6/11/23,f1:45fPM (fDownload)f2022fHESIfEXITfRNfEXAMfV1.V2,V3,V4,V5,V6,V7fLatestfVolu…
2022fHESIfEXITfRNfEXAMfV1-
V7f110fOUT fOFfTHE f160fTOTALfQUESTIONSfFORfEACHfVERSION
HESI V1- f
V72022 f
TESTBANK f
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2022fHESIfEXITfRNfEXAM
V1-V7f160fTOTALfQUESTIONSf EACHfVOLUME
1. Followingfdischargefteaching, fafmalefclientfwithfduodenalfulcerftellsfthefnursefthefhefwillfdrinkfplentyfoffda
iryfproducts,fsuchfasfmilk,ftofhelpfcoatfandfprotectfhisfulcer. fWhatfisfthefbestffollow-
upfactionfbyfthefnurse?
• Reviewfwithfthefclientfthef needftofavoidffoodsfthatfaref richfinf milkfandfcream
2. Afmalefclientfwithfhypertension, fwhofreceivedfnewfantihypertensivefprescriptions fatfhisflastfvisitfreturnsftoft
hef clinicf twof weeksf laterf tof evaluatef hisf bloodf pressuref (BP). f Hisf BPf isf 158/106f andf hef admitsf thatf hef hasfn
otfbeenftakingfthefprescribedfmedicationfbecausefthefdrugsfmakefhimf“feelfbad”.fInfexplainingfthefneedfforfhy
pertensionfcontrol,fthefnursefshouldfstressfthatfanfelevatedfBPfplacesfthefclientfatfriskfforfwhichfpathophysiolo
gicalfcondition?
• Strokefsecondaryf tof hemorrhage
• Thefnursefobservesfanfunlicensedfassistivefpersonnelf(UAP)fpositioningfafnewlyfadmittedfclientfwhofhasfafse
izurefdisorder.fThefclientfisfsupinefandfthefUAPfisfplacingfsoftfpillowsfalongfthefsidefrails.fWhatfactionfshoul
dfthefnursefimplement?
Anfadolescentfwithfmajorfdepressivefdisorderfhasfbeenftakingfduloxetinef(Cymbalta)fforfthefpastf12fdays.fWhich
fassessmentffindingfrequiresfimmediateffollow-up?
• Describesf lifef withoutf purpose
5. Af60-year-
oldffemalefclientfwithfafpositiveffamilyfhistoryfoffovarianfcancerfhasfdevelopedfanfabdominalfmassfandfisfbein
gfevaluatedfforfpossiblefovarianfcancer.fHerfPapanicolauf(Pap)fsmearfresultsfarefnegative. fWhatfinformationfs
houldfthefnursefincludefinfthefclient’sfteachingfplan?
• Furtherf evaluationf involvingf surgeryf mayf bef needed
6. Afclientfwhofrecentlyfunderwearfaftracheostomyfisfbeingfpreparedfforfdischargeftofhome.fWhichfinstructio
nsfisfmostfimportantfforfthefnurseftofincludefinfthefdischargefplan?
• Teachf trachealf suctioningf techniques
7. Infassessingfanfadultfclientfwithfafpartialf rebreatherf mask,f thef nursef notesfthatfthef oxygen
reservoirf bagf doesf notf deflatef completelyf duringf inspirationf andf thef client’sf respiratoryf ratef isf 14
breathsf /f minute.fWhatf actionfshouldf thef nursef implement?
• Documentf thef assessmentf data
• Rational:f reservoirf bagf shouldf notf deflatef completelyf duringf inspirationf andf thef client’s
respiratoryfratef isf withinf normalf limits.
8. Duringfshiftfreport,f thefcentralf electrocardiogramf(EKG)f monitoringfsystemfalarms.fWhichfclientf alarmf
shouldfthefnursefinvestigateffirs?
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• Respiratoryfapneafoff 30f seconds
9. Duringf af homef visit,f thef nursef observedf anf elderlyf clientf withf diabetes f slipf andf fall.f Whatf actionf shouldft
hefnurseftakeffirst?
• Checkfthefclientf forf lacerationsf orf fractures
10. Atf0600fwhilefadmittingfafwomanfforfafschedulefrepeatfcesareanfsectionf(C-
Section),fthefclientftellsfthefnursefthatfshefdrankfafcupfafcoffeefatf0400fbecausefshefwantedftofavoidfgettingfafh
eadache.fWhichfactionfshouldfthefnurseftakeffirst?
• Informf thefanesthesiafcarefprovider
11. Afterfplacingfafstethoscopefasfseenfinfthefpicture,fthefnursefauscultatesfS1fandfS2fheartfsounds. fTofdetermi
nefiffanfS3fheartfsoundfisfpresent,fwhatfactionfshouldfthefnurseftakeffirst?
• Listenfwithfthef bellfatfthefsamef location
12. Af66-year-
oldfwomanfisfretiringfandfwillfnoflongerfhavefafhealthfinsurancefthroughfherfplacefoffemployment.fWh
ichfagencyfshouldfthefclientfbefreferredftofbyfthefemployeefhealthfnursefforfhealthfinsurancefneeds?
• Medicare
13. Afclientfwhofisftakingfanforalfdosefoffaftetracyclinefcomplains foffgastrointestinalfupset.fWhatfsnackfsh
ouldfthefnursefinstructfthefclientftoftakefwithftheftetracycline?
• Toastedfwheatf breadfandfjelly
14. Followingfaflumbarfpuncture,fafclientfvoicesfseveralfcomplaints.fWhatfcomplaintfindicatedftofthefnursef
thatfthefclientfisfexperiencingfafcomplication?
• “IfhavefafheadachefthatfgetsfworsefwhenfIfsitfup”
• “Ifamf havingfpainf inf myflowerfbackfwhenfIf movef myf legs”
• “Myfthroatf hurtsfwhenfIfswallow”
• “Iffeelfsickftof myfstomachfandfamfgoingf tofthrowf up”
15. Anf elderlyf clientf seemsf confusedf andf reportsf thef onsetf off nausea,f dysuria,f andf urgencyf withfincontine
nce.fWhichfactionfshouldfthefnursefimplement?
• Obtainfaf cleanf catchf mid-streamf specimen
16. Thefnursefisfassistingfthefmotherfoffafchildfwithfphenylketonuriaf(PKU)ftofselectf foodsfthatfarefinfkeeping
withfthef child’sfdietaryf restrictions.fWhichf foodsfaref contraindicatedf forfthisf child?
• Foodsf sweetenedf withf aspartame
17. Beforefpreparingfafclientfforftheffirstfsurgicalfcasefoffthefday,fafpart-
timefscrubfnursefasksfthefcirculatingfnursefiffaf3fminutefsurgicalfhandfscrubfisfadequatefpreparationfforfthisfcli
ent.fWhichfresponsefshouldfthefcirculatingfnursefprovide?
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, 6/11/23,f1:45fPM (fDownload)f2022fHESIfEXITfRNfEXAMfV1.V2,V3,V4,V5,V6,V7fLatestfVolu…
• Directf thef nursef tofcontinuefthefsurgicalf handfscrubf forfaf5f minutefduration
18. Whichf breakfastf selectionf indicatesf thatf thef clientf understandsf thef nurse’sf instructionsf aboutf thef dietary
managementf off osteoporosis?
• Bagelfwithfjellyfandfskimf milk
19. Thefchargefnursefoffafcriticalfcarefunitfisfinformedfatfthefbeginningfoffthefshiftfthatflessfthanfthefoptimalfnu
mberfoffregisteredfnursesfwillfbefworkingfthatfshift.fInfplanningfassignments,fwhichfclientfshouldfreceivefthef
mostfcarefhoursfbyfafregisteredfnursef(RN)?
• Anf82-year-oldfclientfwithfAlzheimer’sfdiseasefnewly-
fracturesffemurfwhofhasfafFoleyfcatheterfandfsoftfwristfrestrainsfapplied
20. Afmotherfbringsfherf6-year-
oldfchild,fwhofhasfjustfsteppedfonfafrustyfnail,ftofthefpediatrician’s foffice.fUponfinspection,fthefnursefn
otesfthatfthefnailfwentfthroughfthefshoefandfpiercedfthefbottomfoffthefchild’sffoot.fWhichfactionfshould
fthefnursefimplementffirst?
• Cleanseftheffootfwithfsoapfandfwaterfandfapplyfanfantibioticfointment
• Providefteachingfaboutfthef needf forfaf tetanusfboosterfwithinfthef nextf 72f hours.
• havefthef motherfcheckfthefchild'sf temperaturefq4hf forfthef nextf24f hours
• transferfthefchildftofthefemergencyf departmentf tof receivefaf gammaf globulinf injection
21. Thef motherfoffanfadolescentftellsfthefclinicf nurse,f“Myfsonf hasfathlete’sf foot,f If havefbeen
applyingftriplefantibioticfointmentfforftwofdays,fbutftherefhasfbeenfnofimprovement.”fWhatf instructionfsh
ouldfthefnursefprovide?
Stopf usingfthefointmentfandfencouragefcompletefdryingf off thef feetfandfwearingf cleanfsocks.
22. Af26-year-
oldffemalefclientfisfadmittedftofthefhospitalfforftreatmentfoffafsimplefgoiter,fandflevothyroxinefsodiumf
(Synthroid)fisfprescribed. fWhichfsymptomsfindicateftofthefnursefthatfthefprescribedfdosagefisftoofhighf
forfthisfclient?fThefclientfexperiences
• Bradycardiaf andf constipation
• Lethargyf andf lackf off appetite
• Musclefcrampingf andf dry,f flushedf skin
• Palpitationsfandfshortnessfoffbreath
23. Afclientfwithfafhistoryfoff heartffailurefpresentsftofthefclinicfwithfaf nausea,fvomiting,f yellowfvisionfandf
palpitations. fWhichffindingfisfmostfimportantfforfthefnurseftofassessftofthefclient?
• Obtainfaf listf off medications ftakenf forfcardiacf history
24. Thef healthcaref providerf prescribes f anf IVf solutionf off isoproterenolf (Isuprel)f 1f mgf inf 250f mlf off D5Wf
atf300fmcg/hour.fThefnursefshouldfprogramfthefinfusionfpumpftofdeliverfhowfmanyfml/hour?f(Enterfnu
mericfvaluefonly.)
• 75
• Rationale:fConvertfmgftofmcgfandfusefthefformulafD/HfxfQ.f300fmcg/hourf/f1,000fmcgfxf250f
mlf=f3/1fxf25f=f75fml/hour
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2022fHESIfEXITfRNfEXAMfV1-
V7f110fOUT fOFfTHE f160fTOTALfQUESTIONSfFORfEACHfVERSION
HESI V1- f
V72022 f
TESTBANK f
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,6/11/23,f1:45fPM (fDownload)f2022fHESIfEXITfRNfEXAMfV1.V2,V3,V4,V5,V6,V7fLatestfVolu…
2022fHESIfEXITfRNfEXAM
V1-V7f160fTOTALfQUESTIONSf EACHfVOLUME
1. Followingfdischargefteaching, fafmalefclientfwithfduodenalfulcerftellsfthefnursefthefhefwillfdrinkfplentyfoffda
iryfproducts,fsuchfasfmilk,ftofhelpfcoatfandfprotectfhisfulcer. fWhatfisfthefbestffollow-
upfactionfbyfthefnurse?
• Reviewfwithfthefclientfthef needftofavoidffoodsfthatfaref richfinf milkfandfcream
2. Afmalefclientfwithfhypertension, fwhofreceivedfnewfantihypertensivefprescriptions fatfhisflastfvisitfreturnsftoft
hef clinicf twof weeksf laterf tof evaluatef hisf bloodf pressuref (BP). f Hisf BPf isf 158/106f andf hef admitsf thatf hef hasfn
otfbeenftakingfthefprescribedfmedicationfbecausefthefdrugsfmakefhimf“feelfbad”.fInfexplainingfthefneedfforfhy
pertensionfcontrol,fthefnursefshouldfstressfthatfanfelevatedfBPfplacesfthefclientfatfriskfforfwhichfpathophysiolo
gicalfcondition?
• Strokefsecondaryf tof hemorrhage
• Thefnursefobservesfanfunlicensedfassistivefpersonnelf(UAP)fpositioningfafnewlyfadmittedfclientfwhofhasfafse
izurefdisorder.fThefclientfisfsupinefandfthefUAPfisfplacingfsoftfpillowsfalongfthefsidefrails.fWhatfactionfshoul
dfthefnursefimplement?
Anfadolescentfwithfmajorfdepressivefdisorderfhasfbeenftakingfduloxetinef(Cymbalta)fforfthefpastf12fdays.fWhich
fassessmentffindingfrequiresfimmediateffollow-up?
• Describesf lifef withoutf purpose
5. Af60-year-
oldffemalefclientfwithfafpositiveffamilyfhistoryfoffovarianfcancerfhasfdevelopedfanfabdominalfmassfandfisfbein
gfevaluatedfforfpossiblefovarianfcancer.fHerfPapanicolauf(Pap)fsmearfresultsfarefnegative. fWhatfinformationfs
houldfthefnursefincludefinfthefclient’sfteachingfplan?
• Furtherf evaluationf involvingf surgeryf mayf bef needed
6. Afclientfwhofrecentlyfunderwearfaftracheostomyfisfbeingfpreparedfforfdischargeftofhome.fWhichfinstructio
nsfisfmostfimportantfforfthefnurseftofincludefinfthefdischargefplan?
• Teachf trachealf suctioningf techniques
7. Infassessingfanfadultfclientfwithfafpartialf rebreatherf mask,f thef nursef notesfthatfthef oxygen
reservoirf bagf doesf notf deflatef completelyf duringf inspirationf andf thef client’sf respiratoryf ratef isf 14
breathsf /f minute.fWhatf actionfshouldf thef nursef implement?
• Documentf thef assessmentf data
• Rational:f reservoirf bagf shouldf notf deflatef completelyf duringf inspirationf andf thef client’s
respiratoryfratef isf withinf normalf limits.
8. Duringfshiftfreport,f thefcentralf electrocardiogramf(EKG)f monitoringfsystemfalarms.fWhichfclientf alarmf
shouldfthefnursefinvestigateffirs?
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• Respiratoryfapneafoff 30f seconds
9. Duringf af homef visit,f thef nursef observedf anf elderlyf clientf withf diabetes f slipf andf fall.f Whatf actionf shouldft
hefnurseftakeffirst?
• Checkfthefclientf forf lacerationsf orf fractures
10. Atf0600fwhilefadmittingfafwomanfforfafschedulefrepeatfcesareanfsectionf(C-
Section),fthefclientftellsfthefnursefthatfshefdrankfafcupfafcoffeefatf0400fbecausefshefwantedftofavoidfgettingfafh
eadache.fWhichfactionfshouldfthefnurseftakeffirst?
• Informf thefanesthesiafcarefprovider
11. Afterfplacingfafstethoscopefasfseenfinfthefpicture,fthefnursefauscultatesfS1fandfS2fheartfsounds. fTofdetermi
nefiffanfS3fheartfsoundfisfpresent,fwhatfactionfshouldfthefnurseftakeffirst?
• Listenfwithfthef bellfatfthefsamef location
12. Af66-year-
oldfwomanfisfretiringfandfwillfnoflongerfhavefafhealthfinsurancefthroughfherfplacefoffemployment.fWh
ichfagencyfshouldfthefclientfbefreferredftofbyfthefemployeefhealthfnursefforfhealthfinsurancefneeds?
• Medicare
13. Afclientfwhofisftakingfanforalfdosefoffaftetracyclinefcomplains foffgastrointestinalfupset.fWhatfsnackfsh
ouldfthefnursefinstructfthefclientftoftakefwithftheftetracycline?
• Toastedfwheatf breadfandfjelly
14. Followingfaflumbarfpuncture,fafclientfvoicesfseveralfcomplaints.fWhatfcomplaintfindicatedftofthefnursef
thatfthefclientfisfexperiencingfafcomplication?
• “IfhavefafheadachefthatfgetsfworsefwhenfIfsitfup”
• “Ifamf havingfpainf inf myflowerfbackfwhenfIf movef myf legs”
• “Myfthroatf hurtsfwhenfIfswallow”
• “Iffeelfsickftof myfstomachfandfamfgoingf tofthrowf up”
15. Anf elderlyf clientf seemsf confusedf andf reportsf thef onsetf off nausea,f dysuria,f andf urgencyf withfincontine
nce.fWhichfactionfshouldfthefnursefimplement?
• Obtainfaf cleanf catchf mid-streamf specimen
16. Thefnursefisfassistingfthefmotherfoffafchildfwithfphenylketonuriaf(PKU)ftofselectf foodsfthatfarefinfkeeping
withfthef child’sfdietaryf restrictions.fWhichf foodsfaref contraindicatedf forfthisf child?
• Foodsf sweetenedf withf aspartame
17. Beforefpreparingfafclientfforftheffirstfsurgicalfcasefoffthefday,fafpart-
timefscrubfnursefasksfthefcirculatingfnursefiffaf3fminutefsurgicalfhandfscrubfisfadequatefpreparationfforfthisfcli
ent.fWhichfresponsefshouldfthefcirculatingfnursefprovide?
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, 6/11/23,f1:45fPM (fDownload)f2022fHESIfEXITfRNfEXAMfV1.V2,V3,V4,V5,V6,V7fLatestfVolu…
• Directf thef nursef tofcontinuefthefsurgicalf handfscrubf forfaf5f minutefduration
18. Whichf breakfastf selectionf indicatesf thatf thef clientf understandsf thef nurse’sf instructionsf aboutf thef dietary
managementf off osteoporosis?
• Bagelfwithfjellyfandfskimf milk
19. Thefchargefnursefoffafcriticalfcarefunitfisfinformedfatfthefbeginningfoffthefshiftfthatflessfthanfthefoptimalfnu
mberfoffregisteredfnursesfwillfbefworkingfthatfshift.fInfplanningfassignments,fwhichfclientfshouldfreceivefthef
mostfcarefhoursfbyfafregisteredfnursef(RN)?
• Anf82-year-oldfclientfwithfAlzheimer’sfdiseasefnewly-
fracturesffemurfwhofhasfafFoleyfcatheterfandfsoftfwristfrestrainsfapplied
20. Afmotherfbringsfherf6-year-
oldfchild,fwhofhasfjustfsteppedfonfafrustyfnail,ftofthefpediatrician’s foffice.fUponfinspection,fthefnursefn
otesfthatfthefnailfwentfthroughfthefshoefandfpiercedfthefbottomfoffthefchild’sffoot.fWhichfactionfshould
fthefnursefimplementffirst?
• Cleanseftheffootfwithfsoapfandfwaterfandfapplyfanfantibioticfointment
• Providefteachingfaboutfthef needf forfaf tetanusfboosterfwithinfthef nextf 72f hours.
• havefthef motherfcheckfthefchild'sf temperaturefq4hf forfthef nextf24f hours
• transferfthefchildftofthefemergencyf departmentf tof receivefaf gammaf globulinf injection
21. Thef motherfoffanfadolescentftellsfthefclinicf nurse,f“Myfsonf hasfathlete’sf foot,f If havefbeen
applyingftriplefantibioticfointmentfforftwofdays,fbutftherefhasfbeenfnofimprovement.”fWhatf instructionfsh
ouldfthefnursefprovide?
Stopf usingfthefointmentfandfencouragefcompletefdryingf off thef feetfandfwearingf cleanfsocks.
22. Af26-year-
oldffemalefclientfisfadmittedftofthefhospitalfforftreatmentfoffafsimplefgoiter,fandflevothyroxinefsodiumf
(Synthroid)fisfprescribed. fWhichfsymptomsfindicateftofthefnursefthatfthefprescribedfdosagefisftoofhighf
forfthisfclient?fThefclientfexperiences
• Bradycardiaf andf constipation
• Lethargyf andf lackf off appetite
• Musclefcrampingf andf dry,f flushedf skin
• Palpitationsfandfshortnessfoffbreath
23. Afclientfwithfafhistoryfoff heartffailurefpresentsftofthefclinicfwithfaf nausea,fvomiting,f yellowfvisionfandf
palpitations. fWhichffindingfisfmostfimportantfforfthefnurseftofassessftofthefclient?
• Obtainfaf listf off medications ftakenf forfcardiacf history
24. Thef healthcaref providerf prescribes f anf IVf solutionf off isoproterenolf (Isuprel)f 1f mgf inf 250f mlf off D5Wf
atf300fmcg/hour.fThefnursefshouldfprogramfthefinfusionfpumpftofdeliverfhowfmanyfml/hour?f(Enterfnu
mericfvaluefonly.)
• 75
• Rationale:fConvertfmgftofmcgfandfusefthefformulafD/HfxfQ.f300fmcg/hourf/f1,000fmcgfxf250f
mlf=f3/1fxf25f=f75fml/hour
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