HESI EXIT V7 EXAM QUESTIONS AND
ANSWERS 100% CORRECT!
,Which information is a priority for the RN to reinforce to an older client after intravenous
pylegraphy? - ANSWER Measure the urine output for the next day and immediately
notify the health care provider if it should decrease.
A client has altered renal function and is being treated at home. The nurse recognizes
that the most accurate indicator of fluid balance during the weekly visits is - ANSWER
weekly weight
A client has been diagnosed with Zollinger-Ellison syndrome.Which information is most
important for the nurse to reinforce with the client? - ANSWER It is critical to report
promptly to your health care provider any findings of peptic ulcers
A primigravida in the third trimester is hospitalized for preeclampsia. The nurse
determines that the client's blood pressure is increasing. Which action should the nurse
take first? - ANSWER Have the client turn to the left side
The nurse is caring for a client in atrial fibrillation. The atrial heart rate is 250 and the
ventricular rate is controlled at 75. Which of the following findings is cause for the most
concern? - ANSWER A cold, pale lower leg
The client with infective endocarditis must be assessed frequently by the home health
nurse. Which finding suggests that antibiotic therapy is not effective, and must be
reported by the nurse immediately to the healthcare provider? - ANSWER Fever of 103
degrees Fahrenheit (39.5 degrees Celsius)
A client who had a vasectomy is in the post recovery unit at an outpatient clinic. Which
of these points is most important to be reinforced by the nurse? - ANSWER Until the
health care provider has determined that your ejaculate doesn't contain
A client who is to have antineoplastic chemotherapy tells the nurses of a fear of being
sick all the time and wishes to try acupuncture. Which of these beliefs stated by the
client would be incorrect about acupuncture? - ANSWER The flow of life is believed to
flow through major pathways or nerve clusters in your body.
The nurse is discussing with a group of students the disease Kawasaki. What statement
made by a student about Kawasaki disease is incorrect? - ANSWER Kawasaki disease
, occurs most often in boys, children younger than age 5 and children of Hispanic
descent
A client with heart failure has a prescription for digoxin. The nurse is aware that
sufficient potassium should be included in the diet because hypokalemia in combination
with this medication? - ANSWER Can predispose to dysrhythmias
A nurse assesses a young adult in the emergency room following a motor vehicle
accident. Which of the following neurological signs is of most concern? - ANSWER
Pupils fixed and dilated
A 14 year-old with a history of sickle cell disease is admitted to the hospital with a
diagnosis of vaso-occlusive crisis. Which statements by the client would be most
indicative of the etiology of this crisis - ANSWER "I went to the health care provider last
week for a cold and I have gotten worse."
Which these findings would the nurse more closely associate with anemia in a 10
month-old infant? - ANSWER Pale mucosa of the eyelids and lips
The nurse is caring for a client in hypertensive crisis in an intensive care unit. The
priority assessment in the first hour of care is - ANSWER Pupil responses
Which of these clients who are all in the terminal stage of cancer is least appropriate to
suggest the use of patient controlled analgesia (PCA) with a pump? - ANSWER A
preschooler with intermittent episodes of alertness
The nurse is about to assess a 6 month-old child with nonorganic failure-to thrive
(NOFTT). Upon entering the room, the nurse would expect the baby to be - ANSWER
Pale, thin arms and legs, uninterested in surroundings
As the nurse is speaking with a group of teens which of these side effects of
chemotherapy for cancer would the nurse expect this group to be more interested in
during the discussion? - ANSWER Hair loss
While caring for a client who was admitted with myocardial infarction (MI) 2 days ago,
the nurse notes today's temperature is 101.1 degrees Fahrenheit (38.5 degrees
Celsius). The appropriate nursing intervention is to - ANSWER Administer
acetaminophen as ordered as this is normal at this time
. A client is admitted for first and second degree burns on the face, neck, anterior chest
and hands. The nurse's priority should be - ANSWER Assess for dyspnea or stridor
ANSWERS 100% CORRECT!
,Which information is a priority for the RN to reinforce to an older client after intravenous
pylegraphy? - ANSWER Measure the urine output for the next day and immediately
notify the health care provider if it should decrease.
A client has altered renal function and is being treated at home. The nurse recognizes
that the most accurate indicator of fluid balance during the weekly visits is - ANSWER
weekly weight
A client has been diagnosed with Zollinger-Ellison syndrome.Which information is most
important for the nurse to reinforce with the client? - ANSWER It is critical to report
promptly to your health care provider any findings of peptic ulcers
A primigravida in the third trimester is hospitalized for preeclampsia. The nurse
determines that the client's blood pressure is increasing. Which action should the nurse
take first? - ANSWER Have the client turn to the left side
The nurse is caring for a client in atrial fibrillation. The atrial heart rate is 250 and the
ventricular rate is controlled at 75. Which of the following findings is cause for the most
concern? - ANSWER A cold, pale lower leg
The client with infective endocarditis must be assessed frequently by the home health
nurse. Which finding suggests that antibiotic therapy is not effective, and must be
reported by the nurse immediately to the healthcare provider? - ANSWER Fever of 103
degrees Fahrenheit (39.5 degrees Celsius)
A client who had a vasectomy is in the post recovery unit at an outpatient clinic. Which
of these points is most important to be reinforced by the nurse? - ANSWER Until the
health care provider has determined that your ejaculate doesn't contain
A client who is to have antineoplastic chemotherapy tells the nurses of a fear of being
sick all the time and wishes to try acupuncture. Which of these beliefs stated by the
client would be incorrect about acupuncture? - ANSWER The flow of life is believed to
flow through major pathways or nerve clusters in your body.
The nurse is discussing with a group of students the disease Kawasaki. What statement
made by a student about Kawasaki disease is incorrect? - ANSWER Kawasaki disease
, occurs most often in boys, children younger than age 5 and children of Hispanic
descent
A client with heart failure has a prescription for digoxin. The nurse is aware that
sufficient potassium should be included in the diet because hypokalemia in combination
with this medication? - ANSWER Can predispose to dysrhythmias
A nurse assesses a young adult in the emergency room following a motor vehicle
accident. Which of the following neurological signs is of most concern? - ANSWER
Pupils fixed and dilated
A 14 year-old with a history of sickle cell disease is admitted to the hospital with a
diagnosis of vaso-occlusive crisis. Which statements by the client would be most
indicative of the etiology of this crisis - ANSWER "I went to the health care provider last
week for a cold and I have gotten worse."
Which these findings would the nurse more closely associate with anemia in a 10
month-old infant? - ANSWER Pale mucosa of the eyelids and lips
The nurse is caring for a client in hypertensive crisis in an intensive care unit. The
priority assessment in the first hour of care is - ANSWER Pupil responses
Which of these clients who are all in the terminal stage of cancer is least appropriate to
suggest the use of patient controlled analgesia (PCA) with a pump? - ANSWER A
preschooler with intermittent episodes of alertness
The nurse is about to assess a 6 month-old child with nonorganic failure-to thrive
(NOFTT). Upon entering the room, the nurse would expect the baby to be - ANSWER
Pale, thin arms and legs, uninterested in surroundings
As the nurse is speaking with a group of teens which of these side effects of
chemotherapy for cancer would the nurse expect this group to be more interested in
during the discussion? - ANSWER Hair loss
While caring for a client who was admitted with myocardial infarction (MI) 2 days ago,
the nurse notes today's temperature is 101.1 degrees Fahrenheit (38.5 degrees
Celsius). The appropriate nursing intervention is to - ANSWER Administer
acetaminophen as ordered as this is normal at this time
. A client is admitted for first and second degree burns on the face, neck, anterior chest
and hands. The nurse's priority should be - ANSWER Assess for dyspnea or stridor
