HESI EXIT RN V1
HESI EXIT RN V1- V7 EXAM 1 WITH NGN
2026 LATEST WITH COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES GUARANTEED PASS |
GRADED A+
A client who has been in active labor for 12 hours suddenly tells the nurse that she has a
strong urge to have a bowel movement. What action should the nurse take?
a- Allow the client to use a bedpan.
b- Assist the client to the bathroom
c- Perform a sterile vaginal exam
d- Explain the fetal head is descending.
A+ TEST BANK 1
, HESI EXIT RN V1
c. Perform a sterile vaginal exam
Rationale:
When a client in active labor suddenly expresses the urge to have a bowel movement, a
sterile vaginal exam should be performed to determine if the fetus is descending.
The nurse assesses a 78-year-old male client who has left sided heart failure. Which symptoms
would the nurse expect this client to exhibit?
a- Dyspnea, cough, and fatigue.
b- Hepatomegaly and distended neck veins
c- Pain over the pericardium and friction rub.
d- Narrowing pulse pressure and distant heart sounds.
a. Dyspnea, cough, and fatigue.
A female client comes to the clinic complaining of fatigue and inability to sleep because she is
the full-time caretaker for 22-year-old son who was paralyzed by a motor vehicle collision. She
adds that her husband left her because he says he can't take her behavior any more since all
she does is care for their son. What intervention should the nurse implement?
a- Schedule a home visit in the afternoon to assess the son and client role as caregiver.
b- Acknowledge the client's stress and suggest that she consider respite care.
c- Provide feedback to the client about her atonement for guilt about her son's impairment.
d- Teach the client to problem-solve for herself and establish her own priorities.
b. Acknowledge the client's stress and suggest that she consider respite care.
Rationale:
A+ TEST BANK 2
, HESI EXIT RN V1
When this amount of disclosure is offered, the client is usually seeking information focuses on
the client's expression of worry, concern and stress and addresses the client's need to initiate
a request for assistance with respite care.
The nurse plans to administer a schedule dose of metoprolol (Toprol SR) at 0900 to a client
with hypertension. At 0800, the nurse notes that client's telemetry pattern shows a second
degree heart block with a ventricular rate of 50. What action should the nurse take?
a- Administer the Toprol immediately and monitor the client until the heart rate increases.
b- Provide the dose of Toprol as scheduled and assign a UAP to monitor the client's BP q30
minutes.
c- Give the Toprol as scheduled if the client's systolic blood pressure reading is greater than
180.
d- Hold the scheduled dose of Toprol and notify the healthcare provider of the telemetry
pattern.
d. Hold the scheduled dose of Toprol and notify the healthcare provider of the telemetry
pattern.
Rationale:
Beta blockers such as metoprolol (Toprol SR) are contraindicated in clients with second or
third-degree heart block because they decrease the heart rate. Therefore, the nurse should
hold the medication.
A client who developed syndrome of inappropriate antidiuretic hormone (SIADH) associated
with small carcinoma of the lung is preparing for discharge. When teaching the client about
self-management with demeclocycline (Declomycin), the nurse should instruct the client to
report which condition to the health care provider?
a- Insomnia
b- Muscle cramping
c- Increase appetite
d- Anxiety.
A+ TEST BANK 3
, HESI EXIT RN V1
b. Muscle cramping
Rationale:
SIADH causes dilution hyponatremia because of the increased release of ADH, which is
treated with water restriction and demeclocycline, a tetracycline derivate that blocks the
action of ADH. Signs of hyponatremia (normal 136-145), which indicate the need for increasing
the dosage of demeclocycline, should be reported to the healthcare provider. The signs
include: plasma sodium level less than 120, anorexia, nausea, weight changes related to fluid
disturbance, headache, weakness, fatigue, and muscle cramping. AC& D are not related to
hyponatremia.
In determine the client position for insertion of an indwelling urinary catheter, it is most
important for the nurse to recognize which client condition?
a- High urinary PH
b- Abdominal Ascites
c- Orthopnea
d- Fever.
c. Orthopnea
Rationale:
If the client is orthopneic, the nurse needs to adapt the insertion position that does not place
the client in a supine position (the head of the bed should be elevated as much as possible).
The nurse is reviewing a client's electrocardiogram and determines the PR interval (PRI) is
prolonged. What does this finding indicate?
a- Initiation of the impulses from a location outside the SA node
b- Inability of the SA node to initiate an impulse at the normal rate
A+ TEST BANK 4
HESI EXIT RN V1- V7 EXAM 1 WITH NGN
2026 LATEST WITH COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES GUARANTEED PASS |
GRADED A+
A client who has been in active labor for 12 hours suddenly tells the nurse that she has a
strong urge to have a bowel movement. What action should the nurse take?
a- Allow the client to use a bedpan.
b- Assist the client to the bathroom
c- Perform a sterile vaginal exam
d- Explain the fetal head is descending.
A+ TEST BANK 1
, HESI EXIT RN V1
c. Perform a sterile vaginal exam
Rationale:
When a client in active labor suddenly expresses the urge to have a bowel movement, a
sterile vaginal exam should be performed to determine if the fetus is descending.
The nurse assesses a 78-year-old male client who has left sided heart failure. Which symptoms
would the nurse expect this client to exhibit?
a- Dyspnea, cough, and fatigue.
b- Hepatomegaly and distended neck veins
c- Pain over the pericardium and friction rub.
d- Narrowing pulse pressure and distant heart sounds.
a. Dyspnea, cough, and fatigue.
A female client comes to the clinic complaining of fatigue and inability to sleep because she is
the full-time caretaker for 22-year-old son who was paralyzed by a motor vehicle collision. She
adds that her husband left her because he says he can't take her behavior any more since all
she does is care for their son. What intervention should the nurse implement?
a- Schedule a home visit in the afternoon to assess the son and client role as caregiver.
b- Acknowledge the client's stress and suggest that she consider respite care.
c- Provide feedback to the client about her atonement for guilt about her son's impairment.
d- Teach the client to problem-solve for herself and establish her own priorities.
b. Acknowledge the client's stress and suggest that she consider respite care.
Rationale:
A+ TEST BANK 2
, HESI EXIT RN V1
When this amount of disclosure is offered, the client is usually seeking information focuses on
the client's expression of worry, concern and stress and addresses the client's need to initiate
a request for assistance with respite care.
The nurse plans to administer a schedule dose of metoprolol (Toprol SR) at 0900 to a client
with hypertension. At 0800, the nurse notes that client's telemetry pattern shows a second
degree heart block with a ventricular rate of 50. What action should the nurse take?
a- Administer the Toprol immediately and monitor the client until the heart rate increases.
b- Provide the dose of Toprol as scheduled and assign a UAP to monitor the client's BP q30
minutes.
c- Give the Toprol as scheduled if the client's systolic blood pressure reading is greater than
180.
d- Hold the scheduled dose of Toprol and notify the healthcare provider of the telemetry
pattern.
d. Hold the scheduled dose of Toprol and notify the healthcare provider of the telemetry
pattern.
Rationale:
Beta blockers such as metoprolol (Toprol SR) are contraindicated in clients with second or
third-degree heart block because they decrease the heart rate. Therefore, the nurse should
hold the medication.
A client who developed syndrome of inappropriate antidiuretic hormone (SIADH) associated
with small carcinoma of the lung is preparing for discharge. When teaching the client about
self-management with demeclocycline (Declomycin), the nurse should instruct the client to
report which condition to the health care provider?
a- Insomnia
b- Muscle cramping
c- Increase appetite
d- Anxiety.
A+ TEST BANK 3
, HESI EXIT RN V1
b. Muscle cramping
Rationale:
SIADH causes dilution hyponatremia because of the increased release of ADH, which is
treated with water restriction and demeclocycline, a tetracycline derivate that blocks the
action of ADH. Signs of hyponatremia (normal 136-145), which indicate the need for increasing
the dosage of demeclocycline, should be reported to the healthcare provider. The signs
include: plasma sodium level less than 120, anorexia, nausea, weight changes related to fluid
disturbance, headache, weakness, fatigue, and muscle cramping. AC& D are not related to
hyponatremia.
In determine the client position for insertion of an indwelling urinary catheter, it is most
important for the nurse to recognize which client condition?
a- High urinary PH
b- Abdominal Ascites
c- Orthopnea
d- Fever.
c. Orthopnea
Rationale:
If the client is orthopneic, the nurse needs to adapt the insertion position that does not place
the client in a supine position (the head of the bed should be elevated as much as possible).
The nurse is reviewing a client's electrocardiogram and determines the PR interval (PRI) is
prolonged. What does this finding indicate?
a- Initiation of the impulses from a location outside the SA node
b- Inability of the SA node to initiate an impulse at the normal rate
A+ TEST BANK 4
