HESI RN Exit Exam 2023 Qs & As Included - Guaranteed
Pass A+!!! (All Brand New Q&A )
A client is scheduled to undergo an upper gastrointestinal (GI) series, and the
nurse provides instructions to the client about the test. Which statement by the
client indicates a need for further instruction?
A) "The test will take about 30 minutes"
B) "I need to fast for 8 hours before the test"
C) "I need to drink citrate of magnesia the night before the test and give myself
a Fleet enema on the morning of the test."
D) "I need to take a laxative after the test is completed, because the liquid that
I'll have to drink for the test can be constipating."
C) "I need to drink citrate of magnesia the night before the test and give myself a
Fleet enema on the morning of the test."
Rationale
An upper GI series involves visualization of the esophagus, duodenum, and upper
jejunum by means of the use of a contrast medium. It involves swallowing a
contrast
medium (usually barium), which is administered in a flavored milkshake. Films are
taken
at intervals during the test, which takes about 30 minutes. No special preparation
is
necessary before a GI series, except that NPO status must be maintained for 8
hours
, before the test. After an upper GI series, the client is prescribed a laxative to
hasten
elimination of the barium. Barium that remains in the colon may become hard
and
difficult to expel, leading to fecal impaction.
A nurse on the evening shift checks a physician's prescriptions and notes that
the dose of a prescribed medication is higher than the normal dose. The nurse
calls the physician's answering service and is told that the physician if off for the
night and will be available the next morning. The nurse should:
A) call the nursing supervisor
B) Ask the answering service to contact the on-call physician
C) Withhold the medication until the physician can be reached in the morning
D) Administer the medication but consult the physician when he becomes
available
B) Ask the answering service to contact the on-call physician
An emergency department (ED) nurse is monitoring a client with suspected
acute
myocardial infarction (MI) who is awaiting transfer to the coronary intensive
care unit.
The nurse notes the sudden onset of premature ventricular contractions (PVCs)
on the
monitor, checks the client's carotid pulse, and determines that the PVCs are not
resulting in perfusion. The appropriate action by the nurse is:
A. Documenting the findings
B. Asking the ED physician to check the client
C. Continuing to monitor the client's cardiac status
D. Informing the client that PVCs are expected after an MI
B. Asking the ED physician to check the client
NPO status is imposed 8 hours before the procedure on a client scheduled to
undergo
electroconvulsive therapy (ECT) at 1 p.m. On the morning of the procedure, the
nurse
checks the client's record and notes that the client routinely takes an oral
Pass A+!!! (All Brand New Q&A )
A client is scheduled to undergo an upper gastrointestinal (GI) series, and the
nurse provides instructions to the client about the test. Which statement by the
client indicates a need for further instruction?
A) "The test will take about 30 minutes"
B) "I need to fast for 8 hours before the test"
C) "I need to drink citrate of magnesia the night before the test and give myself
a Fleet enema on the morning of the test."
D) "I need to take a laxative after the test is completed, because the liquid that
I'll have to drink for the test can be constipating."
C) "I need to drink citrate of magnesia the night before the test and give myself a
Fleet enema on the morning of the test."
Rationale
An upper GI series involves visualization of the esophagus, duodenum, and upper
jejunum by means of the use of a contrast medium. It involves swallowing a
contrast
medium (usually barium), which is administered in a flavored milkshake. Films are
taken
at intervals during the test, which takes about 30 minutes. No special preparation
is
necessary before a GI series, except that NPO status must be maintained for 8
hours
, before the test. After an upper GI series, the client is prescribed a laxative to
hasten
elimination of the barium. Barium that remains in the colon may become hard
and
difficult to expel, leading to fecal impaction.
A nurse on the evening shift checks a physician's prescriptions and notes that
the dose of a prescribed medication is higher than the normal dose. The nurse
calls the physician's answering service and is told that the physician if off for the
night and will be available the next morning. The nurse should:
A) call the nursing supervisor
B) Ask the answering service to contact the on-call physician
C) Withhold the medication until the physician can be reached in the morning
D) Administer the medication but consult the physician when he becomes
available
B) Ask the answering service to contact the on-call physician
An emergency department (ED) nurse is monitoring a client with suspected
acute
myocardial infarction (MI) who is awaiting transfer to the coronary intensive
care unit.
The nurse notes the sudden onset of premature ventricular contractions (PVCs)
on the
monitor, checks the client's carotid pulse, and determines that the PVCs are not
resulting in perfusion. The appropriate action by the nurse is:
A. Documenting the findings
B. Asking the ED physician to check the client
C. Continuing to monitor the client's cardiac status
D. Informing the client that PVCs are expected after an MI
B. Asking the ED physician to check the client
NPO status is imposed 8 hours before the procedure on a client scheduled to
undergo
electroconvulsive therapy (ECT) at 1 p.m. On the morning of the procedure, the
nurse
checks the client's record and notes that the client routinely takes an oral
