RN EXIT HESI EXAMINATION
GRADED WITH ANSWERS
1. Which information is a priority for the RN to reinforce to an older client after
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. - ANSWER-The correct answer is 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 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 - ANSWER-The correct answer is D: weekly weight
3. A client has been diagnosed with Zollinger-Ellison syndrome.Which information
is most important for the nurse 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 - ANSWER-The correct answer is B: It is critical
to report promptly to your health care provider any
findings of peptic ulcers.
4. A primigravida in the third trimester is 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 - ANSWER-The correct answer is B: Have the client
turn to the left side
5. The nurse is caring for a client in atrial 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 - ANSWER-The correct answer is C: A cold, pale lower leg
6. The client with infective endocarditis 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 - ANSWER-The correct answer is B: Fever of 103 degrees F
(39.5 degrees C)
7. A client who had a vasectomy is in the post recovery unit at an outpatient clinic.
Which
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. - ANSWER-The
correct answer is A: Until the health care provider has determined that your
ejaculate
doesn't contain sperm, continue to use another form of contraception.
8. A client who is to have antineoplastic chemotherapy tells the nurses of a fear of
being
sick all the time and wishes to try acupuncture. Which of these beliefs stated by the
client
would be incorrect about acupuncture?
A)Some needles go as deep as 3 inches, depending on where they're placed in the
body
GRADED WITH ANSWERS
1. Which information is a priority for the RN to reinforce to an older client after
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. - ANSWER-The correct answer is 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 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 - ANSWER-The correct answer is D: weekly weight
3. A client has been diagnosed with Zollinger-Ellison syndrome.Which information
is most important for the nurse 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 - ANSWER-The correct answer is B: It is critical
to report promptly to your health care provider any
findings of peptic ulcers.
4. A primigravida in the third trimester is 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 - ANSWER-The correct answer is B: Have the client
turn to the left side
5. The nurse is caring for a client in atrial 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 - ANSWER-The correct answer is C: A cold, pale lower leg
6. The client with infective endocarditis 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 - ANSWER-The correct answer is B: Fever of 103 degrees F
(39.5 degrees C)
7. A client who had a vasectomy is in the post recovery unit at an outpatient clinic.
Which
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. - ANSWER-The
correct answer is A: Until the health care provider has determined that your
ejaculate
doesn't contain sperm, continue to use another form of contraception.
8. A client who is to have antineoplastic chemotherapy tells the nurses of a fear of
being
sick all the time and wishes to try acupuncture. Which of these beliefs stated by the
client
would be incorrect about acupuncture?
A)Some needles go as deep as 3 inches, depending on where they're placed in the
body
