HESI RN EXIT EXAMS
V1 to V7 ACTUAL EXAMS
Actual Ques & Ans Verified 100% Correct to Pass the Test
THIS HESI EXIT EXAMS CONTAINS:
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Each Exams Contains 160 Verified Ques & Ans
Multiple Choices Qs & Ans
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Explanations & Solutions 100% Complete & Verified
,TABLE OF CONTENTS
HESI RN Exit Exam Version 1 (V1) ……………………..
HESI RN Exit Exam Version 2 (V2) ……………………..
HESI RN Exit Exam Version 3 (V3) ……………………..
HESI RN Exit Exam Version 4 (V4) ……………………..
HESI RN Exit Exam Version 5 (V5) ……………………..
HESI RN Exit Exam Version 6 (V6) ……………………..
HESI RN Exit Exam Version 7 (V7) ……………………..
, HESI RN EXIT EXAM (V1) ACTUAL QS & ANS
1. The nurse is planning to administer hydrochlorothiazide to a client. The
nurse should monitor for which adverse effects related to the administration
of this medication?
1. Hypouricemia, hyperkalemia
2. Increased risk of osteoporosis
3.Hypokalemia, hyperglycemia, sulfa allergy
4.Hyperkalemia, hypoglycemia, penicillin allergy
Answer 3
Thiazide diuretics such as hydrochlorothiazide are sulfa-based medications, and a
client with a sulfa allergy is at risk for an allergic reaction. Also, clients are at risk for
hypokalemia, hyperglycemia, hypercalcemia, hyperlipidemia, and hyperuricemia.
2. The home health care nurse is visiting a client with elevated triglyceride
levels and a serum cholesterol level of 398 mg/dL (10 mmol/L). The client is
taking cholestyramine and the nurse teaches the client about the medication.
Which statement, by the client, indicates the need for further teaching?
1. "Constipation and bloating might be a problem."
2. "I'll continue to watch my diet and reduce my fats."
3. "Walking a mile each day will help the whole process."
4. "I'll continue my nicotinic acid from the health food store."
Answer 4
Nicotinic acid, even an over-the-counter form, should be avoided because it may
lead to liver abnormalities. All lipid-lowering medications also can cause liver ab-
, normalities, so a combination of nicotinic acid and cholestyramine resin needs to be
avoided. Constipation and bloating are the 2 most common adverse effects. Walking
and the reduction of fats in the diet are therapeutic measures to reduce cholesterol
and triglyceride levels.
3. The nurse is monitoring a client who is taking digoxin for adverse effects.
Which findings are characteristic of digoxin toxicity? Select all that apply.
1. Tremors
2. Diarrhea
3. Irritability
4. Blurred vision
5. Nausea and vomiting
Answer 2, 4, 5
Digoxin is a cardiac glycoside. The risk of toxicity can occur with the use of this med-
ication. Toxicity can lead to life-threatening events and the nurse needs to monitor
the client closely for signs of toxicity. Early signs of toxicity include gastrointestinal
manifestations such as anorexia, nausea, vomiting, and diarrhea. Subsequent man-
ifestations include headache; visual disturbances such as diplopia, blurred vision,
yellow-green halos, and photophobia; drowsiness; fatigue; and weakness. Cardiac
rhythm abnormalities can also occur. The nurse also monitors the digoxin level. The
optimal therapeutic range for digoxin is 0.5 to 0.8 ng/mL.
4. Potassium chloride intravenously is prescribed for a client with hy-
pokalemia. Which actions should the nurse take to plan for preparation and
administration of the potassium? Select all that apply.