HESI RN EXIT EXAM LEGACY V2 QUESTIONS & CORRECT
ANSWERS (100% COMPLETE)
A client with acute pancreatitis is complaining of pain and nausea. Which
interventions should the nurse implement (Select all that apply)
A.)Monitor heart, lung, and kidney function.
B.)Notify healthcare provider of serum amylase and lipase levels.
C.)Review client's abdominal ultrasound findings.
D.)Position client on abdomen to provide organ stability
E.)Encourage an increased intake of clear oral fluids - ANSWER: A,B,C
A nurse is caring for a client with Diabetes Insipidus. Which assessment finding
warrants immediate intervention by the nurse?
A.)Hypernatremia
B.)Excessive thirst
C.)Elevated heart rate
D.)Poor skin turgor - ANSWER: A
In caring for a client receiving the amino glycoside antibiotic gentamicin, it is most
important for the nurse to monitor which diagnostic test? - ANSWER: Serum
creatinine
The nurse weighs a 6-month-old infant during a well-baby check-up and determines
that the baby's weight has tripled compared to the birth weight of 7 pounds 8
ounces. The mother asks if the baby is gaining enough weight. What response should
the nurse offer?
A.)What food does your baby usually eat in a normal day?
B.)What was the baby's weight at the last well-baby clinic visit?
C.)The baby is below the normal percentile for weight gain
D.)Your baby is gaining weight right on schedule - ANSWER: A
A client who is at 36 weeks gestations is admitted with severe preclampsia. After a 6
gram loading dose of magnesium sulfate is administered, an intravenous infusion of
,magnesium sulfate at a rate of 2 grams/hour is initiated. Which assessment finding
warrants immediate intervention by the nurse? - ANSWER: Urine output 20 ml/hour
What is the nurse's priority goal when providing care for a 2-year-old child
experience...
A.)Stop the seizure activity
B.)Decrease the temperature
C.)Manage the airway
D.)Protect the body from injury - ANSWER: C
The nurse is preparing to discharge an older adult female client who is at risk for
hy...nurse include with this client's discharge teaching?
A.)Report any muscle twitching or seizures
B.)Take vitamin D with calcium daily
C.)Low fat yogurt is a good source of calcium
D.)Keep a diet record to monitor calcium intake
E.)Avoid seafood, particularly selfish - ANSWER: A,B,C,D
The husband of a client with advanced ovarian cancer wants his wife to have every
treatment available. When the husband leaves, the client tells the nurse that she has
had enough chemotherapy and wants to stop all treatments but knows her husband
will sign the consent form for more treatment. The nurse's response should include
which information? - ANSWER: The husband cannot sign the consent for the client,
her signature is required
The client's specific wishes should be discussed with her healthcare provider
The healthcare team will formulate a plan of care to keep the client comfortable
The nurse is preparing a 50 ml dose of 50% dextrose IV for a client with
insulin...medication? - ANSWER: Push the undiluted Dextrose slowly through the
currently infusion IV
The daughter of an older female client tells the clinic nurse that she is no longer able
to care for her mother since her mother has lost the ability to perform activities of
daily living (ADLs) due to aging. Which options should the nurse discuss with the
daughter?
, A.)Home hospice agency
B.)Long-term care facility
C.)Rehabilitation facility
D.)Independent senior apartment
E.)Home health agency - ANSWER: B,E
A male client with cancer, who is receiving antineoplastic drugs, is admitted to
the...what findings is most often manifest this condition?
A.)Ecchymosis and hematemesis
B.)Weight loss and alopecia
C.)Weakness and activity intolerance
D.)Sore throat and fever - ANSWER: A
A 7-year-old boy is brought to the clinic because of facial edema. He reports that he
has been voiding small amounts of dark, cloudy, tea-colored urine. The parents state
that their son had a sore throat 2 weeks earlier, but it has resolved. After assessing
the child's vital signs and weight, what intervention should the nurse implement
next?
A.)Measure the child's abdominal girth
B.)Perform an ostoscopic examination
C.)Collect a urine specimen for routine urinalysis
D.)Obtain a blood specimen for serum electrolytes - ANSWER: C
The nurse observes an adolescent client prepare to administer a prescribed
corticosteroid medication using a metered dose inhaler as seen in the picture. What
action should the nurse take?
A.)Remind the client to hold his breath after inhaling the medication
B.)Confirm that the client has correctly shaken the inhaler
C.)Affirm that the client has correctly positioned the inhaler
D.)Ask the client if he has a spacer to use for this medication - ANSWER: A
ANSWERS (100% COMPLETE)
A client with acute pancreatitis is complaining of pain and nausea. Which
interventions should the nurse implement (Select all that apply)
A.)Monitor heart, lung, and kidney function.
B.)Notify healthcare provider of serum amylase and lipase levels.
C.)Review client's abdominal ultrasound findings.
D.)Position client on abdomen to provide organ stability
E.)Encourage an increased intake of clear oral fluids - ANSWER: A,B,C
A nurse is caring for a client with Diabetes Insipidus. Which assessment finding
warrants immediate intervention by the nurse?
A.)Hypernatremia
B.)Excessive thirst
C.)Elevated heart rate
D.)Poor skin turgor - ANSWER: A
In caring for a client receiving the amino glycoside antibiotic gentamicin, it is most
important for the nurse to monitor which diagnostic test? - ANSWER: Serum
creatinine
The nurse weighs a 6-month-old infant during a well-baby check-up and determines
that the baby's weight has tripled compared to the birth weight of 7 pounds 8
ounces. The mother asks if the baby is gaining enough weight. What response should
the nurse offer?
A.)What food does your baby usually eat in a normal day?
B.)What was the baby's weight at the last well-baby clinic visit?
C.)The baby is below the normal percentile for weight gain
D.)Your baby is gaining weight right on schedule - ANSWER: A
A client who is at 36 weeks gestations is admitted with severe preclampsia. After a 6
gram loading dose of magnesium sulfate is administered, an intravenous infusion of
,magnesium sulfate at a rate of 2 grams/hour is initiated. Which assessment finding
warrants immediate intervention by the nurse? - ANSWER: Urine output 20 ml/hour
What is the nurse's priority goal when providing care for a 2-year-old child
experience...
A.)Stop the seizure activity
B.)Decrease the temperature
C.)Manage the airway
D.)Protect the body from injury - ANSWER: C
The nurse is preparing to discharge an older adult female client who is at risk for
hy...nurse include with this client's discharge teaching?
A.)Report any muscle twitching or seizures
B.)Take vitamin D with calcium daily
C.)Low fat yogurt is a good source of calcium
D.)Keep a diet record to monitor calcium intake
E.)Avoid seafood, particularly selfish - ANSWER: A,B,C,D
The husband of a client with advanced ovarian cancer wants his wife to have every
treatment available. When the husband leaves, the client tells the nurse that she has
had enough chemotherapy and wants to stop all treatments but knows her husband
will sign the consent form for more treatment. The nurse's response should include
which information? - ANSWER: The husband cannot sign the consent for the client,
her signature is required
The client's specific wishes should be discussed with her healthcare provider
The healthcare team will formulate a plan of care to keep the client comfortable
The nurse is preparing a 50 ml dose of 50% dextrose IV for a client with
insulin...medication? - ANSWER: Push the undiluted Dextrose slowly through the
currently infusion IV
The daughter of an older female client tells the clinic nurse that she is no longer able
to care for her mother since her mother has lost the ability to perform activities of
daily living (ADLs) due to aging. Which options should the nurse discuss with the
daughter?
, A.)Home hospice agency
B.)Long-term care facility
C.)Rehabilitation facility
D.)Independent senior apartment
E.)Home health agency - ANSWER: B,E
A male client with cancer, who is receiving antineoplastic drugs, is admitted to
the...what findings is most often manifest this condition?
A.)Ecchymosis and hematemesis
B.)Weight loss and alopecia
C.)Weakness and activity intolerance
D.)Sore throat and fever - ANSWER: A
A 7-year-old boy is brought to the clinic because of facial edema. He reports that he
has been voiding small amounts of dark, cloudy, tea-colored urine. The parents state
that their son had a sore throat 2 weeks earlier, but it has resolved. After assessing
the child's vital signs and weight, what intervention should the nurse implement
next?
A.)Measure the child's abdominal girth
B.)Perform an ostoscopic examination
C.)Collect a urine specimen for routine urinalysis
D.)Obtain a blood specimen for serum electrolytes - ANSWER: C
The nurse observes an adolescent client prepare to administer a prescribed
corticosteroid medication using a metered dose inhaler as seen in the picture. What
action should the nurse take?
A.)Remind the client to hold his breath after inhaling the medication
B.)Confirm that the client has correctly shaken the inhaler
C.)Affirm that the client has correctly positioned the inhaler
D.)Ask the client if he has a spacer to use for this medication - ANSWER: A
