RN Exit Hesi
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1. Which information is a priority for the RN The correct answer is D: Measure the urine output for the next day and immediately
to reinforce to an older client after notify the health care provider if it should decrease.
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.
2. A client has altered renal function and is The correct answer is D: weekly weight
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
,3. A client has been diagnosed with The correct answer is B: It is critical to report promptly to your health care provider
Zollinger-Ellison syndrome.Which any
information is most important for the nurse findings of peptic ulcers.
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
4. A primigravida in the third trimester is The correct answer is B: Have the client turn to the left side
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
5. The nurse is caring for a client in atrial The correct answer is C: A cold, pale lower leg
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
6. The client with infective endocarditis The correct answer is B: Fever of 103 degrees F (39.5 degrees C)
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
, 7. A client who had a vasectomy is in the The correct answer is A: Until the health care provider has determined that your
post recovery unit at an outpatient clinic. ejaculate
Which doesn't contain sperm, continue to use another form of contraception.
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.