CreatedkBykTestBankStuvia
HESI RN EXIT EXAM|| HESI RN VERION 1, 2 & 3 EXAMLL
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QUSTIONS AND 100% CORRECT ANSWERS WITH RATI
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ONALES|| LATEST UPDATE 2024- k k k
2025 ALREADY GRADED A+|| ASSURED PASS!!
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After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2he
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art sounds. To determine if an S3 heart sound is present, what action should thenurs
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e take first
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a. Side the stethoscope across the sternum.
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b. Move the stethoscope to the mitral site
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c. Listen with the bell at the same location
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d. Observe the cardiac telemetry monitor k k k k k
Listen with the bell at the same location
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Rationale: The nurse uses the bell of the stethoscope to hear low-
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pitched soundssuch as S3 and S4. The nurse listens at the same site using the diap
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hragm the diaphragm and bell before moving systematically to the next sites.
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A 66-year-
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old woman is retiring and will no longer have a health insurance through her place of
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employment. Which agency should the client be referred to bythe employee health n
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urse for health insurance needs?
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a. Woman, Infant, and Children program k k k k
b. Medicaid
c. Medicare
d. Consolidated Omnibus Budget Reconciliation Act provision. k k k k k
,CreatedkBykTestBankStuvia
Medicare
Rationale: Title XVII of the social security Act of 1965 created Medicare Programto
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provide medical insurance for person more than 65 years or older, disable or with pe
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rmeant kidney failure, WIC provides supplemental nutrition to meet the needs of pre
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gnant of breastfeeding woman, infants and children up to age of 6.
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Medicaid provides financial assistance to pay for medical services for poor oldera
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dults, blind, disable and families with dependent children. COBRA(D) health bene
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fit provisions is a limited insurance plan for those who has been laid off or become
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unemployed.
A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset
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. What snack should the nurse instruct the client to take with the tetracycline?
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a. Fruit-flavored yogurt. k
b. Cheese and crackers. k k
c. Cold cereal with skim milk.
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d. Toasted wheat bread and jelly k k k k k
Toasted wheat bread and jelly
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Rationale: Dairy products decrease the effect of tetracycline, so the nurse instructsth
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e client to eat a snack such as toast, which contains no dairy products and may decrea
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se GI symptoms.
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Following a lumbar puncture, a client voices several complaints. What complaintin
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dicated to the nurse that the client is experiencing a complication?
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,CreatedkBykTestBankStuvia
a. "I am having pain in my lower back when I move my legs"
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b. "My throat hurts when I swallow"
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c. "I feel sick to my stomach and am going to throw up"
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d. I have a headache that gets worse when I sit up""
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I have a headache that gets worse when I sit up"
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Rationale: A post- k k
lumbar puncture headache, ranging from mild to severe, mayoccur as a result of leak
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age of cerebrospinal fluid at the puncture site. This complication is usually managed
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by bedrest, analgesic, and hydration.
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An elderly client seems confused and reports the onset of nausea, dysuria, andurgency
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with incontinence. Which action should the nurse implement
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a. Auscultate for renal bruits k k k
b. Obtain a clean catch mid-stream specimen
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c. Use a dipstick to measure for urinary ketone
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d. Begin to strain the client's urine.
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Obtain a clean catch mid-stream specimen
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Rationale: This elderly is experiencing symptoms of urinary tract infection. The nur
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se should obtain a clean catch mid-
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stream specimen to determine the causativeagent so an anti-
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infective agent can be prescribed. k k k k
The nurse is assisting the mother of a child with phenylketonuria (PKU) to selectfoods
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that are in keeping with the child's dietary restrictions. Which foods are contraindicate
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d for this child?
k k k
, CreatedkBykTestBankStuvia
a. Wheat products k
b. Foods sweetened with aspartame. k k k
c. High fat foods k k
d. High calories foods. k k
Foods sweetened with aspartame
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Rationale: Aspartame should not be consumed by a child with PKU because ut isco
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nverted to phenylalanine in the body. Additionally, milk and milk products arecont
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raindicated for children with PKU. k k k k
Before preparing a client for the first surgical case of the day, a part-
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time scrub nurse asks the circulating nurse if a 3 minute surgical hand scrub is ade
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quate preparation for this client. Which response should the circulating nurse prov
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ide?
a. Ask a more experience nurse to perform that scrub since it is the first time of theda
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y
b. Validate the nurse is implementing the OR policy for surgical hand scrub
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c. Inform the nurse that hand scrubs should be 3 minutes between cases.
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d. Direct the nurse to continue the surgical hand scrub for a 5-
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minute duration.Direct the nurse to continue the surgical hand scrub for a 5 minu
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te duration
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Rationale: The surgical hand scrub should last for 5 to 10 mints, so the nurse should b
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e directed to continue the vigorous scrub using a reliable agent for the totalduration of
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5 mints. It is not necessary to reassign staff (A). The length of the hand scrub and sub
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sequent scrubs during the day require the same process for the same amount of time, (
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B and C)k k
HESI RN EXIT EXAM|| HESI RN VERION 1, 2 & 3 EXAMLL
k k k k k k k k k k k k
QUSTIONS AND 100% CORRECT ANSWERS WITH RATI
k k k k k k k
ONALES|| LATEST UPDATE 2024- k k k
2025 ALREADY GRADED A+|| ASSURED PASS!!
k k k k k
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2he
k k k k k k k k k k k k k k k
art sounds. To determine if an S3 heart sound is present, what action should thenurs
k k k k k k k k k k k k k k k
e take first
k k
a. Side the stethoscope across the sternum.
k k k k k
b. Move the stethoscope to the mitral site
k k k k k k
c. Listen with the bell at the same location
k k k k k k k
d. Observe the cardiac telemetry monitor k k k k k
Listen with the bell at the same location
k k k k k k k
Rationale: The nurse uses the bell of the stethoscope to hear low-
k k k k k k k k k k k
pitched soundssuch as S3 and S4. The nurse listens at the same site using the diap
k k k k k k k k k k k k k k k k
hragm the diaphragm and bell before moving systematically to the next sites.
k k k k k k k k k k k
A 66-year-
k
old woman is retiring and will no longer have a health insurance through her place of
k k k k k k k k k k k k k k k k
employment. Which agency should the client be referred to bythe employee health n
k k k k k k k k k k k k k
urse for health insurance needs?
k k k k
a. Woman, Infant, and Children program k k k k
b. Medicaid
c. Medicare
d. Consolidated Omnibus Budget Reconciliation Act provision. k k k k k
,CreatedkBykTestBankStuvia
Medicare
Rationale: Title XVII of the social security Act of 1965 created Medicare Programto
k k k k k k k k k k k k k k
provide medical insurance for person more than 65 years or older, disable or with pe
k k k k k k k k k k k k k k
rmeant kidney failure, WIC provides supplemental nutrition to meet the needs of pre
k k k k k k k k k k k k
gnant of breastfeeding woman, infants and children up to age of 6.
k k k k k k k k k k k
Medicaid provides financial assistance to pay for medical services for poor oldera
k k k k k k k k k k k k
dults, blind, disable and families with dependent children. COBRA(D) health bene
k k k k k k k k k k
fit provisions is a limited insurance plan for those who has been laid off or become
k k k k k k k k k k k k k k k k
unemployed.
A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset
k k k k k k k k k k k k k k
. What snack should the nurse instruct the client to take with the tetracycline?
k k k k k k k k k k k k k
a. Fruit-flavored yogurt. k
b. Cheese and crackers. k k
c. Cold cereal with skim milk.
k k k k
d. Toasted wheat bread and jelly k k k k k
Toasted wheat bread and jelly
k k k k
Rationale: Dairy products decrease the effect of tetracycline, so the nurse instructsth
k k k k k k k k k k k k
e client to eat a snack such as toast, which contains no dairy products and may decrea
k k k k k k k k k k k k k k k k
se GI symptoms.
k k
Following a lumbar puncture, a client voices several complaints. What complaintin
k k k k k k k k k k k
dicated to the nurse that the client is experiencing a complication?
k k k k k k k k k k
,CreatedkBykTestBankStuvia
a. "I am having pain in my lower back when I move my legs"
k k k k k k k k k k k k
b. "My throat hurts when I swallow"
k k k k k
c. "I feel sick to my stomach and am going to throw up"
k k k k k k k k k k k
d. I have a headache that gets worse when I sit up""
k k k k k k k k k k k
I have a headache that gets worse when I sit up"
k k k k k k k k k k
Rationale: A post- k k
lumbar puncture headache, ranging from mild to severe, mayoccur as a result of leak
k k k k k k k k k k k k k k
age of cerebrospinal fluid at the puncture site. This complication is usually managed
k k k k k k k k k k k k k
by bedrest, analgesic, and hydration.
k k k k
An elderly client seems confused and reports the onset of nausea, dysuria, andurgency
k k k k k k k k k k k k k k
with incontinence. Which action should the nurse implement
k k k k k k k
a. Auscultate for renal bruits k k k
b. Obtain a clean catch mid-stream specimen
k k k k k
c. Use a dipstick to measure for urinary ketone
k k k k k k k
d. Begin to strain the client's urine.
k k k k k
Obtain a clean catch mid-stream specimen
k k k k k
Rationale: This elderly is experiencing symptoms of urinary tract infection. The nur
k k k k k k k k k k k
se should obtain a clean catch mid-
k k k k k k
stream specimen to determine the causativeagent so an anti-
k k k k k k k k k
infective agent can be prescribed. k k k k
The nurse is assisting the mother of a child with phenylketonuria (PKU) to selectfoods
k k k k k k k k k k k k k k k
that are in keeping with the child's dietary restrictions. Which foods are contraindicate
k k k k k k k k k k k k
d for this child?
k k k
, CreatedkBykTestBankStuvia
a. Wheat products k
b. Foods sweetened with aspartame. k k k
c. High fat foods k k
d. High calories foods. k k
Foods sweetened with aspartame
k k k
Rationale: Aspartame should not be consumed by a child with PKU because ut isco
k k k k k k k k k k k k k k
nverted to phenylalanine in the body. Additionally, milk and milk products arecont
k k k k k k k k k k k k
raindicated for children with PKU. k k k k
Before preparing a client for the first surgical case of the day, a part-
k k k k k k k k k k k k k
time scrub nurse asks the circulating nurse if a 3 minute surgical hand scrub is ade
k k k k k k k k k k k k k k k
quate preparation for this client. Which response should the circulating nurse prov
k k k k k k k k k k k
ide?
a. Ask a more experience nurse to perform that scrub since it is the first time of theda
k k k k k k k k k k k k k k k k k
y
b. Validate the nurse is implementing the OR policy for surgical hand scrub
k k k k k k k k k k k
c. Inform the nurse that hand scrubs should be 3 minutes between cases.
k k k k k k k k k k k
d. Direct the nurse to continue the surgical hand scrub for a 5-
k k k k k k k k k k k
minute duration.Direct the nurse to continue the surgical hand scrub for a 5 minu
k k k k k k k k k k k k k k
te duration
k
Rationale: The surgical hand scrub should last for 5 to 10 mints, so the nurse should b
k k k k k k k k k k k k k k k k
e directed to continue the vigorous scrub using a reliable agent for the totalduration of
k k k k k k k k k k k k k k k
5 mints. It is not necessary to reassign staff (A). The length of the hand scrub and sub
k k k k k k k k k k k k k k k k k k
sequent scrubs during the day require the same process for the same amount of time, (
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B and C)k k