CreatedbBybTestBankStuvia
HESI RN EXIT EXAM|| HESI RN VERION 1, 2 & 3 EXAMLL
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QUSTIONS AND 100% CORRECT ANSWERS WITH RATI
b b b b b b b
ONALES|| LATEST UPDATE 2024- b b b
2025 ALREADY GRADED A+|| ASSURED PASS!!
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After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2he
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art sounds. To determine if an S3 heart sound is present, what action should thenurs
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e take first
b b
a. Side the stethoscope across the sternum.
b b b b b
b. Move the stethoscope to the mitral site
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c. Listen with the bell at the same location
b b b b b b b
d. Observe the cardiac telemetry monitor b b b b b
Listen with the bell at the same location
b b b b b b b
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 diap
b b b b b b b b b b b b b b b b
hragm the diaphragm and bell before moving systematically to the next sites.
b b b b b b b b b b b
A 66-year-
b
old woman is retiring and will no longer have a health insurance through her place of
b b b b b b b b b b b b b b b b
employment. Which agency should the client be referred to bythe employee health n
b b b b b b b b b b b b b
urse for health insurance needs?
b b b b
a. Woman, Infant, and Children program b b b b
b. Medicaid
c. Medicare
d. Consolidated Omnibus Budget Reconciliation Act provision. b b b b b
,CreatedbBybTestBankStuvia
Medicare
Rationale: Title XVII of the social security Act of 1965 created Medicare Programto
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provide medical insurance for person more than 65 years or older, disable or with pe
b b b b b b b b b b b b b b
rmeant kidney failure, WIC provides supplemental nutrition to meet the needs of pre
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gnant of breastfeeding woman, infants and children up to age of 6.
b b b b b b b b b b b
Medicaid provides financial assistance to pay for medical services for poor oldera
b b b b b b b b b b b b
dults, blind, disable and families with dependent children. COBRA(D) health bene
b b b b b b b b b b
fit provisions is a limited insurance plan for those who has been laid off or become
b b b b b b b b b b b b b b b b
unemployed.
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?
b b b b b b b b b b b b b
a. Fruit-flavored yogurt. b
b. Cheese and crackers. b b
c. Cold cereal with skim milk.
b b b b
d. Toasted wheat bread and jelly b b b b b
Toasted wheat bread and jelly
b b b b
Rationale: Dairy products decrease the effect of tetracycline, so the nurse instructsth
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e client to eat a snack such as toast, which contains no dairy products and may decrea
b b b b b b b b b b b b b b b b
se GI symptoms.
b b
Following a lumbar puncture, a client voices several complaints. What complaintin
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dicated to the nurse that the client is experiencing a complication?
b b b b b b b b b b
,CreatedbBybTestBankStuvia
a. "I am having pain in my lower back when I move my legs"
b b b b b b b b b b b b
b. "My throat hurts when I swallow"
b b b b b
c. "I feel sick to my stomach and am going to throw up"
b b b b b b b b b b b
d. I have a headache that gets worse when I sit up""
b b b b b b b b b b b
I have a headache that gets worse when I sit up"
b b b b b b b b b b
Rationale: A post- b b
lumbar puncture headache, ranging from mild to severe, mayoccur as a result of leak
b b b b b b b b b b b b b b
age of cerebrospinal fluid at the puncture site. This complication is usually managed
b b b b b b b b b b b b b
by bedrest, analgesic, and hydration.
b b b b
An elderly client seems confused and reports the onset of nausea, dysuria, andurgency
b b b b b b b b b b b b b b
with incontinence. Which action should the nurse implement
b b b b b b b
a. Auscultate for renal bruits b b b
b. Obtain a clean catch mid-stream specimen
b b b b b
c. Use a dipstick to measure for urinary ketone
b b b b b b b
d. Begin to strain the client's urine.
b b b b b
Obtain a clean catch mid-stream specimen
b b b b b
Rationale: This elderly is experiencing symptoms of urinary tract infection. The nur
b b b b b b b b b b b
se should obtain a clean catch mid-
b b b b b b
stream specimen to determine the causativeagent so an anti-
b b b b b b b b b
infective agent can be prescribed. b b b b
The nurse is assisting the mother of a child with phenylketonuria (PKU) to selectfoods
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that are in keeping with the child's dietary restrictions. Which foods are contraindicate
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d for this child?
b b b
, CreatedbBybTestBankStuvia
a. Wheat products b
b. Foods sweetened with aspartame. b b b
c. High fat foods b b
d. High calories foods. b b
Foods sweetened with aspartame
b b b
Rationale: Aspartame should not be consumed by a child with PKU because ut isco
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nverted to phenylalanine in the body. Additionally, milk and milk products arecont
b b b b b b b b b b b b
raindicated for children with PKU. b b b b
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 ade
b b b b b b b b b b b b b b b
quate preparation for this client. Which response should the circulating nurse prov
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ide?
a. Ask a more experience nurse to perform that scrub since it is the first time of theda
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y
b. Validate the nurse is implementing the OR policy for surgical hand scrub
b b b b b b b b b b b
c. Inform the nurse that hand scrubs should be 3 minutes between cases.
b b b b b b b b b b b
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 minu
b b b b b b b b b b b b b b
te duration
b
Rationale: The surgical hand scrub should last for 5 to 10 mints, so the nurse should b
b b b b b b b b b b b b b b b b
e directed to continue the vigorous scrub using a reliable agent for the totalduration of
b b b b b b b b b b b b b b b
5 mints. It is not necessary to reassign staff (A). The length of the hand scrub and sub
b b b b b b b b b b b b b b b b b b
sequent scrubs during the day require the same process for the same amount of time, (
b b b b b b b b b b b b b b b
B and C)b b
HESI RN EXIT EXAM|| HESI RN VERION 1, 2 & 3 EXAMLL
b b b b b b b b b b b b
QUSTIONS AND 100% CORRECT ANSWERS WITH RATI
b b b b b b b
ONALES|| LATEST UPDATE 2024- b b b
2025 ALREADY GRADED A+|| ASSURED PASS!!
b b b b b
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2he
b b b b b b b b b b b b b b b
art sounds. To determine if an S3 heart sound is present, what action should thenurs
b b b b b b b b b b b b b b b
e take first
b b
a. Side the stethoscope across the sternum.
b b b b b
b. Move the stethoscope to the mitral site
b b b b b b
c. Listen with the bell at the same location
b b b b b b b
d. Observe the cardiac telemetry monitor b b b b b
Listen with the bell at the same location
b b b b b b b
Rationale: The nurse uses the bell of the stethoscope to hear low-
b b b b b b b b b b b
pitched soundssuch as S3 and S4. The nurse listens at the same site using the diap
b b b b b b b b b b b b b b b b
hragm the diaphragm and bell before moving systematically to the next sites.
b b b b b b b b b b b
A 66-year-
b
old woman is retiring and will no longer have a health insurance through her place of
b b b b b b b b b b b b b b b b
employment. Which agency should the client be referred to bythe employee health n
b b b b b b b b b b b b b
urse for health insurance needs?
b b b b
a. Woman, Infant, and Children program b b b b
b. Medicaid
c. Medicare
d. Consolidated Omnibus Budget Reconciliation Act provision. b b b b b
,CreatedbBybTestBankStuvia
Medicare
Rationale: Title XVII of the social security Act of 1965 created Medicare Programto
b b b b b b b b b b b b b b
provide medical insurance for person more than 65 years or older, disable or with pe
b b b b b b b b b b b b b b
rmeant kidney failure, WIC provides supplemental nutrition to meet the needs of pre
b b b b b b b b b b b b
gnant of breastfeeding woman, infants and children up to age of 6.
b b b b b b b b b b b
Medicaid provides financial assistance to pay for medical services for poor oldera
b b b b b b b b b b b b
dults, blind, disable and families with dependent children. COBRA(D) health bene
b b b b b b b b b b
fit provisions is a limited insurance plan for those who has been laid off or become
b b b b b b b b b b b b b b b b
unemployed.
A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset
b b b b b b b b b b b b b b
. What snack should the nurse instruct the client to take with the tetracycline?
b b b b b b b b b b b b b
a. Fruit-flavored yogurt. b
b. Cheese and crackers. b b
c. Cold cereal with skim milk.
b b b b
d. Toasted wheat bread and jelly b b b b b
Toasted wheat bread and jelly
b b b b
Rationale: Dairy products decrease the effect of tetracycline, so the nurse instructsth
b b b b b b b b b b b b
e client to eat a snack such as toast, which contains no dairy products and may decrea
b b b b b b b b b b b b b b b b
se GI symptoms.
b b
Following a lumbar puncture, a client voices several complaints. What complaintin
b b b b b b b b b b b
dicated to the nurse that the client is experiencing a complication?
b b b b b b b b b b
,CreatedbBybTestBankStuvia
a. "I am having pain in my lower back when I move my legs"
b b b b b b b b b b b b
b. "My throat hurts when I swallow"
b b b b b
c. "I feel sick to my stomach and am going to throw up"
b b b b b b b b b b b
d. I have a headache that gets worse when I sit up""
b b b b b b b b b b b
I have a headache that gets worse when I sit up"
b b b b b b b b b b
Rationale: A post- b b
lumbar puncture headache, ranging from mild to severe, mayoccur as a result of leak
b b b b b b b b b b b b b b
age of cerebrospinal fluid at the puncture site. This complication is usually managed
b b b b b b b b b b b b b
by bedrest, analgesic, and hydration.
b b b b
An elderly client seems confused and reports the onset of nausea, dysuria, andurgency
b b b b b b b b b b b b b b
with incontinence. Which action should the nurse implement
b b b b b b b
a. Auscultate for renal bruits b b b
b. Obtain a clean catch mid-stream specimen
b b b b b
c. Use a dipstick to measure for urinary ketone
b b b b b b b
d. Begin to strain the client's urine.
b b b b b
Obtain a clean catch mid-stream specimen
b b b b b
Rationale: This elderly is experiencing symptoms of urinary tract infection. The nur
b b b b b b b b b b b
se should obtain a clean catch mid-
b b b b b b
stream specimen to determine the causativeagent so an anti-
b b b b b b b b b
infective agent can be prescribed. b b b b
The nurse is assisting the mother of a child with phenylketonuria (PKU) to selectfoods
b b b b b b b b b b b b b b b
that are in keeping with the child's dietary restrictions. Which foods are contraindicate
b b b b b b b b b b b b
d for this child?
b b b
, CreatedbBybTestBankStuvia
a. Wheat products b
b. Foods sweetened with aspartame. b b b
c. High fat foods b b
d. High calories foods. b b
Foods sweetened with aspartame
b b b
Rationale: Aspartame should not be consumed by a child with PKU because ut isco
b b b b b b b b b b b b b b
nverted to phenylalanine in the body. Additionally, milk and milk products arecont
b b b b b b b b b b b b
raindicated for children with PKU. b b b b
Before preparing a client for the first surgical case of the day, a part-
b b b b b b b b b b b b b
time scrub nurse asks the circulating nurse if a 3 minute surgical hand scrub is ade
b b b b b b b b b b b b b b b
quate preparation for this client. Which response should the circulating nurse prov
b b b b b b b b b b b
ide?
a. Ask a more experience nurse to perform that scrub since it is the first time of theda
b b b b b b b b b b b b b b b b b
y
b. Validate the nurse is implementing the OR policy for surgical hand scrub
b b b b b b b b b b b
c. Inform the nurse that hand scrubs should be 3 minutes between cases.
b b b b b b b b b b b
d. Direct the nurse to continue the surgical hand scrub for a 5-
b b b b b b b b b b b
minute duration.Direct the nurse to continue the surgical hand scrub for a 5 minu
b b b b b b b b b b b b b b
te duration
b
Rationale: The surgical hand scrub should last for 5 to 10 mints, so the nurse should b
b b b b b b b b b b b b b b b b
e directed to continue the vigorous scrub using a reliable agent for the totalduration of
b b b b b b b b b b b b b b b
5 mints. It is not necessary to reassign staff (A). The length of the hand scrub and sub
b b b b b b b b b b b b b b b b b b
sequent scrubs during the day require the same process for the same amount of time, (
b b b b b b b b b b b b b b b
B and C)b b
