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RN Exit Hesi Board Exams| Questions with 100% verified Answers

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Subido en
3 de octubre de 2024
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RN Exit Hesi Board Exams| Questions with
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25. A middle aged woman talks to the nurse in the health care provider's office about uterine
fibroids also called leiomyomas or myomas. What statement by the woman indicates more
education is needed?
A) I am one out of every 4 women that get fibroids, and of women my age - between the 30s or
40s, fibroids occurs more frequently.
B) My fibroids are noncancerous tumors that grow slowly.
C) My associated problems I have had are pelvic pressure and pain, urinary incontinence,
frequent urination or urine retention and constipation.

D) Fibroids that cause no problems still need to be taken out. - ✔️✔️D


26. An elderly client admitted after a fall begins to seize and loses consciousness. What action
by the nurse is appropriate to do next?
A) Stay with client and observe for airway obstruction
B) Collect pillows and pad the side rails of the bed
C) Place an oral airway in the mouth and suction

D) Announce a cardiac arrest, and assist with intubation - ✔️✔️A


27. A nurse is providing care to a primigravida whose membranes spontaneously ruptured
(ROM) 4 hours ago. Labor is to be induced. At the time of the ROM the vital signs were T-99.8
degrees F, P-84, R-20, BP-130/78, and fetal heart tones (FHT) 148 beats/min. Which assessment
findings taken now may be an early indication that the client is developing a complication of
labor?
A) FHT 168 beats/min
B) Temperature 100 degrees Fahrenheit.
C) Cervical dilation of 4

D) BP 138/88 - ✔️✔️A

,28. A client with pneumococcal pneumonia had been started on antibiotics 16 hours ago.
During the nurse's initial evening rounds the nurse notices a foul smell in the room. The client
makes all of these statements during their conversation. Which statement would
alert the nurse to a complication?
A) "I have a sharp pain in my chest when I take a breath."
B) "I have been coughing up foul-tasting, brown, thick sputum."
C) "I have been sweating all day."

D) "I feel hot off and on." - ✔️✔️B


29. The nurse is performing an assessment on a client in congestive heart failure. Auscultation
of the heart is most likely to reveal
A) S3 ventricular gallop
B) Apical click
C) Systolic murmur

D) Split S2 - ✔️✔️A


30. Which of these observations made by the nurse during an excretory urogram indicate a
complication?
A) The client complains of a salty taste in the mouth when the dye is injected
B) The client's entire body turns a bright red color
C) The client states "I have a feeling of getting warm."

D) The client gags and complains " I am getting sick." - ✔️✔️B


31. A client is diagnosed with a spontaneous pneumothorax necessitating the insertion of a
chest tube. What is the best explanation for the nurse to provide this client?
A) "The tube will drain fluid from your chest."
B) "The tube will remove excess air from your chest."
C) "The tube controls the amount of air that enters your chest."

, D) "The tube will seal the hole in your lung." - ✔️✔️B


32. The nurse is reviewing laboratory results on a client with acute renal failure. Which one of
the following should be reported immediately?
A) Blood urea nitrogen 50 mg/dl
B) Hemoglobin of 10.3 mg/dl
C) Venous blood pH 7.30

D) Serum potassium 6 mEq/L - ✔️✔️D


33. The nurse is caring for a client undergoing the placement of a central venous catheter line.
Which of the following would require the nurse's immediate attention?
A) Pallor
B) Increased temperature
C) Dyspnea

D) Involuntary muscle spasms - ✔️✔️C


34. The nurse is performing a physical assessment on a client who just had an endotracheal
tube inserted. Which finding would call for immediate action by the nurse?
A) Breath sounds can be heard bilaterally
B) Mist is visible in the T-Piece
C) Pulse oximetry of 88

D) Client is unable to speak - ✔️✔️C


35. A nurse checks a client who is on a volume-cycled ventilator. Which finding indicates that
the client may need suctioning?
A) drowsiness
B) complaint of nausea
C) pulse rate of 92
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