HESI RN EXIT EXAM 2023 QUESTIONS AND ANSWERS

HESI RN EXIT EXAM 2023 QUESTIONS
AND ANSWERS




Enalaprilxmaleatex(Vasotec)xisxprescribedxforxaxhospitalizedxclient.xWhichxassessmentxdo
esxthexnursexperformxasxaxpriorityxbeforexadministeringxthexmedication?
A)xCheckingxthexclient'sxbloodxpressure
B)xcheckingxthexclient'sxperipheralxpulses
C)xcheckingxthexmostxrecentxpotassiumxlevel
D)xcheckingxthexclient'sxintakexandxoutputxrecordxforxthexlastx24xhoursx-xans--
A)xCheckingxthexclient'sxbloodxpressure

Rationale--enalaprilxmaleatexisxanxangiotensin-
convertingxenzymex(ACE)xinhibitorxusedxtoxtreatxhypertension.xOnexcommonxsidexeffectxi
sxposturalxhypotension.xThereforexthexnursexwouldxcheckxthexclient'sxbloodxpressureximm
ediatelyxbeforexadministeringxeachxdose.

Axclientxisxscheduledxtoxundergoxanxupperxgastrointestinalx(GI)xseries,xandxthexnursexprov
idesxinstructionsxtoxthexclientxaboutxthextest.xWhichxstatementxbyxthexclientxindicatesxaxne
edxforxfurtherxinstruction?

A)x"Thextestxwillxtakexaboutx30xminutes"
B)x"Ixneedxtoxfastxforx8xhoursxbeforexthextest"
C)x"IxneedxtoxdrinkxcitratexofxmagnesiaxthexnightxbeforexthextestxandxgivexmyselfxaxFleetxe
nemaxonxthexmorningxofxthextest."
D)x"Ixneedxtoxtakexaxlaxativexafterxthextestxisxcompleted,xbecausexthexliquidxthatxI'llxhavexto
xdrinkxforxthextestxcanxbexconstipating."x-xans--

C)x"IxneedxtoxdrinkxcitratexofxmagnesiaxthexnightxbeforexthextestxandxgivexmyselfxaxFleetxe
nemaxonxthexmorningxofxthextest."

Rationale
AnxupperxGIxseriesxinvolvesxvisualizationxofxthexesophagus,xduodenum,xandxupper
jejunumxbyxmeansxofxthexusexofxaxcontrastxmedium.xItxinvolvesxswallowingxaxcontrast
mediumx(usuallyxbarium),xwhichxisxadministeredxinxaxflavoredxmilkshake.xFilmsxarextaken
atxintervalsxduringxthextest,xwhichxtakesxaboutx30xminutes.xNoxspecialxpreparationxis
necessaryxbeforexaxGIxseries,xexceptxthatxNPOxstatusxmustxbexmaintainedxforx8xhours
beforexthextest.xAfterxanxupperxGIxseries,xthexclientxisxprescribedxaxlaxativextoxhasten

, eliminationxofxthexbarium.xBariumxthatxremainsxinxthexcolonxmayxbecomexhardxand
difficultxtoxexpel,xleadingxtoxfecalximpaction.

Axnursexonxthexeveningxshiftxchecksxaxphysician'sxprescriptionsxandxnotesxthatxthexdosexo
fxaxprescribedxmedicationxisxhigherxthanxthexnormalxdose.xThexnursexcallsxthexphysician'sx
answeringxservicexandxisxtoldxthatxthexphysicianxifxoffxforxthexnightxandxwillxbexavailablexth
exnextxmorning.xThexnursexshould:x
A)xcallxthexnursingxsupervisor
B)xAskxthexansweringxservicextoxcontactxthexon-callxphysician
C)xWithholdxthexmedicationxuntilxthexphysicianxcanxbexreachedxinxthexmorning
D)xAdministerxthexmedicationxbutxconsultxthexphysicianxwhenxhexbecomesxavailablex-
xans--B)xAskxthexansweringxservicextoxcontactxthexon-callxphysician



Anxemergencyxdepartmentx(ED)xnursexisxmonitoringxaxclientxwithxsuspectedxacute
myocardialxinfarctionx(MI)xwhoxisxawaitingxtransferxtoxthexcoronaryxintensivexcarexunit.
Thexnursexnotesxthexsuddenxonsetxofxprematurexventricularxcontractionsx(PVCs)xonxthe
monitor,xchecksxthexclient'sxcarotidxpulse,xandxdeterminesxthatxthexPVCsxarexnot
resultingxinxperfusion.xThexappropriatexactionxbyxthexnursexis:
A.xDocumentingxthexfindings
B.xAskingxthexEDxphysicianxtoxcheckxthexclient
C.xContinuingxtoxmonitorxthexclient'sxcardiacxstatus
D.xInformingxthexclientxthatxPVCsxarexexpectedxafterxanxMIx-xans--
B.xAskingxthexEDxphysicianxtoxcheckxthexclient

NPOxstatusxisximposedx8xhoursxbeforexthexprocedurexonxaxclientxscheduledxtoxundergo
electroconvulsivextherapyx(ECT)xatx1xp.m.xOnxthexmorningxofxthexprocedure,xthexnurse
checksxthexclient'sxrecordxandxnotesxthatxthexclientxroutinelyxtakesxanxoral
antihypertensivexmedicationxeachxmorning.xThexnursexshould:
A.xAdministerxthexantihypertensivexwithxaxsmallxsipxofxwater
B.xWithholdxthexantihypertensivexandxadministerxitxatxbedtime
C.xAdministerxthexmedicationxbyxwayxofxthexintravenousx(IV)xroute
D.xHoldxthexantihypertensivexandxresumexitsxadministrationxonxthexdayxafterxthexECTx-
xans--Administerxthexantihypertensivexwithxaxsmallxsipxofxwater



Axclientxwhoxrecentlyxunderwentxcoronaryxarteryxbypassxgraftxsurgeryxcomesxtoxthe
physician'sxofficexforxaxfollow-upxvisit.xOnxassessment,xthexclientxtellsxthexnursexthatxhexis
feelingxdepressed.xWhichxresponsexbyxthexnursexisxtherapeutic?
A.x"Tellxmexmorexaboutxwhatxyou'rexfeeling."
B.x"That'sxaxnormalxresponsexafterxthisxtypexofxsurgery."
C.x"Itxwillxtakextime,xbut,xIxpromisexyou,xyouxwillxgetxoverxthisxdepression."
D.x"Everyxclientxwhoxhasxthisxsurgeryxfeelsxthexsamexwayxforxaboutxaxmonth."x-xans--
A.x"Tellxmexmorexaboutxwhatxyou'rexfeeling."

Whichxinformationxisxmostxconcerningxtoxthexnursexwhenxcaringxforxanxolder
clientxwithxbilateralxcataracts?
A.xStatesxhavingxdifficultyxwithxcolorxperception