2023HESIEXITRNEXAMV1-

2023HESIEXITRNEXAMV1-V7110OUTOFTHE160TOTALQUESTIONSFOREACH VERSION HESI V1-V7 2023 TESTBANK 12/6/23, 0:04 (Download) 2023HESIEXITRNEXAMV1.V2,V3,V4,V5,V6,V7LatestVolumes about:blank 2/176 2023 HESI EXIT RN EXAM V1-V7 160 TOTAL QUESTIONS EACH VOLUME 1. 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? • 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 at his last visit returns to the clinic two weeks later to evaluate his blood pressure (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 pathophysiologicalcondition? • Stroke secondary to hemorrhage • The nurse observes an unlicensed assistive personnel (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 shouldthenurseimplement? Anadolescentwithmajordepressivedisorderhasbeentakingduloxetine(Cymbalta)forthepast12days.Which assessmentfindingrequiresimmediatefollow-up? • Describes life without purpose 5. 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. Whatinformation should thenurse includein theclient’steaching plan? • Further evaluation involving surgery may be needed 6. A client who recently underwear a tracheostomy is being prepared for discharge to home. Which instructionsismostimportant for the nursetoinclude inthe dischargeplan? • Teach tracheal suctioning techniques 7. 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? • Document the assessment data • Rational: reservoir bag should not deflate completely during inspiration and the client’s respiratory rate is within normal limits. 8. Duringshift report, thecentral electrocardiogram(EKG) monitoring system alarms.Whichclient alarm shouldthenurseinvestigate firs? 12/6/23, 0:04 (Download) 2023HESIEXITRNEXAMV1.V2,V3,V4,V5,V6,V7LatestVolumes about:blank 3/176 • Respiratory apnea of 30 seconds 9. During a home visit, the nurse observed an elderly client with diabetes slip and fall. What action should thenursetakefirst? • Check the client for lacerations or fractures 10. 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 thenursetakefirst? • Inform the anesthesia care provider 11. After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 heart sounds. To determine if anS3 heart sound ispresent,what actionshould the nursetake first? •Listen with the bell at the same location 12. 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 insuranceneeds? •Medicare 13. A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset. What snack shouldthe nurseinstruct the clienttotakewith thetetracycline? • Toasted wheat bread and jelly 14. Following alumbarpuncture,aclient voicesseveralcomplaints.Whatcomplaint indicated tothenurse thattheclient isexperiencing acomplication? • “I have a headache that gets worse when I sit up” • “I am having pain in my lower back when I move my legs” • “My throat hurts when I swallow” • “I feel sick to my stomach and am going to throw up” 15. An elderly client seems confused and reports the onset of nausea, dysuria, and urgency with incontinence.Which actionshouldthe nurseimplement? • Obtain a clean catch mid-stream specimen 16. Thenurseis assisting themother of achild with phenylketonuria (PKU) toselect foodsthat are inkeeping with the child’s dietary restrictions. Which foods are contraindicated for this child? • Foods sweetened with aspartame 17. Before preparing a client for the first surgical case of the day, a part-time scrub nurse asks the circulating nurse if a 3 minute surgical hand scrub is adequate preparation for this client. Which response should the circulatingnurseprovide? 12/6/23, 0:04 (Download) 2023HESIEXITRNEXAMV1.V2,V3,V4,V5,V6,V7LatestVolumes about:blank 4/176 • Direct the nurse to continue the surgical hand scrub for a 5 minute duration 18. Which breakfast selection indicates that the client understands the nurse’s instructions about the dietary management of osteoporosis? • Bagel with jelly and skim milk 19. The charge nurse of a critical care unit is informed at the beginning of the shift that less than the optimal number of registered nurses will be working that shift. In planning assignments, which client should receive themostcarehours byaregistered nurse(RN)? • An 82-year-old client withAlzheimer’sdiseasenewly-fractures femurwho hasaFoleycatheter andsoftwristrestrains applied 20. A mother brings her 6-year-old child, who has just stepped on a rusty nail, to the pediatrician’s office. Upon inspection, the nurse notes that the nail went through the shoe and pierced the bottom of the child’sfoot.Whichaction should thenurse implement first? • Cleansethefoot with soapand waterand applyan antibioticointment • Provide teaching about the need for a tetanus booster within the next 72 hours. • have the mother check the child's temperature q4h for the next 24 hours • transfer the child to the emergency department to receive a gamma globulin injection 21. The mother of an adolescent tells the clinic nurse, “My son has athlete’s foot, I have been applyingtripleantibioticointment fortwodays,but therehasbeenno improvement.”What instruction shouldthenurseprovide? Stop using the ointment and encourage complete drying of the feet and wearing clean socks. 22. A 26-year-old female client is admitted to the hospital for treatment of a simple goiter, and levothyroxine sodium (Synthroid) is prescribed. Which symptoms indicate to the nurse that the prescribed dosageis toohigh for thisclient? Theclient experiences • Bradycardia and constipation • Lethargy and lack of appetite • Muscle cramping and dry, flushed skin • Palpitations and shortness of breath 23. A clientwith a historyof heartfailure presentsto theclinic witha nausea,vomiting, yellow vision and palpitations.Which finding is mostimportant for thenurseto assesstothe client? • Obtain a list of medications taken for cardiac history 24. The healthcare provider prescribes an IV solution of isoproterenol (Isuprel) 1 mg in 250 ml of D5W at 300 mcg/hour. The nurse should program the infusion pump to deliver how many ml/hour? (Enter numericvalueonly.) • 75 • Rationale: Convert mg to mcg and use the formula D/H x Q. 300 mcg/hour / 1,000 mcg x 250 ml =3/1x25=75ml/hour 12/6/23, 0:04 (Download) 2023HESIEXITRNEXAMV1.V2,V3,V4,V5,V6,V7LatestVolumes about:blank 5/176 25. The pathophysiological mechanism are responsible for ascites related to liver failure? (Select all that apply) •Fluid shifts from intravascular to interstitial area due to decreased serum protein •Increased hydrostatic pressure in portal circulation increases fluid shifts into abdomen •Increased circulating aldosterone levels that increase sodium and water retention 26. The nurse is auscultating a client’s heart sounds. Which description should the nurse use to document this sound? (Please listen to the audio first to select the option that applies) • Murmur • Rationale: A murmur is auscultated as a swishing sound that is associated with the blood turbulencecreatedbytheheart orvalvular defect. 27. Thehealthcare provider prescribes celtazidime (Fortax) 35 mg every 8 hours IMfor aninfant.The 500 mg vial is labeled with the instruction to add 5.3 ml diluent to provide a concentration of 100 mg/ml. How many ml should the nurse administered for each dose? (Enter numeric value only. If rounding is required,round tothenearesttenth) • 0.4 Rationale: 35mg/100mg x 1 = 0.35 = 0.4 ml 28. The nurse notes that a client has been receiving hydromorphone (Dilaudid) every six hours for four days.What assessment is mostimportant for thenurse tocomplete? • Auscultate the client's bowel sounds • Observe for edema around the ankles • Measure the client’s capillary glucose level • Count the apical and radial pulses simultaneously Rationale: hydromorphone is a potent opioid analgesic that slows peristalsis and frequently causes constipation,soit ismostimportant toAuscultate theclient's bowel sounds 29. A female client is admitted with end stage pulmonary disease is alert, oriented, and complaining of shortness of breath. The client tells the nurse that she wants “no heroic measures” taken if she stops breathing, and she asksthe nurse to document this in her medical record. What action should the nurse implement? • Ask the client to discuss “do not resuscitate” with her healthcare provider 12/6/23, 0:04 (Download) 2023HESIEXITRNEXAMV1.V2,V3,V4,V5,V6,V7LatestVolumes about:blank 6/176 30. A client is receiving a full strength continuous enteral tube feeding at 50 ml/hour and has developed diarrhea. The client has a new prescription to change the feeding to half strength. What intervention should thenurseimplement? • Add equal amounts of water and feeding to a feeding bag and infuse at 50ml/hour 31. A female client reports that her hair is becoming coarse and breaking off, that the outer part of her eyebrows have disappeared, and that her eyes are all puffy. Which followupquestionisbestforthe nurseto ask? • Have you noticed any changes in your fingernails? Rationale: The pattern of reported manifestations is suggestive of hypothyroidism 32. After a third hospitalization 6 months ago, a client is admitted to the hospital with ascites and malnutrition. The clientis drowsy butresponding toverbal stimuliandreports recently spitting upblood. What assessment finding warrantsimmediate intervention bythe nurse? • Capillary refill of 8 seconds • bruises on arms and legs • round and tight abdomen • pitting edema in lower legs 33. After the nurse witnesses a preoperative client sign the surgical consent form, the nurse signs the form as awitness. What are the legal implications of the nurse’s signature on the client’ssurgical consent form? (selectallthatapply) •The client voluntarily grants permission for the procedure to be done •The client is competent to sign the consent without impairment of judgment •The client understands the risks and benefits associated with the procedure 34. Following surgery, a male client with antisocial personality disorder frequently requests that a specific nurse be assigned to his care and is belligerent when another nurse is assigned. What action should thechargenurse implement? • Advise the client that assignments are not based on clients requests 35. A client with cervical cancer is hospitalized for insertion of a sealed internal cervical radiation implant. While providing care, the nurse finds the radiation implant in the bed. What action should the nurse take? • Place the implant in a lead container using long-handled forceps 36. The client with which type of wound is most likely to need immediate intervention bythe nurse? • Laceration • Abrasion • Contusion • Ulceration