HESI RN Exit
Exam 2 - Questions
with Verified
Answers Rated A+
D: Measure the urine output for the next day and immediately notify the health
care provider if it should decrease. - ✔✔-Which information is a priority for the
RN to reinforce to an older client after intravenous pylegraphy?
A) Eat a light diet for the rest of the day
B) Rest for the next 24 hours since the preparation and the test is tiring.
C) During waking hours drink at least 1 8-ounce glass of fluid every hour for the
next 2 days
D) Measure the urine output for the next day and immediately notify the health
care provider if it should decrease.
D: weekly weight - ✔✔-A client has altered renal function and is being treated at
home. The nurse recognizes that the most accurate indicator of fluid balance
during the weekly visits is
A) difference in the intake and output
B) changes in the mucous membranes
C) skin turgor
D) weekly weight
,The correct answer is B: It is critical to report promptly to your health care
provider any findings of peptic ulcers. - ✔✔-A client has been diagnosed with
Zollinger-Ellison syndrome.Which information is most important for the nurse to
reinforce with the client?
A) It is a condition in which one or more tumors called gastrinomas form in the
pancreas or in the upper part of the small intestine (duodenum)
B) It is critical to report promptly to your health care provider any findings of
peptic ulcers
c) Treatment consists of medications to reduce acid and heal any peptic ulcers
and, if possible, surgery to remove any tumors
D) With the average age at diagnosis at 50 years the peptic ulcers may occur at
unusual areas of the stomach or intestine
B: Have the client turn to the left side - ✔✔-A primigravida in the third trimester
is hospitalized for preeclampsia. The nurse determines that the client's blood
pressure is increasing. Which action should the nurse take first?
A) Check the protein level in urine
B) Have the client turn to the left side
C) Take the temperature
D) Monitor the urine output
C: A cold, pale lower leg - ✔✔-The nurse is caring for a client in atrial fibrillation.
The atrial heart rate is 250 and the ventricular rate is controlled at 75. Which of
the following findings is cause for the most concern?
A) Diminished bowel sounds
B) Loss of appetite
C) A cold, pale lower leg
D) Tachypnea
B: Fever of 103 degrees F (39.5 degrees C) - ✔✔-The client with infective
endocarditis must be assessed frequently by the home health nurse. Which
finding suggests that antibiotic therapy is not effective, and must be reported by
the nurse immediately to the healthcare provider?
A) Nausea and vomiting
B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
C) Diffuse macular rash D) Muscle tenderness
,A: Until the health care provider has determined that your ejaculate doesn't
contain sperm, continue to use another form of contraception. - ✔✔-A client who
had a vasectomy is in the post recovery unit at an outpatient clinic. Which of
these points is most important to be reinforced by the nurse?
A) Until the health care provider has determined that your ejaculate doesn't
contain sperm, continue to use another form of contraception.
B) This procedure doesn't impede the production of male hormones or the
production of sperm in the testicles. The sperm can no longer enter your semen
and no sperm are in your ejaculate.
C) After your vasectomy, strenuous activity needs to be avoided for at least 48
hours. If your work doesn't involve hard physical labor, you can return to your job
as soon as you feel up to it. The stitches generally dissolve in seven to ten days.
D) The health care provider at this clinic recommends rest, ice, an athletic
supporter or over-the- counter pain medication to relieve any discomfort.
C: The flow of life is believed to flow through major pathways or nerve clusters in
your body. - ✔✔-A client who is to have antineoplastic chemotherapy tells the
nurses of a fear of being sick all the time and wishes to try acupuncture. Which of
these beliefs stated by the client would be incorrect about acupuncture?
A) Some needles go as deep as 3 inches, depending on where they're placed in
the body and what the treatment is for. The needles usually are left in for 15 to 30
minutes.
B) In traditional Chinese medicine, imbalances in the basic energetic flow of life
— known as qi or chi — are thought to cause illness.
C) The flow of life is believed to flow through major pathways or nerve clusters in
your body.
D) By inserting extremely fine needles into some of the over 400 acupuncture
points in various combinations it is believed that energy flow will rebalance to
allow the body's natural healing mechanisms to take over.
C: Kawasaki disease occurs most often in boys, children younger than age 5 and
children of Hispanic descent - ✔✔-The nurse is discussing with a group of
students the disease Kawasaki. What statement made by a student about
Kawasaki disease is incorrect?
A) It also called mucocutaneous lymph node syndrome because it affects the
mucous membranes (inside the mouth, throat and nose), skin and lymph nodes.
, B) In the second phase of the disease, findings include peeling of the skin on the
hands and feet with joint and abdominal pain
C) Kawasaki disease occurs most often in boys, children younger than age 5 and
children of Hispanic descent
D) Initially findings are a sudden high fever, usually above 104 degrees
Fahrenheit, which lasts 1 to2 weeks
A: Side-lying on the left with the head elevated 10 degrees - ✔✔-A client has
viral pneumonia affecting 2/3 of the right lung. What would be the best position to
teach the client to lie in every other hour during first 12 hours after admission?
A) Side-lying on the left with the head elevated 10 degrees
B) Side-lying on the left with the head elevated 35 degrees C) Side-lying on the
right wil the head elevated 10 degrees D) Side-lying on the right with the head
elevated 35 degrees
C: minimal drainage into the urinary collection bag - ✔✔-A client has an
indwelling catheter with continuous bladder irrigation after undergoing a
transurethral resection of the prostate (TURP) 12 hours ago. Which finding at this
time should be reported to the health care provider?
A) Light, pink urine
B) Occasional suprapubic cramping
C) Minimal drainage into the urinary collection bag
D) Complaints of the feeling of pulling on the urinary catheter
C: Participate with the compressions or breathing - ✔✔-A nurse is performing
CPR on an adult who went into cardiopulmonary arrest. Another nurse enters the
room in response to the call. After checking the client's pulse and respirations,
what should be the function of the second nurse?
A) Relieve the nurse performing CPR
B) Go get the code cart
C) Participate with the compressions or breathing
D) Validate the client's advanced directive
B: Jugular vein distention - ✔✔-The nurse assesses a 72 year-old client who
was admitted for right sided congestive heart failure. Which of the following
would the nurse anticipate finding?
A) Decreased urinary output
Exam 2 - Questions
with Verified
Answers Rated A+
D: Measure the urine output for the next day and immediately notify the health
care provider if it should decrease. - ✔✔-Which information is a priority for the
RN to reinforce to an older client after intravenous pylegraphy?
A) Eat a light diet for the rest of the day
B) Rest for the next 24 hours since the preparation and the test is tiring.
C) During waking hours drink at least 1 8-ounce glass of fluid every hour for the
next 2 days
D) Measure the urine output for the next day and immediately notify the health
care provider if it should decrease.
D: weekly weight - ✔✔-A client has altered renal function and is being treated at
home. The nurse recognizes that the most accurate indicator of fluid balance
during the weekly visits is
A) difference in the intake and output
B) changes in the mucous membranes
C) skin turgor
D) weekly weight
,The correct answer is B: It is critical to report promptly to your health care
provider any findings of peptic ulcers. - ✔✔-A client has been diagnosed with
Zollinger-Ellison syndrome.Which information is most important for the nurse to
reinforce with the client?
A) It is a condition in which one or more tumors called gastrinomas form in the
pancreas or in the upper part of the small intestine (duodenum)
B) It is critical to report promptly to your health care provider any findings of
peptic ulcers
c) Treatment consists of medications to reduce acid and heal any peptic ulcers
and, if possible, surgery to remove any tumors
D) With the average age at diagnosis at 50 years the peptic ulcers may occur at
unusual areas of the stomach or intestine
B: Have the client turn to the left side - ✔✔-A primigravida in the third trimester
is hospitalized for preeclampsia. The nurse determines that the client's blood
pressure is increasing. Which action should the nurse take first?
A) Check the protein level in urine
B) Have the client turn to the left side
C) Take the temperature
D) Monitor the urine output
C: A cold, pale lower leg - ✔✔-The nurse is caring for a client in atrial fibrillation.
The atrial heart rate is 250 and the ventricular rate is controlled at 75. Which of
the following findings is cause for the most concern?
A) Diminished bowel sounds
B) Loss of appetite
C) A cold, pale lower leg
D) Tachypnea
B: Fever of 103 degrees F (39.5 degrees C) - ✔✔-The client with infective
endocarditis must be assessed frequently by the home health nurse. Which
finding suggests that antibiotic therapy is not effective, and must be reported by
the nurse immediately to the healthcare provider?
A) Nausea and vomiting
B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
C) Diffuse macular rash D) Muscle tenderness
,A: Until the health care provider has determined that your ejaculate doesn't
contain sperm, continue to use another form of contraception. - ✔✔-A client who
had a vasectomy is in the post recovery unit at an outpatient clinic. Which of
these points is most important to be reinforced by the nurse?
A) Until the health care provider has determined that your ejaculate doesn't
contain sperm, continue to use another form of contraception.
B) This procedure doesn't impede the production of male hormones or the
production of sperm in the testicles. The sperm can no longer enter your semen
and no sperm are in your ejaculate.
C) After your vasectomy, strenuous activity needs to be avoided for at least 48
hours. If your work doesn't involve hard physical labor, you can return to your job
as soon as you feel up to it. The stitches generally dissolve in seven to ten days.
D) The health care provider at this clinic recommends rest, ice, an athletic
supporter or over-the- counter pain medication to relieve any discomfort.
C: The flow of life is believed to flow through major pathways or nerve clusters in
your body. - ✔✔-A client who is to have antineoplastic chemotherapy tells the
nurses of a fear of being sick all the time and wishes to try acupuncture. Which of
these beliefs stated by the client would be incorrect about acupuncture?
A) Some needles go as deep as 3 inches, depending on where they're placed in
the body and what the treatment is for. The needles usually are left in for 15 to 30
minutes.
B) In traditional Chinese medicine, imbalances in the basic energetic flow of life
— known as qi or chi — are thought to cause illness.
C) The flow of life is believed to flow through major pathways or nerve clusters in
your body.
D) By inserting extremely fine needles into some of the over 400 acupuncture
points in various combinations it is believed that energy flow will rebalance to
allow the body's natural healing mechanisms to take over.
C: Kawasaki disease occurs most often in boys, children younger than age 5 and
children of Hispanic descent - ✔✔-The nurse is discussing with a group of
students the disease Kawasaki. What statement made by a student about
Kawasaki disease is incorrect?
A) It also called mucocutaneous lymph node syndrome because it affects the
mucous membranes (inside the mouth, throat and nose), skin and lymph nodes.
, B) In the second phase of the disease, findings include peeling of the skin on the
hands and feet with joint and abdominal pain
C) Kawasaki disease occurs most often in boys, children younger than age 5 and
children of Hispanic descent
D) Initially findings are a sudden high fever, usually above 104 degrees
Fahrenheit, which lasts 1 to2 weeks
A: Side-lying on the left with the head elevated 10 degrees - ✔✔-A client has
viral pneumonia affecting 2/3 of the right lung. What would be the best position to
teach the client to lie in every other hour during first 12 hours after admission?
A) Side-lying on the left with the head elevated 10 degrees
B) Side-lying on the left with the head elevated 35 degrees C) Side-lying on the
right wil the head elevated 10 degrees D) Side-lying on the right with the head
elevated 35 degrees
C: minimal drainage into the urinary collection bag - ✔✔-A client has an
indwelling catheter with continuous bladder irrigation after undergoing a
transurethral resection of the prostate (TURP) 12 hours ago. Which finding at this
time should be reported to the health care provider?
A) Light, pink urine
B) Occasional suprapubic cramping
C) Minimal drainage into the urinary collection bag
D) Complaints of the feeling of pulling on the urinary catheter
C: Participate with the compressions or breathing - ✔✔-A nurse is performing
CPR on an adult who went into cardiopulmonary arrest. Another nurse enters the
room in response to the call. After checking the client's pulse and respirations,
what should be the function of the second nurse?
A) Relieve the nurse performing CPR
B) Go get the code cart
C) Participate with the compressions or breathing
D) Validate the client's advanced directive
B: Jugular vein distention - ✔✔-The nurse assesses a 72 year-old client who
was admitted for right sided congestive heart failure. Which of the following
would the nurse anticipate finding?
A) Decreased urinary output
