2022 HESI RN EXIT V1 WITH COMPLETE SOLUTION(A LEVEL FULL
SOLUTION PACK)
1. Which information is a priority for the RN to reinforce to an older clientafter
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 hourfor the
next 2
days
D) Measure the urine output for the next day and immediately notify thehealth
care
provider if it should decrease.
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. Thenurse
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
The correct answer is D: weekly weight
3. A client has been diagnosed with Zollinger-Ellison syndrome.Which
information is
Page 2 of 42
,most important for the nurse to reinforce with the client?
A) It is a condition in which one or more tumors called gastrinomas form inthe
pancreas
or in the upper part of the small intestine (duodenum)
B) It is critical to report promptly to your health care provider any findingsof 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
The correct answer is B: It is critical to report promptly to your health care
provider any
findings of peptic ulcers .
Page 3 of 42
,3
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
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 rateis 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
The correct answer is C: A cold, pale lower leg
6. The client with infective endocarditis must be assessed frequently bythe
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
The correct answer is B: Fever of 103 degrees F (39.5 degrees C)
Page 4 of 42
, 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 ejaculatedoesn'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 atleast 48
hours. If
Page 5 of 42
SOLUTION PACK)
1. Which information is a priority for the RN to reinforce to an older clientafter
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 hourfor the
next 2
days
D) Measure the urine output for the next day and immediately notify thehealth
care
provider if it should decrease.
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. Thenurse
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
The correct answer is D: weekly weight
3. A client has been diagnosed with Zollinger-Ellison syndrome.Which
information is
Page 2 of 42
,most important for the nurse to reinforce with the client?
A) It is a condition in which one or more tumors called gastrinomas form inthe
pancreas
or in the upper part of the small intestine (duodenum)
B) It is critical to report promptly to your health care provider any findingsof 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
The correct answer is B: It is critical to report promptly to your health care
provider any
findings of peptic ulcers .
Page 3 of 42
,3
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
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 rateis 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
The correct answer is C: A cold, pale lower leg
6. The client with infective endocarditis must be assessed frequently bythe
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
The correct answer is B: Fever of 103 degrees F (39.5 degrees C)
Page 4 of 42
, 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 ejaculatedoesn'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 atleast 48
hours. If
Page 5 of 42
