Exit HESI Test Bank – 1000+ Practice Questions and Answers – Complete Exam Preparation

,1. Following discharge teaching, a male client with duodenal ulcer tells the nurse i f i f i f i f i f i f i f i f i f i f i f i



fthe he will drink plenty of dairy products, such as milk, to help coat and protect
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his ulcer. What is the best follow-up action by the nurse?
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A. Review with the client the need to avoid foods that are rich in milk and cream

2. A male client with hypertension, who received new antihypertensive prescriptions
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at his last visit returns to the clinic two weeks later to evaluate his blood pressure (
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BP). His BP is 158/106 and he admits that he has not been taking the prescribed m
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edication because the drugs make him “feel bad”. In explaining the need for hypert if if if if if if if if i f if if if if



ension control, the nurse should stress that an elevated BP places the client at risk
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for which pathophysiological condition?
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A. Stroke secondary to hemorrhage if if if




3. The nurse observes an unlicensed assistive personnel (UAP) positioning a newly ad
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mitted client who has a seizure disorder. The client is supine and the UAP is placing s
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oft pillows along the side rails. What action should the nurse implement?
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A. Instruct the UAP to obtain soft blankets to secure to the side rails i f i f i f i f i f i f i f i f i f i f i f i f i



instead of pillows. f if if




4. An adolescent with major depressive disorder has been taking duloxetine (Cymbalta)
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ffor the past 12 days. Which assessment finding requires immediate follow-up?
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A. Describes life without purpose if if if




5. A 60-year-
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old female client with a positive family history of ovarian cancer has developed an
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abdominal mass and is being evaluated for possible ovarian cancer. Her Papani
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colau (Pap) smear results are negative. What information should the nurse includ
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e in the client’s teaching plan?
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A. Further evaluation involving surgery may be needed if if if if if if




6. A client who recently underwear a tracheostomy is being prepared for discharge to home.
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fWhich instructions is most important for the nurse to include in the discharge plan?
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A. Teach tracheal suctioning techniques if if if




7. In assessing an adult client with a partial rebreather mask, the nurse notes that the oxy
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gen reservoir bag does not deflate completely during inspiration and the client’s respira
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tory rate is 14 breaths / minute. What action should the nurse implement?
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A. Document the assessment data if if if




B. Rational: reservoir bag should not deflate completely during inspiration if if if if if if if if i f



and the client’s respiratory rate is within normal limits. if if if if if if if if




8. During shift report, the central electrocardiogram (EKG) monitoring system
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alarms. Which client alarm should the nurse investigate firs? if if if if if if if if



A. Respiratory apnea of 30 seconds if if if if




9. During a home visit, the nurse observed an elderly client with diabetes slip and f
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all. What action should the nurse take first?
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A. Check the client for lacerations or fractures
10. At 0600 while admitting a woman for a schedule repeat cesarean section (C-
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Section), the client tells the nurse that she drank a cup a coffee at 0400 because she w
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anted to avoid getting a headache. Which action should the nurse take first?
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, A. Inform the anesthesia care provider if if if if




11. After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S
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2 heart sounds. To determine if an S3 heart sound is present, what action should
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the nurse take first?
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A. Listen with the bell at the same location if if if if if if if




12. A 66-year- if



old woman is retiring and will no longer have a health insurance through her plac
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e of employment. Which agency should the client be referred to by the employee
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health nurse for health insurance needs? if if if if if



A. Medicare

13. A client who is taking an oral dose of a tetracycline complains of gastrointesti
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nal upset. What snack should the nurse instruct the client to take with the tetracycline?
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A. Toasted wheat bread and jelly if if if if




14. Following a lumbar puncture, a client voices several complaints. What complaint in
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dicated to the nurse that the client is experiencing a complication?
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A. “I have a headache that gets worse when I sit up” if if if if if if if if if if




B. “I am having pain in my lower back when I move my legs”
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C. “My throat hurts when I swallow” if if if if if




D. “I feel sick to my stomach and am going to throw up”
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15. An elderly client seems confused and reports the onset of nausea, dysuria,
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and urgency with incontinence. Which action should the nurse implement?
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A. Obtain a clean catch mid-stream specimen if if if if if




16. The nurse is assisting the mother of a child with phenylketonuria (PKU) t
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o select foods that are in keeping with the child’s dietary restrictions. Which foods
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are contraindicated for this child?
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A. Foods sweetened with aspartame if if if




17. 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
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quate preparation for this client. Which response should the circulating nurse provi
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de?
A. Direct the nurse to continue the surgical hand scrub for a 5 minute duration if if if if if if if if if if if if if




18. Which breakfast selection indicates that the client understands the nurse’s
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instructions about the dietary management of osteoporosis?
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A. Bagel with jelly and skim milk if if if if if




19. The charge nurse of a critical care unit is informed at the beginning of the shift that less than the
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optimal number of registered nurses will be working that shift. In planning assignments, which
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client should receive the most care hours by a registered nurse (RN)?
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A. An 82-year-old client with Alzheimer’s disease newly-fractures femur
who has a Foley catheter and soft wrist restrains applied

, 20. A mother brings her 6-year-
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old child, who has just stepped on a rusty nail, to the pediatrician’s office. Upon inspection, th
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e nurse notes that the nail went through the shoe and pierced the bottom of the child’s foot.
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Which action should the nurse implement first?
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A. Cleanse the foot with soap and water and apply an antibiotic ointment
B. ifi f Provide teaching about the need for a tetanus booster within the next 72 hours.
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C.
have the mother check the child's temperature q4h for the next 24 hours if if if if if if if if if if if if




D.
transfer the child to the emergency department to receive a gamma g if if if if if if if if if if i f



lobulin injection if




21.The mother of an adolescent tells the clinic nurse, “My son has athlete’s foot, I have
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been applying triple antibiotic ointment for two days, but there has been no improve
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ment.” What instruction should the nurse provide?
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A. Stop using the ointment and encourage complete drying of the feet and
wearing clean socks.
22. A 26-year-
if



old female client is admitted to the hospital for treatment of a simple goiter, and levothyro
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xine sodium (Synthroid) is prescribed. Which symptoms indicate to the nurse that the p
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rescribed dosage is too high for this client? The client experiences if if if if if if if if if if



A. Bradycardia and constipation if if



B. Lethargy and lack of appetite if if if if



C. Muscle cramping and dry, flushed skin if if if if if



D. Palpitations and shortness of breath
i f if if if if




23. A client with a history of heart failure presents to the clinic with a nausea, vomiting,
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yellow vision and palpitations. Which finding is most important for the nurse to ass
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ess to the client? if if if



A. Obtain a list of medications taken for cardiac history
24. The healthcare provider prescribes an IV solution of isoproterenol (Isuprel) 1 mg in
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250 ml of D5W at 300 mcg/hour. The nurse should program the infusion pump to del
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iver how many ml/hour? (Enter numeric value only.)
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A. 75
B. Rationale: Convert mg to mcg and use the formula D/H x Q. 30 i f i f i f i f i f i f i f i f i f i f i f i f



0 mcg/hour / 1,000 mcg x 250 ml = 3/1 x 25 = 75 ml/hour i f if if if if if if if if if if if if if




25. The pathophysiological mechanism are responsible for ascites related to liver f
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ailure? (Select all that apply) if if if if



A. Fluid shifts from intravascular to interstitial area due to decreased serum protein
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B. Increased hydrostatic pressure in portal circulation increases flui
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d shifts into abdomen if if



C. Increased circulating aldosterone levels that increase sodium and water retention
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26. The nurse is auscultating a client’s heart sounds. Which description should the nurse use t
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o document this sound? (Please listen to the audio first to select the option that applies)
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A.Murmur
B. Rationale: A murmur is auscultated as a swishing sound that is associated
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with the blood turbulence created by the heart or valvular defect. if if if if if if if if if if