vu vu vu vu
V1.V2,V3,V4,V5,V6,V7 Latest Volumes vu vu
2023vuHESIvuEXITvuRNvuEXAMvuV1-
V7vu110vuOUTvuOFvuTHEvu160vuTOTALvuQUESTIONS
vuFORvuEACHv u VERSION
HESI V1- vu
V7 2023 vu
TEST BANK vu
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, 2023 HESI EXIT RN EXAM
vu vu vu vu
V1.V2,V3,V4,V5,V6,V7 Latest Volumes vu vu
2023vu HESIvu EXITvu RNv u EXAM
V1-V7v u 160v u TOTALv u QUESTIONSv u EACHv u VOLUME
1. Followingvudischargevuteaching, vuavu malevuclientvuwithvuduodenalvuulcervutellsvuthevunursevuthevuhevu
willvudrinkvuplentyvuofv u dairyvuproducts,vusuchvuasvu milk,vutovuhelpvucoatvuandvuprotectvuhisvuulcer.
vuWhatvuisvuthevubestvufollow-upvuactionvubyvuthev u nurse?
• Reviewvuwithvuthevuclientvuthevuneedvutovuavoidvufoodsvuthatvuarevurichvuinvumilkvuandvucream
2. Avu malevuclientvuwithvuhypertension, vuwhovureceivedvunewvuantihypertensivevuprescriptions vuatvuhisvul
astvuvisitvureturnsvutov u thevuclinicvutwovuweeksvulatervutovuevaluatev u hisvubloodvupressurevu(BP).vuHisvu
BPv u isvu158/106vuandvuhevuadmits vuthatvuhevuhasvunotv u beenvutakingvuthevuprescribedvumedicationvubec
ausevuthevudrugsvumakevuhimvu“feelvubad”.vuInvuexplainingvuthevuneedvuforv u hypertensionvucontrol,vuthe
vunursevushouldvustress vuthatvuanvuelevatedvuBPvuplacesvuthevuclientvuatvuriskvuforvuwhichv u pathophysiol
ogicalvucondition?
• Strokevusecondaryvutovuhemorrhage
• Thevunursevuobservesvuanvuunlicensedvuassistivevupersonnelvu(UAP)vupositioningvuavunewlyvuadmittedvu
clientvuwhovuhasvuav u seizurevudisorder.vuThevuclientvuisvusupinevuandvuthevuUAPvuisvuplacingvusoftvup
illowsvualongvuthevusidevurails. vuWhatvuactionv u shouldvuthevunursevuimplement?
Anvuadolescentvuwithvumajorvudepressivevudisordervuhasvubeenvutakingvuduloxetinevu(Cymbalta)vuforvuthevupastv
u12vudays.vuWhichv u assessmentvufindingvurequiresvuimmediatevufollow-up?
• Describesvulifevuwithoutvupurpose
5. Avu60-year-
oldvufemalevuclientvuwithvuavupositivevufamilyvuhistoryvuofvuovarianvucancervuhasvudevelopedvuanvuabdo
minalv u massvuandvuisvubeingvuevaluatedvuforvupossiblevuovarianvucancer.vuHervuPapanicolauvu(Pap)vusmearv
uresultsvuarevunegative.vuWhatv u informationvushouldvuthevunursevuincludevuinvuthevuclient’svuteachingvupl
an?
• Furthervuevaluationvuinvolvingvusurgeryvu mayvubevuneeded
6. Avuclientvuwhovurecentlyvuunderwearvuavutracheostomyvuisvubeingvupreparedvuforvudischarge vutovuhome.vu
Whichvuinstructionsv u isvu mostvuimportantvuforvuthevunursevutovuincludevuinvuthevudischargevuplan?
• Teachvutrachealvusuctioningvutechniques
7. Invuassessingvuanvuadultvuclientvuwithvuavupartialvurebreathervumask,vuthevunursevunotesvuthatvuthevuoxyge
n
reservoirv u bagv u doesv u notv u deflatev u completelyv u duringv u inspirationv u andv u thev u client’sv u res
piratoryv u ratev u isv u 14v u breathsvu/vu minute.vuWhatvuactionvushouldvuthevunursevuimplement?
• Documentvuthevuassessmentvudata
• Rational:vureservoirvubagvushouldvunotvudeflatevucompletelyv u duringvuinspirationv u a
ndvuthevuclient’sv u respiratoryvuratevuisvuwithinvunormalvulimits.
8. Duringvushiftvureport,vuthevucentralvuelectrocardiogramvu(EKG)vumonitoringvusystemvualarms.vuWhi
chvuclientvualarmv u shouldvuthevunursevuinvestigatevufirs?
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• Respiratoryvuapneavuofvu30vuseconds
9. Duringvuavuhomevuvisit,vuthevunursevuobservedv u anvuelderlyvuclientvuwithvudiabetes vuslipv u andvufall.vu
Whatv u actionvushouldvuthev u nursevutakevufirst?
• Checkvuthevuclientvu forvulacerations vuorvufractures
10. Atvu0600vuwhilevuadmittingvuavuwomanvuforvuavuschedulevurepeatvucesareanvusectionvu(C-
Section),vuthevuclientvutellsvuthev u nursevuthatvushevudrankvuavucupvuavucoffeevuatvu0400vubecausevushevuwa
ntedvutovuavoidvugettingvuavuheadache. vuWhichvuactionvushouldv u thevunursevutakevufirst?
• Informvuthevuanesthesiavucarevuprovider
11. Aftervuplacingvuavustethoscopevuasvuseenvuinvuthevupicture, vuthevunursevuauscultatesvuS1vuandvuS2vuheartv
usounds. vuTovudeterminev u ifvuanvuS3vuheartvusoundvuisvupresent, vuwhatvuactionvushouldvuthe vunursevutak
evufirst?
• Listenvuwithvuthevubellvuatvuthevusamevu location
12. Avu66-year-
oldvuwomanvuisvuretiringvuandvuwillvunovulongervuhavevuavuhealthvuinsurancevuthroughvuhervuplac
evuofv u employment.vuWhichvuagencyvushouldvuthevuclientvubevureferredvutovubyvuthevuemployeev
uhealthvunursevuforvuhealthv u insurancevuneeds?
• Medicare
13. Avuclientvuwhovuisvutakingvuanvuoralvudosevuofvuavutetracyclinevucomplainsvuofvugastrointestinalvu
upset.vuWhatvusnackv u shouldvuthevunursevuinstructvuthevuclientvutovutakevuwithvuthevutetracycline
?
• Toastedvuwheatvubreadvuandvujelly
14. Followingvuavulumbarvupuncture, vuavuclientvuvoicesvuseveralvucomplaints.vuWhatvucomplaintvuindic
atedvutovuthevunursev u thatvuthevuclientvuisvuexperiencingvuavucomplication?
• “IvuhavevuavuheadachevuthatvugetsvuworsevuwhenvuIvusitvuup”
• “Ivuamvuhavingvupainvuinvumyvu lowervubackvuwhenvuIvu movevu myvu legs”
• “Myvuthroatvu hurtsvuwhenvuIvuswallow”
• “Ivufeelvusickvutovu myvustomachvuandvuamvugoingvutovuthrowvu up”
15. Anvuelderlyvuclientvuseems vuconfusedvuandvureportsvuthevuonsetvuofvunausea,vudysuria,vu
andvuurgencyvuwithv u incontinence. vuWhichvuactionvushouldvuthevunursevuimplement?
• Obtainvuavucleanvucatchvumid-streamvuspecimen
16. Thevunursevuisvuassistingvuthevu mothervuofvuavuchildvuwithvuphenylketonuriavu(PKU)vutovuselectvufood
svuthatvuarevuinvukeepingv u withvuthevuchild’svudietaryvurestrictions.vuWhichvufoodsvuarevucontraindicated
vuforvuthisvuchild?
• Foodsvusweetenedvuwithvuaspartame
17. Beforevupreparingvuavuclientvuforvuthevufirstvusurgicalvucasevuofvuthevuday,vuavupart-
timevuscrubvunursevuasksvuthevucirculatingv u nursevuifvuavu3vuminutevusurgicalvuhandvuscrubvuisvuadequat
evupreparationvuforvuthisvuclient.vuWhichvuresponsevushouldvuthev u circulatingvunursevuprovide?
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V1.V2,V3,V4,V5,V6,V7 Latest Volumes vu vu
• Directvuthevunursevutovucontinuevuthevusurgicalvuhandvuscrubvuforvuavu5vuminutevuduration
18. Whichvubreakfastvuselectionvuindicatesvuthatvuthevuclientvuunderstandsvuthevunurse’svuinstructions vuab
outvuthevudietaryv u managementvuofvuosteoporosis?
• Bagelvuwithvujellyvuandvuskimvu milk
19. Thevuchargevunursevuofvuavucriticalvucarevuunitvuisvuinformedvuatvuthevubeginningvuofvuthevushiftvutha
tvulessvuthanvuthevuoptimalv u numbervuofvuregisteredvunursesvuwillvubevuworkingvuthatvushift.vuInvuplannin
gvuassignments, vuwhichvuclientvushouldvureceivevuthev u mostvucarevuhoursvubyvuavuregisteredvunursevu(RN
)?
• Anvu82-year-oldvuclientvuwithvuAlzheimer’svudiseasevunewly-
fracturesvufemurvuwhovuhasvuavuFoleyvucatheterv u andvusoftvuwristvurestrains vuapplied
20. Avu mothervubringsvuhervu6-year-
oldvuchild,vuwhovuhas vujustvusteppedvuonvuavurustyvunail,vutovuthevupediatrician’svuoffice.v u Upon
vuinspection, vuthevunursevunotes vuthatvuthevunailvuwentvuthroughvuthevushoevuandvupiercedvuthevubotto
mvuofvuthevuchild’sv u foot.vuWhichvuactionvushouldvuthevunursevuimplementvufirst?
• Cleansevu thevu footvu withvu soapvu andvu watervuandvu applyvuanvu antibiotic vu ointment
• Providevuteachingvuaboutvuthevu needvu forvuavutetanusvuboostervuwithinvuthevu nextvu72vu hours.
• havevuthevumothervucheckvuthevuchild'svutemperaturevuq4hvuforvuthevunextvu24vuhours
• transfervuthevuchildvutovuthevuemergencyvudepartmentvutovureceivevuavugammavu globulinvu injectio
n
21. Thevumothervuofvuanvuadolescentvutellsvuthevuclinicvunurse,vu“Myvusonvuhasvuathlete’svufoot,vu Ivuhavevu
been
applyingvutriplevuantibioticvuointmentvuforvutwovudays,vubutvutherevuhasvubeenvunovuimprovement.”v
uWhatvuinstructionv u shouldvuthevunursevuprovide?
Stopvuusingvuthevuointmentvuandvuencouragevucompletevudryingvuofvuthevu feetvuandvuwearingvucleanvusocks.
22. Avu26-year-
oldvufemalevuclientvuisvuadmittedvutovuthevuhospitalvuforvutreatmentvuofvuavusimplevugoiter, vuandvulevo
thyroxinev u sodiumvu(Synthroid)vuisvuprescribed.vuWhichvusymptomsvuindicatevutovuthevunursevuth
atvuthevuprescribedvudosagevuisv u toovuhighvuforvuthisvuclient?vuThevuclientvuexperiences
• Bradycardiavuandvuconstipation
• Lethargyvuandvu lackvuofvuappetite
• Musclevucrampingvuandvudry, vu flushedvuskin
• Palpitationsv u andv u shortnessv u ofv u breath
23. Avuclientvuwithvuavuhistoryvuofvuheartvufailurevupresentsvutovuthevuclinicvuwithvuavunausea,vuvomiti
ng,vuyellowvuvisionvuandv u palpitations.vuWhichvufindingvuisvumostvuimportantvuforvuthevunursevu
tovuassessvutovuthevuclient?
• Obtainvuavu listvuofvumedications vutakenvuforvucardiacvu history
24. Thevu healthcarevu providervu prescribes vu anvu IVvusolutionvu ofvuisoproterenolvu (Isuprel)vu 1v u mgvu
invu 250vu mlvuofvuD5Wv u atvu300vumcg/hour.vuThevunursevushouldvuprogramvuthevuinfusionvupu
mpvutovudelivervuhowvu manyvuml/hour?vu(Enterv u numericvuvaluevuonly.)
• 75
• Rationale:vuConvertvumgvutovumcgvuandvuusevuthevuformulavuD/HvuxvuQ.vu300vumcg/hour
vu/vu1,000vu mcgvuxvu250v u mlvu=vu3/1vuxvu25vu=vu75vuml/hour
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