand scrub is adequa
l l l l l l l l l l l l l l l
te preparation for this client. Which response should the circulating nurse provide?
l l l l l l l l l l l
a. Ask a more experience nurse to perform that scrub since it is the first time of theday
l l l l l l l l l l l l l l l l l
b. Validate the nurse is implementing the OR policy for surgical hand scrub
l l l l l l l l l l l
c. Inform the nurse that hand scrubs should be 3 minutes between cases.
l l l l l l l l l l l
d. Direct the nurse to continue the surgical hand scrub for a 5-
l l l l l l l l l l l
minute duration.Direct the nurse to continue the surgical hand scrub for a 5 minute
l l l l l l l l l l l l l l l
duration
Rationale: The surgical hand scrub should last for 5 to 10 mints, so the nurse should be di
l l l l l l l l l l l l l l l l l
rected to continue the vigorous scrub using a reliable agent for the totalduration of 5 mint
l l l l l l l l l l l l l l l l
s. It is not necessary to reassign staff (A). The length of the hand scrub and subsequent sc
l l l l l l l l l l l l l l l l l
rubs during the day require the same process for the same amount of time, (B and C)
l l l l l l l l l l l l l l l l
