HESI RN EXIT EXAM V1-7 (818 QUESTIONS) NURSING VI:
LEADERSHIP AND DELEGATION JERSEY COLLEGE
NURSING SCHOOL
Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink
plenty of dairy products, such as milk, to help coat and protect his ulcer. What is the best follow-
up action by the nurse?
a. Remind the client that it is also important to switch to decaffeinated coffee and tea.
b. Suggest that the client also plan to eat frequent small meals to reduce discomfort-c.
Review with the client the need to avoid foods that are rich in milk and cream.
d. Reinforce this teaching by asking the client to list a dairy food that he might select.
A male client with hypertension, who received new antihypertensive prescriptions at his last visit
returns to the clinic two weeks later to evaluate his (BP). His BP is 158/106 and he admits that
he has not been taking the prescribed medication because the drugs make him "feel bad". In
explaining the need for hypertension control, the nurse should stress that an elevated BP places
the client at risk for which pathophysiological condition?
a. Blindness secondary to cataracts
b. Acute kidney injury due to glomerular damage
-c. Stroke secondary to hemorrhage
d. Heart block due to myocardial damage
The nurse observes (UAP) positioning a newly admitted client who has a seizure disorder. The
client is supine and the UAP is placing soft pillows along the side rails. What action should the
nurse implement?
, lOMoAR cPSD| 67928686
a. Ensure that the UAP has placed the pillows effectively to protect the client.
-b. Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows.
c. Assume responsibility for placing the pillows while the UAP completes another task.
d. Ask the UAP to use some of the pillows to prop the client in a side lying position.
An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for the past
12 days. Which assessment finding requires immediate follow-up
-a. Describes life without purpose
b. Complains of nausea and loss of appetite
c. States is often fatigued and drowsy
d. Exhibits an increase in sweating.
A 60-year-old female client with a positive family history of ovarian cancer has developed an
abdominal mass and is being evaluated for possible ovarian cancer. Her Papanicolau (Pap) smear
results are negative. What information should the nurse include in the client's teaching plan
-a. Further evaluation involving surgery may be needed
b. A pelvic exam is also needed before cancer is ruled out
c. Pap smear evaluation should be continued every six month
d. One additional negative pap smear in six months is needed.
A client who recently underwent a tracheostomy is being prepared for discharge to home. Which
instructions is most important for the nurse to include in the discharge plan?
a. Explain how to use communication tools.
-b. Teach tracheal suctioning techniques
c. Encourage self-care and independence.
d. Demonstrate how to clean tracheostomy site.
,In assessing an adult client with a partial rebreather mask, the nurse notes that the oxygen
reservoir bag does not deflate completely during inspiration and the client's respiratory rate is 14
breaths / minute.
What action should the nurse implement
a. Encourage the client to take deep breaths
b. Remove the mask to deflate the bag
c. Increase the liter flow of oxygen
-d. Document the assessment data
During shift report, the central electrocardiogram (EKG) monitoring system alarms. Which
client alarm should the nurse investigate first? -a. Respiratory apnea of 30 seconds
b. Oxygen saturation rate of 88%
c. Eight premature ventricular beats every minute
d. Disconnected monitor signal for the last 6 minutes.
During a home visit, the nurse observed an elderly client with diabetes slip and fall. What action
should the nurse take first?
a. Give the client 4 ounces of orange juice
b. Call 911 to summon emergency assistance-c. Check the client for
lacerations or fractures
d. Asses clients blood sugar level
At 0600 while admitting a woman for a schedule repeat cesarean section (C-Section), the client
tells the nurse that she drank a cup a coffee at 0400 because she wanted to avoid getting a
headache. Which action should the nurse take first?
a. Ensure preoperative lab results are available
, lOMoAR cPSD| 67928686
b. Start prescribed IV with lactated Ringer's-c. Inform the anesthesia
care provider
d. Contact the client's obstetrician.
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 heart sounds.
To determine if an S3 heart sound is present, what action should the nurse take first
a. Side the stethoscope across the sternum.
b. Move the stethoscope to the mitral site-c. Listen with the bell at
the same location
d. Observe the cardiac telemetry monitor
A 66-year-old woman is retiring and will no longer have a health insurance through her place of
employment. Which agency should the client be referred to by the employee health nurse for
health insurance needs?
a. Woman, Infant, and Children program
b. Medicaid-c. Medicare
d. Consolidated Omnibus Budget Reconciliation Act provision.
A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset. What
snack should the nurse instruct the client to take with the tetracycline?
a. Fruit-flavored yogurt.
b. Cheese and crackers.
c. Cold cereal with skim milk.
-d. Toasted wheat bread and jelly
Following a lumbar puncture, a client voices several complaints. What complaint indicated to the
nurse that the client is experiencing a complication?
LEADERSHIP AND DELEGATION JERSEY COLLEGE
NURSING SCHOOL
Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink
plenty of dairy products, such as milk, to help coat and protect his ulcer. What is the best follow-
up action by the nurse?
a. Remind the client that it is also important to switch to decaffeinated coffee and tea.
b. Suggest that the client also plan to eat frequent small meals to reduce discomfort-c.
Review with the client the need to avoid foods that are rich in milk and cream.
d. Reinforce this teaching by asking the client to list a dairy food that he might select.
A male client with hypertension, who received new antihypertensive prescriptions at his last visit
returns to the clinic two weeks later to evaluate his (BP). His BP is 158/106 and he admits that
he has not been taking the prescribed medication because the drugs make him "feel bad". In
explaining the need for hypertension control, the nurse should stress that an elevated BP places
the client at risk for which pathophysiological condition?
a. Blindness secondary to cataracts
b. Acute kidney injury due to glomerular damage
-c. Stroke secondary to hemorrhage
d. Heart block due to myocardial damage
The nurse observes (UAP) positioning a newly admitted client who has a seizure disorder. The
client is supine and the UAP is placing soft pillows along the side rails. What action should the
nurse implement?
, lOMoAR cPSD| 67928686
a. Ensure that the UAP has placed the pillows effectively to protect the client.
-b. Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows.
c. Assume responsibility for placing the pillows while the UAP completes another task.
d. Ask the UAP to use some of the pillows to prop the client in a side lying position.
An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for the past
12 days. Which assessment finding requires immediate follow-up
-a. Describes life without purpose
b. Complains of nausea and loss of appetite
c. States is often fatigued and drowsy
d. Exhibits an increase in sweating.
A 60-year-old female client with a positive family history of ovarian cancer has developed an
abdominal mass and is being evaluated for possible ovarian cancer. Her Papanicolau (Pap) smear
results are negative. What information should the nurse include in the client's teaching plan
-a. Further evaluation involving surgery may be needed
b. A pelvic exam is also needed before cancer is ruled out
c. Pap smear evaluation should be continued every six month
d. One additional negative pap smear in six months is needed.
A client who recently underwent a tracheostomy is being prepared for discharge to home. Which
instructions is most important for the nurse to include in the discharge plan?
a. Explain how to use communication tools.
-b. Teach tracheal suctioning techniques
c. Encourage self-care and independence.
d. Demonstrate how to clean tracheostomy site.
,In assessing an adult client with a partial rebreather mask, the nurse notes that the oxygen
reservoir bag does not deflate completely during inspiration and the client's respiratory rate is 14
breaths / minute.
What action should the nurse implement
a. Encourage the client to take deep breaths
b. Remove the mask to deflate the bag
c. Increase the liter flow of oxygen
-d. Document the assessment data
During shift report, the central electrocardiogram (EKG) monitoring system alarms. Which
client alarm should the nurse investigate first? -a. Respiratory apnea of 30 seconds
b. Oxygen saturation rate of 88%
c. Eight premature ventricular beats every minute
d. Disconnected monitor signal for the last 6 minutes.
During a home visit, the nurse observed an elderly client with diabetes slip and fall. What action
should the nurse take first?
a. Give the client 4 ounces of orange juice
b. Call 911 to summon emergency assistance-c. Check the client for
lacerations or fractures
d. Asses clients blood sugar level
At 0600 while admitting a woman for a schedule repeat cesarean section (C-Section), the client
tells the nurse that she drank a cup a coffee at 0400 because she wanted to avoid getting a
headache. Which action should the nurse take first?
a. Ensure preoperative lab results are available
, lOMoAR cPSD| 67928686
b. Start prescribed IV with lactated Ringer's-c. Inform the anesthesia
care provider
d. Contact the client's obstetrician.
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 heart sounds.
To determine if an S3 heart sound is present, what action should the nurse take first
a. Side the stethoscope across the sternum.
b. Move the stethoscope to the mitral site-c. Listen with the bell at
the same location
d. Observe the cardiac telemetry monitor
A 66-year-old woman is retiring and will no longer have a health insurance through her place of
employment. Which agency should the client be referred to by the employee health nurse for
health insurance needs?
a. Woman, Infant, and Children program
b. Medicaid-c. Medicare
d. Consolidated Omnibus Budget Reconciliation Act provision.
A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset. What
snack should the nurse instruct the client to take with the tetracycline?
a. Fruit-flavored yogurt.
b. Cheese and crackers.
c. Cold cereal with skim milk.
-d. Toasted wheat bread and jelly
Following a lumbar puncture, a client voices several complaints. What complaint indicated to the
nurse that the client is experiencing a complication?
