V1 HESI EXIT WITH A PLUS SOLUTIONS
1. Which ninformation nis na npriority nfor nthe nRN nto nreinforce nto nan nolder nclient
nafter nintravenous npylegraphy?
A) Eat na nlight ndiet nfor nthe nrest nof nthe nday
B) Rest nfor nthe nnext n24 nhours nsince nthe npreparation nand nthe ntest nis ntiring.
C) During nwaking nhours ndrink nat nleast n1 n8-ounce nglass nof nfluid nevery nhour
nfor nthe nnext n2 ndays
D) Measure nthe nurine noutput nfor nthe nnext nday nand nimmediately nnotify nthe
nhealth ncare nprovider nif nit nshould ndecrease.: nD) nMeasure nthe nurine noutput nfor
nthe nnext nday nand nimmediately nnotify nthe nhealth ncare nprovider nif nit nshould
ndecrease.
2. A nclient nhas naltered nrenal nfunction nand nis nbeing ntreated nat nhome.nThe
nnurse nrecognizes nthat nthe nmost naccurate nindicator nof nfluid nbalance nduring
nthe nweekly nvisits nis
A) difference nin nthe nintake nand noutput
B) changes nin nthe nmucous nmembranes
C) skin nturgor
D) weekly nweight: nD) nweekly nweight
3. A nclient nhas nbeen ndiagnosed nwith nZollinger-Ellison nsyndrome.Which
ninfor- nmation nis nmost nimportant nfor nthe nnurse nto nreinforce nwith nthe
nclient?
A) It nis na ncondition nin nwhich none nor nmore ntumors ncalled ngastrinomas
nform nin nthe npancreas nor nin nthe nupper npart nof nthe nsmall nintestine
n(duodenum)
B) It nis ncritical nto nreport npromptly nto nyour nhealth ncare nprovider nany
nfindings nof npeptic nulcers
c) nTreatment nconsists nof nmedications nto nreduce nacid nand nheal nany npeptic
nulcers nand, nif npossible, nsurgery nto nremove nany ntumors
D) nWith nthe naverage nage nat ndiagnosis nat n50 nyears nthe npeptic nulcers nmay
noccur nat nunusual nareas nof nthe nstomach nor nintestine: nB) nIt nis ncritical nto nreport
npromptly nto nyour nhealth ncare nprovider nany nfindings nof npeptic nulcers
4. A nprimigravida nin nthe nthird ntrimester nis nhospitalized nfor npreeclampsia.
nThe nnurse ndetermines nthat nthe nclient's nblood npressure nis nincreasing.
nWhich naction nshould nthe nnurse ntake nfirst?
1 n/ n
51
,A) Check nthe nprotein nlevel nin nurine
B) Have nthe nclient nturn nto nthe nleft nside
C) Take nthe ntemperature
D) Monitor nthe nurine noutput: nB) nHave nthe nclient nturn nto nthe nleft nside
5. The nnurse nis ncaring nfor na nclient nin natrial nfibrillation. nThe natrial nheart nrate nis
n250 nand nthe nventricular nrate nis ncontrolled nat n75. nWhich nof nthe nfollowing
nfindings nis ncause nfor nthe nmost
concern?
A) Diminished nbowel nsounds
2 n/ n
51
,B) Loss nof nappetite
C) A ncold, npale nlower nleg
D) Tachypnea: nC) nA ncold, npale nlower nleg
6. The nclient nwith ninfective nendocarditis nmust nbe nassessed nfrequently nby
nthe nhome nhealth nnurse. nWhich nfinding nsuggests nthat nantibiotic ntherapy
nis nnot neffective, nand nmust nbe nreported nby nthe nnurse nimmediately nto nthe
nhealthcare nprovider?
A) Nausea nand nvomiting
B) Fever nof n103 ndegrees nFahrenheit n(39.5 ndegrees nCelsius)
C) Diffuse nmacular nrash
D) Muscle ntenderness: nB) nFever nof n103 ndegrees nFahrenheit n(39.5 ndegrees nCelsius)
7. A nclient nwho nhad na nvasectomy nis nin nthe npost nrecovery nunit nat nan
noutpatient nclinic.nWhich nof nthese npoints nis nmost nimportant nto nbe nreinforced
nby nthe nnurse?
A) Until nthe nhealth ncare nprovider nhas ndetermined nthat nyour nejaculate
ndoesn't ncontain nsperm, ncontinue nto nuse nanother nform nof ncontraception.
B) This nprocedure ndoesn't nimpede nthe nproduction nof nmale nhormones nor
nthe nproduction nof nsperm nin nthe ntesticles. nThe nsperm ncan nno nlonger
nenter nyour nsemen nand nno nsperm nare nin
your nejaculate.
C) After nyour nvasectomy, nstrenuous nactivity nneeds nto nbe navoided nfor nat nleast
n48 nhours. nIf nyour nwork ndoesn't ninvolve nhard nphysical nlabor, nyou ncan nreturn
nto nyour njob nas nsoon nas nyou
feel nup nto nit.nThe nstitches ngenerally ndissolve nin nseven nto nten ndays.
D) The nhealth ncare nprovider nat nthis nclinic nrecommends nrest, nice, nan
nathletic nsupporter nor nover-the-counter npain nmedication nto nrelieve nany
ndiscomfort.: nA) nUntil nthe nhealth ncare nprovider nhas ndetermined nthat nyour
nejaculate ndoesn't ncontain nsperm, ncontinue nto nuse nanother nform nof
ncontraception.
8. A nclient nwho nis nto nhave nantineoplastic nchemotherapy ntells nthe nnurses
nof na nfear nof nbeing nsick nall nthe ntime nand nwishes nto ntry nacupuncture.
nWhich nof nthese nbeliefs nstated nby nthe nclient
would nbe nincorrect nabout nacupuncture?
A) Some nneedles ngo nas ndeep nas n3 ninches, ndepending non nwhere nthey're
nplaced nin nthe nbody nand nwhat nthe ntreatment nis nfor. nThe nneedles nusually nare
nleft nin nfor n15 nto n30 nminutes.
B) In ntraditional nChinese nmedicine, nimbalances nin nthe nbasic nenergetic nflow
nof nlife n— nknown nas nqi nor nchi n— nare nthought nto ncause nillness.
C) The nflow nof nlife nis nbelieved nto nflow nthrough nmajor npathways nor nnerve
nclusters nin nyour nbody.
3 n/ n
51
, D) By ninserting nextremely nfine nneedles ninto nsome nof nthe nover n400
nacupuncture
4 n/ n
51
1. Which ninformation nis na npriority nfor nthe nRN nto nreinforce nto nan nolder nclient
nafter nintravenous npylegraphy?
A) Eat na nlight ndiet nfor nthe nrest nof nthe nday
B) Rest nfor nthe nnext n24 nhours nsince nthe npreparation nand nthe ntest nis ntiring.
C) During nwaking nhours ndrink nat nleast n1 n8-ounce nglass nof nfluid nevery nhour
nfor nthe nnext n2 ndays
D) Measure nthe nurine noutput nfor nthe nnext nday nand nimmediately nnotify nthe
nhealth ncare nprovider nif nit nshould ndecrease.: nD) nMeasure nthe nurine noutput nfor
nthe nnext nday nand nimmediately nnotify nthe nhealth ncare nprovider nif nit nshould
ndecrease.
2. A nclient nhas naltered nrenal nfunction nand nis nbeing ntreated nat nhome.nThe
nnurse nrecognizes nthat nthe nmost naccurate nindicator nof nfluid nbalance nduring
nthe nweekly nvisits nis
A) difference nin nthe nintake nand noutput
B) changes nin nthe nmucous nmembranes
C) skin nturgor
D) weekly nweight: nD) nweekly nweight
3. A nclient nhas nbeen ndiagnosed nwith nZollinger-Ellison nsyndrome.Which
ninfor- nmation nis nmost nimportant nfor nthe nnurse nto nreinforce nwith nthe
nclient?
A) It nis na ncondition nin nwhich none nor nmore ntumors ncalled ngastrinomas
nform nin nthe npancreas nor nin nthe nupper npart nof nthe nsmall nintestine
n(duodenum)
B) It nis ncritical nto nreport npromptly nto nyour nhealth ncare nprovider nany
nfindings nof npeptic nulcers
c) nTreatment nconsists nof nmedications nto nreduce nacid nand nheal nany npeptic
nulcers nand, nif npossible, nsurgery nto nremove nany ntumors
D) nWith nthe naverage nage nat ndiagnosis nat n50 nyears nthe npeptic nulcers nmay
noccur nat nunusual nareas nof nthe nstomach nor nintestine: nB) nIt nis ncritical nto nreport
npromptly nto nyour nhealth ncare nprovider nany nfindings nof npeptic nulcers
4. A nprimigravida nin nthe nthird ntrimester nis nhospitalized nfor npreeclampsia.
nThe nnurse ndetermines nthat nthe nclient's nblood npressure nis nincreasing.
nWhich naction nshould nthe nnurse ntake nfirst?
1 n/ n
51
,A) Check nthe nprotein nlevel nin nurine
B) Have nthe nclient nturn nto nthe nleft nside
C) Take nthe ntemperature
D) Monitor nthe nurine noutput: nB) nHave nthe nclient nturn nto nthe nleft nside
5. The nnurse nis ncaring nfor na nclient nin natrial nfibrillation. nThe natrial nheart nrate nis
n250 nand nthe nventricular nrate nis ncontrolled nat n75. nWhich nof nthe nfollowing
nfindings nis ncause nfor nthe nmost
concern?
A) Diminished nbowel nsounds
2 n/ n
51
,B) Loss nof nappetite
C) A ncold, npale nlower nleg
D) Tachypnea: nC) nA ncold, npale nlower nleg
6. The nclient nwith ninfective nendocarditis nmust nbe nassessed nfrequently nby
nthe nhome nhealth nnurse. nWhich nfinding nsuggests nthat nantibiotic ntherapy
nis nnot neffective, nand nmust nbe nreported nby nthe nnurse nimmediately nto nthe
nhealthcare nprovider?
A) Nausea nand nvomiting
B) Fever nof n103 ndegrees nFahrenheit n(39.5 ndegrees nCelsius)
C) Diffuse nmacular nrash
D) Muscle ntenderness: nB) nFever nof n103 ndegrees nFahrenheit n(39.5 ndegrees nCelsius)
7. A nclient nwho nhad na nvasectomy nis nin nthe npost nrecovery nunit nat nan
noutpatient nclinic.nWhich nof nthese npoints nis nmost nimportant nto nbe nreinforced
nby nthe nnurse?
A) Until nthe nhealth ncare nprovider nhas ndetermined nthat nyour nejaculate
ndoesn't ncontain nsperm, ncontinue nto nuse nanother nform nof ncontraception.
B) This nprocedure ndoesn't nimpede nthe nproduction nof nmale nhormones nor
nthe nproduction nof nsperm nin nthe ntesticles. nThe nsperm ncan nno nlonger
nenter nyour nsemen nand nno nsperm nare nin
your nejaculate.
C) After nyour nvasectomy, nstrenuous nactivity nneeds nto nbe navoided nfor nat nleast
n48 nhours. nIf nyour nwork ndoesn't ninvolve nhard nphysical nlabor, nyou ncan nreturn
nto nyour njob nas nsoon nas nyou
feel nup nto nit.nThe nstitches ngenerally ndissolve nin nseven nto nten ndays.
D) The nhealth ncare nprovider nat nthis nclinic nrecommends nrest, nice, nan
nathletic nsupporter nor nover-the-counter npain nmedication nto nrelieve nany
ndiscomfort.: nA) nUntil nthe nhealth ncare nprovider nhas ndetermined nthat nyour
nejaculate ndoesn't ncontain nsperm, ncontinue nto nuse nanother nform nof
ncontraception.
8. A nclient nwho nis nto nhave nantineoplastic nchemotherapy ntells nthe nnurses
nof na nfear nof nbeing nsick nall nthe ntime nand nwishes nto ntry nacupuncture.
nWhich nof nthese nbeliefs nstated nby nthe nclient
would nbe nincorrect nabout nacupuncture?
A) Some nneedles ngo nas ndeep nas n3 ninches, ndepending non nwhere nthey're
nplaced nin nthe nbody nand nwhat nthe ntreatment nis nfor. nThe nneedles nusually nare
nleft nin nfor n15 nto n30 nminutes.
B) In ntraditional nChinese nmedicine, nimbalances nin nthe nbasic nenergetic nflow
nof nlife n— nknown nas nqi nor nchi n— nare nthought nto ncause nillness.
C) The nflow nof nlife nis nbelieved nto nflow nthrough nmajor npathways nor nnerve
nclusters nin nyour nbody.
3 n/ n
51
, D) By ninserting nextremely nfine nneedles ninto nsome nof nthe nover n400
nacupuncture
4 n/ n
51
