2023 HESI RN EXIT EXAM V2 WITH COMPLETE SOLUTION UPDATED APRIL HESI RN EXIT EXAM V2 WITH COMPLETE SOLUTION

2023 HESI RN EXIT EXAM V2 WITH COMPLETE SOLUTION UPDATED APRIL 2023 2023 HESI RN EXIT EXAM V2 WITH COMPLETE SOLUTION 1. A couple asks the nurse about risks ofseveral birth control methods. What is he most appropriate response by the nurse? A) Norplant is safe and may be removed easily B) Oral contraceptives should not be used by smokers C) Depo-Provera is convenient with few side effects D) The IUD gives protection from pregnancy and infection The correct answer is B: Oral contraceptives should not be used by smokers 2. A client experiences postpartum hemorrhage eight hours after the birth of twins. Following administration of IV fluids and 500 ml of whole blood, her hemoglobin and hematocrit are within normal limits. She asks the nurse whether she should continue to breast feed the infants. Which of the following is based on sound rationale? A) "Nursing will help contract the uterus and reduce your risk of bleeding." B) "Breastfeeding twins willtake too much energy after the hemorrhage." C) "The blood transfusion may increase the risks to you and the babies." D) "Lactation should be delayed until the "real milk" is secreted." The correct answer is A: "Nursing will help contract the uterus and reduce your risk of bleeding." 3. The nurse is caring for a post-surgical client at risk for developing deep vein thrombosis. Which intervention is an effective preventive measure? A) Place pillows under the knees B) Use elastic stockings continuously C) Encourage range of motion and ambulation D) Massage the legs twice daily The correct answer is C: Encourage range of motion and ambulation 4. The nurse is caring for a 20 lbs (9 kg) 6 month-old with a 3 day history of diarrhea, occasional vomiting and fever. Peripheral intravenous therapy has been initiated, with 5% dextrose in 0.33% normalsaline with 20 mEq of potassium per liter infusing at 35 ml/hr. Which finding should be reported to the health care provider immediately? A) 3 episodes of vomiting in 1 hour B) Periodic crying and irritability C) Vigorous sucking on a pacifier D) No measurable voiding in 4 hours The correct answer is D: No measurable voiding in 4 hours 5. Which response by the nurse would best assist the chemically impaired client to deal with issues of guilt? A) "Addiction usually causes people to feel guilty. Don’t worry, it is a typical response due to your drinking behavior." B) "What have you done that you feel most guilty about and what steps can you begin to take to help you lessen this guilt?" C) "Don’t focus on your guilty feelings. These feelings will only lead you to drinking and taking drugs." D) "You’ve caused a great deal of pain to your family and close friends, so it will take time to undo all the things you’ve done." The correct answer is B: "What have you done that you feel most guilty about and what steps can you begin to take to help you lessen this guilt?" 6. A client with schizophrenia is receiving Haloperidol (Haldol) 5 mg t.i.d.. The client’s family is alarmed and calls the clinic when "his eyes rolled upward." The nurse recognizes this as what type ofside effect? A) Oculogyric crisis B) Tardive dyskinesia C) Nystagmus D) Dysphagia The correct answer is A: Oculogyric crisis 10| P a g e 7. Which of the following measures would be appropriate for the nurse to teach the parent of a nine monthold infant about diaper dermatitis? A) Use only cloth diapers that are rinsed in bleach B) Do not use occlusive ointments on the rash C) Use commercial baby wipes with each diaper change D) Discontinue a new food that was added to the infant's diet just prior to the rash The correct answer is D: Discontinue a new food that was added to the infant''s diet just prior to the rash 8. A mother brings her 26 month-old to the well-child clinic. She expresses frustration and anger due to her child's constantly saying "no" and his refusal to follow her directions. The nurse explains this is normal for his age, as negativism is attempting to meet which developmental need? A) Trust B) Initiative C) Independence D) Self-esteem The correct answer is C: Independence 9. Which behavioral characteristic describes the domestic abuser?